{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "RURAL RX",
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"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1892",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DEMING",
"MailingAddressStateName": "NM",
"MailingAddressPostalCode": "88031-1892",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "575-546-2731",
"MailingAddressFaxNumber": "575-546-4030",
"FirstLinePracticeLocationAddress": "820 E FLORIDA ST",
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"PracticeLocationAddressCityName": "DEMING",
"PracticeLocationAddressStateName": "NM",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "575-546-2731",
"PracticeLocationAddressFaxNumber": "575-546-4030",
"EnumerationDate": "09/12/2006",
"LastUpdateDate": "05/21/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SANDERS",
"AuthorizedOfficialFirstName": "W",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "505-521-1182",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "PH00002410",
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"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
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"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}