1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Pharmacist
  6. NPI Profile

JARET KOUDELKA PHARM. D.
NPI 1487331625
Pharmacist in Idaho Falls, ID

Active since June 29, 2023
2325 CORONADO ST, IDAHO FALLS, ID 83404(208) 523-3360 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaret Koudelka Pharm. D. NPPES

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

JARET KOUDELKA PHARM. D. (NPI 1487331625) is an individual pharmacist in Idaho Falls, Idaho, licensed in Idaho (P10716) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1487331625
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJARET KOUDELKACredential: PHARM. D.
Location Address2325 CORONADO STIdaho Falls, ID 83404-7407
Mailing Address2325 Coronado StIdaho Falls, ID 83404-7407
Phone(208) 523-3360
Sole ProprietorNo
Enumeration DateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1487331625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P10716
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
2325 CORONADO ST, Idaho Falls, ID 83404
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

MR. MORGAN TIUS GARRIOTT MSN, APRN, CNP, FNP
Nurse Practitioner (Family)
2325 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-7021
JAXON DEAN ANDERSON CRNA
Nurse Anesthetist, Certified Registered
2325 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 557-2700
CRAIG JAMES PARKINSON ATC, LAT
Specialist/Technologist (Athletic Trainer)
2325 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 557-2700
PATRICK CONNOR SPOTTS MD
Emergency Medicine
2325 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (864) 416-1090
MICHAEL ADAM MARION LPN
Licensed Practical Nurse
2325 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 557-2700
MOUNTAIN VIEW HOSPITAL PHYSICIAN ORGANIZATION
General Acute Care Hospital
2325 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 557-2700
RICHARD WAYNE BLACK
Pharmacist
2325 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 557-2738
TOMI SMITH CNIM
Technician/Technologist
2325 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 534-8302

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 Jaret Koudelka's NPI number?

The NPI number for Jaret Koudelka is 1487331625. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is Jaret Koudelka located?

Jaret Koudelka practices at 2325 Coronado St, Idaho Falls, ID 83404. The listed phone number is (208) 523-3360.

What is Jaret Koudelka's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jaret Koudelka was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.