NPIMap

Organization Active NPI

Waldbaum Inc

Doing business as Waldbaums Pharmacy

  • Pharmacy
  • Long Beach, NY
National Provider Identifier
1104841667
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
024839 Issued in NY
Legal business name
WALDBAUM INC
Doing business as
Waldbaums Pharmacy
Practice address
85 E Park Ave
Long Beach, NY 11561-3597
Phone
(516) 889-6704
Fax
(516) 889-6709
NPI assigned
Jul 13, 2006
Last updated
Nov 19, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Kijowski
Title
Pharmacy Specialist
Phone
(201) 571-8326

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 024839 NJ
Pharmacy 333600000X 024839 NY Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

85 E Park Ave
Long Beach, NY 11561-3597

Mailing address

85 E Park Ave
Long Beach, NY 11561-3597

Other names 1

  • WALDBAUMS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Part of
Great Atlantic Pacific Tea

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2 Westbury Ave
Carle Place, NY 11514
Phone (516) 294-6020

812 Montauk Hwy
Center Moriches, NY 11934
Phone (631) 874-9025

13311 20th Ave
College Point, NY 11356
Phone (718) 460-8259

1960 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-0951

1530 Front St
East Meadow, NY 11554
Phone (516) 324-7500

80 Wall St
Huntington, NY 11743
Phone (631) 421-0134

702 Hicksville Rd
Massapequa, NY 11758
Phone (516) 797-8365

3620 Long Beach Rd
Oceanside, NY 11572
Phone (516) 766-3514

1510 Old Country Rd
Riverhead, NY 11901
Phone (631) 727-1005

211 Middle Country Rd
Selden, NY 11784
Phone (631) 696-2431

6400 Amboy Rd
Staten Island, NY 10309
Phone (718) 966-8393

2162 Nesconset Hwy
Stony Brook, NY 11790
Phone (631) 444-0968

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1104841667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613597",
            "telephone_number": "516-889-6704",
            "fax_number": "516-889-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDBAUM INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "KIJOWSKI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PHARMACY SPECIALIST",
        "authorized_official_telephone_number": "201-571-8326"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "024839",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "024839",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALDBAUMS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.