WALDBAUM INC NPI 1467477018

NPI Information

NPI: 1467477018
Provider Name: WALDBAUM INC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Doing Business As: WALDBAUMS PHARMACY
Address: 211 MIDDLE COUNTRY RD
SELDEN, NY
ZIP 11784
Phone: (631) 696-2431

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NPI Details

WALDBAUM INC is a pharmacy in Selden, NY. The provider is 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. WALDBAUM INC NPI is 1467477018. The provider is registered as an organization entity type.
The provider Is Doing Business As Waldbaums Pharmacy.

The provider's business location address is:

211 MIDDLE COUNTRY RD
SELDEN, NY
ZIP 11784-516
Phone: (631) 696-2431
Fax: (631) 736-1169

The provider's authorized official is Susan Kijowski .
The authorized official title is Pharmacy Specialist and has the following contact phone number (201) 571-8326.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 11/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		022009	NEW YORK	No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy			No
3	333600000X	Pharmacy		022009	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01485336	MEDICAID	NEW YORK
2	3342449	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
3	0711830025	MEDICARE NSC	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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