Active NPI
Matthew R Backer, PHARM D
- Pharmacist
- Chiloquin, OR
National Provider Identifier
1295735314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11103
- Practice address
- 330 Chiloquin Blvd
Chiloquin, OR 97624-6773 - Phone
- (800) 552-6290
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11103 | NE | Primary |
Addresses
Primary practice location
330 Chiloquin Blvd
Chiloquin, OR 97624-6773
Mailing address
3949 S 6TH St
Klamath Falls, OR 97603-4746
Phone (800) 552-6290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115761 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11103 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295735314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3949 S 6TH ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976034746",
"telephone_number": "800-552-6290",
"fax_number": "541-880-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 CHILOQUIN BLVD",
"city": "CHILOQUIN",
"state": "OR",
"postal_code": "976246773",
"telephone_number": "800-552-6290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKER",
"first_name": "MATTHEW",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "11103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115761",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chiloquin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.