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MR. KENNETH WAHLSTROM PHARM.D.
NPI 1629378609
Pharmacist in San Juan Capistrano, CA

Active since October 25, 2010
32401 CAMINO CAPISTRANO, SAN JUAN CAPISTRANO, CA 92675(949) 661-3492(949) 661-6205 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth Wahlstrom Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH WAHLSTROM PHARM.D. (NPI 1629378609) is an individual pharmacist in San Juan Capistrano, California, licensed in California (RPH51053) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1629378609
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. KENNETH WAHLSTROMCredential: PHARM.D.
Location Address32401 CAMINO CAPISTRANOSan Juan Capistrano, CA 92675-4517
Mailing Address32401 Camino CapistranoSan Juan Capistrano, CA 92675-4531 · (949) 661-3492 · Fax (949) 661-6205
Phone(949) 661-3492
Fax(949) 661-6205
Sole ProprietorNo
Enumeration DateOctober 25, 2010
Last NPPES UpdateJuly 23, 2019
✔ NPI 1629378609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · RPH51053
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
32401 CAMINO CAPISTRANO, San Juan Capistrano, CA 92675
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VONS COMPANIES INC
Pharmacy (Community/Retail Pharmacy)
32401 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 661-3492
LINH YENSA HUA PHARMD.
Pharmacist
32401 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 661-3492
LOIS KUECHLER RPH
Pharmacist
32401 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 661-3492
BECKY NGO CHAN PHARM D
Pharmacist
32401 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 661-3492

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Wahlstrom's NPI number?

The NPI number for Kenneth Wahlstrom is 1629378609. It was assigned to this individual provider in the NPPES registry on October 25, 2010.

Where is Kenneth Wahlstrom located?

Kenneth Wahlstrom practices at 32401 Camino Capistrano, San Juan Capistrano, CA 92675. The listed phone number is (949) 661-3492.

What is Kenneth Wahlstrom's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kenneth Wahlstrom was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.