{
  "npi": "1477643310",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "ANNE",
    "authorized_official_last_name": "BRADER",
    "authorized_official_telephone_number": "7635134300",
    "authorized_official_title_or_position": "CFO",
    "certification_date": "2026-07-31",
    "enumeration_date": "2006-10-13",
    "last_updated": "2026-07-31",
    "organization_name": "WHITE DRUG CO OF JAMESTOWN INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "6701 EVENSTAD DR N STE 100",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MAPLE GROVE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "553696013",
      "state": "MN",
      "telephone_number": "763-513-4300"
    },
    {
      "address_1": "115 MAIN ST W",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MOHALL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "877-201-5349",
      "postal_code": "587614313",
      "state": "ND",
      "telephone_number": "701-354-0632"
    }
  ],
  "taxonomies": [
    {
      "code": "291U00000X",
      "desc": "Clinical Medical Laboratory",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "332B00000X",
      "desc": "Durable Medical Equipment & Medical Supplies",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "333600000X",
      "desc": "Pharmacy",
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      "primary": false,
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      "taxonomy_group": ""
    },
    {
      "code": "3336C0003X",
      "desc": "Pharmacy, Community/Retail Pharmacy",
      "license": "Phar720",
      "primary": true,
      "state": "ND",
      "taxonomy_group": ""
    },
    {
      "code": "3336L0003X",
      "desc": "Pharmacy, Long Term Care Pharmacy",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "58",
        "medicare_type": "Medical Supply Company with Pharmacist"
      },
      {
        "medicare_code": "A5",
        "medicare_type": "Pharmacy"
      }
    ]
  }
}