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CRYSTAL RUN PHARMACY
NPI 1053414532
Pharmacy - Community/Retail Pharmacy in Middletown, NY

Active since September 07, 2006
731 ROUTE 211 E STE 108, MIDDLETOWN, NY 10941(845) 692-7628(845) 692-7644 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 10, 2017 (3 updates tracked since 2017).

About Crystal Run Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL RUN PHARMACY (NPI 1053414532) is a healthcare organization registered as a community/retail pharmacy in Middletown, New York and active in the NPI registry since September 2006. The organization maintains a secondary practice location in Middletown and lists Sandra Agnello, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1053414532
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCRYSTAL RUN PHARMACY LLC
Location Address731 ROUTE 211 E STE 108Middletown, NY 10941-1457
Mailing Address731 Route 211 E Ste 108Middletown, NY 10941-1457 · (845) 692-7628 · Fax (845) 692-7644
Phone(845) 692-7628
Fax(845) 692-7644
Organization SubpartNo
Authorized OfficialSandra AgnelloPharmacist In Charge · (845) 863-6750
Enumeration DateSeptember 7, 2006
Last NPPES UpdateFebruary 2, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2024
✔ NPI 1053414532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NY · 027541
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
731 ROUTE 211 E STE 108, Middletown, NY 10941
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Other Names 1

Doing Business AsCrystal Run Pharmacy

Secondary Practice Location 1

Location 1390 Crystal Run Rd, STE 111Middletown, NY 10941-4050 · Phone (845) 692-7628 · Fax (845) 692-7644

Other Identifiers 3

Medicaid2814744NY
Other1053414532Npi
Other3352084Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
23 services23 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Run Pharmacy LLC's NPI number?

The NPI number for Crystal Run Pharmacy LLC is 1053414532. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as Crystal Run Pharmacy.

Where is Crystal Run Pharmacy LLC located?

Crystal Run Pharmacy LLC is located at 731 Route 211 E Ste 108, Middletown, NY 10941. The listed phone number is (845) 692-7628.

What is Crystal Run Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Crystal Run Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Crystal Run Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Run Pharmacy LLC was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.