{
  "npi": "1124653951",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "PIERRE",
    "authorized_official_last_name": "JAMES",
    "authorized_official_middle_name": "CAESARE SAUCIER",
    "authorized_official_telephone_number": "5107806997",
    "authorized_official_title_or_position": "Staff Services Manager I",
    "certification_date": "2024-12-04",
    "enumeration_date": "2020-03-12",
    "last_updated": "2024-12-04",
    "organization_name": "CORRECTIONS AND REHABILITATION-HEADQUARTERS",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "CORRECTIONS AND REHABILITATION",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "31625 HIGHWAY 101",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SOLEDAD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "831-678-5622",
      "postal_code": "939601020",
      "state": "CA",
      "telephone_number": "831-678-5500"
    },
    {
      "address_1": "PO BOX 1020",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SOLEDAD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "831-678-5622",
      "postal_code": "939601020",
      "state": "CA",
      "telephone_number": "831-678-5500"
    }
  ],
  "taxonomies": [
    {
      "code": "333600000X",
      "desc": "Pharmacy",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Suppliers — Pharmacy",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "58",
        "medicare_type": "Medical Supply Company with Pharmacist"
      },
      {
        "medicare_code": "A5",
        "medicare_type": "Pharmacy"
      }
    ]
  }
}