{"npi":"1912906165","type":"NPI-2","status":"active","name":{"display":"Dermscene LLC","other":[],"organization_name":"DERMSCENE LLC","authorised_official":"Lance Wetzel"},"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":"PA","license":"RP028768L"}]},"addresses":[{"purpose":"LOCATION","street_1":"6519 FRANKFORD AVE","city":"PHILADELPHIA","state":"PA","postal_code":"191352538","country_code":"US","phone":"2156244224","fax":"2156244416"},{"purpose":"MAILING","street_1":"6519 FRANKFORD AVE","city":"PHILADELPHIA","state":"PA","postal_code":"191352538","country_code":"US","phone":"2156244224","fax":"2156244416"}],"license":{"state":"PA","number":"RP028768L"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090423000066","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"PA","pac_id":"2466500863"},{"enrlmt_id":"O20100930033171","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"PA","pac_id":"2466500863"}]},"enumeration_date":"2005-07-19","last_updated":"2026-06-10","_meta":{"source":"NPPES","snapshot_date":"2026-06-10","doc_url":"https://findmynpi.com/api"}}