NPI age
2 years
Enumerated 2023-06-29
● Active
Type 1 · Individual
Jaret Koudelka, PHARM. D.
Koudelka is 1 of 91 pharmacist providers in Idaho Falls and 1 of 1739 in Idaho.
Primary specialty
Pharmacist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1739 active pharmacist providers in Idaho.
NPI age
2 years
↓ 8 yr below median (10 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-06Enumerated in NPPES
2023
2026
Where they practice
Practice location
2325 Coronado St
Idaho Falls, ID 834047407
Mailing address
2325 Coronado St
Idaho Falls, ID 834047407
Specialties
-
Pharmacist PrimaryAn 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,...
Practice context
Part of a multi-provider practice. 55 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new pharmacist provider has been added in Idaho Falls in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.