{"result_count":1,"results":[{"addresses":[{"address_1":"2005 S MARIPOSA RD","address_purpose":"LOCATION","address_type":"DOM","city":"STOCKTON","country_code":"US","country_name":"United States","fax_number":"209-464-7404","postal_code":"952057735","state":"CA","telephone_number":"209-464-7722"},{"address_1":"2005 S MARIPOSA RD","address_purpose":"MAILING","address_type":"DOM","city":"STOCKTON","country_code":"US","country_name":"United States","fax_number":"209-464-7404","postal_code":"952057735","state":"CA","telephone_number":"209-464-7722"}],"basic":{"authorized_official_first_name":"JEFFREY","authorized_official_last_name":"BENNETT","authorized_official_telephone_number":"2094647722","authorized_official_title_or_position":"Owner","certification_date":"2025-09-16","enumeration_date":"2006-09-13","last_updated":"2025-09-16","organization_name":"JEFFREY RYAN BENNETT","organizational_subpart":"NO","status":"A"},"created_epoch":"1158147625000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"0510239","issuer":"NCPDP","state":null},{"code":"05","desc":"MEDICAID","identifier":"1205642592","issuer":null,"state":"CA"},{"code":"01","desc":"Other (non-Medicare)","identifier":"PHY59418","issuer":"California State Board of Pharmacy","state":"CA"}],"last_updated_epoch":"1758042972000","number":"1417052937","other_names":[{"code":"3","organization_name":"EL DORADO DRUG STORE","type":"Doing Business As"}],"practiceLocations":[],"taxonomies":[{"code":"3336C0003X","desc":"Pharmacy, Community/Retail Pharmacy","license":null,"primary":true,"state":null,"taxonomy_group":""}]}]}