Real World Enterprises

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY46837 Issued in CA

Legal business name

REAL WORLD ENTERPRISES

Practice address

13220 Evening Creek Dr S
Suite 110
San Diego, CA 92128-4103

Phone

(858) 668-3350

Fax

(858) 668-3352

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard E Wilson

Title

President

Phone

(858) 668-3350

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SMART PHARMACY SERVICES Doing business as

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1992861595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13220 EVENING CREEK DR S",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284103",
            "telephone_number": "858-668-3350",
            "fax_number": "858-668-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 EVENING CREEK DR S",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284103",
            "telephone_number": "858-668-3350",
            "fax_number": "858-668-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL WORLD ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-668-3350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY46837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA468370",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "5613737",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMART PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ready Set Avanza LLC
• Kimberly Ann Ready
• Branson Reagan, AU.D.
• Rovena R Reagan, MD
• Real Talk California Psychotherapy Inc
• Ariadna Real
• Maria Francisca Real, FAMILY NURSE PRACT.
• Gaile Romero Realin
• Andrea Realpe
• John A. Realyvasquez, MD

• Long Term Care Pharmacy in San Diego, CA
• Providers in San Diego, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.