Manisa Bulsara, PHARM. D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

PH233052 Issued in MA

Practice address

90 Vandenberg Dr
66 MDS
Hanscom AFB, MA 01731-2104

Phone

(781) 225-6789

Fax

(781) 225-2577

NPI assigned

Sep 17, 2010

Last updated

Apr 11, 2012By 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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1629386172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VANDENBERG DR",
            "address_2": "66 MDS",
            "city": "HANSCOM AFB",
            "state": "MA",
            "postal_code": "017312104",
            "telephone_number": "781-225-6789",
            "fax_number": "781-225-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 VANDENBERG DR",
            "address_2": "66 MDS",
            "city": "HANSCOM AFB",
            "state": "MA",
            "postal_code": "017312104",
            "telephone_number": "781-225-6789",
            "fax_number": "781-225-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULSARA",
        "first_name": "MANISA",
        "name_prefix": "Ms.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MA",
            "license": "PH233052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dawn Bankston, WHNP
• Brayden Tyler Bennett, PHARM. D.
• Amy Bonneau, LICSW
• Clinton James Borchardt, M.D.
• Nathaniel F Brown, MD
• Christine M Carino
• Caritas St Elizabeths Health Care (Brighton Marine Phy at Hanscom)
• Rebecca Charette, PA-C
• John Choiniere, LCSW
• Kyung Min Chung, D.M.D.

• Pharmacotherapy Pharmacist in Hanscom AFB, MA
• Providers in Hanscom AFB, MA by specialty
• Pharmacotherapy Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.