NPIMap

Organization Active NPI

Wedgewood Pharmacy LLC

  • Community/Retail Pharmacy
  • Swedesboro, NJ
National Provider Identifier
1932231537
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00316800 Issued in NJ
Legal business name
WEDGEWOOD PHARMACY LLC
Practice address
405 Heron Drive
Suite 200
Swedesboro, NJ 08085
Phone
(800) 331-8272
Fax
(856) 491-4365
NPI assigned
Mar 9, 2007
Last updated
May 27, 2025By the provider in NPPES
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00316800 NJ Primary
Compounding Pharmacy 3336C0004X 28RS00316800 NJ

Addresses

Primary practice location

405 Heron Drive
Suite 200
Swedesboro, NJ 08085

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

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1932231537",
    "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": "405 HERON DRIVE",
            "address_2": "SUITE 200",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "08085",
            "telephone_number": "800-331-8272",
            "fax_number": "856-491-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDGEWOOD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00316800",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NJ",
            "license": "28RS00316800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swedesboro, NJ

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.