Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal City Apothecary LLC

Organization Pharmacy · NPI 1639111412

Crystal City Apothecary LLC is a Pharmacy in Waverly, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

443 Cayuta Ave
Waverly, NY 14892-1506
Phone: (607) 565-2390
Fax: (607) 565-2393
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 027521 (NY)
Pharmacy Taxonomy 333600000X

Record details

NPI number1639111412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Sassman — Owner And Pic · (607) 565-2390
Other names Waverly Pharmacy
NPI enumeratedJune 13, 2006
Last updated in NPPESDecember 22, 2010
Mailing address443 Cayuta Ave, Waverly, NY 14892-1506