{"npi":"1700958584","type":"NPI-2","status":"active","name":{"display":"Jdub Pharma","other":[],"organization_name":"JDUB PHARMA","authorised_official":"Carlos Varela"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"CA","license":"PHY56114"}]},"addresses":[{"purpose":"LOCATION","street_1":"2611 E THOMPSON BLVD","city":"VENTURA","state":"CA","postal_code":"93003","country_code":"US","street_2":"SUITE 103","phone":"8056482724","fax":"8056487562"},{"purpose":"MAILING","street_1":"2611 E THOMPSON BLVD","city":"VENTURA","state":"CA","postal_code":"930032743","country_code":"US","street_2":"SUITE 103","phone":"8056482724","fax":"8056487562"}],"license":{"state":"CA","number":"PHY56114"},"identifiers":[{"type_code":"01","label":"Other","value":"0582189","state":null,"issuer":"OTHER ID NUMBER-COMMERCIAL NUMBER"},{"type_code":"05","label":"Medicaid","value":"1700958584","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20180503002097","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"CA","pac_id":"5991069650"}]},"enumeration_date":"2006-11-15","last_updated":"2023-03-07","_meta":{"source":"NPPES","snapshot_date":"2023-03-07","doc_url":"https://findmynpi.com/api"}}