Real World Enterprises, Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PDO-843 Issued in CO

Legal business name

REAL WORLD ENTERPRISES, INC

Doing business as

Four Square, PPS

Practice address

4803 Innovation Dr
Unit 2
Fort Collins, CO 80525-7307

Phone

(970) 223-1930

NPI assigned

May 21, 2012

Last updated

Feb 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Wilson

Title

President

Phone

(858) 336-1821

Specialties & licenses 2

Addresses

Other names 1

• Four Square, PPS Doing business as

Locations

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1588924864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 INNOVATION DR",
            "address_2": "UNIT 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 INNOVATION DR",
            "address_2": "UNIT 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257307",
            "telephone_number": "970-223-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL WORLD ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-336-1821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CO",
            "license": "PDO-843",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CO",
            "license": "PDO-843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Square, PPS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey D Raymond, M.D.
• Jenna Raymond
• Robert Rayson, MD
• Varun Razdan, MD
• Anne Reagin, PMHNP
• Real World Enterprises, Inc (Four Square, PPS)
• Jencee Reardon
• Rebecca a. Lindsey
• Rebecca Craig LPC
• Gary D. Rechnitz, M.D.

• Specialty Pharmacy in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Specialty Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.