NPI Code Detail JSON Logo

1023321957 NPI number — MICHAEL A CARBONE R.PH.

NPI Number: 1023321957
Health Care Provider/Practitioner: MICHAEL A CARBONE R.PH.

Information about “1023321957” NPI (MICHAEL A CARBONE R.PH.) exists in 1023321957 in HTML format HTML  |  1023321957 in plain Text format TXT  |  1023321957 in PDF (Portable Document Format) PDF  |  1023321957 in an XML format XML  formats.

NPI Number : 1023321957 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023321957",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARBONE",
    "FirstName": "MICHAEL",
    "MiddleName": "A",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "R.PH.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "18560 HARBOR LIGHT WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOCA RATON",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33498-4928",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-789-3935",
    "MailingAddressFaxNumber": "561-488-6333",
    "FirstLinePracticeLocationAddress": "9101 LAKERIDGE BLVD",
    "SecondLinePracticeLocationAddress": "SUITE #10",
    "PracticeLocationAddressCityName": "BOCA RATON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33496-2181",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-487-9260",
    "PracticeLocationAddressFaxNumber": "561-488-6333",
    "EnumerationDate": "07/20/2010",
    "LastUpdateDate": "07/20/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "PS23397",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "20925",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "28RI01961800",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "PH21871",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "17399",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "036695-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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