{
"Npi": {
"NPI": "1275875593",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NATIONAL PRESCRIPTION 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": "3S721 WEST AVE",
"SecondLineMailingAddress": "SUITE 300A",
"MailingAddressCityName": "WARRENVILLE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60555-3254",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-505-2842",
"MailingAddressFaxNumber": "630-836-7056",
"FirstLinePracticeLocationAddress": "3S721 WEST AVE",
"SecondLinePracticeLocationAddress": "SUITE 300A",
"PracticeLocationAddressCityName": "WARRENVILLE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60555-3254",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-505-2842",
"PracticeLocationAddressFaxNumber": "630-836-7056",
"EnumerationDate": "03/25/2013",
"LastUpdateDate": "03/25/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BEHR",
"AuthorizedOfficialFirstName": "KEN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "COO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH, MBA",
"AuthorizedOfficialTelephoneNumber": "630-505-2842",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "054.018123",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}