{
"Npi": {
"NPI": "1891786125",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MONAHAN AND BROSWSKI PHARMACISTS LTD",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 217",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOOSICK FALLS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12090-0217",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-686-5711",
"MailingAddressFaxNumber": "518-686-1706",
"FirstLinePracticeLocationAddress": "24 CHURCH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOOSICK FALLS",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12090-1600",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "518-686-5711",
"PracticeLocationAddressFaxNumber": "518-686-1706",
"EnumerationDate": "11/04/2005",
"LastUpdateDate": "10/11/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MONAHAN",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "OWNER/ PHARMACISTD",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "518-686-5711",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "030544-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}