Individual provider Active NPI

Adriel Salgado Redondo, PHARMD

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1235786989
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP453765 Issued in PA
Practice address
1020 N Delaware Ave Ste 200
Philadelphia, PA 19125-4334
Phone
(215) 850-5701
NPI assigned
Aug 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP453765 PA Primary

Addresses

Primary practice location

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

Mailing address

1020 N Delaware Ave Ste 200
Philadelphia, PA 19125-4334
Phone (215) 850-5701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP453765PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Pharmacy Services Incorporated PastSince Aug 25, 2019 Accepting new patients
Centennial Pharmacy Services Incorporated PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1235786989",
    "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": "215-850-5701"
        },
        {
            "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": "215-850-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDONDO",
        "first_name": "ADRIEL",
        "middle_name": "SALGADO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP453765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.