{
"Npi": {
"NPI": "1902832124",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FISCHER PHARMACARE, LLC",
"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": "538 E ALBION ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AVILLA",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46710-9448",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "260-897-2400",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "538 E ALBION ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AVILLA",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46710-9448",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "260-897-2400",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/23/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FEICHTER",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "260-969-3196",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "60005532A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}