{"npi":"1518328186","type":"NPI-2","status":"active","name":{"display":"Bartlett Pharmacy INC","other":[],"organization_name":"BARTLETT PHARMACY INC","authorised_official":"Nahren Khoshaba"},"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":"IL","license":"054019850"}]},"addresses":[{"purpose":"LOCATION","street_1":"300 W BARTLETT AVE","city":"BARTLETT","state":"IL","postal_code":"601034002","country_code":"US","phone":"6308555178","fax":"6308555672"},{"purpose":"MAILING","street_1":"300 W BARTLETT AVE","city":"BARTLETT","state":"IL","postal_code":"601034002","country_code":"US","phone":"6308555178","fax":"6308555672"}],"license":{"state":"IL","number":"054019850"},"identifiers":[{"type_code":"01","label":"Other","value":"2159026","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20160504000563","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"IL","pac_id":"6800195421"}]},"enumeration_date":"2016-03-10","last_updated":"2025-05-14","_meta":{"source":"NPPES","snapshot_date":"2025-05-14","doc_url":"https://findmynpi.com/api"}}