1. Home
  2. Directory
  3. Oregon
  4. Medford
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

CENTRAL DRUG STORE INC.
NPI 1629220678
Durable Medical Equipment & Medical Supplies in Medford, OR

Active since October 21, 2008
4800 CRATER LAKE AVE, MEDFORD, OR 97504(541) 773-5083 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Central Drug Store Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL DRUG STORE INC. (NPI 1629220678), doing business as Black Oak Home Medical, is a healthcare organization registered as a durable medical equipment & medical supplies in Medford, Oregon and active in the NPI registry since October 2008. The organization lists Jeffrey Harrell, Owner, as its authorized official.

NPPES Registry Identity

NPI1629220678
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCENTRAL DRUG STORE INC.
Location Address4800 CRATER LAKE AVEMedford, OR 97504-9753
Mailing AddressPo Box BIlwaco, WA 98624-0167
Phone(541) 773-5083
Organization SubpartNo
Authorized OfficialJeffrey HarrellOwner · (360) 859-8659
Enumeration DateOctober 21, 2008
Last NPPES UpdateDecember 29, 2025
NPPES CertifiedDecember 29, 2025
✔ NPI 1629220678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in OR · RP0000767
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
4800 CRATER LAKE AVE, Medford, OR 97504
Open in Google Maps ↗

Other Names 1

Doing Business AsBlack Oak Home Medical

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Drug Store Inc.'s NPI number?

The NPI number for Central Drug Store Inc. is 1629220678. It was assigned to this organization in the NPPES registry on October 21, 2008. The provider is doing business as Black Oak Home Medical.

Where is Central Drug Store Inc. located?

Central Drug Store Inc. is located at 4800 Crater Lake Ave, Medford, OR 97504. The listed phone number is (541) 773-5083.

What is Central Drug Store Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Central Drug Store Inc. was last updated on December 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.