Is this your practice, Ye Olde Shoppe LLC? This profile is yours to edit: update your address, phone, photo and services.
Edit this profileYe Olde Shoppe LLC is a healthcare organization in Southport, NC, registered under community / retail pharmacy. According to Medicare claims data, the services billed most often include administration of influenza virus vaccine, influenza vaccine, inactivated, and sarscv2 vac 30mcg trs-suc im. This provider record is associated with NPI 1326613894.
Factual summary compiled by Guide.md from public records; not written by this provider.
2571 SAINT JAMES DR UNIT 102-C
Southport, NC 28461
2,669 services · 2,582 patients · 6 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Influenza vaccine, inactivated | Treatment | 90653 |
724 |
| Sarscv2 vac 30mcg trs-suc im | Treatment | 91320 |
576 |
| Admn sarscov2 vacc 1 dose | Treatment | 90480 |
569 |
| Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | Treatment | 90677 |
23 |
| Administration of influenza virus vaccine | Billing code | G0008 |
754 |
| Administration of pneumococcal vaccine | Billing code | G0009 |
23 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Ye Olde Shoppe LLC is a community / retail pharmacy in Southport, NC. That is the designation recorded for this NPI in the federal registry.
NPI registry
Ye Olde Shoppe LLC is listed at 2571 Saint James Dr Unit 102-C, Southport, NC 28461. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (910) 946-7999. Contact the office directly to confirm availability and scheduling.
NPI registry
Ye Olde Shoppe LLC's National Provider Identifier is 1326613894. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
According to Medicare billing data, Ye Olde Shoppe LLC provides treatments such as influenza vaccine, inactivated and sarscv2 vac 30mcg trs-suc im. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Ye Olde Shoppe LLC. If this is you, claiming it is free.
Guide.md
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