{"npi":"1679565741","type":"NPI-2","status":"active","name":{"display":"John R Slagle","other":[],"organization_name":"JOHN R SLAGLE","authorised_official":"John Slagle"},"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":"3336L0003X","description":"Long Term Care Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"PA","license":"PP414620L"}]},"addresses":[{"purpose":"LOCATION","street_1":"100 LIBERTY ST","city":"CLARION","state":"PA","postal_code":"162141808","country_code":"US","phone":"8142269310","fax":"8142269329"},{"purpose":"MAILING","street_1":"100 LIBERTY ST","city":"CLARION","state":"PA","postal_code":"162141808","country_code":"US","phone":"8142269310","fax":"8142269329"}],"license":{"state":"PA","number":"PP414620L"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1007724210005","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"2122663","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100222000825","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"PA","pac_id":"9335283837"},{"enrlmt_id":"O20100930095659","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"PA","pac_id":"9335283837"}]},"enumeration_date":"2005-08-16","last_updated":"2025-09-19","_meta":{"source":"NPPES","snapshot_date":"2025-09-19","doc_url":"https://findmynpi.com/api"}}