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DR. SHAWNA MARIE MIKKELSEN PHARMD
NPI 1770984817
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Moscow, ID

Active since September 09, 2014
700 S MAIN ST, MOSCOW, ID 83843(208) 883-2236(208) 883-6550 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 4, 2025, Jul 3, 2019, Jun 28, 2016 (3 updates tracked since 2016).

About Dr. Shawna Marie Mikkelsen Pharmd NPPES

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

DR. SHAWNA MARIE MIKKELSEN PHARMD (NPI 1770984817) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Moscow, Idaho, licensed in Washington (PH60232295) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1770984817
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameDR. SHAWNA MARIE MIKKELSENCredential: PHARMD
Location Address700 S MAIN STMoscow, ID 83843-3046
Mailing Address700 S Main StMoscow, ID 83843-3046 · (208) 883-2236 · Fax (208) 883-6550
Phone(208) 883-2236
Fax(208) 883-6550
Sole ProprietorNo
Enumeration DateSeptember 9, 2014
Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1770984817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
Licenses✔ Licensed in WA · PH60232295✔ Licensed in CA · RPH61612
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacist · PharmacotherapyTaxonomy 1835P1200X · License RPH61612 (CA), PH60232295 (WA)
700 S MAIN ST, Moscow, ID 83843
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Other Names 1

Former Name (1)Dr. Shawna Marie Cordon Pharmd

Other Providers at the Same Location NPPES 20

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

LAUREN BROGIS M.D.
Emergency Medicine
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 882-4511
MISS AMANDA K BLANKENSHIP LMP, NCTMB
Massage Therapist
700 S MAIN ST, GRITMAN MEDICAL CENTER
MOSCOW, ID 83843
Latah County (208) 883-6544
DR. LESLEY ANNE PORTUGAL M.D.
Internal Medicine
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 882-4511
CHRISTOPHER MICHAEL STANDLEY D.O.
Family Medicine
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 882-4511
JILL LYNN LAWRENCE LMT
Massage Therapist
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 883-4104
ADRIANNE MARIE FEJES DNP, CRNA
Nurse Anesthetist, Certified Registered
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 882-4511
DOROTHY PLAZA
Registered Nurse (Diabetes Educator)
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 883-6341
HOSPICE OF THE PALOUSE
Hospice Care, Community Based
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 883-1228

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 Shawna Mikkelsen's NPI number?

The NPI number for Shawna Mikkelsen is 1770984817. It was assigned to this individual provider in the NPPES registry on September 9, 2014. The provider is also known as Dr. Shawna Marie Cordon Pharmd.

Where is Shawna Mikkelsen located?

Shawna Mikkelsen practices at 700 S Main St, Moscow, ID 83843. The listed phone number is (208) 883-2236.

What is Shawna Mikkelsen's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Shawna Mikkelsen was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.