OrganizationActive
Mike'S Ltc Pharmacy, LLC
NPI 1972398063 · Long Term Care Pharmacy · Idaho Falls, ID
Mike'S Ltc Pharmacy, LLC is a Long Term Care Pharmacy organization in Idaho Falls, ID (NPI 1972398063).
Provider details
- NPI number
- 1972398063
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Justin Merrill, Owner(208) 525-8728
Specialties & taxonomies
Suppliers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
180 S Holmes Ave Ste B
Idaho Falls, ID 83401-3945
Phone: (208) 525-8728
Street-level locationGet directions
Mailing address
180 S Holmes Ave Ste B
Idaho Falls, ID 83401-3945
Other names (DBA / former)
- Doing business as
- Mike'S Long Term Care Pharmacy
Registry dates
- Enumerated
- 2025-04-10
- Last updated
- 2025-10-08
- Certified
- 2025-10-08
Frequently asked questions
- What is Mike'S Ltc Pharmacy, LLC's NPI number?
- Mike'S Ltc Pharmacy, LLC's National Provider Identifier (NPI) is 1972398063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mike'S Ltc Pharmacy, LLC?
- Mike'S Ltc Pharmacy, LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Mike'S Ltc Pharmacy, LLC located?
- Mike'S Ltc Pharmacy, LLC's practice location on file with NPPES is 180 S Holmes Ave Ste B, Idaho Falls, ID 83401-3945.
- What is Mike'S Ltc Pharmacy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mike'S Ltc Pharmacy, LLC is (208) 525-8728.
- Who is the authorized official for Mike'S Ltc Pharmacy, LLC?
- The authorized official listed on Mike'S Ltc Pharmacy, LLC's NPPES record is Justin Merrill, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mike'S Ltc Pharmacy, LLC's NPI active?
- Yes — Mike'S Ltc Pharmacy, LLC's NPI (1972398063) is active in the NPPES registry as of the last update on 2025-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.