[{"mmis_id":"01779015","npi":"1073617833","mmis_name":"CVS ALBANY LLC","medicaid_type":"FFS","profession_or_service":"MEDICAL EQUIPMENT SUPPLIERS & DEALER","service_address":"211 E SANFORD BLVD","city":"MOUNT VERNON","state":"NY","zip_code":"10550-4623","county":"WESTCHESTER","telephone":"9146649250","latitude":"040.908790","longitude":"-073.836850","enrollment_begin_date":"1997-10-27T00:00:00.000","next_anticipated_revalidation_date":"2027-06-24T00:00:00.000","updated":"2026-06-15T00:00:00.000","medically_fragile_children_directory_ind":"N"}
,{"mmis_id":"01779015","npi":"1073617833","mmis_name":"CVS ALBANY LLC","medicaid_type":"FFS","profession_or_service":"PHARMACY","service_address":"211 E SANFORD BLVD","city":"MOUNT VERNON","state":"NY","zip_code":"10550-4623","county":"WESTCHESTER","telephone":"9146649250","latitude":"040.908790","longitude":"-073.836850","enrollment_begin_date":"1997-10-27T00:00:00.000","next_anticipated_revalidation_date":"2027-06-24T00:00:00.000","updated":"2026-06-15T00:00:00.000","medically_fragile_children_directory_ind":"N"}]
