Look up the most recent NPI and PECOS records

Kristin R Xie

Pharmacist

Pharmacy Service Providers

101 Bodin Cir, Travis Afb, CA 94535-1809

PECOS Enrollment

Based on the most recent information from CMS, provider Kristin R Xie does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 33 days ago.

Profile Details

Provider ID
1386996627
Provider Type
Individual
Full Name
Xie, Kristin R
Title
Ms.
Credential
PHARMD

Gender
Female
Sole Proprietor
No
Enumeration Date
10/10/2012
Last Updated
2/4/2022

Contact Information

Practice Location

101 Bodin Cir, Travis Afb, CA 94535-1809

(707) 423-7657

Unlisted Fax

Mailing Location

101 Bodin Cir, Travis Afb, CA 94535-1809

(707) 423-7657

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 68135 California

Provider Identifiers

ID	Description	Issuer
ID 68135	Description Other	Issuer CALIFORNIA PHARMACIST LICENSE California

Kristin R Xie

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Fong, Isabel

Crawford, Lisa

Vuong, David Minh

Matsumoto, Jeremy Kang

Ozuna, Alejandra M

Crumley, Mary Jo

Oliver, Lenitra

Vakili, Haleh

Trinh, Jason H

Kreis, Jane Marie