{"npi":"1487151007","type":"NPI-2","status":"active","name":{"display":"Mermaid Walking INC","other":[],"organization_name":"MERMAID WALKING INC","authorised_official":"Jose Vela"},"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":"TX","license":"31942"}]},"addresses":[{"purpose":"LOCATION","street_1":"409 STATE HWY 495","city":"SAN JUAN","state":"TX","postal_code":"78596","country_code":"US","phone":"9566010140","fax":"9566010130"},{"purpose":"MAILING","street_1":"1107 PAMELA DR STE B","city":"MISSION","state":"TX","postal_code":"785724340","country_code":"US","phone":"9565832700","fax":"9565833220"}],"license":{"state":"TX","number":"31942"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"149855","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"2176877","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2018-04-10","last_updated":"2024-08-12","_meta":{"source":"NPPES","snapshot_date":"2024-08-12","doc_url":"https://findmynpi.com/api"}}