{"npi":"1477815868","type":"NPI-2","status":"active","name":{"display":"Shakamak Health INC","other":[],"organization_name":"SHAKAMAK HEALTH INC","authorised_official":"Traver Wolf"},"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":"IN","license":"60006304A"}]},"addresses":[{"purpose":"LOCATION","street_1":"346 E MAIN ST","city":"JASONVILLE","state":"IN","postal_code":"474381510","country_code":"US","phone":"8126659760","fax":"8126659762"},{"purpose":"MAILING","street_1":"346 E MAIN ST","city":"JASONVILLE","state":"IN","postal_code":"474381510","country_code":"US","phone":"8126659760","fax":"8126659762"}],"license":{"state":"IN","number":"60006304A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"201070090","state":"IN","issuer":null},{"type_code":"01","label":"Other","value":"2134527","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20121022000027","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"IN","pac_id":"9830349257"},{"enrlmt_id":"O20140904002030","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"IN","pac_id":"9830349257"}]},"enumeration_date":"2012-06-12","last_updated":"2020-01-27","_meta":{"source":"NPPES","snapshot_date":"2020-01-27","doc_url":"https://findmynpi.com/api"}}