NPIMap

Organization Active NPI

Wedgewood Pharmacy LLC

  • Pharmacy
  • Chandler, AZ
National Provider Identifier
1780477638
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
WEDGEWOOD PHARMACY LLC
Practice address
1680 East Northrop Boulevard
Unit #5
Chandler, AZ 85286
Phone
(800) 331-8272
Fax
(866) 646-2235
NPI assigned
May 23, 2025
Last updated
May 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WEDGEWOOD PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1680 East Northrop Boulevard
Unit #5
Chandler, AZ 85286

Mailing address

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

National Provider Directory

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

Other organizations with this tax ID 3

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

Locations

1680 E Northrop Blvd
Ste 5
Chandler, AZ 85286
Phone (800) 331-8272

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1780477638",
    "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": "866-646-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 EAST NORTHROP BOULEVARD",
            "address_2": "UNIT #5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85286",
            "telephone_number": "800-331-8272",
            "fax_number": "866-646-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDGEWOOD PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEDGEWOOD PHARMACY LLC",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "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": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.