{"npi":"1801300645","type":"NPI-2","status":"active","name":{"display":"Green Leaf Pharmacy INC","other":[],"organization_name":"GREEN LEAF PHARMACY INC","authorised_official":"Veranika Spetaliun"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"NY","license":"036029"}]},"addresses":[{"purpose":"LOCATION","street_1":"2115 SURF AVE","city":"BROOKLYN","state":"NY","postal_code":"112242108","country_code":"US","phone":"7182666111","fax":"7182662000"},{"purpose":"MAILING","street_1":"2115 SURF AVE","city":"BROOKLYN","state":"NY","postal_code":"112242108","country_code":"US","phone":"7182666111","fax":"7182662000"}],"license":{"state":"NY","number":"036029"},"identifiers":[{"type_code":"01","label":"Other","value":"2174329","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-11-30","last_updated":"2025-09-19","_meta":{"source":"NPPES","snapshot_date":"2025-09-19","doc_url":"https://findmynpi.com/api"}}