{
"Npi": {
"NPI": "1811275035",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SCHNIBBEN",
"FirstName": "ALIX",
"MiddleName": "PANDOLFINO",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHARM D",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PANDOLFINO",
"OtherFirstName": "ALIX",
"OtherMiddleName": "MINOR",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PHARM D",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "836 E 65TH ST",
"SecondLineMailingAddress": "MEDICAL ARTS #4",
"MailingAddressCityName": "SAVANNAH",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31405-4434",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "912-819-8407",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3137 FRONTAGE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GAINESVILLE",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30504-8210",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "912-819-8407",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/22/2011",
"LastUpdateDate": "01/31/2020",
"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": "0202210824",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "RPH029013",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "13321",
"LicenseNumberStateCode": "SC",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}