{"npi":"1942753124","type":"NPI-2","status":"active","name":{"display":"Cushing Family Pharmacy INC","other":[],"organization_name":"CUSHING FAMILY PHARMACY INC","authorised_official":"Troy Simons"},"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":"3336C0004X","description":"Compounding Pharmacy","primary":false,"state":null,"license":null},{"code":"3336L0003X","description":"Long Term Care Pharmacy","primary":false,"state":null,"license":null},{"code":"3336S0011X","description":"Specialty Pharmacy","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":"OK","license":"8-7679"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 S HIGHLAND AVE","city":"CUSHING","state":"OK","postal_code":"740234117","country_code":"US","phone":"9182255200","fax":"9182250828"},{"purpose":"MAILING","street_1":"200 S HIGHLAND AVE","city":"CUSHING","state":"OK","postal_code":"740234117","country_code":"US","phone":"9182255200","fax":"9182250828"}],"license":{"state":"OK","number":"8-7679"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200663180A","state":"OK","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20181029000518","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"OK","pac_id":"4284987827"},{"enrlmt_id":"O20200511001831","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"OK","pac_id":"4284987827"}]},"enumeration_date":"2016-07-25","last_updated":"2019-10-29","_meta":{"source":"NPPES","snapshot_date":"2019-10-29","doc_url":"https://findmynpi.com/api"}}