Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Gary Kevin Pullen, RPH

Individual provider Pharmacist · NPI 1417940578

Mr. Gary Kevin Pullen, RPH is a Pharmacist in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2005.

Licensed in
ID
In the registry since
2005
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

2250 Coronado St
Idaho Falls, ID 83404-7552
Phone: (208) 528-7979
Fax: (208) 512-2238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacotherapy Pharmacist (primary) Taxonomy 1835P1200X · Licence P4336 (ID)
Pharmacist Taxonomy 183500000X · Licence P4336 (ID)

Record details

NPI number1417940578
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESJuly 13, 2026

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