{"npi":"1093005753","type":"NPI-2","status":"active","name":{"display":"Empire Specialty Pharmacy LLC","other":[],"organization_name":"EMPIRE SPECIALTY PHARMACY LLC","authorised_official":"Venkata Cheedhella"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0004X","description":"Compounding Pharmacy","primary":false,"state":null,"license":null},{"code":"3336S0011X","description":"Specialty Pharmacy","primary":false,"state":null,"license":null},{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"FL","license":"PH25406"}]},"addresses":[{"purpose":"LOCATION","street_1":"378 N BABCOCK ST","city":"MELBOURNE","state":"FL","postal_code":"329357344","country_code":"US","phone":"3215495005","fax":"3215496226"},{"purpose":"MAILING","street_1":"1066 CLEARLAKE RD","city":"COCOA","state":"FL","postal_code":"329226384","country_code":"US","phone":"3215495005","fax":"3215496226"}],"license":{"state":"FL","number":"PH25406"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"003807200","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20241001001129","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"FL","pac_id":"3476791559"}]},"enumeration_date":"2011-04-14","last_updated":"2024-10-11","_meta":{"source":"NPPES","snapshot_date":"2024-10-11","doc_url":"https://findmynpi.com/api"}}