WALDBAUM INC NPI 1477578938

NPI Information

NPI: 1477578938
Provider Name: WALDBAUM INC

Doing Business As: WALDBAUMS PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2162 NESCONSET HWY
STONY BROOK, NY
ZIP 11790
Phone: (631) 444-0968
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WALDBAUM INC is a pharmacy in Stony Brook, 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 1477578938. The provider is registered as an organization entity type.
The provider Is Doing Business As Waldbaums Pharmacy.

The provider's business location address is:

2162 NESCONSET HWY
STONY BROOK, NY
ZIP 11790-503
Phone: (631) 444-0968
Fax: (631) 444-0963

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 11/18/2007.

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		023413	NEW YORK	No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy			No
3	333600000X	Pharmacy		023413	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	01777137	MEDICAID	NEW YORK
2	0711830048	MEDICARE NSC	NEW YORK
3	3328095	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

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

NPI Synchronization or Removal

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