Wedgewood Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

Y006134 Issued in AZ

Legal business name

WEDGEWOOD PHARMACY LLC

Practice address

7631 E Indian School Road
Suite 105
Scottsdale, AZ 85251

Phone

(800) 331-8272

Fax

(856) 491-4365

NPI assigned

Dec 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alejandro Bernal-Angel

Title

Chief Executive Officer, Secretary

Phone

(973) 307-7154

Specialties & licenses 3

Addresses

Other names 1

• Diamondback Drugs Former legal business name

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Wedgewood Pharmacy LLC

  • Pharmacy
  • Chandler, AZ
  • NPI 1780477638
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sabrina Michelle Hanson, PHARMD

  • Pharmacist
  • Scottsdale, AZ
  • NPI 1245994300
  NPD (past)
• Sujin Kim, PHARMD

  • Pharmacist
  • Scottsdale, AZ
  • NPI 1508579533
  NPD (past)
• Mana Tabar

  • Pharmacist
  • Scottsdale, AZ
  • NPI 1083426522
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1124186952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HERON DRIVE",
            "address_2": "SUITE 200",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "08085",
            "telephone_number": "800-331-8272",
            "fax_number": "856-491-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 E INDIAN SCHOOL ROAD",
            "address_2": "SUITE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "800-331-8272",
            "fax_number": "856-491-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDGEWOOD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "BERNAL-ANGEL",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER, SECRETARY",
        "authorized_official_telephone_number": "973-307-7154"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "NP000022",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AZ",
            "license": "Y006134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamondback Drugs",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Megan Weber, RBT
• Barbara M Webster
• Helene Wechsler, M.D.
• Robert Lewis Wechsler, M.D.
• Stephen Joseph Wedding, NP
• Perfecta Marie Weeden, L.M.T.
• Kathleen A Week, RN
• Kylie Jo Wees, PA-C
• Beatriz Olga Wege, AUD
• Connie Mae Weglarz, PT, DPT

• Compounding Pharmacy in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Compounding Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.