IndividualActive
Kaitlyn Agedal, PHARMD
NPI 1720933500 · Pediatric Pharmacist · Syracuse, NY
Provider details
- NPI number
- 1720933500
- Entity type
- Individual
- Primary specialty
- Pediatric PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 066719 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
750 E Adams St
Syracuse, NY 13210-1834
Phone: (315) 464-4210
Approximate (ZIP-level) locationGet directions
Mailing address
6040 State Route 90 N
Cayuga, NY 13034-4104
Registry dates
- Enumerated
- 2026-02-26
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.