{
"Npi": {
"NPI": "1104905132",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOME RX SERVICES INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "RR 3 BOX 232A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEATHERFORD",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73096",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "580-774-0232",
"MailingAddressFaxNumber": "580-774-1523",
"FirstLinePracticeLocationAddress": "2012 WEST LAWTER ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEATHERFORD",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73096",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "580-774-0232",
"PracticeLocationAddressFaxNumber": "580-774-1523",
"EnumerationDate": "11/02/2006",
"LastUpdateDate": "07/17/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUERTA",
"AuthorizedOfficialFirstName": "PEDRO",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "PHARMACIST",
"AuthorizedOfficialTelephoneNumber": "580-774-0232",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "284604",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}