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WALDBAUM INC NPI 1659396117


NPI Information

NPI: 1659396117
Provider Name: WALDBAUM INC

Doing Business As: WALDBAUMS PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1236 VETERANS HWY
HAUPPAUGE, NY
ZIP 11788
Phone: (631) 979-3547
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WALDBAUM INC is a pharmacy in Hauppauge, 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 1659396117. The provider is registered as an organization entity type.
The provider Is Doing Business As Waldbaums Pharmacy.

The provider's business location address is:

1236 VETERANS HWY
HAUPPAUGE, NY
ZIP 11788-049
Phone: (631) 979-3547
Fax: (631) 979-3778

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 11/9/2007.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical Supplies025344NEW YORKNo
3333600000XPharmacy025344NEW 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
13325417OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2022783660442OTHERNEW YORKMEDICAID DME
302278366MEDICAIDNEW YORK
40711830062MEDICARE 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: 4/28/2024

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