National Provider Identifier
Jenna Lynn Stasko, PHARMD
Jenna Lynn Stasko, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Ithaca, NY and a listed phone number of (607) 274-4090.
Profile Overview
- NPI
- 1821975772
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- August 20, 2025
- Last Updated
- August 20, 2025
Practice Location
- 310 Taughannock Blvd
- Ithaca, NY 14850-3251
Phone: (607) 274-4090
Mailing Address
- 101 Dates Dr
- Ithaca, NY 14850-1342
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1821975772
- Entity Type
- Individual
- Last Name
- Stasko
- First Name
- Jenna
- Middle Name
- Lynn
- Credential
- PHARMD
- Mailing Street Address
- 101 Dates Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1342
- Mailing Country
- US
- Practice Street Address
- 310 Taughannock Blvd
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3251
- Practice Country
- US
- Practice Phone
- (607) 274-4090
- Enumeration Date
- August 20, 2025
- Last Updated
- August 20, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 20, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)