{
"Npi": {
"NPI": "1902094170",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TWINS PHARMACY INC",
"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": "PARC SAN ANTONIO",
"SecondLineMailingAddress": "#21 CARR 696 SUITE 1",
"MailingAddressCityName": "DORADO",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00646-5767",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-278-3300",
"MailingAddressFaxNumber": "787-278-6100",
"FirstLinePracticeLocationAddress": "CARR 696 KM 1 3 LOTE 21 BO HIGUILLAR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DORADO",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00646",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-278-3300",
"PracticeLocationAddressFaxNumber": "787-278-6100",
"EnumerationDate": "10/12/2007",
"LastUpdateDate": "06/01/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIVERA",
"AuthorizedOfficialFirstName": "JEANNETTE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "787-640-5942",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "19F2559",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}