OrganizationActive
Central Drug Store Inc.
NPI 1124847074 · Long Term Care Pharmacy · Medford, OR
Central Drug Store Inc. is a Long Term Care Pharmacy organization in Medford, OR (NPI 1124847074).
Provider details
- NPI number
- 1124847074
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jeffrey Harrell, Owner(360) 859-8659
Specialties & taxonomies
Suppliers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2924 Siskiyou Blvd Ste 102
Medford, OR 97504-8194
Phone: (541) 773-5356
Fax: (541) 770-2999
Street-level locationGet directions
Mailing address
Po Box B
Ilwaco, WA 98624-0167
Other names (DBA / former)
- Doing business as
- Black Oak Pharmacy Ltc
Registry dates
- Enumerated
- 2024-10-08
- Last updated
- 2025-12-20
- Certified
- 2025-12-20
Frequently asked questions
- What is Central Drug Store Inc.'s NPI number?
- Central Drug Store Inc.'s National Provider Identifier (NPI) is 1124847074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Drug Store Inc.?
- Central Drug Store Inc. is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Central Drug Store Inc. located?
- Central Drug Store Inc.'s practice location on file with NPPES is 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194.
- What is Central Drug Store Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Central Drug Store Inc. is (541) 773-5356.
- Who is the authorized official for Central Drug Store Inc.?
- The authorized official listed on Central Drug Store Inc.'s NPPES record is Jeffrey Harrell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Drug Store Inc.'s NPI active?
- Yes — Central Drug Store Inc.'s NPI (1124847074) is active in the NPPES registry as of the last update on 2025-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.