Active NPI
Jessica Wendy Bregier, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Charlotte, NC
National Provider Identifier
1073235800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 700412
- Practice address
- 200 Hawthorne LN
Charlotte, NC 28204-2515 - Phone
- (704) 316-4610
- NPI assigned
- Sep 19, 2022
- Last updated
- Oct 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29684 | NC | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 700412 | NC | Primary |
Addresses
Primary practice location
200 Hawthorne LN
Charlotte, NC 28204-2515
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 343-9800
Other practice location 1
125 Queens Rd Ste 200
Charlotte, NC 28204-3578
Phone (704) 343-9800
Other practice location 2
134 Medical Park Rd
Mooresville, NC 28117-8526
Phone (980) 302-7800
Other practice location 3
10030 Gilead Rd # 201
Huntersville, NC 28078-7545
Phone (704) 887-4530
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 |
|---|---|---|---|
| 700412 | NC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Interoperability endpoints
- jstickel1075804@direct.novanthealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1073235800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWTHORNE LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042515",
"telephone_number": "704-316-4610"
}
],
"practiceLocations": [
{
"address_1": "125 Queens Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282043578",
"country_code": "US",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "134 Medical Park Rd",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281178526",
"country_code": "US",
"telephone_number": "980-302-7800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10030 Gilead Rd # 201",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280787545",
"country_code": "US",
"telephone_number": "704-887-4530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREGIER",
"first_name": "JESSICA",
"middle_name": "WENDY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29684",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NC",
"license": "700412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.