{
  "npi": "1760580765",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "R.Ph",
    "authorized_official_first_name": "GARY",
    "authorized_official_last_name": "DAVIS",
    "authorized_official_middle_name": "LEE",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7407324503",
    "authorized_official_title_or_position": "Owner",
    "enumeration_date": "2006-09-21",
    "last_updated": "2014-04-08",
    "organization_name": "G L DAVIS DRUG INC.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "109 WEST ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CALDWELL",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "437241359",
      "state": "OH",
      "telephone_number": "740-732-4503"
    },
    {
      "address_1": "109 WEST ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CALDWELL",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "437241359",
      "state": "OH",
      "telephone_number": "740-732-4503"
    }
  ],
  "taxonomies": [
    {
      "code": "1835P1200X",
      "desc": "Pharmacist, Pharmacotherapy",
      "license": "02-0693900",
      "primary": true,
      "state": "OH",
      "taxonomy_group": "193200000X - Multi-Specialty 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": "21",
    "total_services": "50",
    "total_medicare_allowed_amt": "2618.44",
    "top_hcpcs_services": [
      {
        "code": "90656",
        "description": "Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage",
        "services": "15",
        "beneficiaries": "15"
      },
      {
        "code": "G0008",
        "description": "Administration of influenza virus vaccine",
        "services": "15",
        "beneficiaries": "15"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Pharmacist, Pharmacotherapy",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}