CENTENNIAL PHARMACY SERVICES INCORPORATED - NPI 1053881573

Q: What is Centennial Pharmacy Services Incorporated's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

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About Centennial Pharmacy Services Incorporated NPPES

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

CENTENNIAL PHARMACY SERVICES INCORPORATED (NPI 1053881573) is a healthcare organization registered as a community/retail pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Jay Mandra, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053881573

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameCENTENNIAL PHARMACY SERVICES INCORPORATED

Location Address1020 N DELAWARE AVE STE 200Philadelphia, PA 19125-4334

Mailing Address1020 N Delaware Ave Ste 200Philadelphia, PA 19125-4334 · (267) 534-5025 · Fax (800) 720-4753

Phone(267) 534-5025

Organization SubpartNo

Authorized OfficialJay MandraCeo · (609) 200-5565

Enumeration DateNovember 27, 2018

Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1053881573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

1020 N DELAWARE AVE STE 200, Philadelphia, PA 19125

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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 39D2260026

Centennial Pharmacy Services, Incorporated · Philadelphia, PA

Active · expires May 12, 2028

CLIA Number39D2260026

Laboratory TypePharmacy

Certificate Effective DateMay 13, 2026

Certificate Expiration DateMay 12, 2028

Laboratory DirectorDr. Joseph M. Dymowski

Laboratory Phone(267) 324-5347

Laboratory LocationCentennial Pharmacy Services, Incorporated1020 N Delaware Avenue Suite 200, Philadelphia, PA 19125

CLIA data matches this NPI record on: Address Name

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.

DR. ADRIEL SALGADO REDONDO PHARMD

Pharmacist

1020 N DELAWARE AVE STE 200
PHILADELPHIA, PA 19125

Philadelphia County (215) 850-5701

CENTENNIAL PHARMACY SERVICES INCORPORATED

Pharmacy (Long Term Care Pharmacy)

1020 N DELAWARE AVE STE 200
PHILADELPHIA, PA 19125

Philadelphia County (267) 534-5025

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 Centennial Pharmacy Services Incorporated's NPI number?

The NPI number for Centennial Pharmacy Services Incorporated is 1053881573. It was assigned to this organization in the NPPES registry on November 27, 2018.

Where is Centennial Pharmacy Services Incorporated located?

Centennial Pharmacy Services Incorporated is located at 1020 N Delaware Ave Ste 200, Philadelphia, PA 19125. The listed phone number is (267) 534-5025.

What is Centennial Pharmacy Services Incorporated's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Centennial Pharmacy Services Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2260026) is associated with this NPI, valid through May 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Centennial Pharmacy Services Incorporated 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 44 other insurers list Centennial Pharmacy Services Incorporated 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 Centennial Pharmacy Services Incorporated was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.