Mark E Wandel
Mark E Wandel is a healthcare organization registered as Community/Retail Pharmacy in Big Bear Lake, CA, holding Type 2 (organization) NPI 1487737532 since 2006. The authorized official on file is Mark Wandel, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1487737532 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mark E Wandel |
| Other name | <Unavail> |
| Practice address | 42002 FOX FARM RD, SUITE 103, Big Bear Lake, CA, 92315 |
| Phone | 9098665881 |
| Fax | 9098668510 |
| Enumeration date | 2006-10-23 |
| Last updated in NPPES | 2009-09-21 |
Authorized official
| Name | Mark Wandel |
|---|---|
| Title | Owner |
| Phone | 9098665881 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PHY44374 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA443740 | Medicaid | CA | — |
| 0557073 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
Copy-ready billing details
Provider: Mark E Wandel NPI: 1487737532 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 42002 FOX FARM RD, SUITE 103, Big Bear Lake, CA, 92315
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1447341490 | Mark Wandel | Individual | Pharmacist | Big Bear Lake, CA |
| 1992882955 | Steven Knapik | Individual | Family Medicine Physician | Big Bear Lake, CA |
| 1508038308 | James Kim DDS A Professional Dental Corporation | Organization | General Practice Dentistry | Big Bear Lake, CA |
| 1124711247 | Kimberly Delandtsheer | Individual | Family Nurse Practitioner | Big Bear Lake, CA |
Verify this record
Cross-check NPI 1487737532 against the authoritative CMS record: view Mark E Wandel on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Mark E Wandel?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-09-21.