[{"mmis_id":"01776085","npi":"1215959861","mmis_name":"CVS ALBANY LLC","medicaid_type":"FFS","profession_or_service":"MEDICAL EQUIPMENT SUPPLIERS & DEALER","service_address":"5622 AMANDA LN","city":"ORCHARD PARK","state":"NY","zip_code":"14127-1555","county":"ERIE","telephone":"7168219844","latitude":"042.792110","longitude":"-078.781830","enrollment_begin_date":"1998-09-17T00:00:00.000","next_anticipated_revalidation_date":"2027-12-12T00:00:00.000","updated":"2026-06-15T00:00:00.000","medically_fragile_children_directory_ind":"N"}
,{"mmis_id":"01776085","npi":"1215959861","mmis_name":"CVS ALBANY LLC","medicaid_type":"FFS","profession_or_service":"PHARMACY","service_address":"5622 AMANDA LN","city":"ORCHARD PARK","state":"NY","zip_code":"14127-1555","county":"ERIE","telephone":"7168219844","latitude":"042.792110","longitude":"-078.781830","enrollment_begin_date":"1997-10-01T00:00:00.000","next_anticipated_revalidation_date":"2027-12-12T00:00:00.000","updated":"2026-06-15T00:00:00.000","medically_fragile_children_directory_ind":"N"}]