{
"Npi": {
"NPI": "1790514099",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "JENKINS",
"FirstName": "BRENNAN",
"MiddleName": "TURLEY",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PHARMD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2263 SE SAGE BROOKE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EAST WENATCHEE",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98802-8039",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-707-6645",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "375 HIGHLINE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EAST WENATCHEE",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98802-5344",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "509-886-0754",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/26/2024",
"LastUpdateDate": "07/26/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "PHA-PHA-LIC-107459",
"LicenseNumberStateCode": "MT",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "PH61575628",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}