{
"Npi": {
"NPI": "1821958596",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CARLE",
"FirstName": "RICHARD",
"MiddleName": "J",
"NamePrefix": null,
"NameSuffix": "JR.",
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "211 COMMERCE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MEDINA",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44256-1331",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "330-725-2340",
"MailingAddressFaxNumber": "330-764-4857",
"FirstLinePracticeLocationAddress": "211 COMMERCE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MEDINA",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44256-1331",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "330-725-2340",
"PracticeLocationAddressFaxNumber": "330-764-4857",
"EnumerationDate": "11/14/2025",
"LastUpdateDate": "11/14/2025",
"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": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "03217862",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}