{
  "npi": "1134616113",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "DANNY",
    "authorized_official_last_name": "MCKAY",
    "authorized_official_middle_name": "H.",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_telephone_number": "6627264231",
    "authorized_official_title_or_position": "Administrator",
    "enumeration_date": "2018-04-16",
    "last_updated": "2018-04-16",
    "organization_name": "NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "34 HOSPITAL ROAD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MACON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "662-788-4399",
      "postal_code": "39341",
      "state": "MS",
      "telephone_number": "662-788-4398"
    },
    {
      "address_1": "PO BOX 480",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MACON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "662-726-9006",
      "postal_code": "39341",
      "state": "MS",
      "telephone_number": "662-726-4231"
    }
  ],
  "taxonomies": [
    {
      "code": "3336C0003X",
      "desc": "Pharmacy, Community/Retail Pharmacy",
      "license": "17020",
      "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": {
    "total_beneficiaries": "78",
    "total_services": "202",
    "total_medicare_allowed_amt": "15582.09",
    "top_hcpcs_services": [
      {
        "code": "90480",
        "description": "Admn sarscov2 vacc 1 dose",
        "services": "65",
        "beneficiaries": "60"
      },
      {
        "code": "90662",
        "description": "Influenza vaccine split virus, preservative free",
        "services": "29",
        "beneficiaries": "29"
      },
      {
        "code": "91320",
        "description": "Sarscv2 vac 30mcg trs-suc im",
        "services": "65",
        "beneficiaries": "60"
      },
      {
        "code": "G0008",
        "description": "Administration of influenza virus vaccine",
        "services": "30",
        "beneficiaries": "30"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Suppliers — Pharmacy, Community — Retail 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"
      }
    ]
  }
}