Specialty Patient Enrollment for Pharmacies

{
    "resourceType": "Practitioner",
    "id": "86dc932a-8387-4b4c-835f-cb917f1ecbf4",
    "identifier":  [
        {
            "use": "secondary",
            "system": "http://fhirdocs.surescripts.net/spi",
            "value": "1883900364001"
        },
        {
            "use": "official",
            "type": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "PRN",
                        "display": "Provider Number"
                    }
                ],
                "text": "Provider Number"
            },
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "1131435277"
        }
    ],
    "active": true,
    "name":  [
        {
            "use": "official",
            "family": "Doolittle",
            "given":  [
                "John"
            ],
            "prefix":  [
                "Dr."
            ],
            "suffix":  [
                "MD"
            ]
        }
    ],
    "telecom":  [
        {
            "system": "email",
            "value": "john.doolittle@mydoctor.com",
            "rank": 1
        },
        {
            "system": "phone",
            "value": "800DOLITTL",
            "rank": 1
        },
        {
            "system": "fax",
            "value": "888DOLITTL",
            "rank": 1
        }
    ],
    "address":  [
        {
            "type": "postal",
            "line":  [
                "55 Karma Lane",
                "Suite 1"
            ],
            "city": "Calcutta",
            "state": "OR",
            "postalCode": "97001",
            "country": "US"
        }
    ]
}