{"result_count":1,"results":[{"addresses":[{"address_1":"2045 S VINEYARD STE 133","address_purpose":"MAILING","address_type":"DOM","city":"MESA","country_code":"US","country_name":"United States","fax_number":"480-969-0712","postal_code":"852106893","state":"AZ","telephone_number":"480-969-0600"},{"address_1":"2045 S VINEYARD STE 133","address_purpose":"LOCATION","address_type":"DOM","city":"MESA","country_code":"US","country_name":"United States","fax_number":"480-969-0712","postal_code":"852106893","state":"AZ","telephone_number":"480-969-0600"}],"basic":{"authorized_official_credential":"PharmD","authorized_official_first_name":"KRISTIAN","authorized_official_last_name":"KANISKI","authorized_official_telephone_number":"4809690600","authorized_official_title_or_position":"Managing Member","certification_date":"2022-02-10","enumeration_date":"2006-08-10","last_updated":"2022-02-10","organization_name":"APOTEKA COMPOUNDING LLC","organizational_subpart":"NO","status":"A"},"created_epoch":"1155240594000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"1991673","issuer":"PK","state":null},{"code":"05","desc":"MEDICAID","identifier":"837734","issuer":null,"state":"AZ"}],"last_updated_epoch":"1644517321000","number":"1194736777","other_names":[{"code":"3","organization_name":"COMMUNITY CLINICAL PHARMACY","type":"Doing Business As"}],"practiceLocations":[],"taxonomies":[{"code":"333600000X","desc":"Pharmacy","license":null,"primary":false,"state":null,"taxonomy_group":""},{"code":"3336C0003X","desc":"Pharmacy, Community/Retail Pharmacy","license":null,"primary":false,"state":null,"taxonomy_group":""},{"code":"3336M0002X","desc":"Pharmacy, Mail Order Pharmacy","license":null,"primary":false,"state":null,"taxonomy_group":""},{"code":"3336C0004X","desc":"Pharmacy, Compounding Pharmacy","license":"Y03824","primary":true,"state":"AZ","taxonomy_group":""}]}]}