{
  "npi": "1063669315",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "KYLE",
    "authorized_official_last_name": "PULLIAM",
    "authorized_official_middle_name": "W",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7068555502",
    "authorized_official_title_or_position": "PHARMACIST",
    "enumeration_date": "2008-08-19",
    "last_updated": "2008-08-19",
    "organization_name": "MEDEQUIP HEALTH CORP",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "taxonomies": [
    {
      "code": "3336C0004X",
      "desc": "Pharmacy, Compounding Pharmacy",
      "license": "PHRE009484",
      "primary": true,
      "state": "GA",
      "taxonomy_group": ""
    }
  ],
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Pharmacy, Compounding Pharmacy",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "common_medicare_procedures": [
      "Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)",
      "Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination",
      "Preventive Screening, Patient Counseling & Multidisciplinary Referral"
    ],
    "common_part_d_therapeutic_classes": [
      "Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)"
    ]
  }
}