{
"Npi": {
"NPI": "1831283316",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BKM 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": "1302 LINDEN AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CRETE",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "68333-1554",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "402-826-3784",
"MailingAddressFaxNumber": "402-826-5836",
"FirstLinePracticeLocationAddress": "1302 LINDEN AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CRETE",
"PracticeLocationAddressStateName": "NE",
"PracticeLocationAddressPostalCode": "68333-1554",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "402-826-3784",
"PracticeLocationAddressFaxNumber": "402-826-5836",
"EnumerationDate": "10/02/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARVIN",
"AuthorizedOfficialFirstName": "KENNETH",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "RP IN CHARGE/OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM.D., RP",
"AuthorizedOfficialTelephoneNumber": "402-826-3784",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "2709",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}