Jake Decker, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHA.0020881 Issued in CO

Practice address

200 Rood Ave
Grand Junction, CO 81501-7819

Phone

(970) 241-2779

NPI assigned

Aug 15, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dillon Companies LLC

  dba King Soopers Pharmacy #153

  • Community/Retail Pharmacy
  • Fountain, CO
  • NPI 1194524165
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439596800000",
    "number": "1689040479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ROOD AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017819",
            "telephone_number": "970-241-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ROOD AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017819",
            "telephone_number": "970-241-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "JAKE",
        "name_prefix": "Dr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-15",
        "last_updated": "2015-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0020881",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH5815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Langford Dean, DDS
• Glen Royden Dean, DDS MS
• Joel M Dean, DO
• Deborah a Wheeler MD LLC
• Decatur Vein Clinic Colorado PC (Colorado Vein Clinic PC)
• Jennifer Decker, ATC
• Madison Decrow-Green, CAS, MA, NCC, LPCC
• Jeffrey Dedman, PHARM.D.
• Deep Rivers Family Counseling Inc
• Mary Beth Deering, M.D.

• Pharmacist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.