Active NPI
Jeffrey Gene Retter, PHARMD
- Pharmacist
- Grand Junction, CO
National Provider Identifier
1467703678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19652
- Practice address
- 2424 Highway 6 and 50
Grand Junction, CO 81505-1109 - Phone
- (970) 241-2477
- NPI assigned
- Sep 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19652 | CO | Primary |
| Pharmacist | 183500000X | 67855 | CA |
Addresses
Primary practice location
2424 Highway 6 and 50
Grand Junction, CO 81505-1109
Mailing address
225 Narrow Leaf Dr
Fruita, CO 81521-2579
Phone (808) 345-6239
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 |
|---|---|---|---|
| 67855 | CA | MD | Pharmacist |
| 19652 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1467703678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 NARROW LEAF DR",
"city": "FRUITA",
"state": "CO",
"postal_code": "815212579",
"telephone_number": "808-345-6239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 HIGHWAY 6 AND 50",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815051109",
"telephone_number": "970-241-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETTER",
"first_name": "JEFFREY",
"middle_name": "GENE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-27",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "19652",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "67855",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.