{"npi":"1497929558","type":"NPI-2","status":"active","name":{"display":"Country Manor Campus LLC","other":[],"organization_name":"COUNTRY MANOR CAMPUS LLC","authorised_official":"Joshua Lemm"},"specialty":{"primary_taxonomy":"3336L0003X","primary_taxonomy_description":"Long Term Care Pharmacy","slug":"long-term-care-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":"3336L0003X","description":"Long Term Care Pharmacy","primary":true,"state":"MN","license":"262882"}]},"addresses":[{"purpose":"LOCATION","street_1":"520 1ST ST NE","city":"SARTELL","state":"MN","postal_code":"563771274","country_code":"US","street_2":"SUITE A","phone":"3202550801","fax":"3202303825"},{"purpose":"MAILING","street_1":"520 1ST ST NE","city":"SARTELL","state":"MN","postal_code":"563771274","country_code":"US","street_2":"SUITE A","phone":"3202550801","fax":"3202303825"}],"license":{"state":"MN","number":"262882"},"identifiers":[{"type_code":"01","label":"Other","value":"2125115","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-04-18","last_updated":"2021-06-30","_meta":{"source":"NPPES","snapshot_date":"2021-06-30","doc_url":"https://findmynpi.com/api"}}