MARY MIKESON (NPI# 1043870462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043870462 |
Entity Type | Individual |
Full Name | MARY MIKESON |
Credential | PHARMD |
Practice Address |
3687 Veterans Dr Fort Harrison MT 59636-9700 |
Mailing Address |
3687 Veterans Dr Pharmacy Services Fort Harrison MT 59636 |
Practice Telephone | 4064477081 |
Enumeration Date | 2019-06-18 |
Last Update Date | 2019-06-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PHA-PHA-LIC-5492 | MT | Pharmacy Service Providers |
Street Address |
3687 VETERANS DR |
City | FORT HARRISON |
State | MT |
Zip Code | 59636-9700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700867181 | Johanna M Seliskar | Social Worker | 3687 Veterans Dr, Fort Harrison, MT 59636-9703 | 2005-11-11 |
1841801230 | Kale Lemelin | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-08-11 |
1992315378 | Christy Ann Leland | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-07-31 |
1336766252 | Kelsey Wohlfrom | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-06-26 |
1811511678 | Brandon Reiff | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-06-07 |
1881229722 | Antonette Darlington | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-03-11 |
1922631357 | Jason Willhardt | Spec/Tech, Pathology | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-02-13 |
1083245773 | Traci Huynh | Counselor | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-01-31 |
1487299053 | Vance E Lavinder | Social Worker | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2019-11-07 |
1477104792 | Shalae Herbert Jessop | Technician | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2019-09-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003173717 | James Kevin Mowery | Registered Nurse | Va Montana Medical Center Emergency Department, 3687 Veterans Drive, Ft Harrison, MT 59636 | 2012-04-19 |
1639436983 | Kathleen Hulett | Registered Nurse | 3687 Veteran's Drive, Va Medical Center, Fort Harrison, MT 59636 | 2012-04-11 |
1437385093 | Madonna Therese Stepanek | Social Worker | 3684 Veterans Dr., Fort Harrison, MT 59636 | 2009-06-09 |
1083795553 | Anthony James Menichino | Surgery | 600 Williams Street, Fort Harrison, MT 59636 | 2006-10-18 |
1124109137 | Connie J Miller | Speech-Language Pathologist | Fort Harrision Montana, 1892 Williams St, Fort Harrison, MT 59636 | 2006-10-17 |
1346339389 | Dana Sue Nehring | Internal Medicine | 1892 William St, Fort Harrison, MT 59636 | 2006-10-11 |
1780772921 | Beverly Ann Sickert-mchugh | Nurse Practitioner | Fort Harrison Vamc, Fort Harrison, MT 59636 | 2006-10-11 |
1366540460 | Gregory Ross Johnson | Surgery | 1892 Williams St., Department of Surgery (112) Va Montana Healthcare, Fort Harrison, MT 59636 | 2006-09-20 |
1356459085 | Kurt E Werner | Family Medicine | 1892veterans Way, Va Hospital, Fort Harrison, MT 59636 | 2006-08-25 |
1588771604 | Susan Ann Askin | Internal Medicine | 1500 Williams St, Fort Harrison, MT 59636 | 2006-08-24 |
Find all providers in zip 59636 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992315378 | Christy Ann Leland | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-07-31 |
1811511678 | Brandon Reiff | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-06-07 |
1659835593 | Lorraine Corra | Pharmacist | 3687 Veterans Drive, Fort Harrison, MT 59636-0190 | 2019-01-24 |
1831340868 | Kimberlee Belle Hendryx | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9703 | 2008-10-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396174918 | Christopher Elizagaray | Pharmacist | 8 Primrose Ct, Kalispell, MT 59901-7437 | 2013-11-04 |
1710124706 | Cindy Lee Brandon | Pharmacist | 3180 Hwy 2 West, Havre, MT 59501 | 2009-01-13 |
1992310031 | Amy Sierer | Pharmacist | 900 Jackson St Ste A, Helena, MT 59601-3428 | 2020-09-15 |
1720609233 | Tawn Williams | Pharmacist | 419 Nucleus Ave, Columbia Falls, MT 59912-4007 | 2020-05-06 |
1245866367 | Kim I Dennehy | Pharmacist | 195 3rd Ave En, Kalispell, MT 59901 | 2020-03-20 |
1659928828 | Cody Maldonado | Pharmacist | 1233 N 30th St, Billings, MT 59101-0127 | 2019-08-22 |
1679056089 | Siera Katelyn Zimmerman | Pharmacist | 2800 10th Ave N, Billings, MT 59101-0703 | 2018-09-11 |
1538648498 | Cari Stinson | Pharmacist | 670 Main St, Billings, MT 59105-3224 | 2018-08-11 |
1568988855 | Christi L Thorsell | Pharmacist | 3800 S Russell St, Missoula, MT 59801-8525 | 2017-08-17 |
1912438870 | Ijeoma C Uzoho | Pharmacist | 669 Agency Main St, Harlem, MT 59526-9455 | 2017-03-22 |
Find all providers with the same taxonomy |
City | FORT HARRISON |
Zip Code | 59636 |
Please comment or provide details below to improve the information on MARY MIKESON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.