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

JARET KOUDELKA PHARM. D.
NPI 1487331625
Pharmacist in Caldwell, ID

Active since June 29, 2023
1717 ARLINGTON AVE, CALDWELL, ID 83605(208) 455-3810 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 20, 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 Caldwell, 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 Address1717 ARLINGTON AVECaldwell, ID 83605-4802
Mailing Address1717 Arlington AveCaldwell, ID 83605-4802
Phone(208) 455-3810
Sole ProprietorNo
Enumeration DateJune 29, 2023
Last NPPES UpdateAugust 31, 2026
NPPES CertifiedAugust 31, 2026
✔ NPI 1487331625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in ID · P10716✔ Licensed in OR · RPH-0021039
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.
1717 ARLINGTON AVE, Caldwell, ID 83605
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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.

GEM-STATE ANESTHESIA SERVICES, PLLC
Nurse Anesthetist, Certified Registered
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (208) 455-3940
BRIAN W MOSS M.D.
Emergency Medicine
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (208) 459-4641
ASHLEY FAE WHITE NP
Nurse Practitioner (Family)
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (208) 459-4641
HELICASE LLC
Psychiatry & Neurology (Psychiatry)
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (919) 886-0690
TRAVIS HENDERSON CRNA
Nurse Anesthetist, Certified Registered
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (208) 459-4641
WEST VALLEY MEDICAL ASSOCIATES INC
Internal Medicine
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (208) 459-3669
GRANDE RONDE HOSPITAL, INC
Family Medicine (Sleep Medicine)
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (208) 367-4817
LARRY EDGERTON CRNA
Nurse Anesthetist, Certified Registered
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (208) 455-3940

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 1717 Arlington Ave, Caldwell, ID 83605. The listed phone number is (208) 455-3810.

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 August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.