Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CENTENNIAL PHARMACY SERVICES INCORPORATED
NPI 1720640634
Pharmacy - Long Term Care Pharmacy in Philadelphia, PA

Active since July 01, 2019
1020 N DELAWARE AVE STE 200, PHILADELPHIA, PA 19125(267) 534-5025(267) 324-5418 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centennial Pharmacy Services Incorporated NPPES

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

CENTENNIAL PHARMACY SERVICES INCORPORATED (NPI 1720640634), doing business as Centennial Pharmacy Services, is a healthcare organization registered as a long term care pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since July 2019. The organization lists Jay Mandra, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720640634
Entity TypeOrganization
Primary Taxonomy3336L0003X
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 · (215) 850-5701 · Fax (800) 720-4753
Fax(267) 324-5418
Organization SubpartNo
Authorized OfficialJay MandraCeo · (609) 200-5565
Enumeration DateJuly 1, 2019
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
NPI 1720640634 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.
1020 N DELAWARE AVE STE 200, Philadelphia, PA 19125

Other Names 1

Doing Business AsCentennial Pharmacy Services

Other Identifiers 1

Medicaid1035739960001PA

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Centennial Pharmacy Services carries, from the Medicare DMEPOS supplier directory.

Centennial Pharmacy Services

DMEPOS supplier · Philadelphia, PAOperated by Centennial Pharmacy Services Incorporated

Accepts Medicare assignment

Centennial Pharmacy Services agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20419409
Medicare Participant SinceOctober 18, 2019
Supplier Location1020 N Delaware Ave Ste 200Philadelphia, PA 19125
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

Pharmacy (Community/Retail Pharmacy)
1020 N DELAWARE AVE STE 200
PHILADELPHIA, PA 19125
Pharmacist
1020 N DELAWARE AVE STE 200
PHILADELPHIA, PA 19125

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 1720640634. It was assigned to this organization in the NPPES registry on July 1, 2019. The provider is doing business as centennial Pharmacy Services.

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 Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Centennial Pharmacy Services Incorporated accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Centennial Pharmacy Services accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 43 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.