Angel Ivan Del Real

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

19082 Issued in NV

Practice address

1255 Baring Blvd
Sparks, NV 89434-8673

Phone

(775) 359-6900

NPI assigned

Oct 27, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smiths Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Sparks, NV
  • NPI 1780609305
  NPD
• Smith'S Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1003416231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348673",
            "telephone_number": "775-359-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348673",
            "telephone_number": "775-359-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL REAL",
        "first_name": "ANGEL",
        "middle_name": "IVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NV",
            "license": "19082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Defreitas, BCBA
• Joleigh A Degraw
• Steven M Degraw
• Elise Deines
• Jacqueline Elisa Del Prado, DMD
• Cheryl Dela Cruz, RN
• Delamora & Carmack Enterprises PC
• Darleen G Delarue, R.N.
• Amparo Delgado
• Louis A Delionback, MD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Sparks, NV
• Providers in Sparks, NV by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.