P Praxis·MD
● Active Type 2 · Organization

Eastgate Drug Inc

Pharmacy·Idaho Falls, ID· NPI 1487739611 · Enumerated 2006 · 19 years on NPI
Eastgate Drug Inc is 1 of 397 pharmacy organizations in Idaho.
NPI age
19 years
Enumerated 2006-10-26
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 397 active pharmacy providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1850 W Broadway
Idaho Falls, ID 83402
📞 2085224655fax 2085226670
Mailing address
1850 W Broadway
Idaho Falls, ID 83402

Authorized official

Corey Smith
President
📞 2085221243

Specialties

  • Pharmacy Primary
    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...
    ID license #2125CP taxonomy 3336C0003X

Identifiers

TypeValueNotes
01 1307734 OTHER ID NUMBER-COMMERCIAL NUMBER

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • WESTGATE DRUG STORE
    Type code 3 recorded 2006-10-26

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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