Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cross Ltc Pharmacy, LLC

Organization Long Term Care Pharmacy · NPI 1619306214

Cross Ltc Pharmacy, LLC is a Long Term Care Pharmacy in Chubbuck, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4990 Valenty Rd Ste A1
Chubbuck, ID 83202-1883
Phone: (208) 403-0084
Fax: (208) 403-0361
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence 33793LS (ID)

Record details

NPI number1619306214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blake Buffat — Director Of Pharmacy · (208) 403-0084
Other names Cross Pharmacy
NPI enumeratedNovember 4, 2013
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing addressPo Box 2122, Idaho Falls, ID 83403-2122