Active NPI
Trent Kjar Decker, RPH
- Pharmacist
- Caliente, NV
National Provider Identifier
1023530714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15165
- Practice address
- 700 No. Spring St.
Caliente, NV 89008 - Phone
- (775) 726-3121
- Fax
- (775) 726-3666
- NPI assigned
- Jul 13, 2017
- Last updated
- Nov 9, 2022
- Sex
- Male
- 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 | 15165 | NV | Primary |
Addresses
Primary practice location
700 No. Spring St.
Caliente, NV 89008
Mailing address
PO Box 1010
Caliente, NV 89008-1010
Phone (775) 726-8058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15165 | Other | NV | STATE PHARMACIST LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15165 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1023530714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1010",
"city": "CALIENTE",
"state": "NV",
"postal_code": "890081010",
"telephone_number": "775-726-8058",
"fax_number": "775-726-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NO. SPRING ST.",
"city": "CALIENTE",
"state": "NV",
"postal_code": "89008",
"telephone_number": "775-726-3121",
"fax_number": "775-726-3666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "TRENT",
"middle_name": "KJAR",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-13",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "15165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "15165",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caliente, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.