Individual provider · Type 1 NPI

Nicole Marie Kustyn, PharmD, RPH

Pharmacist · Syracuse, NY

NPI number 1912286790 Active

Practice location

6040 Tarbell Rd Ste 103
Syracuse, NY 13206-1348

Fax (888) 842-3977

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X20-I055945 (NY)

Pharmacist: 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…

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About NPI 1912286790

Nicole Marie Kustyn, PharmD, RPH's National Provider Identifier is 1912286790, issued on Aug 10, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Syracuse, NY. The record was last updated on Sep 16, 2026.