{"npi":"1285635169","type":"NPI-2","status":"active","name":{"display":"R & J Pharmacy, Inc.","other":[],"organization_name":"R & J PHARMACY, INC.","authorised_official":"Robert Miller"},"specialty":{"primary_taxonomy":"333600000X","primary_taxonomy_description":"Pharmacy","slug":"pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":true,"state":"ID","license":"1907CP"}]},"addresses":[{"purpose":"LOCATION","street_1":"69 N PINE ST","city":"BLACKFOOT","state":"ID","postal_code":"832212053","country_code":"US","phone":"2087853510","fax":"2087857317"},{"purpose":"MAILING","street_1":"69 N PINE ST","city":"BLACKFOOT","state":"ID","postal_code":"832212053","country_code":"US","phone":"2087853510","fax":"2087857317"}],"license":{"state":"ID","number":"1907CP"},"identifiers":[{"type_code":"01","label":"Other","value":"1300514/8L386","state":"ID","issuer":"BLUE CROSS"},{"type_code":"05","label":"Medicaid","value":"807034200","state":"ID","issuer":null},{"type_code":"05","label":"Medicaid","value":"807071700","state":"ID","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20211109000629","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"ID","pac_id":"3072723923"}]},"enumeration_date":"2005-08-02","last_updated":"2008-05-22","_meta":{"source":"NPPES","snapshot_date":"2008-05-22","doc_url":"https://findmynpi.com/api"}}