{"npi":"1730135823","type":"NPI-2","status":"active","name":{"display":"Mgl Pharmacy INC","other":[],"organization_name":"MGL PHARMACY INC","authorised_official":"Farrukh Rakhmatullaev"},"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":"NY","license":"034786"}]},"addresses":[{"purpose":"LOCATION","street_1":"6320 99TH ST","city":"REGO PARK","state":"NY","postal_code":"113741941","country_code":"US","phone":"7184590911","fax":"7184590912"},{"purpose":"MAILING","street_1":"6320 99TH ST","city":"REGO PARK","state":"NY","postal_code":"113741941","country_code":"US","phone":"7184590911","fax":"7184590912"}],"license":{"state":"NY","number":"034786"},"identifiers":[{"type_code":"01","label":"Other","value":"2164161","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20170105002444","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NY","pac_id":"8325329311"},{"enrlmt_id":"O20190118001812","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"NY","pac_id":"8325329311"}]},"enumeration_date":"2006-05-26","last_updated":"2024-02-16","_meta":{"source":"NPPES","snapshot_date":"2024-02-16","doc_url":"https://findmynpi.com/api"}}