{
"Npi": {
"NPI": "1902855091",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "X",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MCGINNIS",
"FirstName": "GWENDOLYN",
"MiddleName": "THURMAN",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "D.PH.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MCGINNIS",
"OtherFirstName": "GWEN",
"OtherMiddleName": null,
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "D.PH.",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "305 LORI CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHUCKEY",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37641-6147",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "423-638-4377",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "633 ASHEVILLE HWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GREENEVILLE",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37743-5401",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "423-638-1368",
"PracticeLocationAddressFaxNumber": "423-638-3147",
"EnumerationDate": "05/08/2006",
"LastUpdateDate": "07/08/2007",
"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": "4932",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}