OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. (NPI# 1942242243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942242243 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. |
| Other Organization Name | LOURDES RETAIL PHARMACY |
| Practice Address |
169 Riverside Dr Binghamton NY 13905-4246 |
| Practice Telephone | 6077985944 |
| Practice Fax Number | 6077985972 |
| Mailing Telephone | 6077985944 |
| Mailing Fax Number | 6077985972 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-10-16 |
| Authorized Official Name | SHAYNE WILCOX (SUPERVISING PHARMACIST) |
| Authorized Official Telephone | 6077985944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
023594 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2063510 | 01 | |
| NY | 01909851 | 05 |
| Other Name | Type Code |
|---|---|
| Lourdes Retail Pharmacy | Other Name - Individual/Organization |
| 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 |
| 1710332002 | Our Lady of Lourdes Memorial Hospital, Inc. | Pharmacy | 477 State St, Binghamton, NY 13901-2378 | 2016-04-25 |
| 1063557189 | Our Lady of Lourdes Memorial Hospital, Inc. | Internal Medicine | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2007-02-20 |
| Street Address |
169 RIVERSIDE DR |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13905-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253446 | Advanced Radiology Services, Pllc | Radiology | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2005-08-25 |
| 1639777451 | Ceirra Robin Tennant | Nurse Practitioner | 169 Riverside Dr, Binghamton, NY 13905-4198 | 2020-10-14 |
| 1427674555 | Emily Elizabeth Krol | Physician Assistant | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-06-24 |
| 1184240889 | Debra Iwanow | Specialist/Technologist | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-06-18 |
| 1124642921 | Daniel Fitzpatrick | Registered Nurse | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-06-08 |
| 1255955100 | Robin Underwood | Registered Nurse | 169 Riverside Dr, Binghamton, NY 13905-4198 | 2020-06-05 |
| 1447872817 | Kelly Ann Yale-suda | Registered Nurse | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-05-08 |
| 1548880917 | Mahdi Shafiq | Student in an Organized Health Care Education/Training Program | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-04-25 |
| 1669092672 | Thien-duy Brandon Tran | Student in an Organized Health Care Education/Training Program | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-04-20 |
| 1164042313 | Benjamin Levi Kaplan | Student in an Organized Health Care Education/Training Program | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
| 1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
| 1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
| 1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
| 1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
| 1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
| 1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
| 1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
| 1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
| 1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
| Find all providers in zip 13905 | ||||
| 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 |
| 1265077069 | Our Lady of Lourdes Memorial Hospital Inc | Pharmacy | 17 Chenango Bridge Rd, Binghamton, NY 13901-1233 | 2019-11-15 |
| 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 | 13905 |
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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.