{
"Npi": {
"NPI": "1255978581",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SANDHU",
"FirstName": "GAGANPREET",
"MiddleName": "KAUR",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PHARMD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "506 VINA CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LIVINGSTON",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95334-9111",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "209-631-1925",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1830 MITCHELL RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CERES",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95307-2163",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "209-538-4927",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/05/2019",
"LastUpdateDate": "12/05/2019",
"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": "81017",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}