{"npi":"1700148558","type":"NPI-1","status":"active","name":{"display":"Dr. Anthony Collins PHARMD","other":[{"code":"1","type":"Formerly known as","value":"AMENDOLIA, ANTHONY J"}],"first":"ANTHONY","last":"COLLINS","middle":"J","credential":"PHARMD"},"specialty":{"primary_taxonomy":"1835G0303X","primary_taxonomy_description":"Geriatric Pharmacist","slug":"geriatric-pharmacist","schema_org_specialty":null,"all":[{"code":"1835G0303X","description":"Geriatric Pharmacist","primary":true,"state":"PA","license":"RP439479"},{"code":"183500000X","description":"Pharmacist","primary":false,"state":"PA","license":"RPI000841"}]},"addresses":[{"purpose":"LOCATION","street_1":"1905 SW H K DODGEN LOOP","city":"TEMPLE","state":"TX","postal_code":"765021814","country_code":"US","phone":"2547781731","fax":"2547912266"},{"purpose":"MAILING","street_1":"1105 DRY RIDGE RD","city":"HARKER HEIGHTS","state":"TX","postal_code":"765487168","country_code":"US","phone":"2672544817","fax":"2547912266"}],"license":{"state":"PA","number":"RP439479"},"identifiers":[{"type_code":"01","label":"Other","value":"PST.022028","state":"LA","issuer":"LOUISIANA RPH LICENSE"},{"type_code":"01","label":"Other","value":"T-15093","state":"MS","issuer":"MISSISSIPPI RPH LICENSE"},{"type_code":"01","label":"Other","value":"17383","state":"OK","issuer":"OKLAHOMA RPH LICENSE"},{"type_code":"01","label":"Other","value":"55715","state":"TX","issuer":"TEXAS RPH LICENSE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2012-06-07","last_updated":"2024-10-04","_meta":{"source":"NPPES","snapshot_date":"2024-10-04","doc_url":"https://findmynpi.com/api"}}