{"npi":"1447337985","type":"NPI-2","status":"active","name":{"display":"Reeves Drug Store INC","other":[],"organization_name":"REEVES DRUG STORE INC","authorised_official":"Gary Farmer"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"LA","license":"PHY.003525-IR"}]},"addresses":[{"purpose":"LOCATION","street_1":"307 CARTER ST","city":"VIDALIA","state":"LA","postal_code":"713733305","country_code":"US","phone":"3183365112","fax":"3183369745"},{"purpose":"MAILING","street_1":"307 CARTER ST","city":"VIDALIA","state":"LA","postal_code":"713733396","country_code":"US","phone":"3183365112","fax":"3183369745"}],"license":{"state":"LA","number":"PHY.003525-IR"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1264083","state":"LA","issuer":null},{"type_code":"05","label":"Medicaid","value":"00330273","state":"MS","issuer":null},{"type_code":"01","label":"Other","value":"2028314","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20210126000985","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"LA","pac_id":"1759597560"}]},"enumeration_date":"2006-11-01","last_updated":"2025-09-19","_meta":{"source":"NPPES","snapshot_date":"2025-09-19","doc_url":"https://findmynpi.com/api"}}