{
"Npi": {
"NPI": "1053491647",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FENNELL",
"FirstName": "JAMES",
"MiddleName": "RICHARD",
"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": "4545 BRENDA DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ASHLAND",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "41101-6801",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "606-324-5002",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1540 SPRING VALLEY DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HUNTINGTON",
"PracticeLocationAddressStateName": "WV",
"PracticeLocationAddressPostalCode": "25704-9300",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "304-429-6741",
"PracticeLocationAddressFaxNumber": "304-429-0273",
"EnumerationDate": "10/17/2006",
"LastUpdateDate": "07/08/2007",
"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": "8591",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}