OrganizationActive
Waldbaum Inc
NPI 1003831561 · Pharmacy · Deer Park, NY
Waldbaum Inc is a Pharmacy organization in Deer Park, NY (NPI 1003831561).
Provider details
- NPI number
- 1003831561
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- The Great Atlantic and Pacific Tea Company Inc
- Organization subpart
- Yes
- Authorized official
- Susan Kijowski, Pharmacy Specialist(201) 571-8326
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1960 Deer Park Ave
Deer Park, NY 11729-3327
Phone: (631) 242-0951
Fax: (631) 242-5815
Street-level locationGet directions
Mailing address
1960 Deer Park Ave
Deer Park, NY 11729-3327
Other names (DBA / former)
- Doing business as
- Waldbaums Pharmacy
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2007-11-19
Frequently asked questions
- What is Waldbaum Inc's NPI number?
- Waldbaum Inc's National Provider Identifier (NPI) is 1003831561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waldbaum Inc?
- Waldbaum Inc is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Waldbaum Inc located?
- Waldbaum Inc's practice location on file with NPPES is 1960 Deer Park Ave, Deer Park, NY 11729-3327.
- What is Waldbaum Inc's phone number?
- The practice phone number listed in the NPPES registry for Waldbaum Inc is (631) 242-0951.
- Who is the authorized official for Waldbaum Inc?
- The authorized official listed on Waldbaum Inc's NPPES record is Susan Kijowski, Pharmacy Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waldbaum Inc's NPI active?
- Yes — Waldbaum Inc's NPI (1003831561) is active in the NPPES registry as of the last update on 2007-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.