Organization Active NPI

Clinical Support Center Inc

  • Community/Retail Pharmacy
  • Cheltenham, PA
National Provider Identifier
1194238923
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482761 Issued in PA
Legal business name
CLINICAL SUPPORT CENTER INC
Practice address
541 Central Ave
Cheltenham, PA 19012-2135
Phone
(215) 379-3792
Fax
(215) 379-3249
NPI assigned
Nov 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Arthur Kilimnik
Title
President
Phone
(215) 379-3792

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP482761 PA Primary

Addresses

Primary practice location

541 Central Ave
Cheltenham, PA 19012-2135

Mailing address

541 Central Avenue
Cheltenham, PA 19012-2130
Phone (215) 379-3792

Other identifiers 2

IdentifierTypeStateIssuer
000000000000MedicaidPA
2173480OtherPK

Other names 1

  • Central Avenue Pharmacy Other name

National Provider Directory

National Provider Directory

Locations

541 Central Ave
Cheltenham, PA 19012
Phone (215) 379-3792

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1194238923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 CENTRAL AVENUE",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190122130",
            "telephone_number": "215-379-3792",
            "fax_number": "215-379-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 CENTRAL AVE",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190122135",
            "telephone_number": "215-379-3792",
            "fax_number": "215-379-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SUPPORT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "KILIMNIK",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-379-3792"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2173480",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Avenue Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cheltenham, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.