Donald Sassman, RPH
Individual provider Active NPI Pharmacist · Waverly, NY
NPI 1346457249 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346457249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 040123 (NY)
- Practice address
- 316 Broad St
Waverly, NY 14892-1326 - Phone
- (607) 936-2178
- Fax
- (607) 565-2393
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040123 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal City Apothecary LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 040123 | NY | Yes |
Addresses
Primary practice location
316 Broad St
Waverly, NY 14892-1326
Mailing address
316 Broad St
Waverly, NY 14892-1326
Phone (607) 936-2178
Other providers in Waverly, NY
- Monica Robinson
- Wendy Michelle Rogers
- Shelly Diane Rusin
- Marjorie Sampson
- Thomas Sampson
- Sensational Kids Physical, Occupational & Speech Therapy Services PLLC
- Sensational Kids Physical, Occupational & Speech Therapy Services PLLC
- Maygoe Richard Sheehan
- Tristen Marie Stanton
- Stephen Lynne McKee DDS, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.