{
"Npi": {
"NPI": "1881625093",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FINSTROM",
"FirstName": "STEVEN",
"MiddleName": "GEORGE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RPH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2397 KEYSTONE CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GRAND FORKS",
"MailingAddressStateName": "ND",
"MailingAddressPostalCode": "58201-8870",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "701-746-7540",
"MailingAddressFaxNumber": "701-780-6577",
"FirstLinePracticeLocationAddress": "1000 S COLUMBIA RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GRAND FORKS",
"PracticeLocationAddressStateName": "ND",
"PracticeLocationAddressPostalCode": "58201-4032",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "701-772-4875",
"PracticeLocationAddressFaxNumber": "701-780-6577",
"EnumerationDate": "07/05/2006",
"LastUpdateDate": "09/11/2025",
"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": "116407-1",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "11696",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "3471",
"LicenseNumberStateCode": "ND",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1835P1200X",
"TaxonomyName": "Pharmacotherapy Pharmacist",
"LicenseNumber": "3471",
"LicenseNumberStateCode": "ND",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}