Itzel Vanessa Bravo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04417100 Issued in NJ

Practice address

6601 Roosevelt Blvd
Philadelphia, PA 19149-2417

Phone

(215) 338-6601

NPI assigned

Jan 9, 2025

Last updated

Feb 4, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acme Markets Inc

  dba Acme Pharmacy #2704

  • Community/Retail Pharmacy
  • Philadelphia, PA
  • NPI 1235185232
  NPD (past)
• Acme Markets Inc

  dba Acme Pharmacy #1063

  • Community/Retail Pharmacy
  • Patterson, NY
  • NPI 1376900290
  NPD (past)

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1508676776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492417",
            "telephone_number": "215-338-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492417",
            "telephone_number": "215-338-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "ITZEL",
        "middle_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04417100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Braverman
• Debra L Braverman, M.D.
• Staci Jill Braverman, PHYSICAL THERAPIST
• Bravo Health Advanced Care Center, P.C.
• Bravo Health Pennsylvania, Inc.
• Paco Eduardo Bravo, MD
• Willie C Brawn, MHP
• Kimberli M Brawner, RN
• Andrea C Braxton, MED, NCC, LPC
• Lorraine Braxton

• Pharmacist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.