James Edward Backus Jr., PHARMD
Individual provider Active NPI Pharmacist · Safford, AZ
NPI 1174076731 · NPPES record last updated Nov 24, 2016
Key facts
- NPI
- 1174076731
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- S022181 (AZ)
- Practice address
- 1995 W Thatcher Blvd
Safford, AZ 85546-3316 - Phone
- (928) 428-5092
- NPI assigned
- Aug 1, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S022181 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S022181 | AZ | Yes |
Addresses
Primary practice location
1995 W Thatcher Blvd
Safford, AZ 85546-3316
Mailing address
8193 N Stonehill Dr
Tucson, AZ 85743-1437
Phone (520) 981-0405
Other providers in Safford, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.