{"npi":"1003968652","type":"NPI-2","status":"active","name":{"display":"Mile Square Pharmacy INC","other":[],"organization_name":"MILE SQUARE PHARMACY INC","authorised_official":"Robert Lepore"},"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":"013593"}]},"addresses":[{"purpose":"LOCATION","street_1":"855 MIDLAND AVE","city":"YONKERS","state":"NY","postal_code":"107041024","country_code":"US","phone":"9149651878","fax":"9149634022"},{"purpose":"MAILING","street_1":"855 MIDLAND AVE","city":"YONKERS","state":"NY","postal_code":"107041024","country_code":"US","phone":"9149651878","fax":"9149634022"}],"license":{"state":"NY","number":"013593"},"identifiers":[{"type_code":"01","label":"Other","value":"013593","state":"NY","issuer":"STATE LICENSE"},{"type_code":"05","label":"Medicaid","value":"00570021","state":"NY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-01-16","last_updated":"2023-03-07","_meta":{"source":"NPPES","snapshot_date":"2023-03-07","doc_url":"https://findmynpi.com/api"}}