Active NPI
Jillian Retallick
- Pharmacist
- Marco Island, FL
National Provider Identifier
1013541283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS58444
- Practice address
- 175 S Barfield Dr
Marco Island, FL 34145-5143 - Phone
- (239) 394-1220
- NPI assigned
- Feb 26, 2020
- Sex
- Female
- 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 | PS58444 | FL | Primary |
Addresses
Primary practice location
175 S Barfield Dr
Marco Island, FL 34145-5143
Mailing address
175 S Barfield Dr
Marco Island, FL 34145-5143
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS58444 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1013541283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 S BARFIELD DR",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "341455143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 S BARFIELD DR",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "341455143",
"telephone_number": "239-394-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETALLICK",
"first_name": "JILLIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS58444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marco Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.