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

Crystal City Apothecary LLC

Organization Long Term Care Pharmacy · NPI 1790566305

Crystal City Apothecary LLC is a Long Term Care Pharmacy in Waverly, New York. Registered with an NPI since 2023.

In the registry since
2023
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

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1790566305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Guthrie Robert Packer Hospital — Member · (160) 756-5239
Other names Waverly Pharmacy
NPI enumeratedOctober 10, 2023
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address443 Cayuta Ave, Waverly, NY 14892-1506