{"npi":"1275939746","type":"NPI-2","status":"active","name":{"display":"Ll Pharma INC","other":[],"organization_name":"LL PHARMA INC","authorised_official":"Kiran Chenna"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"3336H0001X","description":"Home Infusion Therapy Pharmacy","primary":false,"state":null,"license":null},{"code":"3336M0002X","description":"Mail Order Pharmacy","primary":false,"state":null,"license":null},{"code":"3336S0011X","description":"Specialty Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"NJ","license":"28RS00737000"}]},"addresses":[{"purpose":"LOCATION","street_1":"9252 KENNEDY BLVD UNIT 3","city":"NORTH BERGEN","state":"NJ","postal_code":"070479300","country_code":"US","phone":"2016248015","fax":"2016248016"},{"purpose":"MAILING","street_1":"9252 KENNEDY BLVD UNIT 3","city":"NORTH BERGEN","state":"NJ","postal_code":"070479300","country_code":"US","phone":"2016248015","fax":"2016248016"}],"license":{"state":"NJ","number":"28RS00737000"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0007350","state":"OH","issuer":null},{"type_code":"05","label":"Medicaid","value":"0981346","state":"NJ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240212000765","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"NJ","pac_id":"8022451624"},{"enrlmt_id":"O20250821004396","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NJ","pac_id":"8022451624"}]},"enumeration_date":"2014-11-11","last_updated":"2025-05-22","_meta":{"source":"NPPES","snapshot_date":"2025-05-22","doc_url":"https://findmynpi.com/api"}}