{
"Npi": {
"NPI": "1972146769",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MARRAS PHARMACY INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 229",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COHOES",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12047-0229",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-720-3147",
"MailingAddressFaxNumber": "518-237-5533",
"FirstLinePracticeLocationAddress": "217 REMSEN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COHOES",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12047-3024",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "518-237-2110",
"PracticeLocationAddressFaxNumber": "518-237-5533",
"EnumerationDate": "10/24/2019",
"LastUpdateDate": "10/24/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HATCH",
"AuthorizedOfficialFirstName": "BRUCE",
"AuthorizedOfficialMiddleName": "DAVID",
"AuthorizedOfficialTitle": "DESIGNATED OFFICIAL/PHARMACIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "518-720-3147",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336L0003X",
"TaxonomyName": "Long Term Care Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}