{"npi":"1720803604","type":"NPI-2","status":"active","name":{"display":"Purecare Pharmacy Corp","other":[],"organization_name":"PURECARE PHARMACY CORP","authorised_official":"Ahmed Nasser"},"specialty":{"primary_taxonomy":"333600000X","primary_taxonomy_description":"Pharmacy","slug":"pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"8409 5TH AVE","city":"BROOKLYN","state":"NY","postal_code":"112094709","country_code":"US","phone":"3474920211","fax":"3474920085"},{"purpose":"MAILING","street_1":"8409 5TH AVE","city":"BROOKLYN","state":"NY","postal_code":"112094709","country_code":"US","phone":"3474920211","fax":"3474920085"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250312001983","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"NY","pac_id":"5890216303"},{"enrlmt_id":"O20250317000795","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"NY","pac_id":"5890216303"},{"enrlmt_id":"O20250401000585","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NY","pac_id":"5890216303"}]},"enumeration_date":"2024-11-18","last_updated":"2024-11-18","_meta":{"source":"NPPES","snapshot_date":"2024-11-18","doc_url":"https://findmynpi.com/api"}}