{"npi":"1295871804","type":"NPI-2","status":"active","name":{"display":"Nielsen's City Drug Store, INC","other":[],"organization_name":"NIELSEN'S CITY DRUG STORE, INC","authorised_official":"Kevin Nielsen"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"LA","license":"PHY.000821-IR"}]},"addresses":[{"purpose":"LOCATION","street_1":"330 AUSTIN ST","city":"BOGALUSA","state":"LA","postal_code":"704273818","country_code":"US","phone":"9857322562","fax":"9857323421"},{"purpose":"MAILING","street_1":"330 AUSTIN ST","city":"BOGALUSA","state":"LA","postal_code":"704273818","country_code":"US","phone":"9857322561","fax":"9857323421"}],"license":{"state":"LA","number":"PHY.000821-IR"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1231398","state":"LA","issuer":null},{"type_code":"01","label":"Other","value":"2028619","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930027904","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"LA","pac_id":"2860513660"},{"enrlmt_id":"O20210211002105","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"LA","pac_id":"2860513660"}]},"enumeration_date":"2007-01-30","last_updated":"2017-04-04","_meta":{"source":"NPPES","snapshot_date":"2017-04-04","doc_url":"https://findmynpi.com/api"}}