{
"Npi": {
"NPI": "1235224122",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AUSTIN P HORN",
"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": "PO BOX 97 US MAIL",
"SecondLineMailingAddress": "111 PIUTE DRIVE PHYSICAL",
"MailingAddressCityName": "KERNVILLE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93238-0097",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-376-2216",
"MailingAddressFaxNumber": "760-376-3855",
"FirstLinePracticeLocationAddress": "111 PIUTE DRIVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KERNVILLE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93238-0097",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-376-2216",
"PracticeLocationAddressFaxNumber": "760-376-3855",
"EnumerationDate": "10/04/2006",
"LastUpdateDate": "12/10/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HORN",
"AuthorizedOfficialFirstName": "AUSTIN",
"AuthorizedOfficialMiddleName": "PETER",
"AuthorizedOfficialTitle": "PHARMACIST IN CHARGE/OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM D",
"AuthorizedOfficialTelephoneNumber": "760-376-2216",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PHY46309",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}