WALDBAUMS PHARMACY
NPI 1104841667
Pharmacy in Long Beach, NY

Active since July 13, 2006
85 E PARK AVE, LONG BEACH, NY 11561(516) 889-6704(516) 889-6709 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waldbaums Pharmacy NPPES

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

WALDBAUMS PHARMACY (NPI 1104841667) is a healthcare organization registered as a pharmacy in Long Beach, 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

NPI1104841667
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALDBAUM INC
Location Address85 E PARK AVELong Beach, NY 11561-3597
Mailing Address85 E Park AveLong Beach, NY 11561-3597
Fax(516) 889-6709
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 1104841667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in NY · 024839
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 024839 (NJ)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
85 E PARK AVE, Long Beach, NY 11561

Other Names 1

Doing Business AsWaldbaums Pharmacy

Other Identifiers 4

Medicaid02092602NY
Other3317131Other Id Number-commercial Number
Other020926020442NJ · Medicaid Dme
Medicare NSC0711830056NJ

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
85 E PARK AVE, PHARMACY
LONG BEACH, NY 11561

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 1104841667. 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 85 E Park Ave, Long Beach, NY 11561. The listed phone number is (516) 889-6704.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.