{
"Npi": {
"NPI": "1578239562",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HOPPENRATH",
"FirstName": "ARIEL",
"MiddleName": "JAYDE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PHARM.D",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HOPPENRATH",
"OtherFirstName": "ARIEL",
"OtherMiddleName": "JAYDE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PHARM.D",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "95 PARKERS LOOP APT 2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HODGENVILLE",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "42748-1724",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "270-317-9246",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "150 RALEIGH DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ELIZABETHTOWN",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "42701-7139",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "270-234-8111",
"PracticeLocationAddressFaxNumber": "270-234-8195",
"EnumerationDate": "08/19/2021",
"LastUpdateDate": "01/30/2024",
"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": "017594",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}