P Praxis·MD
● Active Type 2 · Organization

Cross Ltc Pharmacy, Llc

Pharmacy·Chubbuck, ID· NPI 1619306214 · Enumerated 2013 · 12 years on NPI
Cross Ltc Pharmacy, Llc is 1 of 48 pharmacy organizations in Idaho.
NPI age
12 years
Enumerated 2013-11-04
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Buffat
Director Of Pharmacy
Last NPPES update
2025-12-09
Source: monthly bulk 2026-05

How this organization compares

Across 48 active pharmacy providers in Idaho.

NPI age
12 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-11Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
4990 Valenty Rd, Suite A1
Chubbuck, ID 832021883
📞 2084030084fax 2084030361
Mailing address
Po Box 2122
Idaho Falls, ID 834032122
📞 2084030084fax 2084030361

Authorized official

Blake Buffat, PHARMD.
Director Of Pharmacy
📞 2084030084

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Pharmacy Primary
    A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
    ID license #33793LS taxonomy 3336L0003X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Cross Pharmacy
    Type code 3 recorded 2015-03-06

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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