{
"Npi": {
"NPI": "1538621875",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BERKEBILE",
"FirstName": "PAUL",
"MiddleName": "DOUGLAS",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHARM.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5057 GREENVILLAGE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHAMBERSBURG",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17202-8954",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-446-0258",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "830 5TH AVE STE 101",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHAMBERSBURG",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "17201-4224",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-446-0258",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/04/2019",
"LastUpdateDate": "04/04/2019",
"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": "RP440359",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}