WALDBAUM INC (NPI# 1902821465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902821465 |
| Entity Type | Organization |
| Organization Name | WALDBAUM INC |
| Other Organization Name | WALDBAUMS PHARMACY |
| Practice Address |
25817 Union Tpke Glen Oaks NY 11004-1249 |
| Practice Telephone | 7188316229 |
| Practice Fax Number | 7188316231 |
| Enumeration Date | 2006-07-13 |
| 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 | 023655 | NY | Suppliers |
| Y | 333600000X | Pharmacy | 023655 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01826411 | 05 | |
| NY | MEDICAID DME | 018264110442 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3340154 | 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 |
| 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 |
| Street Address |
25817 UNION TPKE |
| City | GLEN OAKS |
| State | NY |
| Zip Code | 11004-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811165459 | Donald D. Schwartz | Pharmacist | 25817 Union Tpke, Glen Oaks, NY 11004-1249 | 2008-02-18 |
| 1457529075 | Fredric E. Schwartz | Pharmacist | 25817 Union Tpke, Glen Oaks, NY 11004-1249 | 2008-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356829980 | Evelyne Philippe | Counselor | 72-37 Little Neck Parkway, Glen Oaks, NY 11004 | 2018-08-06 |
| 1407333032 | Laura Restrepo | Registered Nurse | 256-11 Union Turnpike, Glen Oaks, NY 11004 | 2018-07-26 |
| 1477045920 | Linda Dorothy Babbino | Early Intervention Provider Agency | 260-44 75th Ave, Glen Oaks, NY 11004 | 2018-05-31 |
| 1356838544 | Carol Harbajan | Social Worker | 81-04 256th Street, Glen Oaks, NY 11004 | 2018-04-13 |
| 1699285759 | Wendy P Fuller | Psychologist | 75-79 263rd St, Glen Oaks, NY 11004 | 2017-10-03 |
| 1316311608 | Glen Oak Medical Care Pllc | Internal Medicine | 262-05 Hillside Ave, Glen Oaks, NY 11004 | 2015-11-24 |
| 1679952246 | Yardana S Kaufman | Student in an Organized Health Care Education/Training Program | Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004 | 2015-05-28 |
| 1851783401 | Shamshad Fatima Sial | Physician Assistant | 267-01 Hillside Avenue, Quality Medical Provider PC, Floral Park, NY 11004 | 2015-02-19 |
| 1710304944 | Straight Smiles Orthodontics Pllc | Dentist | 259-19 Hillside Avenue, Floral Park, NY 11004 | 2014-03-26 |
| 1316381437 | Preetha A Kuruvilla Dds PC | Dentist | 260-12 Hillside Ave, Floral Park, NY 11004 | 2013-04-19 |
| Find all providers in zip 11004 | ||||
| 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 |
|---|---|---|---|---|
| 1871024455 | Long Island Jewish Medical Center | Pharmacy | 7559 263rd St, Vivo Health Pharmacy At Zucker Hillside Hospital, Glen Oaks, NY 11004-1150 | 2017-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758141 | North Shore Chemists LLC | Pharmacy | 800 Northern Blvd Ste 4, Great Neck, NY 11021-5314 | 2020-10-22 |
| 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 | ||||
Please comment or provide details below to improve the information on WALDBAUM INC.
| 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.