Organization Active NPI

Wedgewood Pharmacy LLC

  • Community/Retail Pharmacy
  • Bakersfield, CA
National Provider Identifier
1154048338
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WEDGEWOOD PHARMACY LLC
Practice address
5301 Young Street
Bakersfield, CA 93311-8978
Phone
(877) 734-3338
Fax
(856) 491-4365
NPI assigned
Oct 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

5301 Young Street
Bakersfield, CA 93311-8978

Mailing address

405 Heron Drive
Suite 200
Swedesboro, NJ 08085
Phone (800) 331-8272

Other names 2

  • Precision Equine LLC Former legal business name
  • Precision Pharmacy Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Wedgewood Pharmacy LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 Union St
Ste 500
Portland, ME 04101

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1154048338",
    "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": "5301 YOUNG STREET",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118978",
            "telephone_number": "877-734-3338",
            "fax_number": "856-491-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDGEWOOD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2025-05-27",
        "certification_date": "2022-10-27",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Equine LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Precision Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • 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.