Individual provider Active NPI

Vladislav Makarenkov, RPH

  • Pharmacist
  • Jacksonville, FL
National Provider Identifier
1780309443
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS63417 Issued in FL
Practice address
6950 Philips Hwy Ste 25
Jacksonville, FL 32216-4048
Phone
(904) 207-7840
NPI assigned
Oct 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS63417 FL Primary
Nuclear Pharmacist 1835N0905X NP534 FL
Pharmacist 183500000X RPH036018 GA
Pharmacist 183500000X 24397 AL

Addresses

Primary practice location

6950 Philips Hwy Ste 25
Jacksonville, FL 32216-4048

Mailing address

6950 Philips Hwy Ste 25
Jacksonville, FL 32216-4048
Phone (904) 207-7840

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
24397ALMDPharmacist
PS63417FLMDPharmacist
RPH036018GAMDPharmacist
NP534FLMDNuclear Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1780309443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 PHILIPS HWY STE 25",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164048",
            "telephone_number": "904-207-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 PHILIPS HWY STE 25",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164048",
            "telephone_number": "904-207-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKARENKOV",
        "first_name": "VLADISLAV",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS63417",
            "primary": true
        },
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "FL",
            "license": "NP534",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH036018",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "24397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.