{
"Npi": {
"NPI": "1467672808",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RXPLUS LIMITED COLORADO CITY, LLC",
"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": "3780 E 15TH ST",
"SecondLineMailingAddress": "SUITE 102",
"MailingAddressCityName": "LOVELAND",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80538-8766",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "970-461-1975",
"MailingAddressFaxNumber": "970-461-4042",
"FirstLinePracticeLocationAddress": "4493 BENT BROTHERS BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COLORADO CITY",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "81019-0157",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "719-676-3333",
"PracticeLocationAddressFaxNumber": "719-676-3985",
"EnumerationDate": "04/26/2007",
"LastUpdateDate": "09/07/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EINHELLIG",
"AuthorizedOfficialFirstName": "VICKILEE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "970-461-1975",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "830000002",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}