NPI age
11 years
Enumerated 2014-09-09
● Active
Type 1 · Individual
DR. Shawna Marie Mikkelsen, PHARMD
Mikkelsen is 1 of 2 pharmacist providers in Moscow and 1 of 80 in Idaho.
Primary specialty
Pharmacist
Plus 3 subspecialties
Licensed in
WA, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 80 active pharmacist providers in Idaho.
NPI age
11 years
↑ 1 yr above median (9 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-09Enumerated in NPPES
2014
2026
Where they practice
Practice location
700 S Main St
Moscow, ID 838433046
Mailing address
700 S Main St
Moscow, ID 838433046
Specialties
-
Pharmacist PrimaryPharmacist 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.
-
PharmacistA licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level...
Practice context
Part of a multi-provider practice. 58 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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