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OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
NPI 1730982596
Pharmacy - Specialty Pharmacy in Johnson City, NY

Active since March 28, 2025
501 REYNOLDS RD, JOHNSON CITY, NY 13790(607) 798-5533(607) 798-5534 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2025, Mar 28, 2025 (2 updates tracked since 2025).

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 1730982596) is a healthcare organization registered as a specialty pharmacy in Johnson City, New York and active in the NPI registry since March 2025. The organization lists Shayne Wilcox, Outpatient Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1730982596
Entity TypeOrganization
Primary Taxonomy3336S0011X
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 SubpartNo
Authorized OfficialShayne WilcoxOutpatient Pharmacy Manager · (607) 798-5911
Enumeration DateMarch 28, 2025
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1730982596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Specialty PharmacySuppliers
Taxonomy Code3336S0011X
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
501 REYNOLDS RD, Johnson City, NY 13790
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Other Names 1

Other NameGuthrie Johnson City Pavilion Specialty Pharmacy

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
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
Pharmacy (Community/Retail Pharmacy)
501 REYNOLDS RD
JOHNSON CITY, NY 13790
Broome County (607) 798-5533
DR. KATHERINE T CUMMISKEY PHARM.D.
Pharmacist
501 REYNOLDS RD
JOHNSON CITY, NY 13790
Broome County (607) 235-2709
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 1730982596. It was assigned to this organization in the NPPES registry on March 28, 2025. The provider is also known as Guthrie Johnson City Pavilion Specialty Pharmacy.

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 Specialty Pharmacy, with taxonomy code 3336S0011X.

When was this NPI record last updated?

The NPPES record for Our Lady Of Lourdes Memorial Hospital, Inc. was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.