{"npi":"1316955362","type":"NPI-2","status":"active","name":{"display":"Gillis Drugstore","other":[],"organization_name":"GILLIS DRUGSTORE","authorised_official":"Tom Assaf"},"specialty":{"primary_taxonomy":"333600000X","primary_taxonomy_description":"Pharmacy","slug":"pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":true,"state":"MS","license":"00972"}]},"addresses":[{"purpose":"LOCATION","street_1":"219 STATE STREET","city":"MCCOMB","state":"MS","postal_code":"39648","country_code":"US","phone":"6016842621","fax":"6016842622"},{"purpose":"MAILING","street_1":"219 STATE STREET","city":"MCCOMB","state":"MS","postal_code":"39648","country_code":"US","phone":"6016842621","fax":"6016842622"}],"license":{"state":"MS","number":"00972"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00030161","state":"MS","issuer":null},{"type_code":"01","label":"Other","value":"00972","state":"MS","issuer":"BOARD OF PHARMACY PERMIT"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-08-04","last_updated":"2023-03-07","_meta":{"source":"NPPES","snapshot_date":"2023-03-07","doc_url":"https://findmynpi.com/api"}}