{"npi":"1265452197","type":"NPI-2","status":"active","name":{"display":"Sqa Pharmacy Services LLC","other":[],"organization_name":"SQA PHARMACY SERVICES LLC","authorised_official":"Kelly Brady"},"specialty":{"primary_taxonomy":"3336L0003X","primary_taxonomy_description":"Long Term Care Pharmacy","slug":"long-term-care-pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336L0003X","description":"Long Term Care Pharmacy","primary":true,"state":"PA","license":"PP481603"}]},"addresses":[{"purpose":"LOCATION","street_1":"4700 WISSAHICKON AVE","city":"PHILADELPHIA","state":"PA","postal_code":"191444248","country_code":"US","street_2":"STE B108","phone":"2154383308","fax":"2159516285"},{"purpose":"MAILING","street_1":"4700 WISSAHICKON AVE","city":"PHILADELPHIA","state":"PA","postal_code":"191444248","country_code":"US","street_2":"STE B108","phone":"2154383308","fax":"2159516285"}],"license":{"state":"PA","number":"PP481603"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"10166619","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"2087856","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-21","last_updated":"2016-11-22","_meta":{"source":"NPPES","snapshot_date":"2016-11-22","doc_url":"https://findmynpi.com/api"}}