NPI Code Detail JSON Logo

1962721704 NPI number — FLAMUR VAKA RPH.

NPI Number: 1962721704
Health Care Provider/Practitioner: FLAMUR VAKA RPH.

Information about “1962721704” NPI (FLAMUR VAKA RPH.) exists in 1962721704 in HTML format HTML  |  1962721704 in plain Text format TXT  |  1962721704 in PDF (Portable Document Format) PDF  |  1962721704 in an XML format XML  formats.

NPI Number : 1962721704 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962721704",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VAKA",
    "FirstName": "FLAMUR",
    "MiddleName": null,
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "RPH.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "27 BROOKLINE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DEARBORN",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48120-1037",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7843 W VERNOR HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DETROIT",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48209-1517",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-554-4511",
    "PracticeLocationAddressFaxNumber": "313-841-7240",
    "EnumerationDate": "05/19/2010",
    "LastUpdateDate": "05/19/2010",
    "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": "5302031533",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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