{"npi":"1356879787","type":"NPI-2","status":"active","name":{"display":"Cosmed Pharmacy, Inc.","other":[],"organization_name":"COSMED PHARMACY, INC.","authorised_official":"Khanh-Long Thai"},"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":"6521 VAN NUYS BLVD","city":"VAN NUYS","state":"CA","postal_code":"914011425","country_code":"US","phone":"8189332010","fax":"8189332018"},{"purpose":"MAILING","street_1":"2476 HUNTINGTON DR","city":"SAN MARINO","state":"CA","postal_code":"911082643","country_code":"US","phone":"8189332010","fax":"8189332018"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"61319","state":"CA","issuer":"STATE BOARD OF PHARMACY"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20180827003698","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"CA","pac_id":"7416216072"}]},"enumeration_date":"2017-05-30","last_updated":"2026-04-02","_meta":{"source":"NPPES","snapshot_date":"2026-04-02","doc_url":"https://findmynpi.com/api"}}