{"npi":"1245699644","type":"NPI-2","status":"active","name":{"display":"Crown Pharma INC","other":[],"organization_name":"CROWN PHARMA INC","authorised_official":"Shivakumar Pinnoju"},"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":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"NY","license":"034371"}]},"addresses":[{"purpose":"LOCATION","street_1":"4020 82ND ST","city":"ELMHURST","state":"NY","postal_code":"113731305","country_code":"US","phone":"7184262525","fax":"7184262523"},{"purpose":"MAILING","street_1":"4020 82ND ST","city":"ELMHURST","state":"NY","postal_code":"113731305","country_code":"US","phone":"7184262525","fax":"7184262523"}],"license":{"state":"NY","number":"034371"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1407146855","state":"NY","issuer":null},{"type_code":"01","label":"Other","value":"2164047","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20170510000182","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NY","pac_id":"0547547077"},{"enrlmt_id":"O20240408001094","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"NY","pac_id":"0547547077"}]},"enumeration_date":"2016-02-15","last_updated":"2020-10-06","_meta":{"source":"NPPES","snapshot_date":"2020-10-06","doc_url":"https://findmynpi.com/api"}}