{
"Npi": {
"NPI": "1407232424",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CARROLL",
"FirstName": "GIANNA",
"MiddleName": "ELISE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHARMD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "OGNIBENE",
"OtherFirstName": "GIANNA",
"OtherMiddleName": "ELISE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PHARMD",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "5735 S TRANSIT RD",
"SecondLineMailingAddress": "ATTN PHARMACY",
"MailingAddressCityName": "LOCKPORT",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14094-5864",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "716-438-2748",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5735 S TRANSIT RD",
"SecondLinePracticeLocationAddress": "ATTN PHARMACY",
"PracticeLocationAddressCityName": "LOCKPORT",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "14094-5864",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "716-438-2748",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/31/2015",
"LastUpdateDate": "06/10/2022",
"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": "060817",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}