WALDBAUMS PHARMACY
NPI 1003831561
Pharmacy in Deer Park, NY

Active since July 13, 2006
1960 DEER PARK AVE, DEER PARK, NY 11729(631) 242-0951(631) 242-5815 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Waldbaums Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALDBAUMS PHARMACY (NPI 1003831561) is a healthcare organization registered as a pharmacy in Deer Park, New York and active in the NPI registry since July 2006. The organization lists Susan Kijowski, Pharmacy Specialist, as its authorized official.

NPPES Registry Identity

NPI1003831561
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALDBAUM INC
Location Address1960 DEER PARK AVEDeer Park, NY 11729-3327
Mailing Address1960 Deer Park AveDeer Park, NY 11729-3327
Fax(631) 242-5815
Organization SubpartYesParent: The Great Atlantic And Pacific Tea Company Inc
Authorized OfficialSusan KijowskiPharmacy Specialist · (201) 571-8326
Enumeration DateJuly 13, 2006
Last NPPES UpdateNovember 19, 2007
NPI 1003831561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in NY · 025839
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 025839 (NY)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1960 DEER PARK AVE, Deer Park, NY 11729

Other Names 1

Doing Business AsWaldbaums Pharmacy

Other Identifiers 4

Medicare NSC0711830064NY
Other02386767NY · Medicaid Dme
Other3330747Other Id Number-commercial Number
Medicaid02386767NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1960 DEER PARK AVE
DEER PARK, NY 11729

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waldbaum Inc's NPI number?

The NPI number for Waldbaum Inc is 1003831561. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Waldbaums Pharmacy.

Where is Waldbaum Inc located?

Waldbaum Inc is located at 1960 Deer Park Ave, Deer Park, NY 11729. The listed phone number is (631) 242-0951.

What is Waldbaum Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Waldbaum Inc was last updated on November 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.