{
"Npi": {
"NPI": "1407278849",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SPRINGSTEEN",
"FirstName": "LARRY",
"MiddleName": "LEE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHARMD. AND PH.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "38 RUTLAND SHOPPING PLZ",
"SecondLineMailingAddress": "PRICE CHOPPER PHARMACY #131",
"MailingAddressCityName": "RUTLAND",
"MailingAddressStateName": "VT",
"MailingAddressPostalCode": "05701-5201",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "802-747-7887",
"MailingAddressFaxNumber": "808-786-0926",
"FirstLinePracticeLocationAddress": "38 RUTLAND SHOPPING PLZ",
"SecondLinePracticeLocationAddress": "PRICE CHOPPER PHARMACY #131",
"PracticeLocationAddressCityName": "RUTLAND",
"PracticeLocationAddressStateName": "VT",
"PracticeLocationAddressPostalCode": "05701-5201",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "802-747-7887",
"PracticeLocationAddressFaxNumber": "808-786-0926",
"EnumerationDate": "01/18/2014",
"LastUpdateDate": "01/18/2014",
"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": "033.0050658",
"LicenseNumberStateCode": "VT",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "053819",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}