{
"Npi": {
"NPI": "1174055818",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DUKES",
"FirstName": "CAROL",
"MiddleName": "TERESA",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MONCHOIR",
"OtherFirstName": "CAROL",
"OtherMiddleName": "TERESA",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "RPH",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "224 HIGHLAND BLVD",
"SecondLineMailingAddress": "APT. 808",
"MailingAddressCityName": "BROOKLYN",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11207-1949",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "347-603-5290",
"MailingAddressFaxNumber": "712-312-1048",
"FirstLinePracticeLocationAddress": "420 MOTHER GASTON BLVD",
"SecondLinePracticeLocationAddress": "C/O MED-RX PHARMACY",
"PracticeLocationAddressCityName": "BROOKLYN",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11212-7618",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-312-1048",
"PracticeLocationAddressFaxNumber": "718-312-1049",
"EnumerationDate": "03/31/2017",
"LastUpdateDate": "03/31/2017",
"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": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "040477",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}