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CRYSTAL CITY APOTHECARY, LLC

Company Details

Name: CRYSTAL CITY APOTHECARY, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Nov 2004 (20 years ago)
Entity Number: 3129422
ZIP code: 14892
County: Steuben
Place of Formation: New York
Address: 443 CAYUTA AVE, WAVERLY, NY, United States, 14892

Contact Details

Phone +1 607-565-2390

DOS Process Agent

Name Role Address
CRYSTAL CITY APOTHECARY, LLC DOS Process Agent 443 CAYUTA AVE, WAVERLY, NY, United States, 14892

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
7G5H7
UEI Expiration Date:
2018-06-30

Business Information

Doing Business As:
WAVERLY PHARMACY
Activation Date:
2017-06-30
Initial Registration Date:
2015-09-07

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
7G5H7
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-03-10
CAGE Expiration:
2022-06-30

Contact Information

POC:
DONALD W. SASSMAN
Phone:
+1 607-565-2390
Fax:
+1 607-565-2393

National Provider Identifier

NPI Number:
1790566305
Certification Date:
2023-10-10

Authorized Person:

Name:
MR. DONALD W GUTHRIE ROBERT PACKER HOSPITAL
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Fax:
6075652393

Form 5500 Series

Employer Identification Number (EIN):
134290223
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:

History

Start date End date Type Value
2018-12-24 2025-02-10 Address 443 CAYUTA AVE, WAVERLY, NY, 14892, USA (Type of address: Service of Process)
2012-11-07 2018-12-24 Address 443 CAYUTA AVE, WAVERLY, NY, 14892, USA (Type of address: Service of Process)
2008-08-27 2012-11-07 Address 316 BROAD ST, WAVERLY, NY, 14892, USA (Type of address: Service of Process)
2005-02-10 2008-08-27 Address P.O. BOX 1345, CORNING, NY, 14830, USA (Type of address: Service of Process)
2004-11-23 2005-02-10 Address 63-65 MARKET ST, CORNING, NY, 14830, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250210003358 2025-02-10 BIENNIAL STATEMENT 2025-02-10
221101003117 2022-11-01 BIENNIAL STATEMENT 2022-11-01
201102060825 2020-11-02 BIENNIAL STATEMENT 2020-11-01
181224002020 2018-12-24 BIENNIAL STATEMENT 2018-11-01
181011006159 2018-10-11 BIENNIAL STATEMENT 2016-11-01

USAspending Awards / Financial Assistance

Date:
2021-01-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
57618.35
Total Face Value Of Loan:
57618.35
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
58000.00
Total Face Value Of Loan:
58000.00

Paycheck Protection Program

Date Approved:
2021-01-20
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
57618.35
Current Approval Amount:
57618.35
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
57967.26
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
58000
Current Approval Amount:
58000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
58576.78

Date of last update: 29 Mar 2025

Sources: New York Secretary of State