What is Jeffrey Koudelka's NPI number?

Jeffrey Koudelka's National Provider Identifier (NPI) is 1699177527, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jeffrey Koudelka's specialty?

Jeffrey Koudelka is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Jeffrey Koudelka located?

Jeffrey Koudelka's practice location on file with NPPES is 1427 Main St, Gooding, ID 83330-1838.

What is Jeffrey Koudelka's phone number?

The practice phone number listed in the NPPES registry for Jeffrey Koudelka is (208) 934-4709.

Is Jeffrey Koudelka's NPI active?

Yes — Jeffrey Koudelka's NPI (1699177527) is active in the NPPES registry as of the last update on 2014-09-23.

IndividualActive

Jeffrey Koudelka, PHARM D

NPI 1699177527 · Pharmacist · Gooding, ID

Jeffrey Koudelka, PHARM D is a Pharmacist provider in Gooding, ID (NPI 1699177527).

Provider details

NPI number: 1699177527
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARM D
Sex: Male
Sole proprietor: No
License: P5033 (ID)

Specialties & taxonomies

PharmacistPrimary183500000XLicense P5033 (ID)
Pharmacy Service Providers

Profile Score

Detailed profile(75/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1427 Main St

Gooding, ID 83330-1838

Phone: (208) 934-4709

Fax: (208) 934-4905

Street-level locationGet directions

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Mailing address