{
"Npi": {
"NPI": "1306103171",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PARGO",
"FirstName": "CHESCA",
"MiddleName": "A",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHARM D",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LICIAGA",
"OtherFirstName": "CHESCA",
"OtherMiddleName": "A",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PHARM D",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "102 COMANCHE CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALABASTER",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35007-9371",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "205-410-4080",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8001 N LINCOLN AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SKOKIE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60077",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "800-553-7359",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/18/2012",
"LastUpdateDate": "04/18/2012",
"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": "14933",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}