{"npi":"1245739028","type":"NPI-2","status":"active","name":{"display":"Medi Ex Pharmacy, INC","other":[],"organization_name":"MEDI EX PHARMACY, INC","authorised_official":"Phuong Tran"},"specialty":{"primary_taxonomy":"333600000X","primary_taxonomy_description":"Pharmacy","slug":"pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":true,"state":"CA","license":"55799"}]},"addresses":[{"purpose":"LOCATION","street_1":"1067 N STATE COLLEGE BLVD","city":"ANAHEIM","state":"CA","postal_code":"928062702","country_code":"US","phone":"7149916828","fax":"7149916876"},{"purpose":"MAILING","street_1":"1067 N STATE COLLEGE BLVD","city":"ANAHEIM","state":"CA","postal_code":"928062702","country_code":"US","phone":"7149916828","fax":"7149916876"}],"license":{"state":"CA","number":"55799"},"identifiers":[{"type_code":"01","label":"Other","value":"2175757","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20181010003605","type_code":"12-87","type_desc":"PART B SUPPLIER - OTHER","state":"CA","pac_id":"9830441310"},{"enrlmt_id":"O20190520001854","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"CA","pac_id":"9830441310"}]},"enumeration_date":"2018-02-07","last_updated":"2023-01-16","_meta":{"source":"NPPES","snapshot_date":"2023-01-16","doc_url":"https://findmynpi.com/api"}}