Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Our Lady of Lourdes Memorial Hospital, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1063824852

Our Lady of Lourdes Memorial Hospital, Inc is a Durable Medical Equipment & Medical Supplies in Vestal, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3101 Shippers Rd Ste 104
Vestal, NY 13850-2003
Phone: (607) 251-2151
Fax: (607) 251-2194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 032604 (NY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1063824852
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOur Lady of Lourdes Memorial Hospital Inc
Authorized official Shayne Wilcox — Director, Community Pharmacy · (607) 798-5911
Other names Lourdes Pharmacy
NPI enumeratedMay 28, 2014
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address3101 Shippers Rd, Suite 104, Vestal, NY 13850-2003

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