{"npi":"1194889568","type":"NPI-2","status":"active","name":{"display":"Hollis Discount Pharmacy, INC","other":[],"organization_name":"HOLLIS DISCOUNT PHARMACY, INC","authorised_official":"Jimmy Tucker"},"specialty":{"primary_taxonomy":"333600000X","primary_taxonomy_description":"Pharmacy","slug":"pharmacy","schema_org_specialty":null,"all":[{"code":"3336L0003X","description":"Long Term Care Pharmacy","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":true,"state":"MS","license":"MS1326"}]},"addresses":[{"purpose":"LOCATION","street_1":"1008 CITY AVE N","city":"RIPLEY","state":"MS","postal_code":"386631413","country_code":"US","phone":"6628374774"},{"purpose":"MAILING","street_1":"1008 CITY AVE N","city":"RIPLEY","state":"MS","postal_code":"386631413","country_code":"US","phone":"6628374774"}],"license":{"state":"MS","number":"MS1326"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00095087","state":"MS","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20231020001240","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"MS","pac_id":"5193845493"}]},"enumeration_date":"2006-12-20","last_updated":"2023-04-16","_meta":{"source":"NPPES","snapshot_date":"2023-04-16","doc_url":"https://findmynpi.com/api"}}