MIKE'S PHARMACY DME
NPI 1205297744
Durable Medical Equipment & Medical Supplies in Idaho Falls, ID

Active since March 11, 2016CLIA 13D2154433 · Waiver
180 S HOLMES AVE, IDAHO FALLS, ID 83401(208) 525-8700 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mike's Pharmacy Dme NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKE'S PHARMACY DME (NPI 1205297744) is a healthcare organization registered as a durable medical equipment & medical supplies in Idaho Falls, Idaho and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists Michael Merrill, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1205297744
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMICHAEL D MERRILL
Location Address180 S HOLMES AVEIdaho Falls, ID 83401-3945
Mailing Address180 S Holmes AveIdaho Falls, ID 83401-3945 · (208) 525-8700
Organization SubpartNo
Authorized OfficialMichael MerrillOwner/pharmacist · (208) 525-8700
Enumeration DateMarch 11, 2016
NPI 1205297744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in ID · 703RP
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedPharmacyTaxonomy 333600000X · License 703RP (ID)
180 S HOLMES AVE, Idaho Falls, ID 83401

Other Names 1

Doing Business AsMike's Pharmacy Dme

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2154433

Mike's Pharmacy · Idaho Falls, ID
Active · expires Sep 11, 2026
CLIA Number13D2154433
Laboratory TypePharmacy
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorChad Merrill
Laboratory Phone(208) 525-8700
Laboratory LocationMike's Pharmacy180 South Holmes Ave, Idaho Falls, ID 83401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
180 S HOLMES AVE
IDAHO FALLS, ID 83401
Pharmacy (Community/Retail Pharmacy)
180 S HOLMES AVE
IDAHO FALLS, ID 83401
Pharmacy (Community/Retail Pharmacy)
180 S HOLMES AVE
IDAHO FALLS, ID 83401
Pharmacist
180 S HOLMES AVE
IDAHO FALLS, ID 83401
Pharmacist
180 S HOLMES AVE
IDAHO FALLS, ID 83401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael D Merrill's NPI number?

The NPI number for Michael D Merrill is 1205297744. It was assigned to this organization in the NPPES registry on March 11, 2016. The provider is doing business as Mike's Pharmacy Dme.

Where is Michael D Merrill located?

Michael D Merrill is located at 180 S Holmes Ave, Idaho Falls, ID 83401. The listed phone number is (208) 525-8700.

What is Michael D Merrill's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Michael D Merrill hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2154433) is associated with this NPI, valid through September 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Michael D Merrill was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.