NPIMap

Organization Active NPI

Lanaster General Hospital

Doing business as LG Health Convenience Pharmacy Suburban Pavilion

  • Pharmacy
  • Lancaster, PA
National Provider Identifier
1457348138
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP413717L Issued in PA
Legal business name
LANASTER GENERAL HOSPITAL
Doing business as
LG Health Convenience Pharmacy Suburban Pavilion
Practice address
2108 Harrisburg Pike
Suite 314
Lancaster, PA 17601
Phone
(717) 544-3154
Fax
(717) 544-3166
NPI assigned
Sep 29, 2005
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Gary A Welch
Title
Chief Operating Officer
Phone
(717) 544-5658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP413717L PA Primary

Addresses

Primary practice location

2108 Harrisburg Pike
Suite 314
Lancaster, PA 17601

Mailing address

2108 Harrisburg Pike
Suite 314
Lancaster, PA 17601
Phone (717) 544-3154

Other identifiers 1

IdentifierTypeStateIssuer
01019329MedicaidPA

Other names 1

  • LG Health Convenience Pharmacy Suburban Pavilion Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lancaster Gen Hosp Lab45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

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

View all 44

Locations

2108 Harrisburg Pike
Ste 314
Lancaster, PA 17601
Phone (717) 544-3154

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1457348138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 HARRISBURG PIKE",
            "address_2": "SUITE 314",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17601",
            "telephone_number": "717-544-3154",
            "fax_number": "717-544-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 HARRISBURG PIKE",
            "address_2": "SUITE 314",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17601",
            "telephone_number": "717-544-3154",
            "fax_number": "717-544-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANASTER GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "717-544-5658"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP413717L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01019329",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LG Health Convenience Pharmacy Suburban Pavilion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.