Waldbaum Inc
NPI 1518982164ActiveOrganization· Pharmacy· Bridgeport, CT
Pharmacy in Bridgeport, Connecticut, registered in NPPES in July 2006, part of The Great Atlantic & Pacific Tea Co., Inc. The authorized official on file is Susan Kijowski, Pharmacy Specialist.
Overview
| NPI | 1518982164 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | The Great Atlantic & Pacific Tea Co., Inc |
| NPI issued | Jul 13, 2006 |
| Last updated in NPPES | Nov 26, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 01655 | CT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 01655 | CT |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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