Our Lady of Lourdes Memorial Hospital Inc
NPI 1508576612 · Community/Retail Pharmacy · Johnson City, 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 Johnson City, NY (NPI 1508576612).
Provider details
- NPI number
- 1508576612
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Our Lady of Lourdes Memorial Hospital Inc
- Organization subpart
- Yes
- Authorized official
- Shayne Wilcox, Outpatient Pharmacy Manager(607) 798-5911
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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 Johnson City
Registry dates
- Enumerated
- 2022-11-29
- Last updated
- 2022-11-29
- Certified
- 2022-11-29
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 1508576612, 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 501 Reynolds Rd, Johnson City, NY 13790-1311.
- 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) 798-5533.
- 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 Shayne Wilcox, Outpatient Pharmacy Manager. 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 (1508576612) is active in the NPPES registry as of the last update on 2022-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.