Individual provider Active NPI

Joseph Dymowski

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1659735868
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP438514 Issued in PA
Practice address
2660 Lefevre St
Philadelphia, PA 19137-2044
Phone
(215) 850-5701
Fax
(215) 535-4115
NPI assigned
Apr 13, 2016
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP438514 PA Primary

Addresses

Primary practice location

2660 Lefevre St
Philadelphia, PA 19137-2044

Mailing address

33 Chews Landing Rd
Haddonfield, NJ 08033-3710
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

State licenses

LicenseStateTypeSpecialty
RP438514PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Pharmacy Services Incorporated Current Accepting new patients
Centennial Pharmacy Services Incorporated Current Accepting new patients
Independent RX Incorporated Past Accepting new patients
Independent RX Incorporated Past Accepting new patients

Locations

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

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1659735868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CHEWS LANDING RD",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080333710",
            "telephone_number": "215-850-5701",
            "fax_number": "215-535-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 LEFEVRE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191372044",
            "telephone_number": "215-850-5701",
            "fax_number": "215-535-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYMOWSKI",
        "first_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP438514",
            "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 Jan 7, 2021; 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.