Central Drug Store Inc
Community/Retail Pharmacy
21195 Hwy 62, Shady Cove
Oregon, 97539-9715
541-878-3151 541-878-8228
Central Drug Store Inc is a Community/Retail Pharmacy in Shady Cove, Oregon. It is located at 21195 Hwy 62, Shady Cove and it's customer support contact number is 541-878-3151. The authorized person of Central Drug Store Inc is Timothy Lichlyter who is President of the pharmacy and his contact number is 541-494-2616. Active license number of Central Drug Store Inc is RP0000715CS for Community/Retail Pharmacy in Oregon. Central Drug Store Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Central Drug Store Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Central Drug Store Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Central Drug Store Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 21195 Hwy 62, Shady Cove,
Oregon, 97539-9715 |
| Phone: | 541-878-3151 |
| Fax: | 541-878-8228 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Timothy Lichlyter |
| Position: | President |
| Contact Number: | 541-494-2616 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1790830446 |
| NPI Enumeration Date: | 24 Jan, 2007 |
| NPI Last Update On: | 25 Aug, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Central Drug Store Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | RP0000715CS | Oregon | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3810339 | Other | | Ncpdp Provider Identification Number |
| 009584 | Medicaid | Oregon | |
Medicare Enrollment:
Central Drug Store Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6608895735 | O20051117000213 | Central Drug Store Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 700,
Shady Cove, Oregon |
| Zip: | 97539-0700 |
| Phone Number: | -- |
Patients can reach Central Drug Store Inc at
21195 Hwy 62, Shady Cove, Oregon or can
call on customer care at 541-878-3151.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.