{
  "npi": "1861914814",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "SUSAN",
    "authorized_official_last_name": "COLBERT",
    "authorized_official_telephone_number": "4017702751",
    "authorized_official_title_or_position": "Director Payer Relations",
    "enumeration_date": "2017-07-12",
    "last_updated": "2022-07-21",
    "organization_name": "CVS PHARMACY INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "362 MAIN ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "STURBRIDGE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "015661057",
      "state": "MA",
      "telephone_number": "508-347-7220"
    },
    {
      "address_1": "ONE CVS DRIVE",
      "address_2": "BOX 1075",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WOONSOCKET",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "028956146",
      "state": "RI",
      "telephone_number": "401-765-1500"
    }
  ],
  "taxonomies": [
    {
      "code": "332B00000X",
      "desc": "Durable Medical Equipment & Medical Supplies",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "3336C0003X",
      "desc": "Pharmacy, Community/Retail Pharmacy",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "333600000X",
      "desc": "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": {
    "total_beneficiaries": "688",
    "total_services": "2272",
    "total_medicare_allowed_amt": "173407.32",
    "top_hcpcs_services": [
      {
        "code": "90480",
        "description": "Admn sarscov2 vacc 1 dose",
        "services": "555",
        "beneficiaries": "506"
      },
      {
        "code": "90653",
        "description": "Influenza vaccine, inactivated",
        "services": "125",
        "beneficiaries": "125"
      },
      {
        "code": "90661",
        "description": "Influenza vaccine, trivalent derived from cell cultures",
        "services": "29",
        "beneficiaries": "29"
      },
      {
        "code": "90662",
        "description": "Influenza vaccine split virus, preservative free",
        "services": "375",
        "beneficiaries": "375"
      },
      {
        "code": "90677",
        "description": "Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use",
        "services": "14",
        "beneficiaries": "14"
      },
      {
        "code": "90694",
        "description": "Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage",
        "services": "18",
        "beneficiaries": "18"
      },
      {
        "code": "91322",
        "description": "Sarscov2 vac 50 mcg/0.5ml im",
        "services": "552",
        "beneficiaries": "503"
      },
      {
        "code": "G0008",
        "description": "Administration of influenza virus vaccine",
        "services": "566",
        "beneficiaries": "561"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Suppliers — 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"
      }
    ]
  }
}