{
"Npi": {
"NPI": "1932269172",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MIKES PHARMACY",
"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": "543 WEST FRANKLIN STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WOMELSDORF",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19567",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-628-3895",
"MailingAddressFaxNumber": "223-488-6250",
"FirstLinePracticeLocationAddress": "543 WEST FRANKLIN STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WOMELSDORF",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19567",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "610-628-3895",
"PracticeLocationAddressFaxNumber": "223-488-6250",
"EnumerationDate": "12/11/2006",
"LastUpdateDate": "06/06/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ZERBE",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "JOSEPH",
"AuthorizedOfficialTitle": "PHARMACIST/OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "610-628-3895",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0004X",
"TaxonomyName": "Compounding Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}