1. Home
  2. Directory
  3. New York
  4. Waverly
  5. Pharmacy
  6. NPI Profile

WAVERLY PHARMACY
NPI 1639111412
Pharmacy - Community/Retail Pharmacy in Waverly, NY

Active since June 13, 2006
443 CAYUTA AVE, WAVERLY, NY 14892(607) 565-2390(607) 565-2393 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waverly Pharmacy NPPES

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

WAVERLY PHARMACY (NPI 1639111412) is a healthcare organization registered as a community/retail pharmacy in Waverly, New York and active in the NPI registry since June 2006. The organization lists Donald Sassman, Owner And Pic, as its authorized official.

NPPES Registry Identity

NPI1639111412
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCRYSTAL CITY APOTHECARY LLC
Location Address443 CAYUTA AVEWaverly, NY 14892-1506
Mailing Address443 Cayuta AveWaverly, NY 14892-1506 · (607) 565-2390 · Fax (607) 565-2393
Phone(607) 565-2390
Fax(607) 565-2393
Organization SubpartNo
Authorized OfficialDonald SassmanOwner And Pic · (607) 565-2390
Enumeration DateJune 13, 2006
Last NPPES UpdateDecember 22, 2010
✔ NPI 1639111412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NY · 027521
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.
Also ListedPharmacyTaxonomy 333600000X
443 CAYUTA AVE, Waverly, NY 14892
Open in Google Maps ↗

Other Names 1

Doing Business AsWaverly Pharmacy

Other Identifiers 3

Other3348629Ncpdp Provider Identification Number
Medicare NSC5479460002
Medicaid02708529NY

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 ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL CITY APOTHECARY LLC
Pharmacy (Long Term Care Pharmacy)
443 CAYUTA AVE
WAVERLY, NY 14892
Tioga County (607) 565-2390

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 City Apothecary LLC's NPI number?

The NPI number for Crystal City Apothecary LLC is 1639111412. It was assigned to this organization in the NPPES registry on June 13, 2006. The provider is doing business as Waverly Pharmacy.

Where is Crystal City Apothecary LLC located?

Crystal City Apothecary LLC is located at 443 Cayuta Ave, Waverly, NY 14892. The listed phone number is (607) 565-2390.

What is Crystal City Apothecary 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 City Apothecary 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 48 other insurers list Crystal City Apothecary 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 City Apothecary LLC was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.