Centennial Pharmacy Services Incorporated

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CENTENNIAL PHARMACY SERVICES INCORPORATED

Doing business as

centennial Pharmacy Services

Practice address

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

Phone

(267) 534-5025

Fax

(267) 324-5418

NPI assigned

Jul 1, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jay Mandra, PHARMD

Title

Ceo

Phone

(609) 200-5565

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• centennial Pharmacy Services Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

  • Community/Retail Pharmacy
  • Philadelphia, PA
  • NPI 1053881573

  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

  • Community/Retail Pharmacy
  • Philadelphia, PA
  • NPI 1053881573
  NPD tax ID

Locations

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": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1720640634",
    "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",
            "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",
            "fax_number": "267-324-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL PHARMACY SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035739960001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "centennial Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Center City Dermatology LLC

• Long Term Care Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Long Term Care 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.