{
  "npi": "1801945407",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "RPh",
    "authorized_official_first_name": "JASON",
    "authorized_official_last_name": "BEAUCH",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6167913169",
    "authorized_official_title_or_position": "Director of Pharmacy Managed Care",
    "enumeration_date": "2007-01-10",
    "last_updated": "2014-03-17",
    "organization_name": "MEIJER INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2929 WALKER AVE NW",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GRAND RAPIDS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "616-735-8532",
      "postal_code": "495449424",
      "state": "MI",
      "telephone_number": "616-791-3169"
    },
    {
      "address_1": "2591 EAST M-21",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CORUNNA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "989-743-2523",
      "postal_code": "48817",
      "state": "MI",
      "telephone_number": "989-743-2510"
    }
  ],
  "taxonomies": [
    {
      "code": "332B00000X",
      "desc": "Durable Medical Equipment & Medical Supplies",
      "license": "5301005714",
      "primary": false,
      "state": "MI",
      "taxonomy_group": ""
    },
    {
      "code": "3336C0003X",
      "desc": "Pharmacy, Community/Retail Pharmacy",
      "license": "5301005714",
      "primary": true,
      "state": "MI",
      "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": {
    "total_beneficiaries": "154",
    "total_services": "514",
    "total_medicare_allowed_amt": "39275.48",
    "top_hcpcs_services": [
      {
        "code": "90480",
        "description": "Admn sarscov2 vacc 1 dose",
        "services": "121",
        "beneficiaries": "115"
      },
      {
        "code": "90653",
        "description": "Influenza vaccine, inactivated",
        "services": "122",
        "beneficiaries": "122"
      },
      {
        "code": "91304",
        "description": "Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use",
        "services": "91",
        "beneficiaries": "91"
      },
      {
        "code": "91322",
        "description": "Sarscov2 vac 50 mcg/0.5ml im",
        "services": "30",
        "beneficiaries": "29"
      },
      {
        "code": "G0008",
        "description": "Administration of influenza virus vaccine",
        "services": "133",
        "beneficiaries": "130"
      }
    ]
  },
  "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"
      }
    ]
  }
}