Crystal City Apothecary LLC
NPI 1639111412 · Community/Retail Pharmacy · Waverly, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crystal City Apothecary LLC is a Community/Retail Pharmacy organization in Waverly, NY (NPI 1639111412).
Provider details
- NPI number
- 1639111412
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Donald Sassman, Owner and Pic(607) 565-2390
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Waverly Pharmacy
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2010-12-22
Frequently asked questions
- What is Crystal City Apothecary LLC's NPI number?
- Crystal City Apothecary LLC's National Provider Identifier (NPI) is 1639111412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crystal City Apothecary LLC?
- Crystal City Apothecary LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Crystal City Apothecary LLC located?
- Crystal City Apothecary LLC's practice location on file with NPPES is 443 Cayuta Ave, Waverly, NY 14892-1506.
- What is Crystal City Apothecary LLC's phone number?
- The practice phone number listed in the NPPES registry for Crystal City Apothecary LLC is (607) 565-2390.
- Does Crystal City Apothecary LLC accept Medicare?
- Crystal City Apothecary LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Crystal City Apothecary LLC?
- The authorized official listed on Crystal City Apothecary LLC's NPPES record is Donald Sassman, Owner and Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crystal City Apothecary LLC's NPI active?
- Yes — Crystal City Apothecary LLC's NPI (1639111412) is active in the NPPES registry as of the last update on 2010-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.