{
"Npi": {
"NPI": "1063656627",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GOLDSCHMIDT",
"FirstName": "LESTER",
"MiddleName": "ALLAN",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "MS, RPH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "11 STANLEY PL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAUPPAUGE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11788-2717",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "631-286-1854",
"MailingAddressFaxNumber": "631-862-1854",
"FirstLinePracticeLocationAddress": "2975 HORSEBLOCK RD",
"SecondLinePracticeLocationAddress": "TARGET PHARMACY",
"PracticeLocationAddressCityName": "MEDFORD",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11763-2526",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "631-286-1854",
"PracticeLocationAddressFaxNumber": "631-286-1854",
"EnumerationDate": "04/27/2009",
"LastUpdateDate": "04/27/2009",
"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": "026846",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}