{
  "npi": "1376572552",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "CARL",
    "authorized_official_last_name": "BODE",
    "authorized_official_telephone_number": "6187489253",
    "authorized_official_title_or_position": "president",
    "enumeration_date": "2006-07-01",
    "last_updated": "2013-04-17",
    "organization_name": "BODE DRUG INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "803 AND ONE HALF N FIRST ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "VIENNA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "618-658-4070",
      "postal_code": "62995",
      "state": "IL",
      "telephone_number": "618-658-3784"
    },
    {
      "address_1": "803 AND ONE HALF N FIRST ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "VIENNA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "618-658-4070",
      "postal_code": "62995",
      "state": "IL",
      "telephone_number": "618-658-3784"
    }
  ],
  "taxonomies": [
    {
      "code": "333600000X",
      "desc": "Pharmacy",
      "license": "054018126",
      "primary": true,
      "state": "IL",
      "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": "90",
    "total_services": "281",
    "total_medicare_allowed_amt": "21360.21",
    "top_hcpcs_services": [
      {
        "code": "90480",
        "description": "Admn sarscov2 vacc 1 dose",
        "services": "65",
        "beneficiaries": "61"
      },
      {
        "code": "90661",
        "description": "Influenza vaccine, trivalent derived from cell cultures",
        "services": "13",
        "beneficiaries": "13"
      },
      {
        "code": "90662",
        "description": "Influenza vaccine split virus, preservative free",
        "services": "59",
        "beneficiaries": "56"
      },
      {
        "code": "91322",
        "description": "Sarscov2 vac 50 mcg/0.5ml im",
        "services": "65",
        "beneficiaries": "61"
      },
      {
        "code": "G0008",
        "description": "Administration of influenza virus vaccine",
        "services": "73",
        "beneficiaries": "70"
      }
    ]
  },
  "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"
      }
    ]
  }
}