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 Community/Retail Pharmacy · NPI 1508576612

Our Lady of Lourdes Memorial Hospital Inc is a Community/Retail Pharmacy in Johnson City, New York. Registered with an NPI since 2022.

In the registry since
2022
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

501 Reynolds Rd
Johnson City, NY 13790-1311
Phone: (607) 798-5533
Fax: (607) 798-5534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1508576612
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOur Lady of Lourdes Memorial Hospital Inc
Authorized official Shayne Wilcox — Outpatient Pharmacy Manager · (607) 798-5911
Other names Lourdes Pharmacy Johnson City
NPI enumeratedNovember 29, 2022
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing address501 Reynolds Rd, Johnson City, NY 13790-1311

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