[{"mmis_id":"00652346","npi":"1992803530","mmis_name":"CVS ALBANY LLC","medicaid_type":"FFS","profession_or_service":"MEDICAL EQUIPMENT SUPPLIERS & DEALER","service_address":"1625 ELMWOOD AVE","city":"BUFFALO","state":"NY","zip_code":"14207-3015","county":"ERIE","telephone":"7168750922","latitude":"042.941060","longitude":"-078.878430","enrollment_begin_date":"1981-10-08T00:00:00.000","next_anticipated_revalidation_date":"2026-05-05T00:00:00.000","updated":"2026-06-15T00:00:00.000","medically_fragile_children_directory_ind":"N"}
,{"mmis_id":"00652346","npi":"1992803530","mmis_name":"CVS ALBANY LLC","medicaid_type":"FFS","profession_or_service":"PHARMACY","service_address":"1625 ELMWOOD AVE","city":"BUFFALO","state":"NY","zip_code":"14207-3015","county":"ERIE","telephone":"7168750922","latitude":"042.941060","longitude":"-078.878430","enrollment_begin_date":"1981-10-08T00:00:00.000","next_anticipated_revalidation_date":"2026-05-05T00:00:00.000","updated":"2026-06-15T00:00:00.000","medically_fragile_children_directory_ind":"N"}]