NPI Code Detail JSON Logo

1689928285 NPI number — SUSAN CAROL STRICKLAND RPH

NPI Number: 1689928285
Health Care Provider/Practitioner: SUSAN CAROL STRICKLAND RPH

Information about “1689928285” NPI (SUSAN CAROL STRICKLAND RPH) exists in 1689928285 in HTML format HTML  |  1689928285 in plain Text format TXT  |  1689928285 in PDF (Portable Document Format) PDF  |  1689928285 in an XML format XML  formats.

NPI Number : 1689928285 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689928285",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STRICKLAND",
    "FirstName": "SUSAN",
    "MiddleName": "CAROL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "526 BATTLEFIELD PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT OGLETHORPE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30742-3849",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "706-861-2771",
    "MailingAddressFaxNumber": "706-866-5195",
    "FirstLinePracticeLocationAddress": "526 BATTLEFIELD PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT OGLETHORPE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30742-3849",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-861-2771",
    "PracticeLocationAddressFaxNumber": "706-866-5195",
    "EnumerationDate": "11/04/2012",
    "LastUpdateDate": "11/04/2012",
    "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": "RPH017385",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "0000009281",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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