{
"Npi": {
"NPI": "1831373273",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "AMIN",
"FirstName": "PIYUSH",
"MiddleName": "ISHVARBHAI",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHARM.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "AMIN",
"OtherFirstName": "PIYUSHKUMAR",
"OtherMiddleName": "ISHVAR",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PHARM.D.",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "15 BLUE JAY WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "REXFORD",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12148-1333",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-421-1551",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1300 MASSACHUSETTS AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TROY",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12180-1628",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "518-268-5507",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/20/2007",
"LastUpdateDate": "12/20/2007",
"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": "20049683",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1835P1200X",
"TaxonomyName": "Pharmacotherapy Pharmacist",
"LicenseNumber": "20049683",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}