{"npi":"1699861617","type":"NPI-2","status":"active","name":{"display":"Thedacare, Incorporated","other":[],"organization_name":"THEDACARE, INCORPORATED","authorised_official":"William Flett"},"specialty":{"primary_taxonomy":"3336H0001X","primary_taxonomy_description":"Home Infusion Therapy Pharmacy","slug":"home-infusion-therapy-pharmacy","schema_org_specialty":null,"all":[{"code":"3336H0001X","description":"Home Infusion Therapy Pharmacy","primary":true,"state":"WI","license":"7196-042"}]},"addresses":[{"purpose":"LOCATION","street_1":"1818 N MEADE ST","city":"APPLETON","state":"WI","postal_code":"549113454","country_code":"US","phone":"9209690919","fax":"9207303433"},{"purpose":"MAILING","street_1":"3 NEENAH CTR","city":"NEENAH","state":"WI","postal_code":"549563070","country_code":"US","phone":"9204544229","fax":"9209935001"}],"license":{"state":"WI","number":"7196-042"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"33228200","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930066042","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"WI","pac_id":"1759294887"}]},"enumeration_date":"2006-10-05","last_updated":"2024-01-02","_meta":{"source":"NPPES","snapshot_date":"2024-01-02","doc_url":"https://findmynpi.com/api"}}