{
"Npi": {
"NPI": "1952758781",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JANEO LLC",
"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": "10153 1/2 RIVERSIDE DR # 456",
"SecondLineMailingAddress": "ATTN: SHERRI CHERMAN, PHARMD",
"MailingAddressCityName": "TOLUCA LAKE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91602-2561",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-762-2055",
"MailingAddressFaxNumber": "818-330-4550",
"FirstLinePracticeLocationAddress": "12602-12606 VENTURA BLVD.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STUDIO CITY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91604-2414",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-762-2055",
"PracticeLocationAddressFaxNumber": "818-330-4550",
"EnumerationDate": "05/23/2016",
"LastUpdateDate": "11/26/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHERMAN",
"AuthorizedOfficialFirstName": "SHERRI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT/CEO/AO/PIC",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "818-762-2055",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "291U00000X",
"TaxonomyName": "Clinical Medical Laboratory",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "54333",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}