[{"mmis_id":"02415483","npi":"1790889558","mmis_name":"CVS ALBANY LLC","medicaid_type":"FFS","profession_or_service":"MEDICAL EQUIPMENT SUPPLIERS & DEALER","service_address":"6980 GRAND AVE","city":"MASPETH","state":"NY","zip_code":"11378-1828","county":"QUEENS","telephone":"7184242846","latitude":"040.726670","longitude":"-073.893580","enrollment_begin_date":"2003-10-31T00:00:00.000","next_anticipated_revalidation_date":"2025-12-29T00:00:00.000","updated":"2026-06-15T00:00:00.000","medically_fragile_children_directory_ind":"N"}
,{"mmis_id":"02415483","npi":"1790889558","mmis_name":"CVS ALBANY LLC","medicaid_type":"FFS","profession_or_service":"PHARMACY","service_address":"6980 GRAND AVE","city":"MASPETH","state":"NY","zip_code":"11378-1828","county":"QUEENS","telephone":"7184242846","latitude":"040.726670","longitude":"-073.893580","enrollment_begin_date":"2003-06-02T00:00:00.000","next_anticipated_revalidation_date":"2025-12-29T00:00:00.000","updated":"2026-06-15T00:00:00.000","medically_fragile_children_directory_ind":"N"}]
