Individual Healthcare Provider
Mary Mikeson, PHARMD
Provider's NPPES record last updated: June 18, 2019
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1043870462
- Primary Specialty
- Pharmacist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Practice Location
- Fort Harrison, Montana
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 5:19 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pharmacist
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Pharmacy Service Providers
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.
Taxonomy code 1835P0018X
Provider-Reported License Information
- Pharmacist (Montana)
- PHA-PHA-LIC-54925
Practice Locations
Practice Location
3687 Veterans Dr
Fort Harrison, Montana 59636-9700
Phone: (406) 447-7081
Record Information
- Enumeration Date
- June 18, 2019
- Provider's NPPES Record Last Updated
- June 18, 2019
- NPISignal NPPES Dataset
- August 2026
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