{"npi":"1023889458","type":"NPI-2","status":"active","name":{"display":"Williamsburg Pharmacy INC","other":[],"organization_name":"WILLIAMSBURG PHARMACY INC","authorised_official":"Tyler Ruby"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"318 E 1ST ST","city":"WILLIAMSBURG","state":"PA","postal_code":"166931006","country_code":"US","phone":"8144074742","fax":"8144074957"},{"purpose":"MAILING","street_1":"318 E 1ST ST","city":"WILLIAMSBURG","state":"PA","postal_code":"166931006","country_code":"US","phone":"8144074742","fax":"8144074957"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"103792802-0001","state":"PA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-01-15","last_updated":"2024-01-15","_meta":{"source":"NPPES","snapshot_date":"2024-01-15","doc_url":"https://findmynpi.com/api"}}