IndividualActive
Robert Mickelson
NPI 1205135498 · Pharmacist · Caldwell, ID
Robert Mickelson is a Pharmacist provider in Caldwell, ID (NPI 1205135498).
Provider details
- NPI number
- 1205135498
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- P5300 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2809 Cleveland Blvd
Caldwell, ID 83605-4443
Phone: (208) 455-1094
Fax: (208) 455-1097
Street-level locationGet directions
Mailing address
16122 Horizon Dr
Caldwell, ID 83607-8298
Registry dates
- Enumerated
- 2011-03-28
- Last updated
- 2011-03-28
Frequently asked questions
- What is Robert Mickelson's NPI number?
- Robert Mickelson's National Provider Identifier (NPI) is 1205135498, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Mickelson's specialty?
- Robert Mickelson is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Robert Mickelson located?
- Robert Mickelson's practice location on file with NPPES is 2809 Cleveland Blvd, Caldwell, ID 83605-4443.
- What is Robert Mickelson's phone number?
- The practice phone number listed in the NPPES registry for Robert Mickelson is (208) 455-1094.
- Is Robert Mickelson's NPI active?
- Yes — Robert Mickelson's NPI (1205135498) is active in the NPPES registry as of the last update on 2011-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.