{"npi":"1932204880","type":"NPI-2","status":"active","name":{"display":"Van Dev Enterprises INC","other":[],"organization_name":"VAN DEV ENTERPRISES INC","authorised_official":"Daphyne Vandevender"},"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":"MS","license":"00680"}]},"addresses":[{"purpose":"LOCATION","street_1":"1005 MARKET ST","city":"PORT GIBSON","state":"MS","postal_code":"391502337","country_code":"US","phone":"6014375121","fax":"6014375102"},{"purpose":"MAILING","street_1":"PO BOX 1024","city":"PORT GIBSON","state":"MS","postal_code":"391501024","country_code":"US","phone":"6014375121","fax":"6014375102"}],"license":{"state":"MS","number":"00680"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0330665","state":"MS","issuer":null},{"type_code":"01","label":"Other","value":"2506737","state":null,"issuer":"NCPDP PROVIDER IDENTIFICATION NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-09-14","last_updated":"2010-02-25","_meta":{"source":"NPPES","snapshot_date":"2010-02-25","doc_url":"https://findmynpi.com/api"}}