Our Lady of Lourdes Memorial Hospital, Inc.
NPI 1063824852 · Community/Retail Pharmacy · Vestal, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Our Lady of Lourdes Memorial Hospital, Inc. is a Community/Retail Pharmacy organization in Vestal, NY (NPI 1063824852).
Provider details
- NPI number
- 1063824852
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gregg Hayton, Cfo(607) 798-5285
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- Lourdes Pharmacy
Registry dates
- Enumerated
- 2014-05-28
- Last updated
- 2014-05-28
Frequently asked questions
- What is Our Lady of Lourdes Memorial Hospital, Inc.'s NPI number?
- Our Lady of Lourdes Memorial Hospital, Inc.'s National Provider Identifier (NPI) is 1063824852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Our Lady of Lourdes Memorial Hospital, Inc.?
- Our Lady of Lourdes Memorial Hospital, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Our Lady of Lourdes Memorial Hospital, Inc. located?
- Our Lady of Lourdes Memorial Hospital, Inc.'s practice location on file with NPPES is 3101 Shippers Rd Ste 104, Vestal, NY 13850-2003.
- What is Our Lady of Lourdes Memorial Hospital, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Our Lady of Lourdes Memorial Hospital, Inc. is (607) 251-2151.
- Does Our Lady of Lourdes Memorial Hospital, Inc. accept Medicare?
- Our Lady of Lourdes Memorial Hospital, 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 Our Lady of Lourdes Memorial Hospital, Inc.?
- The authorized official listed on Our Lady of Lourdes Memorial Hospital, Inc.'s NPPES record is Gregg Hayton, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Our Lady of Lourdes Memorial Hospital, Inc.'s NPI active?
- Yes — Our Lady of Lourdes Memorial Hospital, Inc.'s NPI (1063824852) is active in the NPPES registry as of the last update on 2014-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.