DR. WILLIAM GLEN DECKER (NPI# 1174707681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174707681 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM GLEN DECKER |
| Credential | PHARM.D. |
| Practice Address |
3674 E Country Field Cir Medset Wasilla AK 99654-5101 |
| Mailing Address |
3674 E Country Field Cir Wasilla AK 99654-5101 |
| Practice Telephone | 9073768200 |
| Practice Fax Number | 9073768195 |
| Mailing Telephone | 9073768200 |
| Mailing Fax Number | 9073768195 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2012-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | P6491 | ID | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 2007 | AK | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 4740953-1701 | UT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093915969 | William Hal Decker | Occupational Therapist | 5501 Ne 5th St, Ocala, FL 34470-1661 | 2007-07-19 |
| 1023046844 | William Robert Decker | Podiatrist | 1195 Wilson Nw, Grand Rapids, MI 49534-6404 | 2006-06-29 |
| 1457349755 | William E Decker | Radiology | 601 E 14th St, Sedalia, MO 65301-5972 | 2005-10-11 |
| 1942205208 | William Clark Decker | Internal Medicine | 777 Kimole Ln Ste 100, Adrian, MI 49221-1400 | 2005-06-14 |
| 1518594464 | William Wheeler Decker | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-03-23 |
| 1093368318 | William Jacob Decker | Specialist/Technologist | 400 E University Way, Ellensburg, WA 98926-7502 | 2019-07-17 |
| 1417432568 | William Wyatt Decker | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3697 | 2018-09-25 |
| 1689829707 | William Scott Decker | Occupational Therapy Assistant | 600 Highland Ave, Compliance Mc 2433, Madison, WI 53792-0001 | 2008-11-18 |
| 1568411056 | William Louis Decker | Ophthalmology | 7710 Beechnut St, Suite 100, Houston, TX 77074-3100 | 2006-05-10 |
| Street Address |
3674 E COUNTRY FIELD CIR MEDSET |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578654034 | Geneva Woods Pharmacy, LLC | Pharmacy | 3674 E Country Field Cir, Ste A, Wasilla, AK 99654-5101 | 2006-09-27 |
| 1831600568 | Scottie Su Leclaire | Pharmacist | 3674 E Country Field Cir, Wasilla, AK 99654-5101 | 2017-10-20 |
| 1831554815 | John Michael Walkup | Pharmacist | 3674 E Country Field Cir, Wasilla, AK 99654-5101 | 2015-12-17 |
| 1720298870 | Pauline Anne Grube | Registered Nurse | 3674 E Country Field Cir, Wasilla, AK 99654-5101 | 2007-05-23 |
| 1518091297 | Kimberly Ryneski | Respiratory Therapist, Certified | 3674 E Country Field Cir, Suite A, Wasilla, AK 99654-5101 | 2007-03-15 |
| 1194816405 | Geneva Woods Pharmacy, LLC | Pharmacy | 3674 E Country Field Cir, Ste B, Wasilla, AK 99654-5101 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174803738 | Piper Jessica Marsh | Pharmacist | 1721 E George Parks Hwy, Wasilla, AK 99654 | 2011-08-26 |
| 1083993315 | Michael Enos Kawesa | Pharmacist | 1721 E George Parks Highway, Wasilla, AK 99654 | 2011-08-04 |
| 1073891503 | Stephen Charles Tarbell II | Pharmacist | 1721 E. George Parks Hwy., Wasilla, AK 99654-0000 | 2011-08-02 |
| 1023305091 | Amber L Ewart | Pharmacist | 1800 E Parks Hwy, Wasilla, AK 99654-7353 | 2011-06-29 |
| 1366744450 | Aislinn Mcbeth | Pharmacist | 595 E Parks Hwy, Suite 300, Wasilla, AK 99654-8102 | 2010-11-23 |
| 1891096517 | Leonard Bolog | Pharmacist | 595 E Parks Hwy # 300, Wasilla, AK 99654-8102 | 2010-11-11 |
| 1366743007 | Janet Lynn Schwartz | Pharmacist | 595 E Parks Highway #300, Carrs Pharmacy, Wasilla, AK 99687 | 2010-11-11 |
| 1598089799 | Renee Ann Stoll | Pharmacist | 950 E Bogard Rd Ste 229, Wasilla, AK 99654-7185 | 2010-03-17 |
| 1457572422 | Melissa B Anderson | Pharmacist | 3163 N. Arctic Fox Drive, Wasilla, AK 99654 | 2007-05-01 |
| 1104432715 | Saniye Nur Zen Stevens | Pharmacist | 1350 S Seward Meridian Pkwy, Wasilla, AK 99654-8332 | 2020-09-18 |
| Find all providers in WASILLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.