Provider Demographics
NPI:1881574291
Name:MIKESELL, WILLIAM ROSS (PHARMD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ROSS
Last Name:MIKESELL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13125 N US OLD ROUTE 31
Mailing Address - Street 2:
Mailing Address - City:MACY
Mailing Address - State:IN
Mailing Address - Zip Code:46951
Mailing Address - Country:US
Mailing Address - Phone:260-330-2751
Mailing Address - Fax:
Practice Address - Street 1:7250 CLEARVISTA DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-4692
Practice Address - Country:US
Practice Address - Phone:317-621-1642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26030443A1835I0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835I0206XPharmacy Service ProvidersPharmacistInfectious Diseases