Active NPI
William Wyatt Decker, PHARM.D.
- Pharmacist
- Beaverton, OR
National Provider Identifier
1417432568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0016875
- Practice address
- 14625 SW Allen Blvd
Beaverton, OR 97007-3697 - Phone
- (503) 590-7346
- Fax
- (503) 590-2584
- NPI assigned
- Sep 25, 2018
- Last updated
- Sep 25, 2018
- Sex
- Male
- 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 | RPH-0016875 | OR | Primary |
Addresses
Primary practice location
14625 SW Allen Blvd
Beaverton, OR 97007-3697
Mailing address
2725 NE John Olsen Ave Apt C33
Hillsboro, OR 97124-7174
Phone (541) 604-1681
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 |
|---|---|---|---|
| RPH-0016875 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1417432568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 NE JOHN OLSEN AVE APT C33",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247174",
"telephone_number": "541-604-1681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14625 SW ALLEN BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970073697",
"telephone_number": "503-590-7346",
"fax_number": "503-590-2584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "WILLIAM",
"middle_name": "WYATT",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-25",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0016875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.