{
"Npi": {
"NPI": "1972679744",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEG-JORG 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": "504 14TH ST",
"SecondLineMailingAddress": "PO BOX 369",
"MailingAddressCityName": "DALLAS CENTER",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "50063-2075",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "515-992-3784",
"MailingAddressFaxNumber": "515-992-4067",
"FirstLinePracticeLocationAddress": "504 14TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DALLAS CENTER",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "50063-2075",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "515-992-3784",
"PracticeLocationAddressFaxNumber": "515-992-4067",
"EnumerationDate": "11/25/2006",
"LastUpdateDate": "03/07/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHLAFKE",
"AuthorizedOfficialFirstName": "STEVEN",
"AuthorizedOfficialMiddleName": "EDWARD",
"AuthorizedOfficialTitle": "PHARMACY MANAGEROWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "515-992-4823",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "874",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}