{"result_count":1,"results":[{"addresses":[{"address_1":"221 GALE LN","address_purpose":"MAILING","address_type":"DOM","city":"KENNETT SQUARE","country_code":"US","country_name":"United States","fax_number":"610-497-4371","postal_code":"19348","state":"PA","telephone_number":"800-476-7496"},{"address_1":"221 GALE LN","address_purpose":"LOCATION","address_type":"DOM","city":"KENNETT SQUARE","country_code":"US","country_name":"United States","fax_number":"610-497-4371","postal_code":"193481735","state":"PA","telephone_number":"800-476-7496"}],"basic":{"authorized_official_first_name":"LOUIS","authorized_official_last_name":"MICOLUCCI","authorized_official_telephone_number":"6104851130","authorized_official_title_or_position":"OWNER","enumeration_date":"2006-11-07","last_updated":"2017-03-20","organization_name":"BOOTHWYN PHARMACY LLC","organizational_subpart":"NO","status":"A"},"created_epoch":"1162909356000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"0014804650002","issuer":null,"state":"PA"},{"code":"05","desc":"MEDICAID","identifier":"0936230001","issuer":null,"state":"NE"},{"code":"05","desc":"MEDICAID","identifier":"200887500A","issuer":null,"state":"IN"},{"code":"01","desc":"Other (non-Medicare)","identifier":"2082253","issuer":"PK","state":null},{"code":"05","desc":"MEDICAID","identifier":"7100087360","issuer":null,"state":"KY"},{"code":"05","desc":"MEDICAID","identifier":"7P228L","issuer":null,"state":"SC"}],"last_updated_epoch":"1490036068000","number":"1861561714","other_names":[{"code":"3","organization_name":"BOOTHWYN PHARMACY","type":"Doing Business As"}],"practiceLocations":[],"taxonomies":[{"code":"332B00000X","desc":"Durable Medical Equipment & Medical Supplies","license":null,"primary":false,"state":null,"taxonomy_group":""},{"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":"3336H0001X","desc":"Pharmacy, Home Infusion Therapy Pharmacy","license":null,"primary":false,"state":null,"taxonomy_group":""},{"code":"3336L0003X","desc":"Pharmacy, Long Term Care Pharmacy","license":null,"primary":false,"state":null,"taxonomy_group":""},{"code":"3336S0011X","desc":"Pharmacy, Specialty Pharmacy","license":null,"primary":false,"state":null,"taxonomy_group":""},{"code":"3336C0004X","desc":"Pharmacy, Compounding Pharmacy","license":"PP410228L","primary":true,"state":"PA","taxonomy_group":""}]}]}