Waldbaum Inc
Waldbaum Inc is a healthcare organization registered as Pharmacy in Centereach, NY, holding Type 2 (organization) NPI 1922023480 since 2006. The authorized official on file is Susan Kijowski, Pharmacy Specialist.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1922023480 |
|---|---|
| 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 | 1934 MIDDLE COUNTRY RD, Centereach, NY, 11720 |
| Phone | 6317372253 |
| Fax | 6317372964 |
| Enumeration date | 2006-07-13 |
| Last updated in NPPES | 2007-11-12 |
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 | 025122 | NY |
| 333600000X | Pharmacy | Primary | 025122 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3322409 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 02192221 | Medicaid | NY | — |
| 021922210442 | Other | NJ | MEDICAID DME |
Copy-ready billing details
Provider: Waldbaum Inc NPI: 1922023480 Taxonomy: 333600000X (Pharmacy) Address: 1934 MIDDLE COUNTRY RD, Centereach, NY, 11720
Verify this record
Cross-check NPI 1922023480 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 is the NPI number for Waldbaum Inc?
Who is the authorized official for Waldbaum Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2007-11-12.