Keerthana Venkata Bulusu

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04490500 Issued in NJ

Practice address

2 Bergen Tpke
Ridgefield Park, NJ 07660-2390

Phone

(866) 773-2479

NPI assigned

Sep 15, 2026

Last updated

Sep 15, 2026By 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

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1760393169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MAGNOLIA CT",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BERGEN TPKE",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076602390",
            "telephone_number": "866-773-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULUSU",
        "first_name": "KEERTHANA",
        "middle_name": "VENKATA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04490500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Blankinship, PHARMD
• Renee L Bolduc, COTA/L
• Thomas Bonk, ATC/L
• Stephanie Smith Bowers, NP
• Rhonda Brown, MSW
• Paris Castro
• Monique Charles
• Zulma G Cheung, LCSW
• Brittany Nicole Chloros
• Min H Cho, PHARM D

• Pharmacist in Ridgefield Park, NJ
• Providers in Ridgefield Park, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.