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YE OLDE MEDICINE SHOPPE
NPI 1720020324
Pharmacy - Community/Retail Pharmacy in Park River, ND

Active since June 11, 2006
503 PARK ST W, PARK RIVER, ND 58270(701) 284-7676(701) 284-6129 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, May 15, 2018 (3 updates tracked since 2018).

About Ye Olde Medicine Shoppe NPPES

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

YE OLDE MEDICINE SHOPPE (NPI 1720020324), doing business as Ye Olde Medicine Center, is a healthcare organization registered as a community/retail pharmacy in Park River, North Dakota and active in the NPI registry since June 2006. The organization lists Laurie Larson, Presdient, as its authorized official.

NPPES Registry Identity

NPI1720020324
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameYE OLDE MEDICINE SHOPPE
Location Address503 PARK ST WPark River, ND 58270-4137
Mailing Address503 Park St WPark River, ND 58270-4137 · (701) 284-7676 · Fax (701) 284-6129
Phone(701) 284-7676
Fax(701) 284-6129
Organization SubpartNo
Authorized OfficialLaurie LarsonPresdient · (701) 284-7676
Enumeration DateJune 11, 2006
Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration
✔ NPI 1720020324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in ND · PHAR59
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
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
503 PARK ST W, Park River, ND 58270
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Other Names 1

Doing Business AsYe Olde Medicine Center

Other Identifiers 2

Medicaid20668ND
Other2071194Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

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.
44 services43 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.
40 services40 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Ye Olde Medicine Center carries, from the Medicare DMEPOS supplier directory.

Ye Olde Medicine Center

DMEPOS supplier · Park River, NDOperated by Ye Olde Medicine Shoppe
⋮

Does not accept Medicare assignment

Ye Olde Medicine Center has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20516681
Medicare Participant SinceJanuary 1, 2013
Supplier Location503 Park St WPark River, ND 58270
Phone(701) 284-7676
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 8

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

PIPER LUOTO PHARMD, RPH
Pharmacist
503 PARK ST W
PARK RIVER, ND 58270
Walsh County (701) 284-7676
KARA RUHLAND PHARM D
Pharmacist
503 PARK ST W
PARK RIVER, ND 58270
Walsh County (701) 284-7676
KRISTIN MARIE STABO NP
Nurse Practitioner (Family)
503 PARK ST W
PARK RIVER, ND 58270
Walsh County (701) 284-6663
TAYLOR MARIE KELSEY PHARMD
Pharmacist
503 PARK ST W
PARK RIVER, ND 58270
Walsh County (701) 284-7676
MIDGARDEN FAMILY CLINIC PC
Clinic/Center (Health Service)
503 PARK ST W
PARK RIVER, ND 58270
Walsh County (701) 284-6663
DANIEL JAMES DEGREE PHARM.D.
Pharmacist
503 PARK ST W
PARK RIVER, ND 58270
Walsh County (701) 284-7676
KADEE COLLEEN GULLICKSON PHARMD
Pharmacist
503 PARK ST W
PARK RIVER, ND 58270
Walsh County (701) 284-7676
DR. KRISTI J MIDGARDEN M.D.
Family Medicine
503 PARK ST W
PARK RIVER, ND 58270
Walsh County (701) 284-6663

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 Ye Olde Medicine Shoppe's NPI number?

The NPI number for Ye Olde Medicine Shoppe is 1720020324. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider is doing business as Ye Olde Medicine Center.

Where is Ye Olde Medicine Shoppe located?

Ye Olde Medicine Shoppe is located at 503 Park St W, Park River, ND 58270. The listed phone number is (701) 284-7676.

What is Ye Olde Medicine Shoppe's specialty?

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

Does Ye Olde Medicine Shoppe accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Ye Olde Medicine Center does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Ye Olde Medicine Shoppe 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 46 other insurers list Ye Olde Medicine Shoppe 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 Ye Olde Medicine Shoppe was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.