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OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
NPI 1508576612
Pharmacy - Community/Retail Pharmacy in Johnson City, NY

Active since November 29, 2022
501 REYNOLDS RD, JOHNSON CITY, NY 13790(607) 798-5533(607) 798-5534 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: October 04, 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 1508576612), doing business as Lourdes Pharmacy Johnson City, is a healthcare organization registered as a community/retail pharmacy in Johnson City, New York and active in the NPI registry since November 2022. The organization lists Shayne Wilcox, Outpatient Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1508576612
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameOUR LADY OF LOURDES MEMORIAL HOSPITAL INC
Location Address501 REYNOLDS RDJohnson City, NY 13790-1311
Mailing Address501 Reynolds RdJohnson City, NY 13790-1311 · (607) 798-5533 · Fax (607) 798-5534
Phone(607) 798-5533
Fax(607) 798-5534
Organization SubpartYes
Authorized OfficialShayne WilcoxOutpatient Pharmacy Manager · (607) 798-5911
Enumeration DateNovember 29, 2022
NPPES CertifiedNovember 29, 2022
✔ NPI 1508576612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
501 REYNOLDS RD, Johnson City, NY 13790
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Other Names 1

Doing Business AsLourdes Pharmacy Johnson City

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-Johnson City carries, from the Medicare DMEPOS supplier directory.

Lourdes Pharmacy-Johnson City

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

Accepts Medicare assignment

Lourdes Pharmacy-Johnson City 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)20678501
Medicare Participant SinceOctober 1, 1984
Supplier Location501 Reynolds RdJohnson City, NY 13790
Phone(607) 798-5533
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. UZMA ANIS M.D.
Internal Medicine
501 REYNOLDS RD
JOHNSON CITY, NY 13790
Broome County (607) 798-5510
DR. KATHERINE T CUMMISKEY PHARM.D.
Pharmacist
501 REYNOLDS RD
JOHNSON CITY, NY 13790
Broome County (607) 235-2709
OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
Pharmacy (Specialty Pharmacy)
501 REYNOLDS RD
JOHNSON CITY, NY 13790
Broome County (607) 798-5533
DR. LOIS KNACK HAGE O.D.
Optometrist
501 REYNOLDS RD, SEARS OPTICAL, OAKDALE MALL,
JOHNSON CITY, NY 13790
Broome County (607) 797-6071

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 1508576612. It was assigned to this organization in the NPPES registry on November 29, 2022. The provider is doing business as Lourdes Pharmacy Johnson City.

Where is Our Lady Of Lourdes Memorial Hospital Inc located?

Our Lady Of Lourdes Memorial Hospital Inc is located at 501 Reynolds Rd, Johnson City, NY 13790. The listed phone number is (607) 798-5533.

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-Johnson City 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 November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.