OrganizationActiveAccepts Medicare
Our Lady of Lourdes Memorial Hospital Inc
NPI 1265077069 · Community/Retail Pharmacy · Binghamton, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1265077069
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Our Lady of Lourdes Memorial Hospital Inc
- Organization subpart
- Yes
- Authorized official
- Thomas Forrest, Outpatient Pharmacy/ 340b Director(607) 798-5944
Specialties & taxonomies
Suppliers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
17 Chenango Bridge Rd
Binghamton, NY 13901-1233
Phone: (607) 798-5500
Fax: (607) 798-5501
Street-level locationGet directions
Mailing address
169 Riverside Dr
Binghamton, NY 13905-4198
Registry dates
- Enumerated
- 2019-11-15
- Last updated
- 2019-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.