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Waldbaum Inc

Pharmacy in Long Beach, NY · enumerated 2006 · authorized official Susan Kijowski, Pharmacy Specialist.

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

National Provider Identifier

1104841667

Verified

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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 85 E Park Ave, Long Beach, NY, 11561
Phone (516) 889-6704
Fax (516) 889-6709
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 024839 (NJ) Secondary
333600000X Pharmacy Suppliers · License 024839 (NY) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
020926020442 Other NJ MEDICAID DME
02092602 Medicaid NY -
3317131 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

What type of organization is Waldbaum Inc?
Waldbaum Inc is registered in NPPES as a Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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