{"npi":"1831879451","type":"NPI-2","status":"active","name":{"display":"Fountain Lake Family Pharmacy LLC","other":[],"organization_name":"FOUNTAIN LAKE FAMILY PHARMACY LLC","authorised_official":"Michael Butler"},"specialty":{"primary_taxonomy":"3336L0003X","primary_taxonomy_description":"Long Term Care Pharmacy","slug":"long-term-care-pharmacy","schema_org_specialty":null,"all":[{"code":"3336L0003X","description":"Long Term Care Pharmacy","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4517 PARK AVE","city":"HOT SPRINGS","state":"AR","postal_code":"71901","country_code":"US","phone":"5015473400","fax":"5015211033"},{"purpose":"MAILING","street_1":"4517 PARK AVE","city":"HOT SPRINGS","state":"AR","postal_code":"71901","country_code":"US","phone":"5015473400","fax":"5015211033"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"236424407","state":"AR","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2023-07-19","last_updated":"2023-07-19","_meta":{"source":"NPPES","snapshot_date":"2023-07-19","doc_url":"https://findmynpi.com/api"}}