WALDBAUM INC (NPI# 1740205202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740205202 |
| Entity Type | Organization |
| Organization Name | WALDBAUM INC |
| Other Organization Name | WALDBAUMS PHARMACY |
| Practice Address |
60 Wall St Huntington NY 11743-2065 |
| Practice Telephone | 6314210134 |
| Practice Fax Number | 6313857008 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-11-09 |
| Authorized Official Name | SUSAN KIJOWSKI (PHARMACY SPECIALIST) |
| Authorized Official Telephone | 2015718326 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 021419 | NY | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 021419 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01363900 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3324415 | 01 | |
| NY | MEDICAID DME | 013639000442 | 01 |
| Other Name | Type Code |
|---|---|
| WALDBAUMS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952328577 | Waldbaum Inc | Pharmacy | 702 Hicksville Rd, Massapequa, NY 11758-1260 | 2006-07-17 |
| 1811912462 | Waldbaum Inc | Durable Medical Equipment & Medical Supplies | 1530 Front St, East Meadow, NY 11554-2241 | 2006-07-13 |
| 1932124492 | Waldbaum Inc | Pharmacy | 245 Route 25a, Rocky Point, NY 11778-8803 | 2006-07-13 |
| 1831114396 | Waldbaum Inc | Durable Medical Equipment & Medical Supplies | 4343 Amboy Rd, Staten Island, NY 10312-3819 | 2006-07-13 |
| 1841215308 | Waldbaum Inc | Durable Medical Equipment & Medical Supplies | 6400 Amboy Rd, Staten Island, NY 10309-3121 | 2006-07-13 |
| 1104841667 | Waldbaum Inc | Pharmacy | 85 E Park Ave, Long Beach, NY 11561-3597 | 2006-07-13 |
| 1376568923 | Waldbaum Inc | Durable Medical Equipment & Medical Supplies | 13311 20th Ave, College Point, NY 11356-2405 | 2006-07-13 |
| 1275558827 | Waldbaum Inc | Pharmacy | 15301 10th Ave, Whitestone, NY 11357-1233 | 2006-07-13 |
| 1629093273 | Waldbaum Inc | Durable Medical Equipment & Medical Supplies | 2149 Ralph Ave, Brooklyn, NY 11234-5405 | 2006-07-13 |
| 1558386011 | Waldbaum Inc | Durable Medical Equipment & Medical Supplies | 336 N Broadway, Jericho, NY 11753-2031 | 2006-07-13 |
| Street Address |
60 WALL ST |
| City | HUNTINGTON |
| State | NY |
| Zip Code | 11743-2065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750559704 | Roy George Schlegelmilch | Pharmacist | 60 Wall St, Huntington, NY 11743-2065 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896477 | Peter C Gaal | Behavioral Analyst | 47 N. Woodhull Road, 2nd Floor, Huntington, NY 11743 | 2019-11-25 |
| 1902389299 | Taylor Bliss Dambrosio | Early Intervention Provider Agency | 38 Carnegie Ave, Huntington, NY 11743 | 2018-09-12 |
| 1639601750 | Speech and Hearing Services | Clinic/Center | 17 Brooks Ave Unit1, Huntington, NY 11743 | 2017-03-29 |
| 1174983456 | Helene Falcone | Registered Nurse | 264 W. 22nd St., Oakwood Primary Center, Hunt., NY 11743 | 2016-03-01 |
| 1124499470 | Thomas Hlenski | Social Worker | 4 Richard Lane, Huntington, NY 11743 | 2015-10-13 |
| 1174921308 | Jeanne Ginsberg | Counselor | 81 Knollwood Avenue, Huntington, NY 11743 | 2014-12-22 |
| 1770980534 | Emily Ann Sombke | Physician Assistant | 249 Manor Rd., Huntington, NY 11743 | 2014-11-21 |
| 1881096162 | Applied Health Chiropractic | Chiropractor | 12 Ash Pl, Huntington, NY 11743 | 2014-09-18 |
| 1265857643 | Ccs Medical Practice, Pllc | Public Health or Welfare | 17 Southdown Road, Huntington, NY 11743 | 2014-02-21 |
| 1255760682 | Ekaterina Femminella | Acupuncturist | 181 Main St Ste 105, Huntington, NY 11743 | 2013-11-06 |
| Find all providers in zip 11743 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601592 | Ashton Blake Sparks | Pharmacy | 21 Pyramid Dr Apt 620, Huntington, WV 25705-3269 | 2020-08-24 |
| 1295382083 | Shelby Paige Humphrey | Pharmacy | Marshall School of Pharmacy One John Marshall Drive, Huntington, WV 25755-0001 | 2019-08-26 |
| 1376039776 | Genoa Healthcare, LLC | Pharmacy | 55 Horizon Dr Ste P, Huntington, NY 11743-4436 | 2018-07-09 |
| 1285012138 | Kmart3425 | Pharmacy | 5636 Us Route 60, Huntington, WV 25705-2148 | 2015-05-12 |
| 1902954951 | King Kullen Pharmacies Corp | Pharmacy | 50 New York Ave, Huntington, NY 11743-2199 | 2007-01-08 |
| 1457427965 | Huntington Regional Medical Park Pharmacy Inc | Pharmacy | 5170 Route 60 E, Suite 2800, Huntington, WV 25705 | 2006-11-27 |
| 1619040136 | Kroger Limited Partnership I | Pharmacy | 2718 Guilford St, Huntington, IN 46750-9701 | 2006-11-15 |
| 1982786760 | Fruth Pharmacy Inc | Pharmacy | 125 7th Ave, Huntington, WV 25701-1923 | 2006-10-20 |
| 1346255288 | Fruth Pharmacy Inc | Pharmacy | 425 Camden Rd, Huntington, WV 25704-2708 | 2006-07-29 |
| 1255346193 | Fruth Pharmacy Inc | Pharmacy | 1419 Us Route 60, Huntington, WV 25705-1654 | 2006-07-29 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 11743 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.