NPI Code Detail JSON Logo

1962777458 NPI number — RED CARPET MEDICAL

NPI Number: 1962777458
Health Care Provider/Practitioner: RED CARPET MEDICAL

Information about “1962777458” NPI (RED CARPET MEDICAL) exists in 1962777458 in HTML format HTML  |  1962777458 in plain Text format TXT  |  1962777458 in PDF (Portable Document Format) PDF  |  1962777458 in an XML format XML  formats.

NPI Number : 1962777458 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962777458",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RED CARPET MEDICAL",
    "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": "3450 COBB PKWY NW STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ACWORTH",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30101-8376",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-529-9277",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3450 COBB PKWY NW STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ACWORTH",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30101-8376",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-529-9277",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/15/2012",
    "LastUpdateDate": "10/22/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHAROMI",
    "AuthorizedOfficialFirstName": "JIMI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "770-529-9277",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0004X",
          "TaxonomyName": "Compounding Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336S0011X",
          "TaxonomyName": "Specialty Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": "PHRE009855",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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