{"npi":"1205811601","type":"NPI-2","status":"active","name":{"display":"Credena Health LLC","other":[],"organization_name":"CREDENA HEALTH LLC","authorised_official":"Mike Skafi"},"specialty":{"primary_taxonomy":"333600000X","primary_taxonomy_description":"Pharmacy","slug":"pharmacy","schema_org_specialty":null,"all":[{"code":"3336S0011X","description":"Specialty Pharmacy","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1140 W LA VETA AVE","city":"ORANGE","state":"CA","postal_code":"928684225","country_code":"US","phone":"7147448724","fax":"7147448676"},{"purpose":"MAILING","street_1":"PO BOX 2704","city":"PORTLAND","state":"OR","postal_code":"972082704","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20200831003396","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"CA","pac_id":"7810207206"},{"enrlmt_id":"O20200930000824","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"CA","pac_id":"7810207206"}]},"enumeration_date":"2005-12-08","last_updated":"2024-07-25","_meta":{"source":"NPPES","snapshot_date":"2024-07-25","doc_url":"https://findmynpi.com/api"}}