{
  "npi": "1841830197",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "ALEX",
    "authorized_official_last_name": "KATEN",
    "authorized_official_telephone_number": "7202822377",
    "authorized_official_title_or_position": "CFO",
    "certification_date": "2026-01-02",
    "enumeration_date": "2020-01-14",
    "last_updated": "2026-01-02",
    "organization_name": "AMERITA SOUTH ATLANTIC LLC",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "AMERITA, INC.",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2113 ENERGY DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "APEX",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "833-994-0844",
      "postal_code": "275024340",
      "state": "NC",
      "telephone_number": "919-653-0810"
    },
    {
      "address_1": "PO BOX 223017",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PITTSBURGH",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "877-676-0493",
      "postal_code": "152512017",
      "state": "PA",
      "telephone_number": "800-477-7375"
    }
  ],
  "taxonomies": [
    {
      "code": "251F00000X",
      "desc": "Home Infusion",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "332B00000X",
      "desc": "Durable Medical Equipment & Medical Supplies",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "332BP3500X",
      "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "335G00000X",
      "desc": "Medical Foods Supplier",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "3336H0001X",
      "desc": "Pharmacy, Home Infusion Therapy 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, Home Infusion Therapy 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"
      },
      {
        "medicare_code": "D6",
        "medicare_type": "Home Infusion Therapy Services"
      }
    ]
  }
}