Centennial Pharmacy Services Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CENTENNIAL PHARMACY SERVICES INCORPORATED

Practice address

1020 N Delaware Ave Ste 200
Philadelphia, PA 19125-4334

Phone

(267) 534-5025

NPI assigned

Nov 27, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jay Mandra, PHARMD

Title

Ceo

Phone

(609) 200-5565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Centennial Pharmacy Services Incorporated

  • Long Term Care Pharmacy
  • Philadelphia, PA
  • NPI 1720640634

  O20191105002298

  Same enrollment

Tax ID family

Centennial Pharmacy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Centennial Pharmacy Services Incorporated

  • Long Term Care Pharmacy
  • Philadelphia, PA
  • NPI 1720640634
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Dymowski

  • Pharmacist
  • Philadelphia, PA
  • NPI 1659735868
  NPD
• Adriel Salgado Redondo, PHARMD

  • Pharmacist
  • Philadelphia, PA
  • NPI 1235786989
  NPD (past)
• Violet Wilkerson

  • Community Health Worker
  • Philadelphia, PA
  • NPI 1861337818
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1053881573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N DELAWARE AVE STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254334",
            "telephone_number": "267-534-5025",
            "fax_number": "800-720-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N DELAWARE AVE STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254334",
            "telephone_number": "267-534-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL PHARMACY SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "MANDRA",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-200-5565",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keara Cenatus
• Angel Cendana
• Keith Cengel, MD, PHD
• Centennial Care Continuum
• Centennial Healthcare, LLC
• Centennial Pharmacy Services Incorporated
• Lisette Centeno
• Seisha Marcelina Centeno, MD
• Center City Chiropractic & Rehabilitation
• Center City Dental Associates

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.