{"npi":"1669865838","type":"NPI-2","status":"active","name":{"display":"East Jordan Family Health Center","other":[],"organization_name":"EAST JORDAN FAMILY HEALTH CENTER","authorised_official":"Daniel Mckinnon"},"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":"MI","license":"5301010666"}]},"addresses":[{"purpose":"LOCATION","street_1":"4955 S M 88 HWY","city":"BELLAIRE","state":"MI","postal_code":"496159082","country_code":"US","phone":"2315336655","fax":"2315335331"},{"purpose":"MAILING","street_1":"601 BRIDGE ST","city":"EAST JORDAN","state":"MI","postal_code":"497279383","country_code":"US","phone":"2315362206","fax":"2315367739"}],"license":{"state":"MI","number":"5301010666"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1669865838","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"2149742","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2015-03-12","last_updated":"2025-12-22","_meta":{"source":"NPPES","snapshot_date":"2025-12-22","doc_url":"https://findmynpi.com/api"}}