Central Drug Co

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CENTRAL DRUG CO

Doing business as

Central Drug Store LTC

Practice address

100 Keith St SW
Cleveland, TN 37311-5803

Phone

(423) 476-4597

Fax

(423) 478-1694

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Keith Bernard Medley, PHARMDNPI 1174118582

Title

Partner

Phone

(423) 476-4597

Specialties & licenses 1

Addresses

Other names 1

• CENTRAL DRUG STORE LTC Doing business as

Tax ID family

Central Drug Co2 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.

• Central Drug Co

  • Community/Retail Pharmacy
  • Cleveland, TN
  • NPI 1558478297
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Bernard Medley, PHARMD

  • Pharmacist
  • Cleveland, TN
  • NPI 1174118582
  NPD Authorized official

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1699453985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KEITH ST SW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115803",
            "telephone_number": "423-476-4597",
            "fax_number": "423-478-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KEITH ST SW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115803",
            "telephone_number": "423-476-4597",
            "fax_number": "423-478-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "MEDLEY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "423-476-4597",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL DRUG STORE LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Caughey, DC
• Kylee Causey
• Jasmine Celeste, FNP-C
• Center for Pain Management, PLLC
• Central Drug Co
• Central Drug Co Peerless Crossing
• Central Drug LLC (Central Drug Peerless Crossing)
• John W Chambers, MD
• Champion Physical Therapy LLC Halls (CORA Physical Therapy - Cleveland)
• Anna Chancey, OTR

• Long Term Care Pharmacy in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Long Term Care Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.