{
"Npi": {
"NPI": "1942579644",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WRIGHT-HOLLOMAN",
"FirstName": "CHIRA",
"MiddleName": "NICOLE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "R.PH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6926 COHASSET CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RIVERVIEW",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33578-8312",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "813-786-1982",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "11115 E DR MARTIN LUTHER KING JR BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SEFFNER",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33584-8378",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "813-689-4049",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/26/2011",
"LastUpdateDate": "12/26/2011",
"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": "PS29692",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}