{"npi":"1407851769","type":"NPI-2","status":"active","name":{"display":"Judys Drug Store INC","other":[],"organization_name":"JUDYS DRUG STORE INC","authorised_official":"Darin Judy"},"specialty":{"primary_taxonomy":"133NN1002X","primary_taxonomy_description":"Nutrition Education Nutritionist","slug":"nutrition-education-nutritionist","schema_org_specialty":null,"all":[{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":false,"state":"WV","license":"51D1024349"},{"code":"261Q00000X","description":"Clinic/Center","primary":false,"state":null,"license":null},{"code":"133NN1002X","description":"Nutrition Education Nutritionist","primary":true,"state":"WV","license":"30"}]},"addresses":[{"purpose":"LOCATION","street_1":"24 N MAIN ST","city":"PETERSBURG","state":"WV","postal_code":"268471518","country_code":"US","phone":"3042571044","fax":"3042572681"},{"purpose":"MAILING","street_1":"24 N MAIN ST","city":"PETERSBURG","state":"WV","postal_code":"268471518","country_code":"US","phone":"3042571044","fax":"3042572681"}],"license":{"state":"WV","number":"30"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0141999000","state":"WV","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-06-14","last_updated":"2012-04-24","_meta":{"source":"NPPES","snapshot_date":"2012-04-24","doc_url":"https://findmynpi.com/api"}}