{
"Npi": {
"NPI": "1376155713",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "TURK",
"FirstName": "JAIRUS",
"MiddleName": "LAQUINTEN",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHARMD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1116 FALMOUTH RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WALDORF",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20601-3347",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "251-648-6765",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6260 CRAIN HWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LA PLATA",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20646-4258",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "301-934-9564",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/18/2020",
"LastUpdateDate": "11/27/2023",
"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": "27296",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}