{"entity":{"entity_id":"13a1edeb-c12b-4f85-9381-ffd889c0eb13","entity_type":"person","display_name":"THOMAS ALFREDA","state":"NV","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T09:22:52.039816+00:00","updated_at":"2026-06-11T09:22:52.039816+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"22468","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1487824041","rule":"D-OP-NPI","recipient_profile_id":"22468"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T06:44:22.819419+00:00","recorded_at":"2026-06-13T06:44:22.819419+00:00"},{"id_scheme":"npi","id_value":"1487824041","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1487824041","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T09:22:53.451365+00:00","recorded_at":"2026-06-11T09:22:53.451365+00:00"},{"id_scheme":"pac_id","id_value":"4981890530","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1487824041","rule":"D-PECOS","enrlmt_id":"I20101122001375","pecos_asct_cntl_id":"4981890530"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:47:40.807126+00:00","recorded_at":"2026-06-12T18:47:40.807126+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20101122001375","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1487824041","rule":"D-PECOS","enrlmt_id":"I20101122001375"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:47:40.807126+00:00","recorded_at":"2026-06-12T18:47:40.807126+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"0797abb8-23a4-4401-a089-562b3f1b05b1","entity_type":"organization","display_name":"Novo Nordisk Inc","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100000000144","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T17:14:07.218767+00:00","recorded_at":"2026-06-13T17:14:07.218767+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"09393ae7-8267-4853-8195-1801d4ccac46","entity_type":"organization","display_name":"ABBVIE INC.","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100000000204","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T18:12:59.648739+00:00","recorded_at":"2026-06-13T18:12:59.648739+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"356b2c4e-26dc-4b2e-af63-ccc4c33b855f","entity_type":"organization","display_name":"AstraZeneca Pharmaceuticals LP","state":"DE"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100000000146","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T18:32:18.377637+00:00","recorded_at":"2026-06-13T18:32:18.377637+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"e3305284-4049-4dac-8981-81e89a770aef","entity_type":"organization","display_name":"Paratek Pharmaceuticals, Inc.","state":"MA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100000476817","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:31:01.368195+00:00","recorded_at":"2026-06-13T20:31:01.368195+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"ef18dc11-f311-4b0b-83e2-1df53f09a039","entity_type":"organization","display_name":"Exact Sciences Corporation","state":"WI"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100001341934","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:42:40.983743+00:00","recorded_at":"2026-06-13T20:42:40.983743+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"68ebd987-9b4b-489a-83ec-64e9547a83d7","entity_type":"organization","display_name":"Amgen Inc.","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100000000203","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:03:36.016908+00:00","recorded_at":"2026-06-13T22:03:36.016908+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"3eca0d95-2000-43c7-a12a-62b4f65430f4","entity_type":"organization","display_name":"Otsuka America Pharmaceutical, Inc.","state":"MD"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100000010723","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:24:39.782803+00:00","recorded_at":"2026-06-13T22:24:39.782803+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"d1ce2e27-f603-4c26-a0a5-034c535f5472","entity_type":"organization","display_name":"Vanda Pharmaceuticals Inc.","state":"DC"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100000071361","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T01:04:41.784236+00:00","recorded_at":"2026-06-14T01:04:41.784236+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"4fe18420-2258-4e6e-b1a1-3a2d669c382b","entity_type":"organization","display_name":"Lilly USA, LLC","state":"IN"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100000000066","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T01:26:46.858863+00:00","recorded_at":"2026-06-14T01:26:46.858863+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"b513ff26-2925-4a49-9048-8437374fa953","entity_type":"organization","display_name":"Endo Pharmaceuticals Inc.","state":"PA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100000000285","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T01:55:52.279016+00:00","recorded_at":"2026-06-14T01:55:52.279016+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"647cc628-5971-4187-8960-0f0ff2685054","entity_type":"organization","display_name":"Almatica Pharma LLC","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100000081390","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:09:39.86144+00:00","recorded_at":"2026-06-14T02:09:39.86144+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"70883183-a272-4187-a01d-6dfd2e6eb195","entity_type":"organization","display_name":"Endo USA, Inc.","state":"PA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100001411985","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:19:28.485096+00:00","recorded_at":"2026-06-14T02:19:28.485096+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"cd2a0194-6dfa-48d0-907c-405445281928","entity_type":"organization","display_name":"Intra-Sana Laboratories","state":"NV"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100000811821","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:20:13.323157+00:00","recorded_at":"2026-06-14T02:20:13.323157+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"b19fc3df-bc10-48d5-9730-c0cc09b3112d","entity_type":"organization","display_name":"Astellas Pharma US Inc","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100000000137","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:31:53.080729+00:00","recorded_at":"2026-06-14T02:31:53.080729+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"8925306d-d2fa-4c22-a78c-04e79e2c2ed1","entity_type":"organization","display_name":"ARGENX US, INC.","state":"MA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100001156891","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:27:42.437471+00:00","recorded_at":"2026-06-14T03:27:42.437471+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"517d3d48-b783-4b26-93e8-7f362245d83c","entity_type":"organization","display_name":"ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100000781818","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:40:53.324584+00:00","recorded_at":"2026-06-14T03:40:53.324584+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"32600323-150d-4ab6-94f1-68b957db58b4","entity_type":"organization","display_name":"Antares Pharma, Inc.","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100000076367","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:29:16.473543+00:00","recorded_at":"2026-06-14T04:29:16.473543+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"95d553b7-3c00-49cb-8263-bc6e440b0e12","entity_type":"organization","display_name":"IDORSIA PHARMACEUTICALS US INC","state":"PA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100001171891","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:34:15.517191+00:00","recorded_at":"2026-06-14T04:34:15.517191+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"c0f8d055-3c60-414c-b2f7-770241c67b85","entity_type":"organization","display_name":"Phathom Pharmaceuticals, Inc.","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100001176938","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:35:28.786633+00:00","recorded_at":"2026-06-14T05:35:28.786633+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"36b48fc5-0a2b-4502-924a-0e667cbd5f9c","entity_type":"organization","display_name":"Salix Pharmaceuticals, a division of Bausch Health US, LLC","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1487824041","manufacturer_id":"100000226817","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:11:41.317064+00:00","recorded_at":"2026-06-14T06:11:41.317064+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}