{"npi":"1003108663","type":"NPI-2","status":"active","name":{"display":"Medi-Space Pharma INC","other":[],"organization_name":"MEDI-SPACE PHARMA INC","authorised_official":"Hilton Cheung"},"specialty":{"primary_taxonomy":"333600000X","primary_taxonomy_description":"Pharmacy","slug":"pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":true,"state":"NY","license":"030843"}]},"addresses":[{"purpose":"LOCATION","street_1":"4139 MAIN ST","city":"FLUSHING","state":"NY","postal_code":"113553132","country_code":"US","phone":"7189613373","fax":"7189613311"},{"purpose":"MAILING","street_1":"4139 MAIN ST","city":"FLUSHING","state":"NY","postal_code":"113553132","country_code":"US","phone":"7189613373","fax":"7189613311"}],"license":{"state":"NY","number":"030843"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1003108663","state":"NY","issuer":null},{"type_code":"01","label":"Other","value":"5803918","state":null,"issuer":"NCPDP PROVIDER IDENTIFICATION NUMBER"},{"type_code":"05","label":"Medicaid","value":"3338492","state":"NY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2011-05-13","last_updated":"2016-06-06","_meta":{"source":"NPPES","snapshot_date":"2016-06-06","doc_url":"https://findmynpi.com/api"}}