Organization Active NPI

Wadhams Apothecary Inc

  • Community/Retail Pharmacy
  • Flagstaff, AZ
National Provider Identifier
1619097961
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y004735 Issued in AZ
Legal business name
WADHAMS APOTHECARY INC
Doing business as
WADHAMS APOTHECARY INC
Practice address
3100 N West St Ste 200a
Ste 200a
Flagstaff, AZ 86004-1651
Phone
(928) 774-5004
Fax
(928) 774-5003
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Sharon Wadhams, PHARMD
Title
Pres
Phone
(928) 774-5004

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Y004735 AZ Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3100 N West St Ste 200a
Ste 200a
Flagstaff, AZ 86004-1651

Mailing address

3100 N West St Ste 200a
Ste 200a
Flagstaff, AZ 86004-1651
Phone (928) 774-5004

Other identifiers 2

IdentifierTypeStateIssuer
204681MedicaidAZ
1989418OtherPK

Other names 1

  • WADHAMS APOTHECARY INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1619097961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N WEST ST STE 200A",
            "address_2": "STE 200A",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041651",
            "telephone_number": "928-774-5004",
            "fax_number": "928-774-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N WEST ST STE 200A",
            "address_2": "STE 200A",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041651",
            "telephone_number": "928-774-5004",
            "fax_number": "928-774-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADHAMS APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "WADHAMS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "928-774-5004",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y004735",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204681",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1989418",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WADHAMS APOTHECARY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.