OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. (NPI# 1710332002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710332002 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. |
| Practice Address |
477 State St Binghamton NY 13901-2378 |
| Practice Telephone | 6075849376 |
| Practice Fax Number | 6075849380 |
| Mailing Telephone | 6075849376 |
| Mailing Fax Number | 6075849380 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | THOMAS JOHN FORREST (OUTPATIENT PHARMACY DIRECTOR) |
| Authorized Official Telephone | 6077985944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 029413 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2159729 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063824852 | Our Lady of Lourdes Memorial Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 3101 Shippers Rd Ste 104, Vestal, NY 13850-2003 | 2014-05-28 |
| 1952306631 | Our Lady of Lourdes Memorial Hospital, Inc. | Home Health | 4102 Old Vestal Rd, Vestal, NY 13850-3531 | 2005-06-17 |
| 1063557189 | Our Lady of Lourdes Memorial Hospital, Inc. | Internal Medicine | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2007-02-20 |
| 1942242243 | Our Lady of Lourdes Memorial Hospital, Inc. | Pharmacy | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2006-06-12 |
| Street Address |
477 STATE ST |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13901-2378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992718712 | Edward Fairchild | Orthotic Fitter | 477 State St, Colonial Plaza, Binghamton, NY 13901 | 2006-08-14 |
| 1962683144 | Fairchild Pedorthotic/orthotic Services LLC | Prosthetic/Orthotic Supplier | 477 State St, Colonail Plaza, Binghamton, NY 13901-2341 | 2007-11-16 |
| 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 | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639182058 | Golub Corporation | Pharmacy | 10 Glenwood Ave, Binghamton, NY 13905-2582 | 2006-08-15 |
| 1033155585 | Clintwood Apothecary LLC | Pharmacy | 343 Clinton St, Binghamton, NY 13905-2017 | 2006-06-22 |
| 1184115826 | United Health Services Hospitals, Inc | Pharmacy | 33 Mitchell Avenue, Binghamton, NY 13903 | 2018-05-29 |
| 1801097233 | Broome Oncology LLC | Pharmacy | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2007-05-31 |
| 1083722151 | Cl Cressler Inc | Pharmacy | 1179 Vestal Ave, Ste. 1, Binghamton, NY 13903-1606 | 2006-08-28 |
| 1801827951 | K Mart Corp | Pharmacy | 33 W State St, Binghamton, NY 13901-2300 | 2006-07-06 |
| 1942242243 | Our Lady of Lourdes Memorial Hospital, Inc. | Pharmacy | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758141 | North Shore Chemists LLC | Pharmacy | 800 Northern Blvd Ste 4, Great Neck, NY 11021-5314 | 2020-10-22 |
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1023625548 | Otc Group LLC | Pharmacy | 2792 Ocean Ave Unit 5, Brooklyn, NY 11229-4730 | 2020-09-29 |
| 1932712817 | Guoyi Lin | Pharmacy | 13351 41st Rd First Floor, Flushing, NY 11355-5837 | 2020-08-28 |
| 1740891001 | Cureatr Inc | Pharmacy | 17 W 20th St Fl 3, New York, NY 10011-3702 | 2020-08-11 |
| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1679182349 | Marvel Pharmacy Inc | Pharmacy | 9612 Liberty Ave, Ozone Park, NY 11417-1624 | 2020-07-28 |
| 1114545837 | Edgar Murcia | Pharmacy | 7702 Roosevelt Ave Ste C, Jackson Heights, NY 11372-6604 | 2020-07-09 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | BINGHAMTON |
| Zip Code | 13901 |
Please comment or provide details below to improve the information on OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC..
| 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.