Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205135498 Individual Practitioner Male Practitioner

Robert W Mickelson

Pharmacist • Caldwell, ID

Professional Overview & Biography Verified Profile Summary

Robert Mickelson is a registered healthcare professional specializing in Pharmacist in Caldwell, ID. Practice services are available at 2809 CLEVELAND BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2809 Cleveland Blvd

Caldwell, ID 836054443

Telephone 2084551094
Fax 2084551097
Associated Practice Facility / Clinic
🏢 Thrifty Payless Inc Facility NPI 1962511402

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Caldwell, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
45 Specialists

Practicing in Caldwell, ID (1793 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ID P5300

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Jacqueline Kavila , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1215237144

Doctor of Pharmacy (Pharm.D.)

Kellie Frank

Registered Nurse

NPI 1346905270
NPI 1396478095

Doctor of Pharmacy (Pharm.D.)

Isaac Mcconnell

Pharmacy Technician

NPI 1508558479
Dr. Svetlana Balinschi , PharmD

Student in an Organized Health Care Education/Training Program

NPI 1538480264

Doctor of Pharmacy (Pharm.D.)

NPI 1669025359

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 28, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2011

Registered at 2809 CLEVELAND BLVD, CALDWELL, ID 836054443 (Tel: 2084551094)

📍
Updated Business Mailing Address March 28, 2011

Registered at 16122 HORIZON DR, CALDWELL, ID 836078298 (Tel: 2084548890)

👤
Provider Name / Credentials Updated March 28, 2011

Recorded as ROBERT MICKELSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2011

Pharmacist (License #P5300 in ID)

🟢
Initial NPI Registration & Enumeration March 28, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205135498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2011
Last Update: March 28, 2011
Sole Proprietor: No

Mailing Address

16122 Horizon Dr

Caldwell, ID 836078298

Phone: 2084548890

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.