{
"Npi": {
"NPI": "1356253389",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HENRY",
"FirstName": "TIFFANI",
"MiddleName": "RAE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SAHULCIK",
"OtherFirstName": "TIFFANI",
"OtherMiddleName": "RAE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "10580 N MERIDIAN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CARMEL",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46290-1028",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "317-583-5160",
"MailingAddressFaxNumber": "317-583-5163",
"FirstLinePracticeLocationAddress": "10580 N MERIDIAN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CARMEL",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46290-1028",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "317-260-9021",
"PracticeLocationAddressFaxNumber": "317-583-5163",
"EnumerationDate": "09/22/2026",
"LastUpdateDate": "09/22/2026",
"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": "1835C0206X",
"TaxonomyName": "Cardiology Pharmacist",
"LicenseNumber": "26020560A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}