{"npi":"1407925282","type":"NPI-2","status":"active","name":{"display":"Countryside Drug Company Ii","other":[],"organization_name":"COUNTRYSIDE DRUG COMPANY II","authorised_official":"Susan Stratton"},"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":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"MI","license":"5301004423"}]},"addresses":[{"purpose":"LOCATION","street_1":"9695 N GREENVILLE RD","city":"LAKEVIEW","state":"MI","postal_code":"488509107","country_code":"US","phone":"9893528168","fax":"9893526253"},{"purpose":"MAILING","street_1":"9695 N GREENVILLE RD","city":"LAKEVIEW","state":"MI","postal_code":"488509107","country_code":"US","street_2":"PO BOX 527","phone":"9893528168","fax":"9893526253"}],"license":{"state":"MI","number":"5301004423"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1756241","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"2039499","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-11-07","last_updated":"2017-10-16","_meta":{"source":"NPPES","snapshot_date":"2017-10-16","doc_url":"https://findmynpi.com/api"}}