Active NPI
Charlevoix Commons Apothecary, LTD
Doing business as Central Drug Store
- Community/Retail Pharmacy
- Charlevoix, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301000205
- Legal business name
- CHARLEVOIX COMMONS APOTHECARY, LTD
- Doing business as
- Central Drug Store
Central Drug Store Inc - Practice address
- 301 Bridge St
Charlevoix, MI 49720-1414 - Phone
- (231) 547-2424
- Fax
- (231) 547-0670
- NPI assigned
- Oct 13, 2006
- Last updated
- Nov 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lacey Gilde
- Title
- Owner
- Phone
- (231) 825-8175
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 5301000205 | MI | Primary |
Addresses
Primary practice location
301 Bridge St
Charlevoix, MI 49720-1414
Mailing address
301 Bridge St
Charlevoix, MI 49720-1414
Phone (231) 547-2424
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2313156 | Medicaid | MI | |
| 2313156 | Other | MI | NCPDP |
Other names 2
- Central Drug Store
- Central Drug Store Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930040416 | MI | DME Supplier - Pharmacy | 7719007277 | Practice locations: Charlevoix, MI |
| O20140725001362 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719007277 | Practice locations: Charlevoix, MI |
| O20200714003107 | MI | Part B Supplier - Independent Clinical Laboratory | 7719007277 | Practice locations: Charlevoix, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1078666 | Central Drug Store | Certificate of waiver | Jan 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
301 Bridge St
Charlevoix, MI 49720
Phone (231) 547-2424
301 Bridge St
Ste 1414
Charlevoix, MI 49720
Phone (231) 547-2424
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Mt Pleasant, MI
- NPI 1770910457
-
- Pharmacist
- Charlevoix, MI
- NPI 1649867714
-
- Pharmacist
- Charlevoix, MI
- NPI 1437229176
-
- Pharmacist
- Grayling, MI
- NPI 1194066068
-
- Pharmacist
- Charlevoix, MI
- NPI 1275722191
-
- Pharmacist
- Charlevoix, MI
- NPI 1619067519
-
- Pharmacist
- Charlevoix, MI
- NPI 1144727801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763337600000",
"number": "1831289735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 BRIDGE ST",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201414",
"telephone_number": "231-547-2424",
"fax_number": "231-547-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 BRIDGE ST",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201414",
"telephone_number": "231-547-2424",
"fax_number": "231-547-0670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLEVOIX COMMONS APOTHECARY, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A",
"authorized_official_last_name": "GILDE",
"authorized_official_first_name": "LACEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-825-8175"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301000205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2313156",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2313156",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Drug Store",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Central Drug Store Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlevoix, MI
- Cynthia Butcher, FNP-BC
- Thomas John Butcher, RPH
- Michael James Cebulski, CPRC,CADC
- Charlevoix Area Hospital (Charlevoix Surgeons)
- Charlevoix Area Hospital (Charlevoix Area Hospital Midlevel Group)
- Charlevoix County Coa
- Charlevoix Eye Center, P.C.
- Charlevoix Family Dentistry PLC
- Charlevoix Nursing Home Corporation (Boulder Park Terrace)
- Charlevoix Physicians Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.