Active NPI
Manisha De, PHARM.D
- Pharmacist
- Plantation, FL
National Provider Identifier
1154925956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS49662
- Practice address
- 7155 W Broward Blvd
Plantation, FL 33317-2215 - Phone
- (954) 792-2800
- Fax
- (954) 792-7874
- NPI assigned
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | PS49662 | FL | Primary |
Addresses
Primary practice location
7155 W Broward Blvd
Plantation, FL 33317-2215
Mailing address
1740 NW 166TH Ave
Pembroke Pines, FL 33028-1715
Phone (954) 401-3617
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 |
|---|---|---|---|
| PS49662 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1154925956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 NW 166TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281715",
"telephone_number": "954-401-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7155 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172215",
"telephone_number": "954-792-2800",
"fax_number": "954-792-7874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE",
"first_name": "MANISHA",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
- Yadira De la Rosa, MF
- Raul Jose De la Vega, MD
- Maria Valentina De Moya, DDS
- Maria De la Luz De Ornelas, PHD
- Gabriel Alejandro De Renzis, DO
- Dean L Fishman D.C., P.a. (Plantation Sine & Sports Rehab)
- Steven Robert Debeer, M.D.
- Amy M Decelle, DO
- Dedicated Pediatric Therapy Inc
- Dee-Car Inc. (medical III pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.