NPI age
5 years
Enumerated 2021-02-08
● Active
Type 1 · Individual
Ashley Otis
Otis is 1 of 6 pharmacy providers in Chubbuck and 1 of 397 in Idaho.
Primary specialty
Pharmacy
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-02-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 397 active pharmacy providers in Idaho.
NPI age
5 years
↓ 14 yr below median (19 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
70% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-02Enumerated in NPPES
2021
2026
Where they practice
Practice location
4257 Yellowstone Ave
Chubbuck, ID 832022419
Mailing address
4257 Yellowstone Ave
Chubbuck, ID 832022419
Specialties
-
Pharmacy PrimaryA 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...
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.