{
"Npi": {
"NPI": "1992339022",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "QUACHNGUYEN INC",
"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": "260 HIGH ST UNIT B",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOWELL",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01852-2323",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "978-221-6674",
"MailingAddressFaxNumber": "978-455-8493",
"FirstLinePracticeLocationAddress": "260 HIGH ST UNIT B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LOWELL",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01852-2323",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "978-221-6674",
"PracticeLocationAddressFaxNumber": "978-455-8493",
"EnumerationDate": "02/27/2020",
"LastUpdateDate": "02/05/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "QUACH",
"AuthorizedOfficialFirstName": "QUYNH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACIST/DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM.D",
"AuthorizedOfficialTelephoneNumber": "978-221-6674",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}