{"npi":"1992234454","type":"NPI-2","status":"active","name":{"display":"Blondell Rx NY LLC","other":[],"organization_name":"BLONDELL RX NY LLC","authorised_official":"Maya Basin"},"specialty":{"primary_taxonomy":"3336L0003X","primary_taxonomy_description":"Long Term Care Pharmacy","slug":"long-term-care-pharmacy","schema_org_specialty":null,"all":[{"code":"3336L0003X","description":"Long Term Care Pharmacy","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1047 SURF AVE FL 2","city":"BROOKLYN","state":"NY","postal_code":"112242810","country_code":"US","phone":"7188195249","fax":"9177220851"},{"purpose":"MAILING","street_1":"1047 SURF AVE FL 2","city":"BROOKLYN","state":"NY","postal_code":"112242810","country_code":"US","phone":"2122498202"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"05730387","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20210326000403","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"NY","pac_id":"9032526603"},{"enrlmt_id":"O20240613001148","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NY","pac_id":"9032526603"}]},"enumeration_date":"2017-06-08","last_updated":"2023-10-04","_meta":{"source":"NPPES","snapshot_date":"2023-10-04","doc_url":"https://findmynpi.com/api"}}