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Our Lady of Lourdes Memorial Hospital, Inc.

Community/Retail Pharmacy in Vestal, NY · enumerated 2014 · authorized official Shayne Wilcox, Director, Community Pharmacy.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063824852

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Our Lady of Lourdes Memorial Hospital, Inc.
Other name <Unavail>
Parent organization Our Lady of Lourdes Memorial Hospital Inc
Practice address 3101 Shippers Rd Ste 104, Vestal, NY, 13850
Phone (607) 251-2151
Fax (607) 251-2194
Enumeration date May 28, 2014
Last updated in NPPES Jun 18, 2026

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 032604 (NY) Primary
3336C0004X Compounding Pharmacy Suppliers Secondary

Authorized official

Name Shayne Wilcox
Title Director, Community Pharmacy
Phone (607) 798-5911

Other identifiers

Identifier Type State Issuer
2145824 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Our Lady of Lourdes Memorial Hospital, Inc.?
The NPI for Our Lady of Lourdes Memorial Hospital, Inc. is 1063824852, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Our Lady of Lourdes Memorial Hospital, Inc.?
NPPES lists Shayne Wilcox (Director, Community Pharmacy) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-18.