DR. JEFFREY KOUDELKA PHARM D NPI 1699177527

NPI Information

  • NPI: 1699177527
  • Provider Name: DR. JEFFREY KOUDELKA, PHARM D
  • Classification: Pharmacist - 183500000X
  • Entity Type: Individual
  • Address: 1427 MAIN ST
    GOODING, ID
    ZIP 83330
  • Phone: (208) 934-4709

Map and Directions

Get Directions

NPI Details

DR. Jeffrey Koudelka, PHARM D is a pharmacist in Gooding, ID. The provider is 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. DR. Jeffrey Koudelka, PHARM D NPI is 1699177527. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1427 MAIN ST
GOODING, ID
ZIP 83330-838
Phone: (208) 934-4709
Fax: (208) 934-4905

The enumeration date for this NPI number is 9/23/2014 and was last updated on 9/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacistP5033IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI