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WALDBAUMS PHARMACY
NPI 1922023480
Pharmacy in Centereach, NY

Active since July 13, 2006
1934 MIDDLE COUNTRY RD, CENTEREACH, NY 11720(631) 737-2253(631) 737-2964 Get Directions Write a Review

NPPES record last updated: November 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Waldbaums Pharmacy NPPES

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

WALDBAUMS PHARMACY (NPI 1922023480) is a healthcare organization registered as a pharmacy in Centereach, 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

NPI1922023480
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALDBAUM INC
Location Address1934 MIDDLE COUNTRY RDCentereach, NY 11720-3535
Mailing Address1934 Middle Country RdCentereach, NY 11720-3535
Phone(631) 737-2253
Fax(631) 737-2964
Organization SubpartYesParent: The Great Atlantic And Pacific Tea Company Inc
Authorized OfficialSusan KijowskiPharmacy Specialist · (201) 571-8326
Enumeration DateJuly 13, 2006
Last NPPES UpdateNovember 12, 2007
✔ NPI 1922023480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 025122
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 025122 (NY)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1934 MIDDLE COUNTRY RD, Centereach, NY 11720
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Other Names 1

Doing Business AsWaldbaums Pharmacy

Other Identifiers 4

Medicaid02192221NY
Other3322409Other Id Number-commercial Number
Medicare NSC0711830059NY
Other021922210442NJ · Medicaid Dme

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 1922023480. 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 1934 Middle Country Rd, Centereach, NY 11720. The listed phone number is (631) 737-2253.

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 12, 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.