Michelle Marie Bricknell-Smith, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

050453 Issued in NY

Practice address

5783 S Transit Rd
Wal-Mart Pharmacy #2107
Lockport, NY 14094-5811

Phone

(716) 438-2748

Fax

(716) 438-9887

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

No

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, last updated by the provider on Sep 12, 2016.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1821153545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6364 GREEN VALLEY LN",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140948838",
            "telephone_number": "716-553-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5783 S TRANSIT RD",
            "address_2": "WAL-MART PHARMACY #2107",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945811",
            "telephone_number": "716-438-2748",
            "fax_number": "716-438-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKNELL-SMITH",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Brandt-Douglas, LCSW-R
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• William Michael Brierley, D.C.
• Christopher Briggs
• Amber Lynn Brink
• Briody Health Care Faciltiy LLC

• All providers in Lockport, NY
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.