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DR. JEFFREY KOUDELKA PHARM D
NPI 1699177527
Pharmacist in Gooding, ID

Active since September 23, 2014
1427 MAIN ST, GOODING, ID 83330(208) 934-4709(208) 934-4905 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Koudelka Pharm D NPPES

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

DR. JEFFREY KOUDELKA PHARM D (NPI 1699177527) is an individual pharmacist in Gooding, Idaho, licensed in Idaho (P5033) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1699177527
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JEFFREY KOUDELKACredential: PHARM D
Location Address1427 MAIN STGooding, ID 83330-1838
Mailing Address1427 Main StGooding, ID 83330-1838 · (208) 934-4709 · Fax (208) 934-4905
Phone(208) 934-4709
Fax(208) 934-4905
Sole ProprietorNo
Enumeration DateSeptember 23, 2014
✔ NPI 1699177527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P5033
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.
1427 MAIN ST, Gooding, ID 83330
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Other Providers at the Same Location NPPES

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

RIDLEY'S FAMILY MARKETS, INC
Pharmacy (Community/Retail Pharmacy)
1427 MAIN ST
GOODING, ID 83330
Gooding County (208) 934-4709

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 Jeffrey Koudelka's NPI number?

The NPI number for Jeffrey Koudelka is 1699177527. It was assigned to this individual provider in the NPPES registry on September 23, 2014.

Where is Jeffrey Koudelka located?

Jeffrey Koudelka practices at 1427 Main St, Gooding, ID 83330. The listed phone number is (208) 934-4709.

What is Jeffrey 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 Jeffrey Koudelka was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.