{
  "npi": "1972819936",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "R.Ph.",
    "authorized_official_first_name": "DENISE",
    "authorized_official_last_name": "BENNETT",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9124623784",
    "authorized_official_title_or_position": "Owner/Pharmacist",
    "enumeration_date": "2010-08-27",
    "last_updated": "2010-08-27",
    "organization_name": "BENNETT'S HOMETOWN PHARMACY, LLC-FOLKSTON",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 1321",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "NAHUNTA",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "315531321",
      "state": "GA"
    },
    {
      "address_1": "4402 SECOND ST N",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FOLKSTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "315379383",
      "state": "GA",
      "telephone_number": "912-496-3784"
    }
  ],
  "taxonomies": [
    {
      "code": "261QH0100X",
      "desc": "Clinic/Center, Health Services",
      "license": "PHRE009663",
      "primary": true,
      "state": "GA",
      "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 Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": []
  }
}