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 Specialty Pharmacy · NPI 1730982596

Our Lady of Lourdes Memorial Hospital, Inc is a Specialty Pharmacy in Johnson City, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

501 Reynolds Rd
Johnson City, NY 13790-1311
Phone: (607) 798-5533
Fax: (607) 798-5534
Show map & directions

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

Specialties & licences

Specialty Pharmacy (primary) Taxonomy 3336S0011X

Record details

NPI number1730982596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shayne Wilcox — Outpatient Pharmacy Manager · (607) 798-5911
Other names Guthrie Johnson City Pavilion Specialty Pharmacy; Guthrie Johnson City Pavilion Specialty Pharmacy
NPI enumeratedMarch 28, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address501 Reynolds Rd, Johnson City, NY 13790-1311