{
  "npi": "1790833564",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "TODD",
    "authorized_official_last_name": "HALLMARK",
    "authorized_official_middle_name": "A",
    "authorized_official_telephone_number": "9185677115",
    "authorized_official_title_or_position": "Executive Officer - Dept of Health",
    "certification_date": "2025-08-08",
    "enumeration_date": "2007-01-08",
    "last_updated": "2025-08-08",
    "organization_name": "CHOCTAW NATION OF OKLAHOMA",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "ONE CHOCTAW WAY",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "TALIHINA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "918-567-7180",
      "postal_code": "74571",
      "state": "OK",
      "telephone_number": "800-349-7026"
    },
    {
      "address_1": "902 E LINCOLN RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "IDABEL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "918-567-7180",
      "postal_code": "747457337",
      "state": "OK",
      "telephone_number": "800-349-7026"
    }
  ],
  "taxonomies": [
    {
      "code": "261Q00000X",
      "desc": "Clinic/Center",
      "license": "255013",
      "primary": false,
      "state": "OK",
      "taxonomy_group": ""
    },
    {
      "code": "3336C0003X",
      "desc": "Pharmacy, Community/Retail Pharmacy",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "3336S0011X",
      "desc": "Pharmacy, Specialty Pharmacy",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "332800000X",
      "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
      "license": "255013",
      "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]"
      }
    ]
  }
}