{"npi":"1013916196","type":"NPI-2","status":"active","name":{"display":"Medical Specialty Supply Of Oklahoma INC","other":[],"organization_name":"MEDICAL SPECIALTY SUPPLY OF OKLAHOMA INC","authorised_official":"Larry Berglan"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":"OK","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"13654 S WESTERN AVE","city":"OKLAHOMA CITY","state":"OK","postal_code":"731707004","country_code":"US","phone":"4056927756","fax":"4056927785"},{"purpose":"MAILING","street_1":"13654 S WESTERN","city":"OKLAHOMA CITY","state":"OK","postal_code":"73170","country_code":"US","phone":"4056927756","fax":"4056927785"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"100811060A","state":"OK","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-07-20","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}