{
"Npi": {
"NPI": "1407934623",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "STILLES",
"FirstName": "JAMES",
"MiddleName": "RANDALL",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "R.PH.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "STILES",
"OtherFirstName": "RANDY",
"OtherMiddleName": null,
"OtherNamePrefix": "MR.",
"OtherNameSuffix": null,
"OtherCredential": "R. PH.",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "93 GLENVIEW DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PIKEVILLE",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "41501-2284",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "606-433-1688",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6162 ZEBULON HIGHWAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PIKEVILLE",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "41501",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "606-631-9137",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/02/2006",
"LastUpdateDate": "02/23/2010",
"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": "009488",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}