CRYSTAL RUN PHARMACY LLC
NPI 1770346793
Pharmacy - Long Term Care Pharmacy in Middletown, NY

Active since February 01, 2024
731 ROUTE 211 E, 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: September 27, 2026.

About Crystal Run Pharmacy Llc NPPES

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

CRYSTAL RUN PHARMACY LLC (NPI 1770346793) is a healthcare organization registered as a long term care pharmacy in Middletown, New York and active in the NPI registry since February 2024. The organization lists Sandra Angela Agnello, President, as its authorized official.

NPPES Registry Identity

NPI1770346793
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameCRYSTAL RUN PHARMACY LLC
Location Address731 ROUTE 211 EMiddletown, NY 10941-1445
Mailing Address731 Route 211 EMiddletown, NY 10941-1445 · (845) 692-7628 · Fax (845) 692-7644
Fax(845) 692-7644
Organization SubpartNo
Authorized OfficialSandra Angela AgnelloPresident · (845) 692-7628
Enumeration DateFebruary 1, 2024
Last NPPES UpdateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
✔ NPI 1770346793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
731 ROUTE 211 E, Middletown, NY 10941

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Crystal Run Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Crystal Run Pharmacy LLC

DMEPOS supplier · Middletown, NY
✔

Accepts Medicare assignment

Crystal Run Pharmacy LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20476523
Medicare Participant SinceSeptember 1, 2016
Supplier Location731 Route 211 E Ste 108Middletown, NY 10941
Supplier Specialties
Pharmacy

Medicare Product Categories

Oral Anticancer Drugs
FDA anticancer drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1770346793. It was assigned to this organization in the NPPES registry on February 1, 2024.

Where is Crystal Run Pharmacy LLC located?

Crystal Run Pharmacy LLC is located at 731 Route 211 E, 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 Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Crystal Run Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Crystal Run Pharmacy LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 33 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.