MIKE'S LTC PHARMACY, LLC
NPI 1972398063
Pharmacy - Long Term Care Pharmacy in Idaho Falls, ID

Active since April 10, 2025
180 S HOLMES AVE STE B, IDAHO FALLS, ID 83401(208) 525-8728 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2025, Apr 10, 2025 (2 updates tracked since 2025).

About Mike's Ltc Pharmacy, Llc NPPES

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

MIKE'S LTC PHARMACY, LLC (NPI 1972398063), doing business as Mike's Long Term Care Pharmacy, is a healthcare organization registered as a long term care pharmacy in Idaho Falls, Idaho and active in the NPI registry since April 2025. The organization lists Justin Merrill, Owner, as its authorized official.

NPPES Registry Identity

NPI1972398063
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMIKE'S LTC PHARMACY, LLC
Location Address180 S HOLMES AVE STE BIdaho Falls, ID 83401-3945
Mailing Address180 S Holmes Ave Ste BIdaho Falls, ID 83401-3945 · (208) 525-8728 · Fax (208) 525-5254
Organization SubpartNo
Authorized OfficialJustin MerrillOwner · (208) 525-8728
Enumeration DateApril 10, 2025
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
NPI 1972398063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
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 forms of congregate living arrangements.
180 S HOLMES AVE STE B, Idaho Falls, ID 83401

Other Names 1

Doing Business AsMike's Long Term Care Pharmacy

Accepted Insurance

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 Mike's Ltc Pharmacy, LLC's NPI number?

The NPI number for Mike's Ltc Pharmacy, LLC is 1972398063. It was assigned to this organization in the NPPES registry on April 10, 2025. The provider is doing business as Mike's Long Term Care Pharmacy.

Where is Mike's Ltc Pharmacy, LLC located?

Mike's Ltc Pharmacy, LLC is located at 180 S Holmes Ave Ste B, Idaho Falls, ID 83401. The listed phone number is (208) 525-8728.

What is Mike's Ltc Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Mike's Ltc Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 41 other insurers list Mike's Ltc Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mike's Ltc Pharmacy, LLC was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.