NPI
Crystal City Apothecary LLC
Doing business as Waverly Pharmacy. Phone (607) 565-2390 · Fax (607) 565-2393 · NPI 1639111412
Read from the NPPES registry on October 24, 2026.
Waverly Pharmacy pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-06-13
- Last updated
- 2010-12-22
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Specialties
Licenses
- License NY
- 027521
Location
- Practice location
- 443 Cayuta Ave
- City
- Waverly NY
- Postal code
- 14892-1506
- Phone
- (607) 565-2390
- Fax
- (607) 565-2393
Organization contact
- Name
- Donald Sassman
- Title
- Owner and Pic
- Phone
- (607) 565-2390
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Waverly, NY. 86 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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