Waldbaum Inc
Waldbaum Inc is a healthcare organization registered as Pharmacy in Shirley, NY, holding Type 2 (organization) NPI 1184649733 since 2006. The authorized official on file is Susan Kijowski, Pharmacy Specialist.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1184649733 |
|---|---|
| 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 | 999 MONTAUK HWY, Shirley, NY, 11967 |
| Phone | 6312818924 |
| Fax | 6313951275 |
| Enumeration date | 2006-07-13 |
| Last updated in NPPES | 2007-11-18 |
Authorized official
| Name | Susan Kijowski |
|---|---|
| Title | Pharmacy Specialist |
| Phone | 2015718326 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | 020594 | NY |
| 333600000X | Pharmacy | Primary | 020594 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3396151 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 01181180 | Medicaid | NY | — |
Copy-ready billing details
Provider: Waldbaum Inc NPI: 1184649733 Taxonomy: 333600000X (Pharmacy) Address: 999 MONTAUK HWY, Shirley, NY, 11967
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1962685909 | Stop & Shop Supermarket Company LLC | Organization | Community/Retail Pharmacy | Shirley, NY |
| 1396985164 | Frederick Heller | Individual | Pharmacist | Shirley, NY |
Verify this record
Cross-check NPI 1184649733 against the authoritative CMS record: view Waldbaum Inc on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Waldbaum Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-11-18.