The complete C-13 NMR chemical-shift tensors for the carbon sites of the two polymorphic forms (P-I and P-II) and the monohydrate form (PM) of the analgesic drug, piroxicam, are reported. The NMR parameters (isotropic chemical shifts, chemical-shielding anisotropies and asymmetries, and dipolar couplings), X-ray powder diffraction, and density functional calculations of piroxicam are analyzed in terms of hydrogen bonding and structure. The integration of all the data gives an improved model of the local solid-state structures of the polymorphs. In particular, the solid-state NMR spectra demonstrate that the asymmetric unit of the monohydratc, PM, contains two zwitterionic piroxicam molecules.