WEDGEWOOD PHARMACY LLC – NPI #1124186952
Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

WEDGEWOOD PHARMACY LLC is a pharmacy located in SCOTTSDALE, AZ. NPPES has assigned the NPI number 1124186952 to WEDGEWOOD PHARMACY LLC on December 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0004X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Compounding Pharmacy

The NPI profile was last updated on May 27, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WEDGEWOOD PHARMACY LLC below.

NPI Profile for
WEDGEWOOD PHARMACY LLC

NPI Number
1124186952
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WEDGEWOOD PHARMACY LLC
Primary location
7631 E INDIAN SCHOOL ROAD
SUITE 105
SCOTTSDALE, AZ 85251
Phone: (800) 331-8272 Fax: (856) 491-4365
Mailing address
405 HERON DRIVE
SUITE 200
SWEDESBORO, NJ 08085
Phone: (800) 331-8272 Fax: (856) 491-4365
Organization Subpart
No
Authorized Official
ALEJANDRO BERNAL-ANGEL
CHIEF EXECUTIVE OFFICER, SECRETARY
Phone: (973) 307-7154
Updated
Identifiers

Identifiers for WEDGEWOOD PHARMACY LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2146386
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0004X
- Pharmacy / Compounding Pharmacy (Primary)
AZ Y006134
3336C0003X
- Pharmacy / Community/Retail Pharmacy
333600000X
- Pharmacy
PA NP000022

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.