Manuel Bravo, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

61282 Issued in CA

Practice address

1363 Divisadero St
San Francisco, CA 94115-3912

Phone

(415) 931-9974

NPI assigned

Apr 1, 2010

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • San Francisco, CA
  • NPI 1518973197
  NPD (past)
• Walgreen Co

  • Pharmacy
  • San Francisco, CA
  • NPI 1588670954
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1366767402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033404",
            "telephone_number": "415-558-8749",
            "fax_number": "415-558-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 DIVISADERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153912",
            "telephone_number": "415-931-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "MANUEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "61282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Braverman, MA, AMFT
• Claudio Andres Bravo Carrillo, M.D.
• Seleina Bravo Loera
• Brenda Jazzlyn Bravo
• Guadalupe Sanchez Bravo
• Marta Josefa Bravo
• Melissa Bravo
• Rosalie D. Bravo, RN, NP
• Vivian Wan Bravo, LMFT, LPCC
• Pamela Braxton

• Pharmacist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.