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SHADY COVE PHARMACY
NPI 1790830446
Pharmacy - Community/Retail Pharmacy in Shady Cove, OR

Active since January 24, 2007
21195 HWY 62, SHADY COVE, OR 97539(541) 878-3151(541) 878-8228 Get Directions Write a Review

NPPES record last updated: August 25, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shady Cove Pharmacy NPPES

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

SHADY COVE PHARMACY (NPI 1790830446) is a healthcare organization registered as a community/retail pharmacy in Shady Cove, Oregon and active in the NPI registry since January 2007. The organization lists Timothy Lichlyter, President, as its authorized official.

NPPES Registry Identity

NPI1790830446
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCENTRAL DRUG STORE INC
Location Address21195 HWY 62Shady Cove, OR 97539-9715
Mailing AddressPo Box 700Shady Cove, OR 97539-0700
Phone(541) 878-3151
Fax(541) 878-8228
Organization SubpartNo
Authorized OfficialTimothy LichlyterPresident · (541) 494-2616
Enumeration DateJanuary 24, 2007
Last NPPES UpdateAugust 25, 2010
✔ NPI 1790830446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OR · RP0000715CS
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
21195 HWY 62, Shady Cove, OR 97539
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Other Names 1

Doing Business AsShady Cove Pharmacy

Other Identifiers 2

Other3810339Ncpdp Provider Identification Number
Medicaid009584OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
47 services47 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
44 services44 patients

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 1790830446. It was assigned to this organization in the NPPES registry on January 24, 2007. The provider is doing business as Shady Cove Pharmacy.

Where is Central Drug Store Inc located?

Central Drug Store Inc is located at 21195 Hwy 62, Shady Cove, OR 97539. The listed phone number is (541) 878-3151.

What is Central Drug Store Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Central Drug Store Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Central Drug Store Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Central Drug Store Inc was last updated on August 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.