{
"Npi": {
"NPI": "1295559995",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BROWN",
"FirstName": "TOUSSAINT",
"MiddleName": "PAUL",
"NamePrefix": "DR.",
"NameSuffix": "JR.",
"Credential": "PHARMD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "131 PIERCE ST APT 101",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MALDEN",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02148-1541",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "857-234-6108",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "180A CAMBRIDGE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BURLINGTON",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01803-2919",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "781-221-0144",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/11/2024",
"LastUpdateDate": "11/11/2024",
"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": "PH241327",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1835N0905X",
"TaxonomyName": "Nuclear Pharmacist",
"LicenseNumber": "NP1000016",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}