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WALDBAUM INC NPI 1467477018


NPI Information

NPI: 1467477018
Provider Name: WALDBAUM INC

Doing Business As: WALDBAUMS PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
211 MIDDLE COUNTRY RD
SELDEN, NY
ZIP 11784
Phone: (631) 696-2431
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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies022009NEW YORKNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy022009NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101485336MEDICAIDNEW YORK
23342449OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
30711830025MEDICARE NSCNEW 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: 11/14/2023

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