{"npi":"1164134656","type":"NPI-2","status":"active","name":{"display":"Melrose Ave Pharmacy LLC","other":[],"organization_name":"MELROSE AVE PHARMACY LLC","authorised_official":"Pujitha Reddy Nalanagula"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"899 MELROSE AVE","city":"BRONX","state":"NY","postal_code":"104514166","country_code":"US","phone":"9179155656","fax":"7182924583"},{"purpose":"MAILING","street_1":"899 MELROSE AVE","city":"BRONX","state":"NY","postal_code":"104514166","country_code":"US","phone":"9179155656","fax":"7182924583"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20230306000964","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"NY","pac_id":"1456724814"},{"enrlmt_id":"O20230619000048","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NY","pac_id":"1456724814"}]},"enumeration_date":"2022-12-16","last_updated":"2022-12-16","_meta":{"source":"NPPES","snapshot_date":"2022-12-16","doc_url":"https://findmynpi.com/api"}}