OUR LADY OF LOURDES MEMORIAL HOSPITAL INC (NPI# 1265077069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265077069 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
| Practice Address |
17 Chenango Bridge Rd Binghamton NY 13901-1233 |
| Mailing Address |
169 Riverside Dr Binghamton NY 13905-4198 |
| Practice Telephone | 6077985500 |
| Practice Fax Number | 6077985501 |
| Mailing Telephone | 6077985004 |
| Mailing Fax Number | 6077985972 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Authorized Official Name | THOMAS JOHN FORREST (OUTPATIENT PHARMACY/ 340B DIRECTOR) |
| Authorized Official Telephone | 6077985944 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | Y |
| Parent Organization Name | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568663615 | Our Lady of Lourdes Memorial Hospital Inc | Clinic/Center | 219 Front St, Binghamton, NY 13905-2424 | 2007-05-29 |
| 1124141981 | Our Lady of Lourdes Memorial Hospital Inc | Home Health | 4102 Vestal Rd, Vestal, NY 13850-3531 | 2007-04-09 |
| Street Address |
17 CHENANGO BRIDGE RD |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13901-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316308778 | Jordan Ally Dunn | Pharmacist | 17 Chenango Bridge Rd, Binghamton, NY 13901-1233 | 2016-03-14 |
| 1083062103 | Varsha Kishore | Family Medicine | 17 Chenango Bridge Rd, Binghamton, NY 13901 | 2016-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508343450 | Michael Patrick Reistetter | Family Medicine | 17 Chenango Bridge Rd., Binghamton, NY 13901 | 2018-07-24 |
| 1003337932 | Benjamin H Fievisohn | Pharmacist | 85 Robinson At, Rite Aid Pharmacy, Binghamton, NY 13901 | 2017-06-30 |
| 1073870424 | Younis Al Kass | Internal Medicine | 35 Fernwood Lane, Binghamton, NY 13901 | 2012-04-23 |
| 1457622425 | Margaret Smith Peters | Social Worker | 221 Chenango Bridge, Binghamton, NY 13901 | 2012-01-23 |
| 1245551159 | Elizabeth Maria Camp | Speech-Language Pathologist | 810 Brotzman Rd., Binghamton, NY 13901 | 2010-06-15 |
| 1356665491 | Lauretta A Maginley | Licensed Practical Nurse | 66 Hawley St., Stafkings, Binghamton, NY 13901 | 2010-03-18 |
| 1790008159 | Sofia Kitimbo Adam | Pharmacist | 34 West State St, Binghamton, NY 13901 | 2010-03-12 |
| 1851622211 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 11-23 Court Street, Binghamton, NY 13901 | 2010-01-26 |
| 1124272034 | Janet Lynne Jones-mcguane | Occupational Therapist | 8 Hodge Avenue, Binghamton, NY 13901 | 2008-11-06 |
| 1891943395 | Carmela Gobbo Pirich | Counselor | 30 West State Street, Binghamton, NY 13901 | 2008-09-09 |
| Find all providers in zip 13901 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740619576 | Lb Prescription Enterprises, Inc | Pharmacy | 1139 Upper Front St, Binghamton, NY 13905-1131 | 2013-11-02 |
| 1023255916 | Walgreen Co | Pharmacy | 37 Pennsylvania Ave, Binghamton, NY 13903-1608 | 2009-01-14 |
| 1124122973 | Cvs Albany LLC | Pharmacy | 34 Court St # 38, Binghamton, NY 13901-3106 | 2006-09-12 |
| 1144324807 | Cvs Albany LLC | Pharmacy | 1276 Upper Front St, Binghamton, NY 13901-1011 | 2006-09-12 |
| 1710332002 | Our Lady of Lourdes Memorial Hospital, Inc. | Pharmacy | 477 State St, Binghamton, NY 13901-2378 | 2016-04-25 |
| 1982910774 | Weis Markets Inc | Pharmacy | 160 Robinson St, Binghamton, NY 13904-1547 | 2010-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | BINGHAMTON |
| Zip Code | 13901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.