Ye Olde Medicine Shoppe Inc
Community/Retail Pharmacy
104 E Highway 66, Drayton
North Dakota, 58225-4804
701-454-3831 701-454-3338
Ye Olde Medicine Shoppe Inc is a Community/Retail Pharmacy in Drayton, North Dakota. It is located at 104 E Highway 66, Drayton and it's customer support contact number is 701-454-3831. The authorized person of Ye Olde Medicine Shoppe Inc is Laurie Larson, R.PH. who is President of the pharmacy and his contact number is 701-284-7676. Active license number of Ye Olde Medicine Shoppe Inc is PHAR362 for Community/Retail Pharmacy in North Dakota. Ye Olde Medicine Shoppe Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Ye Olde Medicine Shoppe Inc is 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.
Pharmacy Details:
Ye Olde Medicine Shoppe Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Ye Olde Medicine Shoppe Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 104 E Highway 66, Drayton,
North Dakota, 58225-4804 |
| Phone: | 701-454-3831 |
| Fax: | 701-454-3338 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Laurie Larson |
| Credentials: | R.PH. |
| Position: | President |
| Contact Number: | 701-284-7676 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1790004182 |
| NPI Enumeration Date: | 25 May, 2010 |
| NPI Last Update On: | 26 Oct, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ye Olde Medicine Shoppe Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHAR362 | North Dakota | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2125584 | Other | | Pk |
| 21549 | Medicaid | North Dakota | |
Medicare Enrollment:
Ye Olde Medicine Shoppe Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3072630235 | O20110302000291 | Ye Olde Medicine Shoppe Inc | DME SUPPLIER - PHARMACY |
| 3072630235 | O20130123000480 | Ye Olde Medicine Shoppe Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 104 E Highway 66,
Drayton, North Dakota |
| Zip: | 58225-4804 |
| Phone Number: | 701-454-3831 |
| Fax Number: | 701-454-3338 |
Patients can reach Ye Olde Medicine Shoppe Inc at
104 E Highway 66, Drayton, North Dakota or can
call on customer care at 701-454-3831.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.