{
"Npi": {
"NPI": "1285149690",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ARNOLD",
"FirstName": "JODY",
"MiddleName": "OLMSTED",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RPH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "OLMSTED",
"OtherFirstName": "JODY",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "136 MERLOT DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKE CHARLES",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70611-3969",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "337-905-4031",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1000 WALTERS ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKE CHARLES",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70607-4647",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "337-480-8273",
"PracticeLocationAddressFaxNumber": "337-480-8316",
"EnumerationDate": "12/07/2017",
"LastUpdateDate": "04/20/2021",
"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": "39408",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "016829",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}