{"npi":"1316837263","type":"NPI-2","status":"active","name":{"display":"Premium Care Pharmacy LLC","other":[],"organization_name":"PREMIUM CARE PHARMACY LLC","authorised_official":"Nada Dakroub"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"15945 19 MILE RD STE 202F","city":"CLINTON TOWNSHIP","state":"MI","postal_code":"480381147","country_code":"US","phone":"5869810360","fax":"5869810367"},{"purpose":"MAILING","street_1":"15945 19 MILE RD STE 202F","city":"CLINTON TOWNSHIP","state":"MI","postal_code":"480381147","country_code":"US","phone":"5869810360","fax":"5869810367"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250916001067","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"MI","pac_id":"1456855238"}]},"enumeration_date":"2025-07-03","last_updated":"2025-08-20","_meta":{"source":"NPPES","snapshot_date":"2025-08-20","doc_url":"https://findmynpi.com/api"}}