OrganizationActive
Central Drug LLC
NPI 1629377064 · Community/Retail Pharmacy · Cement, OK
Provider details
- NPI number
- 1629377064
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Glenn Gilbreath Jr., Owner/Manager(405) 224-2858
- License
- 20-5654 (OK)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs 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
307 N Main St
Cement, OK 73017-0300
Phone: (405) 489-3521
Fax: (405) 489-3521
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 300
Cement, OK 73017-0300
Other names (DBA / former)
- Doing business as
- Cement Drug LLC
Registry dates
- Enumerated
- 2011-03-24
- Last updated
- 2013-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.