{"npi":"1831409697","type":"NPI-2","status":"active","name":{"display":"Ave J Royal Care Pharmacy LLC","other":[],"organization_name":"AVE J ROYAL CARE PHARMACY LLC","authorised_official":"Salim Faour"},"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":"333600000X","description":"Pharmacy","primary":true,"state":"NY","license":"030417"}]},"addresses":[{"purpose":"LOCATION","street_1":"1315 AVENUE J","city":"BROOKLYN","state":"NY","postal_code":"112303605","country_code":"US","phone":"7182531030","fax":"7186762665"},{"purpose":"MAILING","street_1":"1315 AVENUE J","city":"BROOKLYN","state":"NY","postal_code":"112303605","country_code":"US","phone":"7182531030","fax":"7186762665"}],"license":{"state":"NY","number":"030417"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3303211","state":"NY","issuer":null},{"type_code":"01","label":"Other","value":"2128012","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110311000703","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NY","pac_id":"3971785957"},{"enrlmt_id":"O20210113002513","type_code":"12-69","type_desc":"PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY","state":"NY","pac_id":"3971785957"},{"enrlmt_id":"O20240926001614","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"NY","pac_id":"3971785957"}]},"enumeration_date":"2010-10-14","last_updated":"2024-08-06","_meta":{"source":"NPPES","snapshot_date":"2024-08-06","doc_url":"https://findmynpi.com/api"}}