{"npi":"1902881097","type":"NPI-2","status":"active","name":{"display":"Sullivan Drugs Of Staunton","other":[],"organization_name":"SULLIVAN DRUGS OF STAUNTON","authorised_official":"Maurice Sullivan"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"IL","license":"054004541"}]},"addresses":[{"purpose":"LOCATION","street_1":"101 E MAIN ST","city":"STAUNTON","state":"IL","postal_code":"620881446","country_code":"US","phone":"6186352595","fax":"6186355590"},{"purpose":"MAILING","street_1":"101 E MAIN ST","city":"STAUNTON","state":"IL","postal_code":"620881446","country_code":"US","phone":"6186352595","fax":"6186355590"}],"license":{"state":"IL","number":"054004541"},"identifiers":[{"type_code":"01","label":"Other","value":"2016642","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110517000092","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"IL","pac_id":"7315066776"}]},"enumeration_date":"2005-12-12","last_updated":"2016-06-09","_meta":{"source":"NPPES","snapshot_date":"2016-06-09","doc_url":"https://findmynpi.com/api"}}