{"npi":"1265083141","type":"NPI-2","status":"active","name":{"display":"Mountain Comprehensive Care Center, Inc.","other":[],"organization_name":"MOUNTAIN COMPREHENSIVE CARE CENTER, INC.","authorised_official":"Roxann Cordial"},"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":"24 HARBOR LN","city":"PRESTONSBURG","state":"KY","postal_code":"416539176","country_code":"US","phone":"6068868572","fax":"6068864431"},{"purpose":"MAILING","street_1":"104 S FRONT AVE","city":"PRESTONSBURG","state":"KY","postal_code":"416531614","country_code":"US","phone":"6068868572","fax":"6068864431"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20230126003381","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"KY","pac_id":"5294720553"}]},"enumeration_date":"2019-09-23","last_updated":"2024-07-16","_meta":{"source":"NPPES","snapshot_date":"2024-07-16","doc_url":"https://findmynpi.com/api"}}