{"npi":"1831292366","type":"NPI-2","status":"active","name":{"display":"New Jersey Cvs Pharmacy LLC","other":[],"organization_name":"NEW JERSEY CVS PHARMACY LLC","authorised_official":"Susan Colbert"},"specialty":{"primary_taxonomy":"333600000X","primary_taxonomy_description":"Pharmacy","slug":"pharmacy","schema_org_specialty":null,"all":[{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":false,"state":null,"license":null},{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":true,"state":"NJ","license":"5453"}]},"addresses":[{"purpose":"LOCATION","street_1":"714 SUMMIT AVE","city":"UNION CITY","state":"NJ","postal_code":"070873429","country_code":"US","phone":"2018662892"},{"purpose":"MAILING","street_1":"1 CVS DR","city":"WOONSOCKET","state":"RI","postal_code":"028956146","country_code":"US","street_2":"PO BOX 1075","phone":"4017651500"}],"license":{"state":"NJ","number":"5453"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0235954","state":"NJ","issuer":null},{"type_code":"01","label":"Other","value":"3138991","state":null,"issuer":"OTHER ID NUMBER-COMMERCIAL NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930084583","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NJ","pac_id":"3678777851"}]},"enumeration_date":"2006-09-07","last_updated":"2012-03-07","_meta":{"source":"NPPES","snapshot_date":"2012-03-07","doc_url":"https://findmynpi.com/api"}}