WALDBAUM INC (NPI# 1952328577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952328577 |
| Entity Type | Organization |
| Organization Name | WALDBAUM INC |
| Other Organization Name | WALDBAUMS PHARMACY |
| Practice Address |
702 Hicksville Rd Massapequa NY 11758-1260 |
| Practice Telephone | 5167978365 |
| Practice Fax Number | 5167989785 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-11-18 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 021405 | NY | Suppliers |
| Y | 333600000X | Pharmacy | 021405 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3324388 | 01 | |
| NY | 01363780 | 05 | |
| NY | MEDICAID DME | 013637800442 | 01 |
| Other Name | Type Code |
|---|---|
| WALDBAUMS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740205202 | Waldbaum Inc | Durable Medical Equipment & Medical Supplies | 60 Wall St, Huntington, NY 11743-2065 | 2006-07-13 |
| 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 |
702 HICKSVILLE RD |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-1260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598135725 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 702 Hicksville Rd, Massapequa, NY 11758-1260 | 2015-09-30 |
| 1245408947 | Carolyn Ann Williams | Pharmacist | 702 Hicksville Rd, Massapequa, NY 11758-1260 | 2008-02-15 |
| 1518135714 | Gabrielle Joy Schicchi | Pharmacist | 702 Hicksville Rd, Massapequa, NY 11758-1260 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| 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 |
|---|---|---|---|---|
| 1336614338 | Easy Day, Inc. | Pharmacy | 4250 Jerusalem Ave, Massapequa, NY 11758-3315 | 2018-10-05 |
| 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 | MASSAPEQUA |
| Zip Code | 11758 |
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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.