{"npi":"1306080825","type":"NPI-2","status":"active","name":{"display":"Village Super Market Of Nj Lp","other":[],"organization_name":"VILLAGE SUPER MARKET OF NJ LP","authorised_official":"Melissa Figueroa-Rivera"},"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":"NJ","license":"28RS00692700"}]},"addresses":[{"purpose":"LOCATION","street_1":"4 WEST ROOSEVELT AVE","city":"MARMORA","state":"NJ","postal_code":"08223","country_code":"US","phone":"6099271070"},{"purpose":"MAILING","street_1":"733 MOUNTAIN AVE","city":"SPRINGFIELD","state":"NJ","postal_code":"070813223","country_code":"US"}],"license":{"state":"NJ","number":"28RS00692700"},"identifiers":[{"type_code":"01","label":"Other","value":"3196018","state":null,"issuer":"NCPDP PROVIDER IDENTIFICATION NUMBER"},{"type_code":"05","label":"Medicaid","value":"0245607","state":"NJ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930049896","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NJ","pac_id":"3779604970"}]},"enumeration_date":"2009-04-28","last_updated":"2025-06-25","_meta":{"source":"NPPES","snapshot_date":"2025-06-25","doc_url":"https://findmynpi.com/api"}}