EASTGATE DRUG
NPI 1609800937
Pharmacy - Community/Retail Pharmacy in Ammon, ID

Q: What is Eastgate Drug's NPI number?

The NPI number for Eastgate Drug is 1609800937. It was assigned to this organization in the NPPES registry on July 11, 2006. The provider is doing business as Eastgate Drug Store.

Q: What is Eastgate Drug's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Eastgate Drug was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 11, 2006

3250 E 17TH ST, AMMON, ID 83406(208) 522-1243(208) 523-3780 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Eastgate Drug NPPES

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

EASTGATE DRUG (NPI 1609800937), doing business as Eastgate Drug Store, is a healthcare organization registered as a community/retail pharmacy in Ammon, Idaho and active in the NPI registry since July 2006. The organization lists Corey Smith, President, as its authorized official.

NPPES Registry Identity

NPI1609800937

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameEASTGATE DRUG

Location Address3250 E 17TH STAmmon, ID 83406-6758

Mailing Address3250 E 17th StAmmon, ID 83406-6758

Phone(208) 522-1243

Fax(208) 523-3780

Organization SubpartNo

Authorized OfficialCorey SmithPresident · (208) 522-1243

Enumeration DateJuly 11, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1609800937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X · License 1010CP (ID)

3250 E 17TH ST, Ammon, ID 83406

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Other Names 1

Doing Business AsEastgate Drug Store

Other Identifiers 1

Other1301073Other Id Number-commercial Number

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRUCE WEBB PHARMD

Pharmacist (Geriatric)