NPI age
19 years
Enumerated 2006-07-11
● Active Type 2 · Organization
Eastgate Drug
Eastgate Drug is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
President
Last NPPES update
2025-09-11
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
1
In the 70% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3250 E 17th St
Ammon, ID 834066758
Mailing address
3250 E 17th St
Ammon, ID 834066758
Authorized official
Corey Smith
President
📞 2085221243
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Derik Christensen, PHARM.D. Pharmacist NPI 1912308438
- Lisa Cowley, RPH Pharmacist NPI 1952888372
- Spencer Dietz, PHARMD, RPH Pharmacist NPI 1073079281
- Karleen Lynes, PHARM.D. Pharmacist NPI 1205170420
- Lonnie Pyper, PHARMD Pharmacist NPI 1962177113
- Kenneth Carlin Roose Pharmacist NPI 1790566404
- Benjerman Shay, PHARMD Pharmacist NPI 1407521800
- Bruce Webb, PHARMD Pharmacist NPI 1043760648
- Amanda Whitmill, PHARM.D. Pharmacist NPI 1851872436
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...
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1301073 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
EASTGATE DRUG STORE
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 397 Pharmacy providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.