JESSICA LYNN MICKEVICIUS PHARMD
NPI 1093545279
Pharmacist in Pewaukee, WI

Active since August 03, 2024
411 PEWAUKEE RD, PEWAUKEE, WI 53072(262) 695-2878 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Lynn Mickevicius Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA LYNN MICKEVICIUS PHARMD (NPI 1093545279) is an individual pharmacist in Pewaukee, Wisconsin, licensed in Wisconsin (2271340) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1093545279
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJESSICA LYNN MICKEVICIUSCredential: PHARMD
Location Address411 PEWAUKEE RDPewaukee, WI 53072-5886
Mailing Address13405 W Burleigh Rd Apt 103Brookfield, WI 53005-3053 · (262) 853-1763
Sole ProprietorNo
Enumeration DateAugust 3, 2024
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
NPI 1093545279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 2271340
Definition
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.
411 PEWAUKEE RD, Pewaukee, WI 53072

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
411 PEWAUKEE RD
PEWAUKEE, WI 53072
Nurse Practitioner (Family)
411 PEWAUKEE RD
PEWAUKEE, WI 53072
Pharmacy (Community/Retail Pharmacy)
411 PEWAUKEE RD
PEWAUKEE, WI 53072
Eyewear Supplier
411 PEWAUKEE RD
PEWAUKEE, WI 53072
Optometrist
411 PEWAUKEE RD
PEWAUKEE, WI 53072
Technician/Technologist (Optician)
411 PEWAUKEE RD
PEWAUKEE, WI 53072

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Mickevicius's NPI number?

The NPI number for Jessica Mickevicius is 1093545279. It was assigned to this individual provider in the NPPES registry on August 3, 2024.

Where is Jessica Mickevicius located?

Jessica Mickevicius practices at 411 Pewaukee Rd, Pewaukee, WI 53072. The listed phone number is (262) 695-2878.

What is Jessica Mickevicius's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jessica Mickevicius was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.