{
"Npi": {
"NPI": "1386096931",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MCDANIEL",
"FirstName": "ELIZABETH",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PHARMD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "600 12TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKE CHARLES",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70601-6128",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "337-436-2508",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "600 12TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKE CHARLES",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70601-6128",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "337-436-2508",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/07/2016",
"LastUpdateDate": "07/07/2016",
"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": "021059",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "45375",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}