Alyssa Mickler, PHARMD
Individual provider Active NPI Pharmacist · Freeport, FL
NPI 1093696320 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1093696320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 69557 (FL)
- Practice address
- 16400 US Highway 331 S
Freeport, FL 32439-4190 - Phone
- (850) 835-2317
- NPI assigned
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69557 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past |
Accepting new patients | |
| Publix Super Markets Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69557 | FL | Yes |
Addresses
Primary practice location
16400 US Highway 331 S
Freeport, FL 32439-4190
Mailing address
16400 US Highway 331 S
Freeport, FL 32439-4190
Phone (850) 835-2317
Other providers in Freeport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.