WALDBAUM INC (NPI# 1811912462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811912462 |
| Entity Type | Organization |
| Organization Name | WALDBAUM INC |
| Other Organization Name | WALDBAUMS PHARMACY |
| Practice Address |
1530 Front St East Meadow NY 11554-2241 |
| Practice Telephone | 5164833256 |
| Practice Fax Number | 5164833321 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-11-15 |
| 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 | 023776 | NY | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 023776 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3345003 | 01 | |
| NY | MEDICAID DME | 018713560442 | 01 |
| NY | 01871356 | 05 |
| 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 |
| 1740205202 | Waldbaum Inc | Durable Medical Equipment & Medical Supplies | 60 Wall St, Huntington, NY 11743-2065 | 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 |
1530 FRONT ST |
| City | EAST MEADOW |
| State | NY |
| Zip Code | 11554-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003427980 | New York University | Internal Medicine | 1530 Front St, East Meadow, NY 11554-2265 | 2020-08-13 |
| 1336317304 | Jennifer Press | Pharmacist | 1530 Front St, East Meadow, NY 11554-2241 | 2008-02-13 |
| 1821266040 | Carlo Oliveri | Pharmacist | 1530 Front St, East Meadow, NY 11554-2241 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033254 | Ellen B. Gordon | Counselor | 533 Wagstaff Drive, East Meadow, NY 11554 | 2020-08-12 |
| 1770140717 | Saad Wasiq | Student in an Organized Health Care Education/Training Program | Psychiatry Department, Nassau University Medicial Centre, East Meadow, NY 11554 | 2019-05-24 |
| 1407410202 | Shiana Sekhri | Student in an Organized Health Care Education/Training Program | Nassau Univ Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554 | 2019-04-26 |
| 1427612738 | Shanli Parnia | Student in an Organized Health Care Education/Training Program | Nuhealth/nassau University Medical Center - 2201 Hempst, East Meadow, NY 11554 | 2019-04-23 |
| 1003308842 | Sindhu Barola | Student in an Organized Health Care Education/Training Program | 2201 Hempstead Turnpike Nassau University Medical Cente, Department of Pediatrics, East Meadow, NY 11554 | 2018-06-06 |
| 1831681121 | Sehajvir Singh Madhok | Student in an Organized Health Care Education/Training Program | 2201 Hempstead Turnpike Nassau University Medical Centr, Department of Pediatrics, East Meadow, NY 11554 | 2018-06-01 |
| 1184115917 | Neeti Prerana Luke | Student in an Organized Health Care Education/Training Program | Nassau University Medical Centre, 2201 Hempstead Turnpike, East Meadow, NY 11554 | 2018-05-29 |
| 1992292155 | Syed Mudassir Hussaini | Student in an Organized Health Care Education/Training Program | Nassau University Medical Center Deparetment of Medicin, 2201 Hempstead Turnpike, East Meadow, NY 11554 | 2018-04-13 |
| 1942726724 | Renju Thomas | Nurse Practitioner | 1901 North Jerusalem Rd, Eastmeadow, NY 11554 | 2017-08-14 |
| 1871013185 | Michelle Kates | Specialist | 1491 Rose Lane, East Meadow, NY 11554 | 2017-06-27 |
| Find all providers in zip 11554 | ||||
| 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 |
|---|---|---|---|---|
| 1073981346 | Family Rx Pharmacy Inc. | Pharmacy | 621 Merrick Ave, East Meadow, NY 11554-3740 | 2015-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1023625548 | Otc Group LLC | Pharmacy | 2792 Ocean Ave Unit 5, Brooklyn, NY 11229-4730 | 2020-09-29 |
| 1932712817 | Guoyi Lin | Pharmacy | 13351 41st Rd First Floor, Flushing, NY 11355-5837 | 2020-08-28 |
| 1740891001 | Cureatr Inc | Pharmacy | 17 W 20th St Fl 3, New York, NY 10011-3702 | 2020-08-11 |
| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1679182349 | Marvel Pharmacy Inc | Pharmacy | 9612 Liberty Ave, Ozone Park, NY 11417-1624 | 2020-07-28 |
| 1114545837 | Edgar Murcia | Pharmacy | 7702 Roosevelt Ave Ste C, Jackson Heights, NY 11372-6604 | 2020-07-09 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | EAST MEADOW |
| Zip Code | 11554 |
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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.