{"npi":"1396748810","type":"NPI-2","status":"active","name":{"display":"Maple Ave Pharmacy INC","other":[],"organization_name":"MAPLE AVE PHARMACY INC","authorised_official":"Isreal Weissman"},"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":"NY","license":"027013"},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"NY","license":"027013"}]},"addresses":[{"purpose":"LOCATION","street_1":"48 BAKERTOWN ROAD","city":"MONROE","state":"NY","postal_code":"10950","country_code":"US","street_2":"SUITE 101","phone":"8457741464","fax":"8457741454"},{"purpose":"MAILING","street_1":"48 BAKERTOWN ROAD","city":"MONROE","state":"NY","postal_code":"10950","country_code":"US","street_2":"SUITE 101","phone":"8457741464","fax":"8457741454"}],"license":{"state":"NY","number":"027013"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02638668","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20181212002267","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"NY","pac_id":"6709147200"}]},"enumeration_date":"2005-05-30","last_updated":"2018-12-05","_meta":{"source":"NPPES","snapshot_date":"2018-12-05","doc_url":"https://findmynpi.com/api"}}