Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Central Drug Store Inc

Community/Retail Pharmacy in Shady Cove, OR · enumerated 2007 · authorized official Timothy Lichlyter, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790830446

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Central Drug Store Inc

Other name <Unavail>

Practice address 21195 Hwy 62, Shady Cove, OR, 97539

Phone (541) 878-3151

Fax (541) 878-8228

Enumeration date Jan 24, 2007

Last updated in NPPES Aug 25, 2010

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License RP0000715CS (OR) Primary

Authorized official

Name Timothy Lichlyter

Title President

Phone (541) 494-2616

Other identifiers

Identifier	Type	State	Issuer
3810339	Other	-	NCPDP PROVIDER IDENTIFICATION NUMBER
009584	Medicaid	OR	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Central Drug Store Inc located?

The practice location on file with NPPES is in Shady Cove, OR.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-08-25. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-08-25.