{"npi":"1104257666","type":"NPI-2","status":"active","name":{"display":"Lakewood Pharmacy INC","other":[],"organization_name":"LAKEWOOD PHARMACY INC","authorised_official":"Sung Chang"},"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":"3336L0003X","description":"Long Term Care Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"WA","license":"PHAR.CF.60353905"}]},"addresses":[{"purpose":"LOCATION","street_1":"1902 96TH ST S STE A","city":"TACOMA","state":"WA","postal_code":"984442808","country_code":"US","phone":"2533024178","fax":"2535030858"},{"purpose":"MAILING","street_1":"1902 96TH ST S","city":"TACOMA","state":"WA","postal_code":"984442808","country_code":"US","street_2":"STE A","phone":"2533024178","fax":"2535030858"}],"license":{"state":"WA","number":"PHAR.CF.60353905"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2034106","state":"WA","issuer":null},{"type_code":"01","label":"Other","value":"2143288","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2013-12-10","last_updated":"2020-01-06","_meta":{"source":"NPPES","snapshot_date":"2020-01-06","doc_url":"https://findmynpi.com/api"}}