{"npi":"1689714552","type":"NPI-2","status":"active","name":{"display":"Professional Compounding Of Roswell INC","other":[],"organization_name":"PROFESSIONAL COMPOUNDING OF ROSWELL INC","authorised_official":"Charles Shannon"},"specialty":{"primary_taxonomy":"3336C0004X","primary_taxonomy_description":"Compounding Pharmacy","slug":"compounding-pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0004X","description":"Compounding Pharmacy","primary":true,"state":"NM","license":"PH00002305"}]},"addresses":[{"purpose":"LOCATION","street_1":"700 N UNION AVE","city":"ROSWELL","state":"NM","postal_code":"882013956","country_code":"US","phone":"5756226578","fax":"5756233801"},{"purpose":"MAILING","street_1":"700 N UNION AVE","city":"ROSWELL","state":"NM","postal_code":"882013956","country_code":"US","phone":"5756226578","fax":"5756233801"}],"license":{"state":"NM","number":"PH00002305"},"identifiers":[{"type_code":"01","label":"Other","value":"2058933","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-02-08","last_updated":"2015-08-31","_meta":{"source":"NPPES","snapshot_date":"2015-08-31","doc_url":"https://findmynpi.com/api"}}