{"npi":"1346728557","type":"NPI-2","status":"active","name":{"display":"Ms4 PLLC","other":[],"organization_name":"MS4 PLLC","authorised_official":"Ross Wilhelm"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":false,"state":"ND","license":"PHAR447"},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"ND","license":"PHAR447"}]},"addresses":[{"purpose":"LOCATION","street_1":"4476 31ST AVENUE SOUTH, SUITE #105","city":"FARGO","state":"ND","postal_code":"58104","country_code":"US","phone":"7012933060","fax":"7012933061"},{"purpose":"MAILING","street_1":"4476 31ST AVE S STE 105","city":"FARGO","state":"ND","postal_code":"581044532","country_code":"US","phone":"7016396969","fax":"7016396987"}],"license":{"state":"ND","number":"PHAR447"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20200529001166","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"ND","pac_id":"1658792650"}]},"enumeration_date":"2018-07-31","last_updated":"2021-12-09","_meta":{"source":"NPPES","snapshot_date":"2021-12-09","doc_url":"https://findmynpi.com/api"}}