Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093545279 Individual Practitioner Female Practitioner

Dr. Jessica Lynn Mickevicius , PharmD

Pharmacist • Pewaukee, WI

Professional Overview & Biography Verified Profile Summary

Dr. Jessica Mickevicius, PharmD is a registered healthcare professional specializing in Pharmacist in Pewaukee, WI. Practice services are available at 411 PEWAUKEE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

411 Pewaukee Rd

Pewaukee, WI 530725886

Telephone 2626952878
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1285651414

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Pewaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Pewaukee, WI (5503 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

CMS Verified: 2025-10-27
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 2271340

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

2 Associated Practitioners
Leigh Wood

Pharmacist

NPI 1235737255
Mary Anderson

Pharmacist

NPI 1578162897

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 27, 2025

Registered at 411 PEWAUKEE RD, PEWAUKEE, WI 530725886 (Tel: 2626952878)

NPI Profile Active August 03, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2024

Registered at 725 AMERICAN AVE, WAUKESHA, WI 531885031 (Tel: 2629281000)

📍
Updated Business Mailing Address August 03, 2024

Registered at 13405 W BURLEIGH RD APT 103, BROOKFIELD, WI 530053053 (Tel: 2628531763)

👤
Provider Name / Credentials Updated August 03, 2024

Recorded as JESSICA MICKEVICIUS, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2024

Pharmacist (License #2271340 in WI)

🟢
Initial NPI Registration & Enumeration August 03, 2024

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: 1093545279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2024
Last Update: October 27, 2025
Sole Proprietor: No

Mailing Address

13405 W Burleigh Rd Apt 103

Brookfield, WI 530053053

Phone: 2628531763

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.