Active NPI
Kristen Mizgate Bader, R.PH.
- Pharmacist
- Austin, TX
National Provider Identifier
1841914405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27650
- Practice address
- 7300 N FM 620 Rd
Austin, TX 78726-4535 - Phone
- (512) 249-9448
- NPI assigned
- Sep 28, 2022
- Last updated
- Sep 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 27650 | TX | Primary |
Addresses
Primary practice location
7300 N FM 620 Rd
Austin, TX 78726-4535
Mailing address
7300 N FM 620 Rd
Austin, TX 78726-4535
Phone (512) 249-9448
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1841914405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 N FM 620 RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787264535",
"telephone_number": "512-249-9448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 N FM 620 RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787264535",
"telephone_number": "512-249-9448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADER",
"first_name": "KRISTEN",
"middle_name": "MIZGATE",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "27650",
"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 Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.