Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. GARY KEVIN PULLEN RPH
NPI 1417940578
Pharmacist - Pharmacotherapy in Idaho Falls, ID

Active since August 24, 2005
2250 CORONADO ST, IDAHO FALLS, ID 83404(208) 528-7979(208) 512-2238 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Mr. Gary Kevin Pullen Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GARY KEVIN PULLEN RPH (NPI 1417940578) is an individual pharmacotherapy provider in Idaho Falls, Idaho, licensed in Idaho (P4336) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1417940578
Entity TypeIndividualMale
Primary Taxonomy1835P1200X
Provider Legal NameMR. GARY KEVIN PULLENCredential: RPH
Location Address2250 CORONADO STIdaho Falls, ID 83404-7552
Mailing Address2250 Coronado StIdaho Falls, ID 83404-7552 · (208) 528-7979 · Fax (208) 512-2238
Fax(208) 512-2238
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPI 1417940578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
License Licensed in ID · P4336
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Also ListedPharmacistTaxonomy 183500000X · License P4336 (ID)
2250 CORONADO ST, Idaho Falls, ID 83404

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2250 CORONADO ST
IDAHO FALLS, ID 83404
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2250 CORONADO ST
IDAHO FALLS, ID 83404
Pharmacist
2250 CORONADO ST
IDAHO FALLS, ID 83404
Pharmacy (Home Infusion Therapy Pharmacy)
2250 CORONADO ST
IDAHO FALLS, ID 83404
Pharmacist
2250 CORONADO ST
IDAHO FALLS, ID 83404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Pullen's NPI number?

The NPI number for Gary Pullen is 1417940578. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Gary Pullen located?

Gary Pullen practices at 2250 Coronado St, Idaho Falls, ID 83404. The listed phone number is (208) 528-7979.

What is Gary Pullen's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Gary Pullen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.