{
"Npi": {
"NPI": "1386931418",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BERKI",
"FirstName": "EDWARD",
"MiddleName": "JAMES",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BERKI",
"OtherFirstName": "EDWARD",
"OtherMiddleName": "JAMES",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PHARMACIST",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "130 W GUADALUPE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GILBERT",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85233-3328",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "480-503-2245",
"MailingAddressFaxNumber": "480-858-9148",
"FirstLinePracticeLocationAddress": "3232 S MILL AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TEMPE",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85282-3656",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "480-858-9044",
"PracticeLocationAddressFaxNumber": "480-858-9148",
"EnumerationDate": "07/10/2011",
"LastUpdateDate": "07/10/2011",
"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": "5834",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}