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Wedgewood Pharmacy LLC

NPI 1780477638ActiveOrganization· Pharmacy· Chandler, AZ

Pharmacy in Chandler, Arizona, registered in NPPES in May 2025, part of Wedgewood Pharmacy LLC. The authorized official on file is Alejandro Bernal-Angel, Chief Executive Officer, Secretary.

Overview

NPI1780477638
StatusActive
Entity typeOrganization (subpart)
Parent organizationWedgewood Pharmacy LLC
NPI issuedMay 23, 2025
Last updated in NPPESMay 23, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X——
Pharmacy, Compounding Pharmacy3336C0004X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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