Active NPI
Kristen E Backe, PHARMD
- Pharmacist
- Austin, TX
National Provider Identifier
1760867238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55328
- Practice address
- 12445 Alameda Trace Cir
823
Austin, TX 78727-6390 - Phone
- (847) 668-6505
- NPI assigned
- Jul 27, 2015
- 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 | 55328 | TX | Primary |
Addresses
Primary practice location
12445 Alameda Trace Cir
823
Austin, TX 78727-6390
Mailing address
12445 Alameda Trace Cir
823
Austin, TX 78727-6390
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1760867238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12445 ALAMEDA TRACE CIR",
"address_2": "823",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787276390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12445 ALAMEDA TRACE CIR",
"address_2": "823",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787276390",
"telephone_number": "847-668-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKE",
"first_name": "KRISTEN",
"middle_name": "E",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.