{"npi":"1003240003","type":"NPI-2","status":"active","name":{"display":"Blitz Pharmacy INC","other":[],"organization_name":"BLITZ PHARMACY INC","authorised_official":"Jason Blitz"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"NY","license":"032347"}]},"addresses":[{"purpose":"LOCATION","street_1":"485 MAPLE ST","city":"BIG FLATS","state":"NY","postal_code":"148149701","country_code":"US","phone":"6073584200","fax":"6073584204"},{"purpose":"MAILING","street_1":"485 MAPLE ST","city":"BIG FLATS","state":"NY","postal_code":"148149701","country_code":"US","phone":"6073584200"}],"license":{"state":"NY","number":"032347"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"03940741","state":"NY","issuer":null},{"type_code":"01","label":"Other","value":"2141910","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20140625000770","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NY","pac_id":"2062637564"},{"enrlmt_id":"O20251117002476","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"NY","pac_id":"2062637564"}]},"enumeration_date":"2013-08-26","last_updated":"2017-01-17","_meta":{"source":"NPPES","snapshot_date":"2017-01-17","doc_url":"https://findmynpi.com/api"}}