{"npi":"1275528069","type":"NPI-2","status":"active","name":{"display":"Collier Drug Stores, Inc.","other":[],"organization_name":"COLLIER DRUG STORES, INC.","authorised_official":"Carl Collier"},"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":"991 W CENTERTON BLVD","city":"CENTERTON","state":"AR","postal_code":"727198707","country_code":"US","phone":"4797958199","fax":"4797958196"},{"purpose":"MAILING","street_1":"PO BOX 1085","city":"FAYETTEVILLE","state":"AR","postal_code":"72702","country_code":"US","phone":"4794426262","fax":"4795219111"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"148779407","state":"AR","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-09-17","last_updated":"2024-02-20","_meta":{"source":"NPPES","snapshot_date":"2024-02-20","doc_url":"https://findmynpi.com/api"}}