{"npi":"1154336790","type":"NPI-2","status":"active","name":{"display":"Bald Eagle Pharmacy LLC","other":[],"organization_name":"BALD EAGLE PHARMACY LLC","authorised_official":"Anthony Guercio"},"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":"NJ","license":"28RI02690900"}]},"addresses":[{"purpose":"LOCATION","street_1":"610 VALLEY HEALTH PLZ","city":"PARAMUS","state":"NJ","postal_code":"07652","country_code":"US","phone":"2012250970","fax":"2012250973"},{"purpose":"MAILING","street_1":"14 FRANKLIN ST FL 2","city":"BELLEVILLE","state":"NJ","postal_code":"071091134","country_code":"US","phone":"9737282007","fax":"9737281009"}],"license":{"state":"NJ","number":"28RI02690900"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0093181","state":"NJ","issuer":null},{"type_code":"01","label":"Other","value":"3193391","state":null,"issuer":"NCPDP PROVIDER IDENTIFICATION NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-30","last_updated":"2018-06-07","_meta":{"source":"NPPES","snapshot_date":"2018-06-07","doc_url":"https://findmynpi.com/api"}}