{
"Npi": {
"NPI": "1972851590",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PADMANABHUNI",
"FirstName": "AMAR",
"MiddleName": "VENKATA NAGA",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "MS RPH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PADMANABHONI",
"OtherFirstName": "VENKATA",
"OtherMiddleName": "NAGA AMAR",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2714 PHILADELPHIA PIKE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CLAYMONT",
"MailingAddressStateName": "DE",
"MailingAddressPostalCode": "19703-2568",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "302-791-9899",
"MailingAddressFaxNumber": "302-319-3449",
"FirstLinePracticeLocationAddress": "2714 PHILADELPHIA PIKE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CLAYMONT",
"PracticeLocationAddressStateName": "DE",
"PracticeLocationAddressPostalCode": "19703-2568",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "302-791-9899",
"PracticeLocationAddressFaxNumber": "302-319-3449",
"EnumerationDate": "08/29/2012",
"LastUpdateDate": "05/19/2016",
"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": "A1-0004128",
"LicenseNumberStateCode": "DE",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "16816",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}