NPIMap

Individual provider Active NPI

Troy Coulson, PHARMD

  • Pharmacist
  • Idaho Falls, ID
National Provider Identifier
1528419447
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P7519 Issued in ID
Practice address
2100 Alan St
Idaho Falls, ID 83404-5801
Phone
(208) 470-7979
Fax
(888) 626-5817
NPI assigned
Jun 22, 2016
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHA-PHA-LIC-62955 MT
Pharmacist 183500000X P7519 ID Primary
Pharmacist 183500000X 9763995-1701 UT
Pharmacotherapy Pharmacist 1835P1200X P7519 ID
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X P7519 ID

Addresses

Primary practice location

2100 Alan St
Idaho Falls, ID 83404-5801

Mailing address

2100 Alan St
Idaho Falls, ID 83404-5801
Phone (208) 470-7979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
P7519IDMDPharmacist
PHA-PHA-LIC-62955MTMDPharmacist
9763995-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Council of Idaho, Inc Current Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Locations

2100 Alan St
Idaho Falls, ID 83404
Phone (208) 470-7979

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1528419447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ALAN ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045801",
            "telephone_number": "208-470-7979",
            "fax_number": "888-626-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ALAN ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045801",
            "telephone_number": "208-470-7979",
            "fax_number": "888-626-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULSON",
        "first_name": "TROY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "PHA-PHA-LIC-62955",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P7519",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "9763995-1701",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "ID",
            "license": "P7519",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "ID",
            "license": "P7519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.