{
"Npi": {
"NPI": "1891123675",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JAMES AND WILKS PHARMACY 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": "620 MALL BLVD STE A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DYERSBURG",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "38024-1649",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "731-286-2025",
"MailingAddressFaxNumber": "731-882-1978",
"FirstLinePracticeLocationAddress": "620 MALL BLVD STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DYERSBURG",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "38024-1649",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "731-286-2025",
"PracticeLocationAddressFaxNumber": "731-882-1976",
"EnumerationDate": "10/14/2013",
"LastUpdateDate": "10/20/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BUSS",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACIST/OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM.D.",
"AuthorizedOfficialTelephoneNumber": "731-286-2025",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "5242",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}