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

Ashley Otis

Individual provider Community/Retail Pharmacy · NPI 1134711419

Ashley Otis is a Community/Retail Pharmacy in Chubbuck, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2021

Practice location Address checks out

4257 Yellowstone Ave
Chubbuck, ID 83202-2419
Phone: (208) 237-3940
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence P9227 (ID)

Record details

NPI number1134711419
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 8, 2021
Last updated in NPPESFebruary 8, 2021
Certification dateFebruary 8, 2021
Mailing address4257 Yellowstone Ave, Chubbuck, ID 83202-2419

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