CENTENNIAL PHARMACY SERVICES INCORPORATED (NPI# 1720640634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720640634 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL PHARMACY SERVICES INCORPORATED |
| Practice Address |
1020 N Delaware Ave Ste 200 Philadelphia PA 19125-4334 |
| Practice Telephone | 2675345025 |
| Practice Fax Number | 2673245418 |
| Mailing Telephone | 2158505701 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Authorized Official Name | DR. JOSEPH DYMOWSKI (CEO / PHARMACIST) |
| Authorized Official Telephone | 2673245025 |
| Authorized Official Credential | PHARM D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1035739960001 | 05 |
| Other Name | Type Code |
|---|---|
| centennial Pharmacy Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053881573 | Centennial Pharmacy Services Incorporated | Pharmacy | 1020 N Delaware Ave Ste 200, Philadelphia, PA 19125-4334 | 2018-11-27 |
| Street Address |
1020 N DELAWARE AVE STE 200 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19125-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053881573 | Centennial Pharmacy Services Incorporated | Pharmacy | 1020 N Delaware Ave Ste 200, Philadelphia, PA 19125-4334 | 2018-11-27 |
| 1235786989 | Adriel Salgado Redondo | Pharmacist | 1020 N Delaware Ave Ste 200, Philadelphia, PA 19125-4334 | 2019-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194241810 | Latiana Ridgell | Registered Nurse | 1080 N. Delaware Ave, Suite 300d, Phildelphia, PA 19125 | 2017-08-15 |
| 1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
| 1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
| 1891232419 | Kristin Marie Iannuzzelli | Counselor | 1114 Earl Street, Philadelphia, PA 19125 | 2017-01-20 |
| 1811440399 | Temple University Hospital | Psychiatric Hospital | 100 East Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2016-08-01 |
| 1518343359 | Tamer Hassan Zayed Moustafa | Dentist | 100 E Lehigh Ave # Pm2, Philadelphia, PA 19125 | 2015-08-04 |
| 1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| 1457799165 | Ross Andrew Levine | Dentist | 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 | 2013-06-05 |
| 1518228543 | Kristen Kathleen Howland | Occupational Therapist | 404 East Flora St, Philadelphia, PA 19125 | 2012-06-06 |
| 1447539754 | Kiran Majeed | Psychiatry & Neurology | 100 E. Lehigh Aveune, Suite # 105, Philadelphia, PA 19125 | 2011-08-04 |
| Find all providers in zip 19125 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649497744 | Hospital Discount Pharmacy Inc | Pharmacy | 919 Holland Ave, Philadelphia, MS 39350-2115 | 2007-04-19 |
| 1891753992 | Medcare Ltc | Pharmacy | 5325 Old York Rd, Philadelphia, PA 19141-2900 | 2006-05-01 |
| 1598760639 | Glendale Prescription Center Inc | Pharmacy | 7601 Castor Ave, Ste 100 Lobby, Philadelphia, PA 19152-4026 | 2005-06-16 |
| 1760815419 | Future Medical Supply & Pharmacy, LLC. | Pharmacy | 9831 Bustleton Ave, Suite 3, Philadelphia, PA 19115-3200 | 2013-08-16 |
| 1730453291 | Clcressler Inc | Pharmacy | 6950 Germantown Ave, Suite 326 Contennial Wing, Germantown Home, Philadelphia, PA 19119-2120 | 2012-03-01 |
| 1083659734 | Neshoba County General Hospital | Pharmacy | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2006-06-18 |
| 1639150154 | Friendship Pharmacy Inc | Pharmacy | 3300 Cottman Ave, Philadelphia, PA 19149-1601 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830421 | Op Pharmacy LLC | Pharmacy | 7000 Stonewood Dr Ste 230, Wexford, PA 15090-7376 | 2020-10-28 |
| 1225654957 | Lins Group LLC | Pharmacy | 1500 Uhler Rd Ste 103, Easton, PA 18040-6682 | 2020-06-18 |
| 1669008306 | Claysville Pharmacy, LLC | Pharmacy | 575 Henderson Ave, Washington, PA 15301-1901 | 2020-03-13 |
| 1245861079 | Giant Eagle, Inc. | Pharmacy | 6204 State Route 30 Ste A, Greensburg, PA 15601-6399 | 2020-01-30 |
| 1730719147 | Millers Pharmacy Inc | Pharmacy | 41857 Us Rt 6, Farm & Home Plaza, Wyalusing, PA 18853 | 2020-01-24 |
| 1083269310 | Rp-prn Inc | Pharmacy | 503 Railroad Ave Ste 2, Patton, PA 16668-1342 | 2019-08-05 |
| 1417513292 | Superior Care Pharmacy Inc | Pharmacy | 518 Burke Byp, Olyphant, PA 18447-1805 | 2019-05-16 |
| 1053871806 | Gdd Pharmacy Services, Inc. | Pharmacy | 2025 Technology Pkwy Ste G04, Mechanicsburg, PA 17050-9400 | 2019-03-20 |
| 1497235196 | Minnich's Pharmacy Inc | Pharmacy | 974 S George St, York, PA 17403-3708 | 2018-08-21 |
| 1194204859 | Johnson's Pharmaceutical Services Inc | Pharmacy | 1400 Proline Pl Ste 800, Gettysburg, PA 17325-9401 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19125 |
Please comment or provide details below to improve the information on CENTENNIAL PHARMACY SERVICES INCORPORATED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.