{
  "npi": "1720410160",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2022-08-22",
    "credential": "RPh",
    "enumeration_date": "2013-08-08",
    "first_name": "MICHELLE",
    "last_name": "GOODRICH",
    "last_updated": "2022-08-22",
    "middle_name": "DIANNE",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "108 S POPLAR ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PANA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "217-562-2778",
      "postal_code": "625571404",
      "state": "IL",
      "telephone_number": "217-562-2770"
    },
    {
      "address_1": "829 N 1250 EAST RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "TAYLORVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "625688133",
      "state": "IL",
      "telephone_number": "217-824-8719"
    }
  ],
  "taxonomies": [
    {
      "code": "183500000X",
      "desc": "Pharmacist",
      "license": "051.289740",
      "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": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Pharmacist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}