{
"Npi": {
"NPI": "1881972271",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BROWNSVILLE PEDIATRIC PHARMACY PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1205 SANTA ANA AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RANCHO VIEJO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78575-9755",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "956-986-0707",
"MailingAddressFaxNumber": "956-986-0770",
"FirstLinePracticeLocationAddress": "2050 N EXPRESSWAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BROWNSVILLE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78521-1540",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "956-544-1222",
"PracticeLocationAddressFaxNumber": "986-986-0770",
"EnumerationDate": "08/02/2011",
"LastUpdateDate": "08/02/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ESCOBEDO",
"AuthorizedOfficialFirstName": "JOSEPHAT",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMACIST",
"AuthorizedOfficialTelephoneNumber": "956-986-0707",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "29278",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}