Active NPI
Kirsten E Rothacker, PHARMD
- Pharmacist
- Anchorage, AK
National Provider Identifier
1548678931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 114485
- Practice address
- 3831 Piper St Ste S220
Anchorage, AK 99508-4680 - Phone
- (907) 212-3420
- Fax
- (907) 212-6065
- NPI assigned
- Jul 29, 2014
- Sex
- Female
- 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 | 114485 | AK | Primary |
Addresses
Primary practice location
3831 Piper St Ste S220
Anchorage, AK 99508-4680
Mailing address
PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068
Other practice location 1
4320 Diplomacy Dr
Anchorage, AK 99508-5925
Phone (907) 729-0000
Other practice location 2
16625 SE 362 Drive
Sandy, OR 97055
Phone (503) 668-2363
Other names 1
- Kirsten Palmer
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 |
|---|---|---|---|
| 114485 | AK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1548678931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4105",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084105",
"telephone_number": "866-907-1068",
"fax_number": "425-917-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3831 PIPER ST STE S220",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084680",
"telephone_number": "907-212-3420",
"fax_number": "907-212-6065"
}
],
"practiceLocations": [
{
"address_1": "4320 Diplomacy Dr",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995085925",
"country_code": "US",
"telephone_number": "907-729-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16625 SE 362 Drive",
"address_purpose": "LOCATION",
"city": "Sandy",
"state": "OR",
"postal_code": "97055",
"country_code": "US",
"telephone_number": "503-668-2363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTHACKER",
"first_name": "KIRSTEN",
"middle_name": "E",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-29",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "114485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIRSTEN",
"last_name": "PALMER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.