{
"Npi": {
"NPI": "1356954663",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ORTIZ",
"FirstName": "NILMA",
"MiddleName": "ALEXYNE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHARMD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ORTIZ-COLON",
"OtherFirstName": "NILMA",
"OtherMiddleName": "ALEXYNE",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PHARMD",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "5632 SANTA BARBARA DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HANOVER PARK",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60133-5437",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-692-8687",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "365 LAKE MARIAN RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CARPENTERSVILLE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60110-2096",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-426-4272",
"PracticeLocationAddressFaxNumber": "847-426-4336",
"EnumerationDate": "08/26/2020",
"LastUpdateDate": "02/19/2025",
"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": "20417-40",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}