Healthcare Provider Details

I. General information

NPI: 1942441886
Provider Name (Legal Business Name): CENTERWELL PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2009
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9843 WINDISCH RD
WEST CHESTER OH
45069-3826
US

IV. Provider business mailing address

PO BOX 78665
MILWAUKEE WI
53278-8665
US

V. Phone/Fax

Practice location:
  • Phone: 800-486-2668
  • Fax: 877-405-7940
Mailing address:
  • Phone: 800-486-2668
  • Fax: 877-405-7940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberMOP.021826600-03
License Number StateOH

VIII. Authorized Official

Name: SEAN LYSINGER
Title or Position: VP
Credential:
Phone: 502-580-2376