{"npi":"1003036435","type":"NPI-2","status":"active","name":{"display":"Mashantucket Pequot Tribal","other":[],"organization_name":"MASHANTUCKET PEQUOT TRIBAL","authorised_official":"Edward Moldenhauer"},"specialty":{"primary_taxonomy":"332800000X","primary_taxonomy_description":"Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy","slug":"indian-health-service-tribal-urban-indian-health-i-t-u-pharmacy","schema_org_specialty":null,"all":[{"code":"3336M0002X","description":"Mail Order Pharmacy","primary":false,"state":null,"license":null},{"code":"3336M0003X","description":"Managed Care Organization Pharmacy","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"332800000X","description":"Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy","primary":true,"state":"CT","license":"ISH285960015"}]},"addresses":[{"purpose":"LOCATION","street_1":"1 ANNIE GEORGE DR","city":"MASHANTUCKET","state":"CT","postal_code":"063383801","country_code":"US","phone":"8603966438","fax":"8663966212"},{"purpose":"MAILING","street_1":"1 ANNIE GEORGE DR","city":"MASHANTUCKET","state":"CT","postal_code":"063383801","country_code":"US","street_2":"PO BOX 3559","phone":"8603692058","fax":"8603966212"}],"license":{"state":"CT","number":"ISH285960015"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"004129210","state":"CT","issuer":null},{"type_code":"01","label":"Other","value":"0718619","state":null,"issuer":"NCPDP PROVIDER IDENTIFICATION NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-04-26","last_updated":"2011-04-01","_meta":{"source":"NPPES","snapshot_date":"2011-04-01","doc_url":"https://findmynpi.com/api"}}