Sandra Angela Agnello, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

049032 Issued in NY

Practice address

390 Crystal Run Rd
Middletown, NY 10941-4050

Phone

(845) 692-7628

NPI assigned

Feb 1, 2010

Last updated

Feb 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crystal Run Pharmacy LLC

  dba Crystal Run Pharmacy

  • Community/Retail Pharmacy
  • Middletown, NY
  • NPI 1053414532
  NPD Authorized official
• Crystal Run Pharmacy LLC

  • Long Term Care Pharmacy
  • Middletown, NY
  • NPI 1770346793
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1174855266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HERMAN AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125507208",
            "telephone_number": "845-569-1079",
            "fax_number": "845-692-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414050",
            "telephone_number": "845-692-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNELLO",
        "first_name": "SANDRA",
        "middle_name": "ANGELA",
        "name_prefix": "Miss",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javaid Afghani, DO
• Kian-Taj Claire Afrassiabian, DO
• Shawnette Yvonne Afriyie, PHARMD
• Aditya Agarwal, DO
• Ages & Stages , LLP
• Susan Agugua-Anyene, FNP
• Chioma Anita Agwu, MD
• Mohamed Hesham Esmat Ahmed Khorshid, MD
• Raza Ahmed, DO
• Regina Esi Ahorlu, AGACNP

• Pharmacist in Middletown, NY
• Providers in Middletown, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.