{"npi":"1922889807","type":"NPI-2","status":"active","name":{"display":"Wytheville Pharmacy LLC","other":[],"organization_name":"WYTHEVILLE PHARMACY LLC","authorised_official":"Ervin Counts"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"835 E MAIN ST","city":"WYTHEVILLE","state":"VA","postal_code":"243823303","country_code":"US","phone":"2762001200","fax":"8336233048"},{"purpose":"MAILING","street_1":"PO BOX 453","city":"HAYSI","state":"VA","postal_code":"242560453","country_code":"US","phone":"2768655560","fax":"2768655310"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240404000118","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"VA","pac_id":"0840638219"}]},"enumeration_date":"2023-10-09","last_updated":"2024-06-20","_meta":{"source":"NPPES","snapshot_date":"2024-06-20","doc_url":"https://findmynpi.com/api"}}