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WALDBAUMS PHARMACY
NPI 1184649733
Pharmacy in Shirley, NY

Active since July 13, 2006
999 MONTAUK HWY, SHIRLEY, NY 11967(631) 281-8924(631) 395-1275 Get Directions Write a Review

NPPES record last updated: November 18, 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 1184649733) is a healthcare organization registered as a pharmacy in Shirley, 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

NPI1184649733
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALDBAUM INC
Location Address999 MONTAUK HWYShirley, NY 11967-2130
Mailing Address999 Montauk HwyShirley, NY 11967-2130
Phone(631) 281-8924
Fax(631) 395-1275
Organization SubpartYesParent: The Great Atlantic And Pacific Tea Company Inc
Authorized OfficialSusan KijowskiPharmacy Specialist · (201) 571-8326
Enumeration DateJuly 13, 2006
Last NPPES UpdateNovember 18, 2007
✔ NPI 1184649733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 020594
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 020594 (NY)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
999 MONTAUK HWY, Shirley, NY 11967
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Other Names 1

Doing Business AsWaldbaums Pharmacy

Other Identifiers 3

Medicaid01181180NY
Medicare NSC0711830022NY
Other3396151Other Id Number-commercial Number

Other Providers at the Same Location NPPES 2

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

MR. FREDERICK R HELLER III R.PH
Pharmacist
999 MONTAUK HWY
SHIRLEY, NY 11967
Suffolk County (631) 281-8924
STOP & SHOP SUPERMARKET COMPANY LLC
Pharmacy (Community/Retail Pharmacy)
999 MONTAUK HWY
SHIRLEY, NY 11967
Suffolk County (631) 281-3610

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 1184649733. 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 999 Montauk Hwy, Shirley, NY 11967. The listed phone number is (631) 281-8924.

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 18, 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.