Waldbaum Inc

Pharmacy · Stony Brook, NY

Organization Active NPI

NPI number 1477578938

Practice location

2162 Nesconset Hwy
Stony Brook, NY 11790-3503
Phone
(631) 444-0968
Fax
(631) 444-0963

Open in Google Maps

NPI record

NPI
1477578938
Entity type
Organization (Type 2)
Enumeration date
July 13, 2006
Last updated
November 18, 2007
Organization subpart
Yes
Parent organization
The Great Atlantic and Pacific Tea Company Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 023413 NY
Durable Medical Equipment & Medical Supplies 332B00000X 023413 NY
Community/Retail Pharmacy 3336C0003X — —

Authorized official

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

Other names

  • Waldbaums Pharmacy

About Waldbaum Inc

Waldbaum Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 2162 Nesconset Hwy, Stony Brook, NY 11790-3503. The NPI number 1477578938 was assigned on July 13, 2006 and the record was last updated on November 18, 2007.

Waldbaum Inc lists 2 licenses in the registry: #023413 (NY) for Pharmacy; #023413 (NY) for Durable Medical Equipment & Medical Supplies. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Susan Kijowski, Pharmacy Specialist.

Frequently asked questions

What is the NPI number of Waldbaum Inc?

The NPI number is 1477578938.

What is the phone number of Waldbaum Inc?

The phone number listed for the practice location is (631) 444-0968.

Where is Waldbaum Inc located?

2162 Nesconset Hwy, Stony Brook, NY 11790-3503.

What is the taxonomy code for Waldbaum Inc?

The primary taxonomy code is 333600000X – Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacy providers in Stony Brook

All Pharmacy providers in Stony Brook, NY →