WESTGATE DRUG STORE – NPI #1487739611
Pharmacy

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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

WESTGATE DRUG STORE is a pharmacy located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1487739611 to WESTGATE DRUG STORE on October 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WESTGATE DRUG STORE” is a dba name, the actual legal business name for this organization is EASTGATE DRUG INC. The primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WESTGATE DRUG STORE below.

NPI Profile for
EASTGATE DRUG INC

NPI Number
1487739611
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTGATE DRUG INC
Doing Business As (dba): WESTGATE DRUG STORE
Primary location
1850 W BROADWAY
IDAHO FALLS, ID 83402
Phone: (208) 522-4655 Fax: (208) 522-6670
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
COREY SMITH
PRESIDENT
Phone: (208) 522-1243
Updated
Identifiers

Identifiers for WESTGATE DRUG STORE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHEROTHER ID NUMBER-COMMERCIAL NUMBER1307734
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
ID 2125CP

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.