Rebecca Susan Realsen, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

15501 Issued in CO

Practice address

10794 Vista Rd
Parker, CO 80138-3130

Phone

(303) 204-5845

NPI assigned

Sep 19, 2011

Last updated

Sep 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1710269485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10794 VISTA RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383130",
            "telephone_number": "303-204-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10794 VISTA RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383130",
            "telephone_number": "303-204-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALSEN",
        "first_name": "REBECCA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "15501",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "8827",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "00022162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A Ray
• Luz Raymondi
• Jenna Razack, NP
• Peter Austin Read, PT, DPT
• Megan Ready
• Piper L. Reasoner, ATC
• Nipun B Reddy, M.D.
• Snehal Patel Reddy, M.D.
• Vikas Thouti Reddy, M.D.
• Gloria S. Reed, PT

• Pharmacist in Parker, CO
• Providers in Parker, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.