CDL Central Drug, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8-6924 Issued in OK

Legal business name

CDL CENTRAL DRUG, INC.

Doing business as

Central Drug

Practice address

1220 W 12TH Ave
Stillwater, OK 74074-4668

Phone

(405) 372-6120

Fax

(405) 372-2833

NPI assigned

Dec 19, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen Bayer

Title

President/Pic

Phone

(405) 372-6120

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Central Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

CDL Central Drug Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CDL Central Drug Inc

  • Long Term Care Pharmacy
  • Stillwater, OK
  • NPI 1902313604
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1174921316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W 12TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744668",
            "telephone_number": "405-372-6120",
            "fax_number": "405-372-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W 12TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744668",
            "telephone_number": "405-372-6120",
            "fax_number": "405-372-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDL CENTRAL DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "BAYER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "405-372-6120"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "8-6924",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OK",
            "license": "8-6924",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149381",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200568490A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Caudillo
• Kelsey Cave, PHARMD, BCPS
• Courtney Cavett, M.S., LPC
• John Robert Cawlfield Jr.
• CDL Central Drug Inc
• Central Oklahoma Oral & Maxillofacial Surgery Associates
• Sarai Cerano
• Kaydee Marie Cerise
• Morgan Natane Chamberlin
• Julie Dawn Champlain, R.N.

• Community/Retail Pharmacy in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.