CDL Central Drug Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

8-6924 Issued in OK

Legal business name

CDL CENTRAL DRUG INC

Practice address

722 S Main St
Stillwater, OK 74074

Phone

(405) 372-6120

Fax

(405) 372-2833

NPI assigned

Jan 3, 2018

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 3

Addresses

Other identifiers 2

Other names 1

• Central Drug LTC Other name

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.

  • Community/Retail Pharmacy
  • Stillwater, OK
  • NPI 1174921316
  NPD tax ID

Locations

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1902313604",
    "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": "740744400",
            "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": "722 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74074",
            "telephone_number": "405-372-6120",
            "fax_number": "405-372-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDL CENTRAL DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OK",
            "license": "8-6924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N/A FOR THIS NCPDP",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175279",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Drug LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cathy E Nieman, MD Inc
• 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

• Long Term Care Pharmacy in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Long Term Care Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.