{
"Npi": {
"NPI": "1538273503",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "CLINIC DRUG OF SEARCY INC",
"ParentOrgTIN": null,
"OrgName": "CLINIC DRUG OF SEARCY INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1120 S MAIN ST",
"SecondLineMailingAddress": "STE B",
"MailingAddressCityName": "SEARCY",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72143",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "501-268-5811",
"MailingAddressFaxNumber": "501-305-4316",
"FirstLinePracticeLocationAddress": "1120 S MAIN ST",
"SecondLinePracticeLocationAddress": "STE B",
"PracticeLocationAddressCityName": "SEARCY",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72143",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "501-268-5811",
"PracticeLocationAddressFaxNumber": "501-305-4316",
"EnumerationDate": "08/18/2006",
"LastUpdateDate": "11/18/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TUCKER",
"AuthorizedOfficialFirstName": "DEBORA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER PIC",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PD",
"AuthorizedOfficialTelephoneNumber": "501-268-5811",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "AR20379",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}