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Waldbaum Inc

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

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

National Provider Identifier

1467477018

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 211 Middle Country Rd, Selden, NY, 11784
Phone (631) 696-2431
Fax (631) 736-1169
Enumeration date Jul 13, 2006
Last updated in NPPES Nov 19, 2007

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 022009 (NY) Secondary
333600000X Pharmacy Suppliers · License 022009 (NY) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
01485336 Medicaid NY -
3342449 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 is the NPI number for Waldbaum Inc?
The NPI for Waldbaum Inc is 1467477018, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Waldbaum Inc?
NPPES lists Susan Kijowski (Pharmacy Specialist) as the authorized official for this organization.

Providers at this address

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