Active NPI
Brett Retzlaff, PHARMD
- Pharmacist
- Richfield, MN
National Provider Identifier
1326447962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 121934
- Practice address
- 6540 Penn Ave S
Richfield, MN 55423-1143 - Phone
- (612) 866-2040
- NPI assigned
- Aug 20, 2014
- 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 | 121934 | MN | Primary |
Addresses
Primary practice location
6540 Penn Ave S
Richfield, MN 55423-1143
Mailing address
740 Portland Ave S Apt 1004
Minneapolis, MN 55415-3606
Phone (952) 465-5149
Other practice location 1
2426 Hennepin Ave
Minneapolis, MN 55405-2604
Phone (612) 377-3308
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 |
|---|---|---|---|
| 121934 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1326447962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 PORTLAND AVE S APT 1004",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554153606",
"telephone_number": "952-465-5149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6540 PENN AVE S",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554231143",
"telephone_number": "612-866-2040"
}
],
"practiceLocations": [
{
"address_1": "2426 Hennepin Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554052604",
"country_code": "US",
"telephone_number": "612-377-3308",
"fax_number": "612-377-5670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RETZLAFF",
"first_name": "BRETT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-20",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "121934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.