{
  "npi": "1477866655",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "RAHUL",
    "authorized_official_last_name": "KULKARNI",
    "authorized_official_telephone_number": "8003747417",
    "authorized_official_title_or_position": "SVP of Finance",
    "enumeration_date": "2010-07-16",
    "last_updated": "2019-12-05",
    "organization_name": "FREDS STORES OF TENNESSEE INC",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "FREDS INC",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1360 MILITARY ST S",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "HAMILTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "355705005",
      "state": "AL",
      "telephone_number": "205-921-1296"
    },
    {
      "address_1": "6625 LENOX PARK BLVD.",
      "address_2": "SUITE 200",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MEMPHIS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "901-365-9820",
      "postal_code": "38115",
      "state": "TN",
      "telephone_number": "901-238-2477"
    }
  ],
  "taxonomies": [
    {
      "code": "332B00000X",
      "desc": "Durable Medical Equipment & Medical Supplies",
      "license": "102529",
      "primary": false,
      "state": "AL",
      "taxonomy_group": ""
    },
    {
      "code": "3336C0003X",
      "desc": "Pharmacy, Community/Retail 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, 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"
      }
    ]
  }
}