1. Home
  2. Directory
  3. New York
  4. Vestal
  5. Pharmacy
  6. NPI Profile

OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
NPI 1063824852
Pharmacy - Community/Retail Pharmacy in Vestal, NY

Active since May 28, 2014
3101 SHIPPERS RD STE 104, VESTAL, NY 13850(607) 251-2151(607) 251-2194 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Our Lady Of Lourdes Memorial Hospital, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. (NPI 1063824852), doing business as Lourdes Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Vestal, New York and active in the NPI registry since May 2014. The organization lists Shayne Wilcox, Director, Community Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1063824852
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameOUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
Location Address3101 SHIPPERS RD STE 104Vestal, NY 13850-2003
Mailing Address3101 Shippers Rd, Suite 104Vestal, NY 13850-2003 · (607) 251-2151 · Fax (607) 251-2194
Phone(607) 251-2151
Fax(607) 251-2194
Organization SubpartYesParent: Our Lady Of Lourdes Memorial Hospital Inc
Authorized OfficialShayne WilcoxDirector, Community Pharmacy · (607) 798-5911
Enumeration DateMay 28, 2014
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1063824852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NY · 032604
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
3101 SHIPPERS RD STE 104, Vestal, NY 13850
Open in Google Maps ↗

Other Names 1

Doing Business AsLourdes Pharmacy

Other Identifiers 1

Other2145824Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Lourdes Pharmacy Vestal carries, from the Medicare DMEPOS supplier directory.

Lourdes Pharmacy Vestal

DMEPOS supplier · Vestal, NYOperated by Our Lady Of Lourdes Memorial Hospital Inc
✔

Accepts Medicare assignment

Lourdes Pharmacy Vestal agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20678489
Medicare Participant SinceOctober 1, 1984
Supplier Location3101 Shippers RdVestal, NY 13850
Phone(607) 251-2191
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Our Lady Of Lourdes Memorial Hospital, Inc.'s NPI number?

The NPI number for Our Lady Of Lourdes Memorial Hospital, Inc. is 1063824852. It was assigned to this organization in the NPPES registry on May 28, 2014. The provider is doing business as Lourdes Pharmacy.

Where is Our Lady Of Lourdes Memorial Hospital, Inc. located?

Our Lady Of Lourdes Memorial Hospital, Inc. is located at 3101 Shippers Rd Ste 104, Vestal, NY 13850. The listed phone number is (607) 251-2151.

What is Our Lady Of Lourdes Memorial Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Our Lady Of Lourdes Memorial Hospital, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Lourdes Pharmacy Vestal accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Our Lady Of Lourdes Memorial Hospital, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 45 other insurers list Our Lady Of Lourdes Memorial Hospital, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Our Lady Of Lourdes Memorial Hospital, Inc. was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.