{"npi":"1285683094","type":"NPI-2","status":"active","name":{"display":"Eastern Pharmacy INC","other":[],"organization_name":"EASTERN PHARMACY INC","authorised_official":"Sami Dabaja"},"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":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"MI","license":"5301008336"}]},"addresses":[{"purpose":"LOCATION","street_1":"1159 E MICHIGAN AVE","city":"YPSILANTI","state":"MI","postal_code":"481985807","country_code":"US","phone":"7344859900","fax":"7344859300"},{"purpose":"MAILING","street_1":"1159 E MICHIGAN AVE","city":"YPSILANTI","state":"MI","postal_code":"481985807","country_code":"US","phone":"7344859900","fax":"7344859300"}],"license":{"state":"MI","number":"5301008336"},"identifiers":[{"type_code":"01","label":"Other","value":"2368252","state":null,"issuer":"NCPDP PROVIDER IDENTIFICATION NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20210211001205","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"MI","pac_id":"3779785399"}]},"enumeration_date":"2006-05-09","last_updated":"2020-06-23","_meta":{"source":"NPPES","snapshot_date":"2020-06-23","doc_url":"https://findmynpi.com/api"}}