{"npi":"1003369315","type":"NPI-2","status":"active","name":{"display":"Chronicare Ltc Rx, LLC","other":[],"organization_name":"CHRONICARE LTC RX, LLC","authorised_official":"Oleg Aronov"},"specialty":{"primary_taxonomy":"3336L0003X","primary_taxonomy_description":"Long Term Care Pharmacy","slug":"long-term-care-pharmacy","schema_org_specialty":null,"all":[{"code":"3336L0003X","description":"Long Term Care Pharmacy","primary":true,"state":"NY","license":"034606"}]},"addresses":[{"purpose":"LOCATION","street_1":"58-22/24 99TH ST","city":"CORONA","state":"NY","postal_code":"11368","country_code":"US","phone":"7185905999","fax":"7185905966"},{"purpose":"MAILING","street_1":"58-22/24 99TH ST","city":"CORONA","state":"NY","postal_code":"11368","country_code":"US","phone":"7185905999","fax":"7185905966"}],"license":{"state":"NY","number":"034606"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"04701162","state":"NY","issuer":null},{"type_code":"01","label":"Other","value":"2163635","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20170207003149","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NY","pac_id":"3173806684"},{"enrlmt_id":"O20210222000320","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"NY","pac_id":"3173806684"}]},"enumeration_date":"2016-08-03","last_updated":"2024-08-01","_meta":{"source":"NPPES","snapshot_date":"2024-08-01","doc_url":"https://findmynpi.com/api"}}