Our Lady of Lourdes Memorial Hospital, Inc.
NPI 1730982596ActiveOrganization· Pharmacy, Specialty Pharmacy· Johnson City, NY
Pharmacy, Specialty Pharmacy in Johnson City, New York, registered in NPPES in March 2025. The authorized official on file is Shayne Wilcox, Outpatient Pharmacy Manager. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1730982596 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2025 |
| Last updated in NPPES | Jun 23, 2025 |
| Certified by provider | Jun 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (NY) |
|---|