{"result_count":1,"results":[{"addresses":[{"address_1":"60 NE BEND RIVER MALL DR","address_purpose":"MAILING","address_type":"DOM","city":"BEND","country_code":"US","country_name":"United States","fax_number":"541-385-9209","postal_code":"977017528","state":"OR","telephone_number":"541-385-6076"},{"address_1":"60 NE BEND RIVER MALL DR","address_purpose":"LOCATION","address_type":"DOM","city":"BEND","country_code":"US","country_name":"United States","fax_number":"541-385-9209","postal_code":"977017528","state":"OR","telephone_number":"541-385-6076"}],"basic":{"authorized_official_credential":"RPh","authorized_official_first_name":"MICHAEL","authorized_official_last_name":"BETTIGA","authorized_official_middle_name":"J","authorized_official_name_prefix":"Mr.","authorized_official_name_suffix":"--","authorized_official_telephone_number":"9204294297","authorized_official_title_or_position":"Sr. Vice President Health Services","enumeration_date":"2006-05-16","last_updated":"2013-10-28","organization_name":"SHOPKO STORES OPERATING CO LLC","organizational_subpart":"NO","status":"A"},"created_epoch":"1147788062000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"000682","issuer":null,"state":"OR"},{"code":"05","desc":"MEDICAID","identifier":"278350","issuer":null,"state":"OR"},{"code":"05","desc":"MEDICAID","identifier":"278377","issuer":null,"state":"OR"},{"code":"01","desc":"Other (non-Medicare)","identifier":"3809956","issuer":"NCPDP Number","state":null}],"last_updated_epoch":"1382974065000","number":"1104878628","other_names":[{"code":"3","organization_name":"SHOPKO PHARMACY 093","type":"Doing Business As"}],"practiceLocations":[],"taxonomies":[{"code":"332B00000X","desc":"Durable Medical Equipment & Medical Supplies","license":null,"primary":false,"state":null,"taxonomy_group":""},{"code":"332H00000X","desc":"Eyewear Supplier (Equipment, not the service)","license":null,"primary":false,"state":null,"taxonomy_group":""},{"code":"3336C0003X","desc":"Pharmacy, Community/Retail Pharmacy","license":"1084","primary":true,"state":"OR","taxonomy_group":""}]}]}