MEDICARE: CUSTOM CHEMISTS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1548127632
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CUSTOM CHEMISTS INC.

Provider Business Mailing Address
First Line	:	1408 AVENUE J
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-3702
Country	:	US
Telephone Number	:	718-677-8500
Fax Number	:	718-677-8501

Provider Business Practice Location Address
First Line	:	1408 AVENUE J
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-3702
Country	:	US
Telephone Number	:	718-677-8500
Fax Number	:	718-677-8501

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID ZEEMAN KUNIN
Credential	:	PHARM D
Telephone Number	:	516-603-1424

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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