{"npi":"1407022700","type":"NPI-2","status":"active","name":{"display":"Jacksonville Pharmacy LLC","other":[],"organization_name":"JACKSONVILLE PHARMACY LLC","authorised_official":"James Johnson"},"specialty":{"primary_taxonomy":"333600000X","primary_taxonomy_description":"Pharmacy","slug":"pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":true,"state":"OR","license":"RP002114CS"}]},"addresses":[{"purpose":"LOCATION","street_1":"725 N 5TH ST STE 100","city":"JACKSONVILLE","state":"OR","postal_code":"975309874","country_code":"US","phone":"5418997948","fax":"5418997946"},{"purpose":"MAILING","street_1":"725 N 5TH ST STE 100","city":"JACKSONVILLE","state":"OR","postal_code":"975309874","country_code":"US","phone":"5418997948","fax":"5418997946"}],"license":{"state":"OR","number":"RP002114CS"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"275501","state":"OR","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-05-06","last_updated":"2008-05-06","_meta":{"source":"NPPES","snapshot_date":"2008-05-06","doc_url":"https://findmynpi.com/api"}}