{"npi":"1851905707","type":"NPI-2","status":"active","name":{"display":"Skidway Pharmacy LLC","other":[],"organization_name":"SKIDWAY PHARMACY LLC","authorised_official":"Teresa Spies"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1830 GREENWOOD RD","city":"PRESCOTT","state":"MI","postal_code":"487568627","country_code":"US","phone":"9892961360","fax":"9892961362"},{"purpose":"MAILING","street_1":"PO BOX 4488","city":"PRESCOTT","state":"MI","postal_code":"487564488","country_code":"US"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"2388494","state":"MI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2020-09-08","last_updated":"2025-03-05","_meta":{"source":"NPPES","snapshot_date":"2025-03-05","doc_url":"https://findmynpi.com/api"}}