{
"Npi": {
"NPI": "1659989259",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ANTONE",
"FirstName": "JABARI",
"MiddleName": "HARVEY",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "RPH.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9688 CONCORD PL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOBILE",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "36695-7468",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "251-490-1288",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12 SHELTON BEACH RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SARALAND",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "36571-2403",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "251-675-1091",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/20/2020",
"LastUpdateDate": "07/20/2020",
"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": "21449",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}