{
"Npi": {
"NPI": "1003448333",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "VALENZONA-GIANAN",
"FirstName": "SHIRLEY",
"MiddleName": "LAUREN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RPH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "VALENZONA-GIANAN",
"OtherFirstName": "SHIRLEY",
"OtherMiddleName": "LAUREN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "RPH",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "SMITH'S PHARMACY #318",
"SecondLineMailingAddress": "4965 EAST SAHARA AVENUE",
"MailingAddressCityName": "LAS VEGAS",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89104",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "702-431-9135",
"MailingAddressFaxNumber": "702-431-4372",
"FirstLinePracticeLocationAddress": "SMITH'S PHARMACY #318",
"SecondLinePracticeLocationAddress": "4965 EAST SAHARA AVENUE",
"PracticeLocationAddressCityName": "LAS VEGAS",
"PracticeLocationAddressStateName": "NV",
"PracticeLocationAddressPostalCode": "89104",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "702-431-9135",
"PracticeLocationAddressFaxNumber": "702-431-4372",
"EnumerationDate": "02/05/2020",
"LastUpdateDate": "02/05/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1835P0018X",
"TaxonomyName": "Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"LicenseNumber": "15791",
"LicenseNumberStateCode": "NV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}