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WEDGEWOOD PHARMACY
NPI 1750148128
Pharmacy - Long Term Care Pharmacy in Austintown, OH

Active since March 04, 2024CLIA 36D2199938 · Waiver
4350 NEW RD, AUSTINTOWN, OH 44515(330) 799-2503(330) 259-9616 Get Directions Write a Review

NPPES record last updated: May 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2025, Mar 4, 2024 (2 updates tracked since 2024).

About Wedgewood Pharmacy NPPES

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

WEDGEWOOD PHARMACY (NPI 1750148128) is a healthcare organization registered as a long term care pharmacy in Austintown, Ohio and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Brad Patrick Vaughn, Owner, as its authorized official.

NPPES Registry Identity

NPI1750148128
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameWEDGEWOOD PHARMACY
Location Address4350 NEW RDAustintown, OH 44515-4501
Mailing Address4350 New RdAustintown, OH 44515-4501 · (330) 799-2503 · Fax (330) 259-9616
Phone(330) 799-2503
Fax(330) 259-9616
Organization SubpartNo
Authorized OfficialBrad Patrick VaughnOwner · (330) 799-2503
Enumeration DateMarch 4, 2024
Last NPPES UpdateMay 11, 20252 updates tracked since enumeration
NPPES CertifiedMay 11, 2025
✔ NPI 1750148128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
4350 NEW RD, Austintown, OH 44515
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Other Identifiers 1

Medicaid0376213OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2199938

Wedgewood Pharmacy · Austintown, OH
Active · expires Nov 11, 2026
CLIA Number36D2199938
Laboratory TypePharmacy
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorBrad P. Vaughn
Laboratory Phone(330) 799-2503
Laboratory LocationWedgewood Pharmacy4350 New Rd, Austintown, OH 44515
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MR. BRAD PATRICK VAUGHN RPH.
Pharmacist
4350 NEW RD
AUSTINTOWN, OH 44515
Mahoning County (330) 799-2503
WEDGEWOOD PHARMACY
Pharmacy (Community/Retail Pharmacy)
4350 NEW RD
AUSTINTOWN, OH 44515
Mahoning County (330) 799-2503

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 Wedgewood Pharmacy's NPI number?

The NPI number for Wedgewood Pharmacy is 1750148128. It was assigned to this organization in the NPPES registry on March 4, 2024.

Where is Wedgewood Pharmacy located?

Wedgewood Pharmacy is located at 4350 New Rd, Austintown, OH 44515. The listed phone number is (330) 799-2503.

What is Wedgewood Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Wedgewood Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2199938) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wedgewood Pharmacy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 36 other insurers list Wedgewood Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wedgewood Pharmacy was last updated on May 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.