MARY MIKESON


Address: 3687 Veterans Dr, Fort Harrison, MT 59636-9700
Phone: 4064477081

MARY MIKESON (NPI# 1043870462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 3687 VETERANS DR
City FORT HARRISON
State MT
Zip Code 59636-9700

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City FORT HARRISON
Zip Code 59636

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Dataset Information

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.

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