{
"Npi": {
"NPI": "1255117149",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WINDERLIN",
"FirstName": "PAIGE",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHARM.D",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WILKE",
"OtherFirstName": "PAIGE",
"OtherMiddleName": null,
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PHARM.D",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "180 CLUB DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SCOTT CITY",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "67871-4148",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "620-872-7243",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "102 ALBERT AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SCOTT CITY",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "67871-7102",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "620-872-2146",
"PracticeLocationAddressFaxNumber": "620-872-7099",
"EnumerationDate": "09/06/2023",
"LastUpdateDate": "09/06/2023",
"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": "1-107290",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}