{
"Npi": {
"NPI": "1962516930",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RKJ RX 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": "1453 GIBSON ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST PLAINS",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "65775-1870",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "417-256-7706",
"MailingAddressFaxNumber": "417-257-2512",
"FirstLinePracticeLocationAddress": "1453 GIBSON ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEST PLAINS",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "65775-1870",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "417-256-7706",
"PracticeLocationAddressFaxNumber": "417-257-2512",
"EnumerationDate": "08/18/2006",
"LastUpdateDate": "04/26/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JENSEN",
"AuthorizedOfficialFirstName": "RONALD",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER, PRESIDENT, PIC",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "417-256-7706",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "2009018216",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}