NPI Code Detail JSON Logo

1922511005 NPI number — ANTHONY FRU ANGU

NPI Number: 1922511005
Health Care Provider/Practitioner: ANTHONY FRU ANGU

Information about “1922511005” NPI (ANTHONY FRU ANGU) exists in 1922511005 in HTML format HTML  |  1922511005 in plain Text format TXT  |  1922511005 in PDF (Portable Document Format) PDF  |  1922511005 in an XML format XML  formats.

NPI Number : 1922511005 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922511005",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANGU",
    "FirstName": "ANTHONY",
    "MiddleName": "FRU",
    "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": "222 FINNEGAN WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YOUNGSVILLE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70592-6831",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-735-6138",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "911 MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELTON",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70532-3228",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "337-584-2256",
    "PracticeLocationAddressFaxNumber": "337-584-2499",
    "EnumerationDate": "11/10/2017",
    "LastUpdateDate": "05/01/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "27488",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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