NPI age
1 years
Enumerated 2025-04-10
● Active Type 2 · Organization
Mike'S Ltc Pharmacy, Llc
Mike'S Ltc Pharmacy, Llc is 1 of 48 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Merrill
Owner
Last NPPES update
2025-10-08
Source: monthly bulk 2026-05
How this organization compares
Across 48 active pharmacy providers in Idaho.
NPI age
1 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-04Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
180 S Holmes Ave Ste B
Idaho Falls, ID 834013945
Mailing address
180 S Holmes Ave Ste B
Idaho Falls, ID 834013945
Authorized official
Justin Merrill, PHARMD
Owner
📞 2085258728
Specialties
-
Pharmacy PrimaryA 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mike's Long Term Care Pharmacy
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.