{
"Npi": {
"NPI": "1710938717",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "OCCHINO",
"FirstName": "PHILIP",
"MiddleName": "J",
"NamePrefix": null,
"NameSuffix": "JR.",
"Credential": "RPH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "12558 WARNER HILL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SOUTH WALES",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14139-9742",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "716-523-8118",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3242 ROUTE 39",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "YORKSHIRE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "14173",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "716-492-0176",
"PracticeLocationAddressFaxNumber": "716-492-5377",
"EnumerationDate": "05/14/2006",
"LastUpdateDate": "09/27/2010",
"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": "044904",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}