{
"Npi": {
"NPI": "1467055756",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MAGUIRE",
"FirstName": "CRYSTAL",
"MiddleName": "B",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHARMD, CPH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BURCHFIELD",
"OtherFirstName": "CRYSTAL",
"OtherMiddleName": "R",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PHARMD",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "4237 SALISBURY RD STE 301",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JACKSONVILLE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32216-0908",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "904-683-4298",
"MailingAddressFaxNumber": "904-683-4922",
"FirstLinePracticeLocationAddress": "4237 SALISBURY RD STE 301",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JACKSONVILLE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32216-0908",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "904-683-4298",
"PracticeLocationAddressFaxNumber": "904-683-4922",
"EnumerationDate": "11/18/2020",
"LastUpdateDate": "12/30/2021",
"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": "PS47890",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}