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Waldbaum Inc

Pharmacy in Deer Park, NY · enumerated 2006 · authorized official Susan Kijowski, Pharmacy Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003831561

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Registry record

Entity type Organization (Type 2)
Legal business name Waldbaum Inc
Other name <Unavail>
Parent organization The Great Atlantic and Pacific Tea Company Inc
Practice address 1960 Deer Park Ave, Deer Park, NY, 11729
Phone (631) 242-0951
Fax (631) 242-5815
Enumeration date Jul 13, 2006
Last updated in NPPES Nov 19, 2007

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 025839 (NY) Secondary
333600000X Pharmacy Suppliers · License 025839 (NY) Primary

Authorized official

Name Susan Kijowski
Title Pharmacy Specialist
Phone (201) 571-8326

Other identifiers

Identifier Type State Issuer
02386767 Other NY MEDICAID DME
02386767 Medicaid NY -
3330747 Other - OTHER ID NUMBER-COMMERCIAL NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Waldbaum Inc?
NPPES lists Susan Kijowski (Pharmacy Specialist) as the authorized official for this organization.
What is the NPI number for Waldbaum Inc?
The NPI for Waldbaum Inc is 1003831561, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-19.