{
"Npi": {
"NPI": "1841143161",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "THAYNE",
"FirstName": "JONAH",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CPHT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 537",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SKAGWAY",
"MailingAddressStateName": "AK",
"MailingAddressPostalCode": "99840-0537",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "844-944-9911",
"MailingAddressFaxNumber": "844-333-0736",
"FirstLinePracticeLocationAddress": "350 14TH AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SKAGWAY",
"PracticeLocationAddressStateName": "AK",
"PracticeLocationAddressPostalCode": "99840",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "844-944-9911",
"PracticeLocationAddressFaxNumber": "844-333-0736",
"EnumerationDate": "02/17/2026",
"LastUpdateDate": "02/17/2026",
"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": "183700000X",
"TaxonomyName": "Pharmacy Technician",
"LicenseNumber": "239455",
"LicenseNumberStateCode": "AK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}