Mike'S Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MIKE'S PHARMACY

Practice address

180 S Holmes Ave
Idaho Falls, ID 83401-3945

Phone

(208) 525-8700

Fax

(208) 525-8636

NPI assigned

Apr 12, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chad Merrill, PHARMDNPI 1033500038

Title

Owner

Phone

(208) 525-8700

Specialties & licenses 1

Addresses

Other names 1

• Mike's Pharmacy and Compounding Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad Michael Merrill, PHARM D

  • Pharmacist
  • Idaho Falls, ID
  • NPI 1033500038
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1295589794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S HOLMES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013945",
            "telephone_number": "208-525-8700",
            "fax_number": "208-525-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S HOLMES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013945",
            "telephone_number": "208-525-8700",
            "fax_number": "208-525-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-525-8700",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mike's Pharmacy and Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael T Harris MD, PC
• Michele Osmond
• Shayna Jo Mickelsen
• Naomi Mignerey
• Jeremy Scott Mihu, PA-C
• Mikes LTC Pharmacy LLC
• Valinda L Mikesell, LPC
• Gerald Mill, PH.D.
• Talisha Dawn Millar, BA
• Miller Counseling & Consultation, LLC.

• Community/Retail Pharmacy in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Community/Retail Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.