{
"Npi": {
"NPI": "1629643895",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DIER",
"FirstName": "KRISLEE",
"MiddleName": "DEE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DIER",
"OtherFirstName": "KRISLEE",
"OtherMiddleName": "ADAMS",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "108 SUMMERVILLE FARMS COURT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KINGSPORT",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37663",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "423-578-0246",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "COMMUNITY PHARMACY",
"SecondLinePracticeLocationAddress": "1402 TUSCULUM BLVD",
"PracticeLocationAddressCityName": "GREENEVILLE",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37745",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "423-588-5099",
"PracticeLocationAddressFaxNumber": "423-588-5935",
"EnumerationDate": "05/20/2021",
"LastUpdateDate": "05/20/2021",
"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": "15266",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}