Ye Olde Medicine Shoppe Inc
NPI 1790004182 · Community/Retail Pharmacy · Drayton, ND
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ye Olde Medicine Shoppe Inc is a Community/Retail Pharmacy organization in Drayton, ND (NPI 1790004182).
Provider details
- NPI number
- 1790004182
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Laurie Larson, President(701) 284-7676
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Drayton Drug
Registry dates
- Enumerated
- 2010-05-25
- Last updated
- 2016-10-26
Frequently asked questions
- What is Ye Olde Medicine Shoppe Inc's NPI number?
- Ye Olde Medicine Shoppe Inc's National Provider Identifier (NPI) is 1790004182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ye Olde Medicine Shoppe Inc?
- Ye Olde Medicine Shoppe Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Ye Olde Medicine Shoppe Inc located?
- Ye Olde Medicine Shoppe Inc's practice location on file with NPPES is 104 E Highway 66, Drayton, ND 58225-4804.
- What is Ye Olde Medicine Shoppe Inc's phone number?
- The practice phone number listed in the NPPES registry for Ye Olde Medicine Shoppe Inc is (701) 454-3831.
- Does Ye Olde Medicine Shoppe Inc accept Medicare?
- Ye Olde Medicine Shoppe Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ye Olde Medicine Shoppe Inc?
- The authorized official listed on Ye Olde Medicine Shoppe Inc's NPPES record is Laurie Larson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ye Olde Medicine Shoppe Inc's NPI active?
- Yes — Ye Olde Medicine Shoppe Inc's NPI (1790004182) is active in the NPPES registry as of the last update on 2016-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.