{
  "npi": "1386747897",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "FRED",
    "authorized_official_last_name": "BARBER",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9124494444",
    "authorized_official_title_or_position": "MANAGER",
    "enumeration_date": "2006-09-07",
    "last_updated": "2025-09-11",
    "organization_name": "BARBER'S VITAL CARE",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 5047",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MERIDIAN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "601-482-7490",
      "postal_code": "393025047",
      "state": "MS",
      "telephone_number": "800-447-4095"
    },
    {
      "address_1": "731 CAMERON DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BLACKSHEAR",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "912-449-8735",
      "postal_code": "315161309",
      "state": "GA",
      "telephone_number": "912-449-4444"
    }
  ],
  "taxonomies": [
    {
      "code": "332B00000X",
      "desc": "Durable Medical Equipment & Medical Supplies",
      "license": "PHRE004024",
      "primary": false,
      "state": "GA",
      "taxonomy_group": ""
    },
    {
      "code": "332BC3200X",
      "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
      "license": "PHRE004024",
      "primary": false,
      "state": "GA",
      "taxonomy_group": ""
    },
    {
      "code": "332BP3500X",
      "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
      "license": "PHRE004024",
      "primary": false,
      "state": "GA",
      "taxonomy_group": ""
    },
    {
      "code": "332BX2000X",
      "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
      "license": "PHRE004024",
      "primary": false,
      "state": "GA",
      "taxonomy_group": ""
    },
    {
      "code": "333600000X",
      "desc": "Pharmacy",
      "license": "PHRE004024",
      "primary": false,
      "state": "GA",
      "taxonomy_group": ""
    },
    {
      "code": "3336C0003X",
      "desc": "Pharmacy, Community/Retail Pharmacy",
      "license": "PHRE004024",
      "primary": false,
      "state": "GA",
      "taxonomy_group": ""
    },
    {
      "code": "3336H0001X",
      "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
      "license": "PHRE004024",
      "primary": false,
      "state": "GA",
      "taxonomy_group": ""
    },
    {
      "code": "3336L0003X",
      "desc": "Pharmacy, Long Term Care Pharmacy",
      "license": "PHRE004024",
      "primary": false,
      "state": "GA",
      "taxonomy_group": ""
    },
    {
      "code": "3336M0002X",
      "desc": "Pharmacy, Mail Order Pharmacy",
      "license": "PHRE004024",
      "primary": false,
      "state": "GA",
      "taxonomy_group": ""
    },
    {
      "code": "3336S0011X",
      "desc": "Pharmacy, Specialty Pharmacy",
      "license": "PHRE004024",
      "primary": true,
      "state": "GA",
      "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, Specialty 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"
      }
    ]
  }
}