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MR. MARK MIKKELSON R.PH.
NPI 1215787676
Pharmacist - Oncology in Waterford, CT

Active since March 26, 2024
230 WATERFORD PKWY S, WATERFORD, CT 06385(860) 271-4360 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Mark Mikkelson R.ph. NPPES

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

MR. MARK MIKKELSON R.PH. (NPI 1215787676) is an individual oncology provider in Waterford, Connecticut, licensed in Connecticut (5784) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1215787676
Entity TypeIndividualMale
Primary Taxonomy1835X0200X
Provider Legal NameMR. MARK MIKKELSONCredential: R.PH.
Location Address230 WATERFORD PKWY SWaterford, CT 06385-1219
Mailing Address230 Waterford Pkwy SWaterford, CT 06385-1219 · (860) 271-4630
Phone(860) 271-4360
Sole ProprietorNo
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1215787676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · OncologyPharmacy Service Providers
Taxonomy Code1835X0200X
License✔ Licensed in CT · 5784
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.
230 WATERFORD PKWY S, Waterford, CT 06385
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Other Providers at the Same Location NPPES 7

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

JAMES NEWMAN
Internal Medicine (Hematology & Oncology)
230 WATERFORD PKWY S
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 444-3744
JANE P GENIDO-TRUJILLO MS,APRN
Nurse Practitioner
230 WATERFORD PKWY S
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 444-3744
DR. MICHAEL T SZEWCZYK JR. PHARMD
Pharmacist (Oncology)
230 WATERFORD PKWY S
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 271-4630
AGNES MARIA TOPLOSKY C-NP
Nurse Practitioner (Adult Health)
230 WATERFORD PKWY S
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 444-3744
MATTHEW LEON DANISH MD
Internal Medicine (Hematology & Oncology)
230 WATERFORD PKWY S
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 444-3744
MS. DANA MARIA KINARD NP
Nurse Practitioner
230 WATERFORD PKWY S
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 444-3744
ANDREW DOUGLAS KASS APN
Nurse Practitioner
230 WATERFORD PKWY S
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 444-3744

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 Mark Mikkelson's NPI number?

The NPI number for Mark Mikkelson is 1215787676. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Mark Mikkelson located?

Mark Mikkelson practices at 230 Waterford Pkwy S, Waterford, CT 06385. The listed phone number is (860) 271-4360.

What is Mark Mikkelson's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Oncology, with taxonomy code 1835X0200X.

When was this NPI record last updated?

The NPPES record for Mark Mikkelson was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.