OrganizationActive
Crystal City Apothecary LLC
NPI 1790566305 · Long Term Care Pharmacy · Waverly, NY
Crystal City Apothecary LLC is a Long Term Care Pharmacy organization in Waverly, NY (NPI 1790566305).
Provider details
- NPI number
- 1790566305
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Donald Guthrie Robert Packer Hospital, Member(160) 756-5239
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
443 Cayuta Ave
Waverly, NY 14892-1506
Phone: (607) 565-2390
Fax: (607) 565-2393
Street-level locationGet directions
Mailing address
443 Cayuta Ave
Waverly, NY 14892-1506
Other names (DBA / former)
- Doing business as
- Waverly Pharmacy
Registry dates
- Enumerated
- 2023-10-10
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Frequently asked questions
- What is Crystal City Apothecary LLC's NPI number?
- Crystal City Apothecary LLC's National Provider Identifier (NPI) is 1790566305, 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 Long Term Care 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.
- Who is the authorized official for Crystal City Apothecary LLC?
- The authorized official listed on Crystal City Apothecary LLC's NPPES record is Donald Guthrie Robert Packer Hospital, Member. 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 (1790566305) is active in the NPPES registry as of the last update on 2023-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.