{"result_count":1,"results":[{"addresses":[{"address_1":"1505 NORTHSIDE BLVD STE 1600","address_purpose":"LOCATION","address_type":"DOM","city":"CUMMING","country_code":"US","country_name":"United States","fax_number":"770-205-7386","postal_code":"300417660","state":"GA","telephone_number":"770-205-0290"},{"address_1":"1505 NORTHSIDE BLVD STE 1600","address_purpose":"MAILING","address_type":"DOM","city":"CUMMING","country_code":"US","country_name":"United States","fax_number":"770-205-7386","postal_code":"300417660","state":"GA","telephone_number":"770-205-0290"}],"basic":{"authorized_official_credential":"Pharm D","authorized_official_first_name":"APOLLON","authorized_official_last_name":"CONSTANTINIDES","authorized_official_middle_name":"ANTHONY","authorized_official_name_prefix":"Dr.","authorized_official_name_suffix":"Jr.","authorized_official_telephone_number":"7702050290","authorized_official_title_or_position":"President","certification_date":"2025-05-07","enumeration_date":"2007-03-12","last_updated":"2025-05-07","organization_name":"LAKESIDE PHARMACY, LLC","organizational_subpart":"NO","status":"A"},"created_epoch":"1173708502000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"00913811a","issuer":null,"state":"GA"}],"last_updated_epoch":"1746641268000","number":"1437281847","other_names":[{"code":"3","organization_name":"LAKESIDE PHARMACY","type":"Doing Business As"}],"practiceLocations":[],"taxonomies":[{"code":"3336C0003X","desc":"Pharmacy, Community/Retail Pharmacy","license":"008517","primary":true,"state":"GA","taxonomy_group":""}]}]}