Mikes LTC Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MIKES LTC PHARMACY LLC

Practice address

180 S Holmes Ave Ste B
Idaho Falls, ID 83401-3945

Phone

(208) 525-8728

NPI assigned

Apr 10, 2025

Organization subpart

No

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

Authorized official

Name

Chad Michael MerrillNPI 1033500038

Title

Owner

Phone

(208) 525-8700

Specialties & licenses 1

Addresses

Other names 1

• Mike's Long Term Care Pharmacy Doing business as

Locations

Practitioners 2

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
• Justin Merrill, PHARM.D

  • Pharmacist
  • Idaho Falls, ID
  • NPI 1760907950
  NPD

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1972398063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S HOLMES AVE STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013945",
            "telephone_number": "208-525-8728",
            "fax_number": "208-525-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S HOLMES AVE STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013945",
            "telephone_number": "208-525-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKES LTC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-525-8700"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mike's Long Term Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Osmond
• Shayna Jo Mickelsen
• Naomi Mignerey
• Jeremy Scott Mihu, PA-C
• Mike'S Pharmacy
• Valinda L Mikesell, LPC
• Gerald Mill, PH.D.
• Talisha Dawn Millar, BA
• Miller Counseling & Consultation, LLC.
• Amy Elizabeth Miller, LPC

• Long Term Care Pharmacy in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Long Term Care Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.