{
"Npi": {
"NPI": "1689983009",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CLEVELAND",
"FirstName": "CHRISTINE",
"MiddleName": "L",
"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": "180 COUNTY ROAD 14",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BELMONT",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "38827-8745",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "662-279-9161",
"MailingAddressFaxNumber": "256-356-4715",
"FirstLinePracticeLocationAddress": "525 4TH AVENUE SE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RED BAY",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "35582",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "256-356-4540",
"PracticeLocationAddressFaxNumber": "256-356-4715",
"EnumerationDate": "10/04/2010",
"LastUpdateDate": "10/04/2010",
"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": "15028",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "E09924",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}