[{"mmis_id":"04191806","npi":"1053717967","mmis_name":"CVS ALBANY LLC","medicaid_type":"FFS","profession_or_service":"MEDICAL EQUIPMENT SUPPLIERS & DEALER","service_address":"1304 FAIRPORT RD","city":"FAIRPORT","state":"NY","zip_code":"14450-1310","county":"MONROE","telephone":"5853778902","latitude":"043.102210","longitude":"-077.465070","enrollment_begin_date":"2015-04-09T00:00:00.000","next_anticipated_revalidation_date":"2027-06-23T00:00:00.000","updated":"2026-06-15T00:00:00.000","medically_fragile_children_directory_ind":"N"}
,{"mmis_id":"04191806","npi":"1053717967","mmis_name":"CVS ALBANY LLC","medicaid_type":"FFS","profession_or_service":"PHARMACY","service_address":"1304 FAIRPORT RD","city":"FAIRPORT","state":"NY","zip_code":"14450-1310","county":"MONROE","telephone":"5853778902","latitude":"043.102210","longitude":"-077.465070","enrollment_begin_date":"2015-04-09T00:00:00.000","next_anticipated_revalidation_date":"2027-06-23T00:00:00.000","updated":"2026-06-15T00:00:00.000","medically_fragile_children_directory_ind":"N"}]
