MEDICAL VILLAGE PHARMACY
NPI 1053356360
Pharmacy - Community/Retail Pharmacy in Laurinburg, NC

Active since June 19, 2006CLIA 34D2115711 · Waiver
517 LAUCHWOOD DR, LAURINBURG, NC 28352(910) 276-1154(910) 276-0082 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 5, 2021, Feb 16, 2017 (2 updates tracked since 2017).

About Medical Village Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL VILLAGE PHARMACY (NPI 1053356360) is a healthcare organization registered as a community/retail pharmacy in Laurinburg, North Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 11, 2028 and lists James Herring, Owner, as its authorized official.

NPPES Registry Identity

NPI1053356360
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePICKLED HERRING INC
Location Address517 LAUCHWOOD DRLaurinburg, NC 28352-5502
Mailing Address517 Lauchwood DrLaurinburg, NC 28352-5502 · (910) 276-1154 · Fax (910) 276-0082
Fax(910) 276-0082
Organization SubpartNo
Authorized OfficialJames HerringOwner · (910) 276-1154
Enumeration DateJune 19, 2006
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
NPI 1053356360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NC · 08294
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
517 LAUCHWOOD DR, Laurinburg, NC 28352

Other Names 1

Doing Business AsMedical Village Pharmacy

Other Identifiers 3

Medicaid0885237NC
Other2069081Pk
Medicaid7N8294SC

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2115711

Medical Village Pharmacy · Laurinburg, NC
Active · expires Jul 11, 2028
CLIA Number34D2115711
Laboratory TypePharmacy
Certificate Effective DateJuly 12, 2026
Certificate Expiration DateJuly 11, 2028
Laboratory DirectorJames E. Herring
Laboratory Phone(910) 276-1154
Laboratory LocationMedical Village Pharmacy517 Lauchwood Drive, Laurinburg, NC 28352
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
51 services51 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
23 services23 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Long Term Care Pharmacy)
517 LAUCHWOOD DR
LAURINBURG, NC 28352
Pharmacist
517 LAUCHWOOD DR
LAURINBURG, NC 28352

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pickled Herring Inc's NPI number?

The NPI number for Pickled Herring Inc is 1053356360. It was assigned to this organization in the NPPES registry on June 19, 2006. The provider is doing business as Medical Village Pharmacy.

Where is Pickled Herring Inc located?

Pickled Herring Inc is located at 517 Lauchwood Dr, Laurinburg, NC 28352. The listed phone number is (910) 276-1154.

What is Pickled Herring Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Pickled Herring Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2115711) is associated with this NPI, valid through July 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pickled Herring Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Pickled Herring Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pickled Herring Inc was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.