Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mischa Pesicek

Individual provider Pharmacist · NPI 1609220094

Mischa Pesicek is a Pharmacist in Mountain Home, Idaho. Licensed in Idaho, North Carolina, Ohio and Texas. Registered with an NPI since 2016.

Licensed in
ID, NC, OH, TX
In the registry since
2016
Specialties on file
4

Practice location Address checks out

2745 American Legion Blvd
Mountain Home, ID 83647-3185
Phone: (208) 587-0861
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P7417 (ID)
Pharmacist Taxonomy 183500000X · Licence 24599 (NC)
Pharmacist Taxonomy 183500000X · Licence 55370 (TX)
Pharmacist Taxonomy 183500000X · Licence 03333644 (OH)

Record details

NPI number1609220094
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 21, 2016
Last updated in NPPESApril 21, 2016
Mailing address6848 State Route 14, Ravenna, OH 44266-9401

Other providers in Mountain Home