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

Eastgate Drug

Organization Pharmacy · NPI 1609800937

Eastgate Drug is a Pharmacy in Ammon, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
2

Practice location Address checks out

3250 E 17th St
Ammon, ID 83406-6758
Phone: (208) 522-1243
Fax: (208) 523-3780
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Pharmacy Taxonomy 333600000X · Licence 1010CP (ID)

Record details

NPI number1609800937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corey Smith — President · (208) 522-1243
Other names Eastgate Drug Store
NPI enumeratedJuly 11, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address3250 E 17th St, Ammon, ID 83406-6758

Other providers in Ammon