Active NPI
Veniamin Retinskiy, PHARMD
- Pharmacist
- Palm Coast, FL
National Provider Identifier
1902375454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS57221
- Practice address
- 80 Pinnacles Dr Ste 900
Palm Coast, FL 32164-2915 - Phone
- (386) 313-5995
- Fax
- (386) 313-5996
- NPI assigned
- Nov 14, 2018
- Last updated
- Nov 14, 2018
- 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 | PS57221 | FL | Primary |
Addresses
Primary practice location
80 Pinnacles Dr Ste 900
Palm Coast, FL 32164-2915
Mailing address
107 Seattle TRL
Palm Coast, FL 32164-5531
Phone (386) 334-6559
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 |
|---|---|---|---|
| PS57221 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1902375454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 SEATTLE TRL",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321645531",
"telephone_number": "386-334-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 PINNACLES DR STE 900",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321642915",
"telephone_number": "386-313-5995",
"fax_number": "386-313-5996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETINSKIY",
"first_name": "VENIAMIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-14",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS57221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.