Dominique A Brickley, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

30151 Issued in NC

Practice address

500 Oberlin Rd
Raleigh, NC 27605-1318

Phone

(919) 232-0057

NPI assigned

Jan 9, 2021

Last updated

Feb 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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

• Harris Teeter LLC

  dba Harris Teeter #335

  • Community/Retail Pharmacy
  • Apex, NC
  • NPI 1225856859
  NPD (past)

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1326636820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 HOLLY HILL DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136062",
            "telephone_number": "504-251-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OBERLIN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051318",
            "telephone_number": "919-232-0057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7729 S Claiborne Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701254012",
            "country_code": "US",
            "telephone_number": "504-251-4428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRICKLEY",
        "first_name": "DOMINIQUE",
        "middle_name": "A",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.023742",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "30151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breyta Psychological Services, P.a.
• Brian E. McManus, D.D.S., P.a. (Brier Creek Dental Studio)
• Brian J Kelleher DDS PA
• Brian R. Ransone, DC, PA
• Jillian Gabrielle Bricker
• Hazel Valerie Bridgeman, LCSW
• Margaret M Bridger, RPH
• Candace M Bridgers, M.A., CCC-SLP
• Catherine Smith Bridgers, M.S., CCC-SLP
• Katharine Taylor Bridgers, M.A., LPA

• Pharmacist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.