Individual provider · Type 1 NPI

Jessica Lynn Mickevicius, PharmD

Pharmacist · Pewaukee, WI

NPI number 1093545279 Active

Practice location

411 Pewaukee Rd
Pewaukee, WI 53072-5886

Mailing address

13405 W Burleigh Rd Apt 103
Brookfield, WI 53005-3053

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2271340 (WI)

Pharmacist: 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…

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About NPI 1093545279

Jessica Lynn Mickevicius, PharmD's National Provider Identifier is 1093545279, issued on Aug 3, 2024. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Pewaukee, WI. The record was last updated on Oct 27, 2025.