Active NPI
Hayley Retaskie
- Ambulatory Care Pharmacist
- Saint Paul, MN
National Provider Identifier
1386160109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 123453
- Practice address
- 2025 Sloan PL Ste 35
Saint Paul, MN 55117-2092 - Phone
- (651) 772-1572
- NPI assigned
- Aug 15, 2017
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 123453 | MN | Primary |
Addresses
Primary practice location
2025 Sloan PL Ste 35
Saint Paul, MN 55117-2092
Mailing address
3148 Florida Ave N
Crystal, MN 55427-3026
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 |
|---|---|---|---|
| 123453 | MN | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1386160109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3148 FLORIDA AVE N",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554273026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 SLOAN PL STE 35",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551172092",
"telephone_number": "651-772-1572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETASKIE",
"first_name": "HAYLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MN",
"license": "123453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.