OrganizationActive
Eastgate Drug
NPI 1609800937 · Community/Retail Pharmacy · Ammon, ID
Eastgate Drug is a Community/Retail Pharmacy organization in Ammon, ID (NPI 1609800937).
Provider details
- NPI number
- 1609800937
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Corey Smith, President(208) 522-1243
- License
- 1010CP (ID)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
3250 E 17th St
Ammon, ID 83406-6758
Phone: (208) 522-1243
Fax: (208) 523-3780
Street-level locationGet directions
Mailing address
3250 E 17th St
Ammon, ID 83406-6758
Other names (DBA / former)
- Doing business as
- Eastgate Drug Store
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2025-09-11
Frequently asked questions
- What is Eastgate Drug's NPI number?
- Eastgate Drug's National Provider Identifier (NPI) is 1609800937, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastgate Drug?
- Eastgate Drug is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Eastgate Drug located?
- Eastgate Drug's practice location on file with NPPES is 3250 E 17th St, Ammon, ID 83406-6758.
- What is Eastgate Drug's phone number?
- The practice phone number listed in the NPPES registry for Eastgate Drug is (208) 522-1243.
- Who is the authorized official for Eastgate Drug?
- The authorized official listed on Eastgate Drug's NPPES record is Corey Smith, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastgate Drug's NPI active?
- Yes — Eastgate Drug's NPI (1609800937) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.