{
"Npi": {
"NPI": "1518292465",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SOLARU",
"FirstName": "OMOTUNDE",
"MiddleName": "OYEWUNMI",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "B.PHARM",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6049 HITT LAKE TRL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STONE MOUNTAIN",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30087-6526",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "404-819-3110",
"MailingAddressFaxNumber": "188-860-0010",
"FirstLinePracticeLocationAddress": "6049 HITT LAKE TRL",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STONE MOUNTAIN",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30087-6526",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "404-819-3110",
"PracticeLocationAddressFaxNumber": "188-860-0010",
"EnumerationDate": "10/09/2009",
"LastUpdateDate": "10/09/2009",
"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": "RPH020245",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}