{"npi":"1629341102","type":"NPI-2","status":"active","name":{"display":"Port Huron Pharmacy, LLC","other":[],"organization_name":"PORT HURON PHARMACY, LLC","authorised_official":"Ankur Patel"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"515 10TH ST","city":"PORT HURON","state":"MI","postal_code":"480604404","country_code":"US","phone":"8109895990","fax":"8109895992"},{"purpose":"MAILING","street_1":"515 10TH ST","city":"PORT HURON","state":"MI","postal_code":"480604404","country_code":"US","phone":"8109895990","fax":"8109895992"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20140708001657","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"MI","pac_id":"8123243151"},{"enrlmt_id":"O20200730002276","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"MI","pac_id":"8123243151"}]},"enumeration_date":"2012-02-15","last_updated":"2012-02-15","_meta":{"source":"NPPES","snapshot_date":"2012-02-15","doc_url":"https://findmynpi.com/api"}}