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ROBERT W MICKELSON
NPI 1205135498
Pharmacist in Caldwell, ID

Active since March 28, 2011
2809 CLEVELAND BLVD, CALDWELL, ID 83605(208) 455-1094(208) 455-1097 Get Directions Write a Review

NPPES record last updated: March 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert W Mickelson NPPES

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

ROBERT W MICKELSON (NPI 1205135498) is an individual pharmacist in Caldwell, Idaho, licensed in Idaho (P5300) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1205135498
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameROBERT W MICKELSON
Location Address2809 CLEVELAND BLVDCaldwell, ID 83605-4443
Mailing Address16122 Horizon DrCaldwell, ID 83607-8298 · (208) 454-8890
Phone(208) 455-1094
Fax(208) 455-1097
Sole ProprietorNo
Enumeration DateMarch 28, 2011
✔ NPI 1205135498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P5300
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.
2809 CLEVELAND BLVD, Caldwell, ID 83605
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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 Robert Mickelson's NPI number?

The NPI number for Robert Mickelson is 1205135498. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Where is Robert Mickelson located?

Robert Mickelson practices at 2809 Cleveland Blvd, Caldwell, ID 83605. The listed phone number is (208) 455-1094.

What is Robert Mickelson'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 Robert Mickelson was last updated on March 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.