{
  "npi": "1396860003",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "DPH",
    "authorized_official_first_name": "ZACH",
    "authorized_official_last_name": "WILLIAMS",
    "authorized_official_telephone_number": "5804363980",
    "authorized_official_title_or_position": "Pharmacist",
    "enumeration_date": "2007-03-20",
    "last_updated": "2017-02-15",
    "organization_name": "CHICKASAW NATION DIVISION OF HEALTH",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1921 STONECIPHER DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ADA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "580-421-4598",
      "postal_code": "748203439",
      "state": "OK",
      "telephone_number": "580-421-4597"
    },
    {
      "address_1": "1438 HARDCASTLE BLVD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PURCELL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "580-272-5711",
      "postal_code": "730808233",
      "state": "OK",
      "telephone_number": "580-272-5710"
    }
  ],
  "taxonomies": [
    {
      "code": "333600000X",
      "desc": "Pharmacy",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "332800000X",
      "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
      "license": "474906",
      "primary": true,
      "state": "OK",
      "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 — Indian Health Service — Tribal — Urban Indian Health (I — T — U) Pharmacy",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "A9[12]",
        "medicare_type": "Indian Health Service facility[13]"
      }
    ]
  }
}