{
"Npi": {
"NPI": "1437229077",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DUSON RX, 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": "9021 CAMERON ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DUSON",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70529",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "337-873-6182",
"MailingAddressFaxNumber": "337-873-7629",
"FirstLinePracticeLocationAddress": "9021 CAMERON ST.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DUSON",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70529",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "337-873-6182",
"PracticeLocationAddressFaxNumber": "337-334-9899",
"EnumerationDate": "11/09/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MECHE",
"AuthorizedOfficialFirstName": "RAPHAEL",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "337-873-6182",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "4959-IR",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}