Penn State Health Lancaster Medical Center

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PENN STATE HEALTH LANCASTER MEDICAL CENTER

Practice address

2160 State Rd Ste 1316
Lancaster, PA 17601-1812

Phone

(223) 287-8126

NPI assigned

Jul 28, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edward Chabalowski

Title

Cfo

Phone

(610) 378-2288

Specialties & licenses 1

Addresses

Other names 1

• Penn State Health Lancaster Retail Pharmacy Doing business as

Tax ID family

Penn State Health Lancaster Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Penn State Health Lancaster Medical Center

  • General Acute Care Hospital
  • Lancaster, PA
  • NPI 1013674266
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian Hermosillo

  • Pharmacist
  • Lancaster, PA
  • NPI 1801347414
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1336875640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DRIVE",
            "address_2": "MC CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "17033",
            "telephone_number": "717-531-1159",
            "fax_number": "717-531-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 STATE RD STE 1316",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011812",
            "telephone_number": "223-287-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN STATE HEALTH LANCASTER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "CHABALOWSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-378-2288"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn State Health Lancaster Retail Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen G Pelle, DMD
• Amy Pelotte
• Rekha Penmetcha, DMD
• Penn Orthopedics of Lancaster, LTD
• Penn State Health Lancaster Medical Center
• Penn State Health Medical Group, LLC
• Penn State Health Medical Group, LLC
• Penn Surgery Institute
• Michael Lee Penn, PHD
• Yvonne Penna

• Pharmacy in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.