{"npi":"1336935857","type":"NPI-2","status":"active","name":{"display":"Luckycharm Primary Care PLLC","other":[],"organization_name":"LUCKYCHARM PRIMARY CARE PLLC","authorised_official":"Uchenne Mbaraonye"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3521 N FOURTH STREET, SUITE 100","city":"LONGVIEW","state":"TX","postal_code":"75605","country_code":"US","phone":"9034482273","fax":"7738258352"},{"purpose":"MAILING","street_1":"2309 GILMER RD STE 101","city":"LONGVIEW","state":"TX","postal_code":"756042133","country_code":"US","phone":"9034882273","fax":"7738258352"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20260129000892","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"3577058452"}]},"enumeration_date":"2025-04-21","last_updated":"2025-12-29","_meta":{"source":"NPPES","snapshot_date":"2025-12-29","doc_url":"https://findmynpi.com/api"}}