{
"Npi": {
"NPI": "1760297592",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "JONES",
"FirstName": "TIMOTHY",
"MiddleName": "WILLIAM",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHARMD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "555 COX RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROSWELL",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30075-1011",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "678-347-6781",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1200 NORTHSIDE FORSYTH DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CUMMING",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30041-7659",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-844-3907",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/10/2025",
"LastUpdateDate": "02/10/2025",
"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": "1835E0208X",
"TaxonomyName": "Emergency Medicine Pharmacist",
"LicenseNumber": "RPH031415",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "1835C0205X",
"TaxonomyName": "Critical Care Pharmacist",
"LicenseNumber": "RPH031415",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}