340B Drug Pricing Program Database


DSH390133 LEHIGH VALLEY (Active) - information as of 4/23/2025 10:51:12 PM

Main Details
LEHIGH VALLEY
Disproportionate Share Hospital
Yes
DSH390133
390133


Additional Details
Active
10/3/2022
1/1/2023
11/17/2022
8/30/2024

Contacts

Lehigh Valley Health Network
Robert Thomas, Sr. Vice President Finance & Chief Accounting Officer
(484) 884-0901

Lehigh Valley Hospital
Paul Mattern, 340B Program Manager
(610) 402-1007

Addresses

1200 South Cedar Crest Boulevard
ALLENTOWN, PA 18103-4000

Lehigh Valley Hospital
PO Box 1110
Allentown, PA 18105


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
PA1007660210018,1007660210031,1007660210055,1007660210105,1007660210085,1007660210088,10076602100531164400131,1457436412,1326177544,1679596811,1992261382,1356364491
Shipping Addresses

Lehigh Valley Pharmacy Services
2024 Lehigh Street, Suite 500
Allentown, PA 18103

Lehigh Valley Pharmacy Services
1202 South Cedar Crest Boulevard
Allentown, PA 18103

Lehigh Valley Pharmacy Services
2545 Schoenersville Road
Bethlehem, PA 18017

Lehigh Valley Pharmacy Services
2024 Lehigh Street, Suite 600
Allentown, PA 18103

Lehigh Valley Hospital Pharmacy - N. Cedar Crest
1405 North Cedar Crest Boulevard, Suite 63
Allentown, PA 18104

Lehigh Valley Hospital Cedar Crest
1200 S Cedar Crest Blvd
Allentown, PA 18103

Lehigh Valley Pharmacy Services
1637 Chew Street
Allentown, PA 18102

Lehigh Valley Hospital Carbon
2226 Blakeslee Boulevard Drive East
Lehighton, PA 18235

Lehigh Valley Hospital Hecktown Oaks
3788 Hecktown Road
Easton, PA 18045

Lehigh Valley Hospital 17th Street
1627 Chew Street
Allentown, PA 18102

Lehigh Valley Hospital Tilghman
4815 West Tilghman Street
Allentown, PA 18104

Lehigh Valley Hospital Muhlenberg
2545 Schoenersville Road
Bethlehem, PA 18017

Lehigh Valley Hospital Highland Avenue
2310 Highland Avenue
Bethlehem, PA 18020

Lehigh Valley Hospital 1503 N Cedar Crest
1503 N. Cedar Crest Boulevard
Allentown, PA 18104
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750211/17/202201/01/2023  01/01/2023
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884911/17/202201/01/2023  01/01/2023
Contract DetailACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624111/17/202201/01/2023 07/01/202307/01/2023
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349211/17/202201/01/2023  01/01/2023
Contract DetailACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607504/12/202307/01/2023  07/01/2023
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267010/13/202301/01/2024  01/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771310/13/202301/01/2024  01/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526110/13/202301/01/2024  01/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522607/15/202410/01/2024  10/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620307/15/202410/01/2024  10/01/2024
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361411/17/202201/01/2023  01/01/2023
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005611/17/202201/01/2023  01/01/2023
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621911/17/202201/01/2023  01/01/2023
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175711/17/202201/01/2023  01/01/2023
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808311/17/202201/01/2023  01/01/2023
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700411/17/202201/01/2023  01/01/2023
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761711/17/202201/01/2023 07/07/202307/07/2023
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813311/17/202201/01/2023  01/01/2023
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237411/17/202201/01/2023  01/01/2023
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911911/17/202201/01/2023  01/01/2023
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870611/17/202201/01/2023  01/01/2023
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005611/17/202201/01/2023  01/01/2023
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502811/17/202201/01/2023  01/01/2023
Contract DetailCYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503311/17/202201/01/2023  01/01/2023
Contract DetailDOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K 		GREENVILLESC29607-654110/13/202301/01/2024  01/01/2024
Contract DetailECKERD CORPORATIONRITE AID #11049 200 SOUTH BEST AVENUE
WALNUTPORTPA1808811/17/202201/01/2023  01/01/2023
Contract DetailECKERD CORPORATIONRITE AID #11058 241 NORTH FIRST STREET
LEHIGHTONPA1823501/05/202304/01/2023 07/07/202307/07/2023
Contract DetailECKERD CORPORATIONRITE AID #11060 205 CENTER STREET
TAMAQUAPA1825201/05/202304/01/2023 07/07/202307/07/2023
Contract DetailEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313411/17/202201/01/2023  01/01/2023
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801611/17/202201/01/2023  01/01/2023
Contract DetailGIANT PHARMACY #60743015 WEST EMMAUS AVE
ALLENTOWNPA1810311/17/202201/01/2023  01/01/2023
Contract DetailGIANT PHARMACY #6314216 E.FAIRMONT ST & ROUTE 309
COOPERSBURGPA1803611/17/202201/01/2023  01/01/2023
Contract DetailGIANT PHARMACY #64577150 HAMILTON BOULEVARD
TREXLERTOWNPA1808711/17/202201/01/2023  01/01/2023
Contract DetailOPTUM PHARMACY 700, LLC19 CHAPIN RD BLDG D, STE D8
PINE BROOKNJ0705811/17/202201/01/2023  01/01/2023
Contract DetailOPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850711/17/202201/01/2023  01/01/2023
Contract DetailOPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520410/11/202401/01/2025  01/01/2025
Contract DetailOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713011/17/202201/01/2023  01/01/2023
Contract DetailOPTUM PHARMACY 705, LLC1893 GENERAL GEORGE PATTON DR STE 106
FRANKLINTN37067-265511/17/202201/01/2023  01/01/2023
Contract DetailOPTUM PHARMACY 706, INC.30-30 47TH AVENUE SUITE 410
LONG ISLAND CITYNY1110111/17/202201/01/2023  01/01/2023
Contract DetailOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508511/17/202201/01/2023  01/01/2023
Contract DetailOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983811/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02459 305 WEST FOURTH STREET
BETHLEHEMPA1801511/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01324 28 NORTH CLAUDE A LORD BLVD
POTTSVILLEPA1790111/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01310 801 E. PHILADELPHIA AVE., UNIT 1
BOYERTOWNPA1951211/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02020 728 UNION BOULEVARD
ALLENTOWNPA1810911/17/202201/01/2023 09/27/202309/28/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00820 1457 8TH AVENUE
BETHLEHEMPA1801811/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02115 1332 MAIN STREET
HELLERTOWNPA1805511/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07073 290 POTTSTOWN AVE.
PENNSBURGPA1807311/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.CVS PHARMACY # 16840 1600 N CEDAR CREST BLVD
ALLENTOWNPA1810411/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00974 1601 W. LIBERTY STREET
ALLENTOWNPA1810211/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01304 1802 LEHIGH STREET
ALLENTOWNPA1810311/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01093 7001 NORTH HIGHWAY 309
COOPERSBURGPA1803611/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01323 212 POTTSVILLE ST.
POTTSVILLEPA1790111/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02507 3943 ROUTE 309
SCHNECKSVILLEPA1807811/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04234 5801 W. TILGHMAN ST.
ALLENTOWNPA1810411/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00858 315 WEST EMAUS AVENUE
ALLENTOWNPA1810311/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05533 6050 STERNER'S WAY
BETHLEHEMPA1801711/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02296 3295 PA ROUTE 100
MACUNGIEPA1806211/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 1787 4950 FREEMANSBURG AVE.
EASTONPA1804511/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01301 45 CONSTITUTION BLVD
VILLAGE SQUARE S/C 		KUTZTOWNPA1953011/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01178 702 CHESTNUT ST.
EMMAUSPA1804911/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05065 8565 ALLENTOWN PIKE
BLANDONPA1951011/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.CVS/PHARMACY # 11084 1225 THIRD STREET
WHITEHALLPA1805211/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02267 958 SOUTH KROCKS ROAD
ALLENTOWNPA1810611/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00960 1520 NORTHAMPTON STREET
EASTONPA1804211/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05885 4082 JANDY BLVD.
NAZARETHPA1806411/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01325 20 EAST LOCUST STREET
NESQUEHONINGPA1824011/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05743 29 WEST 21ST STREET
NORTHAMPTONPA1806711/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03617 215 TOWN CENTER BLVD.
EASTONPA1804011/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01315 1101 SOUTH WEST END BOULEVARD
QUAKERTOWNPA1895111/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.CVS/PHARMACY # 17680 749 N KROCKS RD
ALLENTOWNPA1810611/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00461 3010 TILGHMAN STREET
ALLENTOWNPA1810411/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01908 327 WOODLAWN AVENUE
BETHLEHEMPA1801811/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01572 1185 NORTH CHURCH ST.
HAZLE TOWNSHIPPA1820211/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 3062 3192 ROUTE 115
EFFORTPA1833011/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01036 2434 CATASAUQUA ROAD
BETHLEHEMPA1801811/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01311 2651 EASTON AVENUE
BETHLEHEMPA1801711/17/202201/01/2023  01/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07670 620 OLD PHILADELPHIA RD.
EASTONPA1804201/05/202304/01/2023 07/07/202307/07/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01901 35 N. MAIN ST.
BANGORPA1801301/05/202304/01/2023  04/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02262 5674 ROUTE 115
BLAKESLEEPA1861001/05/202304/01/2023 07/07/202307/07/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01305 3519 NAZARETH ROAD
EASTONPA1804501/05/202304/01/2023  04/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.CVS PHARMACY # 17462 912 AIRPORT CENTER DR
ALLENTOWNPA1810901/05/202304/01/2023  04/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05879 855 S. BROADWAY
WIND GAPPA1809101/05/202304/01/2023  04/01/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10128 500 CENTRE ST
FREELANDPA1822401/12/202404/01/2024  04/01/2024
Contract DetailPRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999211/17/202201/01/2023 10/01/202211/22/2023
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514611/17/202201/01/2023  01/01/2023
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523311/17/202201/01/2023  01/01/2023
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920311/17/202201/01/2023  01/01/2023
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681311/17/202201/01/2023  01/01/2023
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY # 02553 1117 WALNUT ST.
PHILADELPHIAPA1910711/17/202201/01/2023  01/01/2023
Contract DetailRAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255010/13/202301/01/2024  01/01/2024
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #4004 2108 MACARTHUR ROAD
WHITEHALLPA1805211/17/202201/01/2023  01/01/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #1450 601 DELAWARE AVENUE
PALMERTONPA1807111/17/202201/01/2023  01/01/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #836 1781 STEFKO BOULEVARD
BETHLEHEMPA1801711/17/202201/01/2023  01/01/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #1768 1620 MAIN STREET
NORTHAMPTONPA1806711/17/202201/01/2023  01/01/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #1384 450 BLUE VALLEY DRIVE
BANGORPA1801301/05/202304/01/2023 07/07/202307/07/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #2693 44 KINGS VILLAGE
MINERSVILLEPA1795401/05/202304/01/2023 07/07/202307/07/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #3425 807 SOUTH 4TH STREET
HAMBURGPA1952601/05/202304/01/2023  04/01/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #1355 504 MARION LN
BRODHEADSVILLEPA18322-706401/05/202304/01/2023 07/07/202307/07/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #443 350 MAIN STREET
PENNSBURGPA1807301/05/202304/01/2023 10/19/202310/24/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #813 104 E THIRD STREET
BETHLEHEMPA1801501/05/202304/01/2023 07/07/202307/07/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #1983 102 EASTON ROAD
NAZARETHPA1806401/05/202304/01/2023  04/01/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #6778 27 N 7TH ST STE 100
ALLENTOWNPA18101-135701/05/202304/01/2023  04/01/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #873 500 N. CLAUDE LORD BOULEVARD
POTTSVILLEPA1790107/07/202310/01/2023 05/16/202405/17/2024
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #208 15 SOUTH MAIN STREET
SHENANDOAHPA1797607/07/202310/01/2023  10/01/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #4840 1000 NORTH CHURCH STREET
HAZELTONPA1820107/07/202310/01/2023  10/01/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #1314 501 MAIN STREET STE 2
WHITE HAVENPA1866107/07/202310/01/2023  10/01/2023
Contract DetailRIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500210/13/202301/01/2024  01/01/2024
Contract DetailSANTA BARBARA SPECIALTY PHARMACY LLC4690 CARPINTERIA AVE STE B
CARPINTERIACA9301310/13/202301/01/2024  01/01/2024
Contract DetailSINA DRUG LLCDBA ONCO360 1985 MARCUS AVE STE 120
NEW HYDE PARKNY1104201/06/202304/01/2023  04/01/2023
Contract DetailTHRIFT DRUG, INC.RITE AID #11042 2178 W. UNION BLVD.
BETHLEHEMPA1801811/17/202201/01/2023 10/19/202310/24/2023
Contract DetailTHRIFT DRUG, INC.RITE AID #11169 23 NORTH ELM STREET
KUTZTOWNPA1953011/17/202201/01/2023 04/23/202504/23/2025
Contract DetailTHRIFT DRUG, INC.RITE AID #11048 110 MAIN STREET
HELLERTOWNPA1805511/17/202201/01/2023  01/01/2023
Contract DetailTHRIFT DRUG, INC.RITE AID #11047 7719 MAIN STREET
FOGELSVILLEPA1805111/17/202201/01/2023  01/01/2023
Contract DetailTHRIFT DRUG, INC.RITE AID #11054 361 S. CEDAR CREST BLVD
ALLENTOWNPA1810311/17/202201/01/2023 09/22/202309/28/2023
Contract DetailTHRIFT DRUG, INC.RITE AID #11046 1328 CHESTNUT STREET
EMMAUSPA1804911/17/202201/01/2023  01/01/2023
Contract DetailTHRIFT DRUG, INC.RITE AID #11056 6822 HAMILTON BOULEVARD
ALLENTOWNPA1810611/17/202201/01/2023 01/16/202401/17/2024
Contract DetailTHRIFT DRUG, INC.RITE AID #11055 1650 NORTH CEDAR CREST BLVD.
ALLENTOWNPA1810411/17/202201/01/2023 05/15/202405/17/2024
Contract DetailTHRIFT DRUG, INC.RITE AID #11053 1628 SOUTH FOURTH STREET
ALLENTOWNPA1810311/17/202201/01/2023 11/07/202311/09/2023
Contract DetailTHRIFT DRUG, INC.RITE AID #11040 2269 SCHOENERSVILLE ROAD
BETHLEHEMPA1801711/17/202201/01/2023 05/18/202112/18/2023
Contract DetailTHRIFT DRUG, INC.RITE AID #11059 1241 BLAKESLEE BLVD. DR. S#2
LEHIGHTONPA1823501/05/202304/01/2023  04/01/2023
Contract DetailTHRIFT DRUG, INC.RITE AID #11045 601 SOUTH 25TH STREET
EASTONPA1804501/05/202304/01/2023 09/07/202309/12/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 03255 1319 HANOVER AVE.
ALLENTOWNPA18109-201811/17/202201/01/2023  01/01/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA WALGREENS SPECIALTY PHARMACY #21169 541 HAMILTON ST
ALLENTOWNPA1810111/17/202201/01/2023  01/01/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 05985 2535 WILLIAM PENN HWY
EASTONPA18045-522211/17/202201/01/2023  01/01/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09801 6379 HAMILTON BLVD STE 7
ALLENTOWNPA1810611/17/202201/01/2023  01/01/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 1009 N. 9TH ST.
STROUDSBURGPA18360-120911/17/202201/01/2023  01/01/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 04852 2240 SCHOENERSVILLE RD
BETHLEHEMPA1801711/17/202201/01/2023  01/01/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09994 1955 SULLIVAN TRAIL
EASTONPA1804011/17/202201/01/2023  01/01/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 03241 1855 SOUTH 5TH STREET
ALLENTOWNPA1810311/17/202201/01/2023  01/01/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 05715 1702 W TILGHMAN ST.
ALLENTOWNPA1810411/17/202201/01/2023  01/01/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 03495 2979 LINDEN ST
BETHLEHEMPA1801711/17/202201/01/2023  01/01/2023
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503311/17/202201/01/2023  01/01/2023
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527511/17/202201/01/2023  01/01/2023
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818811/17/202201/01/2023  01/01/2023
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH390133AChildDSHLEHIGH VALLEYLehigh Valley Hospital - 17 Hepatitis Care Center (02106)1627 Chew Street, 3rd FloorAllentownPAActive
DSH390133AAChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Onc Infusion MPA (18-535)2545 Schoenersville Road, North Entrance, First FloorBethlehemPAActive
DSH390133ABChildDSHLEHIGH VALLEYLehigh Valley Hospital - M MRI (18725)2545 Schoenersville Road, Building #85BethlehemPAActive
DSH390133ACChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Neurodiagnostics (18714)2545 Schoenersville RoadBethlehemPAActive
DSH390133ADChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Nuclear Medicine (18729)2545 Schoenersville RoadBethlehemPAActive
DSH390133AEChildDSHLEHIGH VALLEYLehigh VAaley Hospital - M OR (18660)2545 Schoenersville RoadBethlehemPAActive
DSH390133AFChildDSHLEHIGH VALLEYLehigh Valley Hospital - M PACU (18665)2545 Schoenersville RoadBethlehemPAActive
DSH390133AGChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Pain Management (18681)2545 Schoenersville RoadBethlehemPAActive
DSH390133AHChildDSHLEHIGH VALLEYLehigh Valley Hospital - M RHC Medical (18615)2545 Schoenersville RoadBethlehemPAActive
DSH390133AJChildDSHLEHIGH VALLEYLehigh Valley Hospital - M SPM (18680)2545 Schoenersville RoadBethlehemPAActive
DSH390133AKChildDSHLEHIGH VALLEYLehigh Valley Hospital - M LD (18127)2545 Schoenersville RoadBethlehemPAActive
DSH390133ALChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC Children's ASC (02257)1210 S. Cedar Crest Blvd.AllentownPAActive
DSH390133AMChildDSHLEHIGH VALLEYLehigh Valley Hospital - Children's Cancer Center (02316)1210 S. Cedar Crest BlvdAllentownPAActive
DSH390133ANChildDSHLEHIGH VALLEYLehigh Valley Hospital - Cancer Support Services (02605)1240 S. Cedar Crest Blvd.AllentownPAActive
DSH390133APChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC ONC INFUSION MPA (02535)1240 S. Cedar Crest Blvd., 1st FloorAllentownPAActive
DSH390133AQChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC Pain Management (02482)1240 S. Cedar Crest BoulevardAllentownPAActive
DSH390133ARChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC Radiation Oncology (02468)1240 S. Cedar Crest Blvd.AllentownPAActive
DSH390133ASChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC 1247 LVH Imaging (02780)1247 S Cedar Crest Blvd, Suite 102AllentownPAActive
DSH390133ATChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC 1250 LVH Imaging CT (02784)1250 SOUTH CEDAR CREST BOULEVARDALLENTOWNPAActive
DSH390133AUChildDSHLEHIGH VALLEYLehigh Valley Hospital - M 1770 IMAG MRI (18144)1770 BATHGATE ROADBETHLEHEMPAActive
DSH390133AVChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Cardiac Diag. Center (18705)2649 Schoenersville RoadBETHLEHEMPAActive
DSH390133AWChildDSHLEHIGH VALLEYLehigh Valley Hospital - TL OR (02207)4815 WEST TILGHMAN STREETALLENTOWNPAActive
DSH390133AXChildDSHLEHIGH VALLEYLehigh Valley Hospital - TL POST OPERATIVE UNIT (02209)4815 WEST TILGHMAN STREETAllentownPAActive
DSH390133AYChildDSHLEHIGH VALLEYLehigh Valley Hospital - TL Express Care (02212)4825 TILGHMAN STREETALLENTOWNPAActive
DSH390133AZChildDSHLEHIGH VALLEYLehigh Valley Hospital - TLL Surgery Center OR (02214)4825 WEST TILGHMAN STREETALLENTOWNPAActive
DSH390133BChildDSHLEHIGH VALLEYLehigh Valley Hospital - 17 Dental Clinic (02510)1627 W Chew Street, 1st FloorAllentownPAActive
DSH390133BAChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Cancer Support Services (02536)2545 SCHOENERSVILLE ROADBETHLEHEMPAActive
DSH390133BBChildDSHLEHIGH VALLEYLehigh Valley Hospital - 17 Mental Health Clinic (02590)1627 West Chew Street, 3rd FloorALLENTOWNPATerminated
DSH390133BCChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC BH ADOL TRNS PRT HSP (02597)1255 SOUTH CEDAR CREST BOULEVARD, Suite 1500ALLENTOWNPAActive
DSH390133BDChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC GYN ONC (02589)1240 SOUTH CEDAR CREST BOULEVARD, SUITE 401ALLENTOWNPAActive
DSH390133BEChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC HEM ONC (02588)1240 SOUTH CEDAR CREST BOULEVARD, SUITE 401ALLENTOWNPAActive
DSH390133BFChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC 1250 Neurosurg (02586)1250 SOUTH CEDAR CREST BOULEVARD, SUITE 400ALLENTOWNPAActive
DSH390133BGChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC 1250 CT SURG (02584)1250 SOUTH CEDAR CREST BOULEVARD, SUITE 310AllentownPAActive
DSH390133BHChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC 1250 CARD (02583)1250 SOUTH CEDAR CREST BOULEVARD, SUITE 300ALLENTOWNPAActive
DSH390133BJChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC 1250 NEURO (02585)1250 SOUTH CEDAR CREST BOULEVARD, SUITE 405ALLENTOWNPAActive
DSH390133BKChildDSHLEHIGH VALLEYLehigh Valley Hospital - HO OR (12403)3780 Hecktown Rd, 1st FloorEastonPAActive
DSH390133BLChildDSHLEHIGH VALLEYLehigh Valley Hospital - HO Respiratory Care (12421)3780 Hecktown Rd, 1st FloorEastonPAActive
DSH390133BMChildDSHLEHIGH VALLEYLehigh Valley Hospital - HO ED (12501)3780 Hecktown Rd, 1st FloorEastonPAActive
DSH390133BNChildDSHLEHIGH VALLEYLehigh Valley Hospital - HO PACU/STAGING (12208)3780 Hecktown Rd, 1st FloorEastonPAActive
DSH390133BPChildDSHLEHIGH VALLEYLehigh Valley Hospital - HO Pulmonary Function (12422)3780 Hecktown Rd, 1st FloorEastonPAActive
DSH390133BQChildDSHLEHIGH VALLEYLehigh Valley Hospital - HO Heart Station (12412)3780 Hecktown Rd, 1st FloorEastonPAActive
DSH390133BRChildDSHLEHIGH VALLEYLehigh Valley Hospital - HO Radiation Oncology (12468)3788 Hecktown Rd, 1st Floor, Suite 110EastonPAActive
DSH390133BSChildDSHLEHIGH VALLEYLehigh Valley Hospital - HO ONC INFUSION (12535)3788 Hecktown Rd, 1st Floor, Suite 100EastonPAActive
DSH390133BTChildDSHLEHIGH VALLEYLehigh Valley Hospital - HO Cardiac Diagnostic Center (12127)3794 Hecktown Rd, 2nd Floor, Suite 260EastonPAActive
DSH390133BUChildDSHLEHIGH VALLEYLehigh Valley Hospital - CRB ED (13501)2128 Blakeslee BLVD DR EastLehightonPAActive
DSH390133BVChildDSHLEHIGH VALLEYLehigh Valley Hospital - CRB ONC Infusion (13535)2226 Blakeslee BLVD DR East 1st FloorLehightonPAActive
DSH390133BWChildDSHLEHIGH VALLEYLehigh Valley Hospital - CRB OR (13403)2128 Blakeslee BLVD DR EastLehightonPAActive
DSH390133BXChildDSHLEHIGH VALLEYLehigh Valley Hospital - CRB PACU/STAGING (13208)2128 E Blakeslee BLVD DR EastLehightonPAActive
DSH390133BYChildDSHLEHIGH VALLEYLehigh Valley Hospital - CHB 2310 Staging (09242)2310 Highland AvenueBethlehemPAActive
DSH390133BZChildDSHLEHIGH VALLEYLehigh Valley Hospital - CHB 2310 OR (09402)2310 Highland AvenueBethlehemPAActive
DSH390133CChildDSHLEHIGH VALLEYLehigh Valley Hospital - 17 ASU (02504)1627 W. Chew Street, 2nd floorAllentownPAActive
DSH390133CAChildDSHLEHIGH VALLEYLehigh Valley Hospital - CHB 2310 PACU (09242)2310 Highland AvenueBethlehemPAActive
DSH390133CBChildDSHLEHIGH VALLEYLehigh Valley Hospital - CHB 2310 SPU (09402)2310 Highland AvenueBeyhlehemPAActive
DSH390133CCChildDSHLEHIGH VALLEYLehigh Valley Hospital - CRB 2A MED/SURG UNIT (13170)2128 Blakeslee BLVD DR EastLehightonPAActive
DSH390133CDChildDSHLEHIGH VALLEYLehigh Valley Hospital - HO 1A Med/SURG UNIT (12169)3780 Hecktown Rd, 1st FloorEastonPAActive
DSH390133CEChildDSHLEHIGH VALLEYLehigh Valley Hospital - CHB 2310 1A (09552)2310 Highland AvenueBethlehemPAActive
DSH390133CFChildDSHLEHIGH VALLEYLehigh Valley Hospital - HO 2A MED/SURG UNIT (12170)3780 Hecktown Rd, 2nd FloorEASTONPATerminated
DSH390133CGChildDSHLEHIGH VALLEYLehigh Valley Hospital - CRB Cardiac Diagnostic Center (13127)2128 Blakeslee BLVD DR East 1st Floor"LehightonPAActive
DSH390133CHChildDSHLEHIGH VALLEYLEHIGH VALLEY HOSPITAL - CC AUDIOLOGY (02479)1210 South Cedar Crest BoulevardAllentownPAActive
DSH390133CJChildDSHLEHIGH VALLEYLehigh Valley Hospital - TL Staging/PACU4815 West Tilghman StreetAllentownPAActive
DSH390133CKChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Dialysis (18641)2545 Schoenersville RoadBethlehemPAActive
DSH390133CLChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC CARD DIAG CENTER (02127)1250 South Cedar Crest BoulevardAllentownPAActive
DSH390133CMChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Perinatal Evaluation Unit (PNU -18125)2545 Schoenersville RoadBethlehemPAActive
DSH390133CNChildDSHLEHIGH VALLEYLehigh Valley Hospital - MBH Ment Hlth Clin Muh (18792) - Mental Health Clinic2604 Schoenersville RoadBethlehemPAActive
DSH390133CPChildDSHLEHIGH VALLEYLehigh Valley Hospital - HAS RHEUM (02696) - Rheumatology798 Hausman Road, 3rd Floor, Suite 300AllentownPAActive
DSH390133CQChildDSHLEHIGH VALLEYLehigh Valley Hospital - CHA 1503 MRI (09718) - CHA 1503 MRI (09718)1503 N. Cedar Crest Boulevard, 1st FloorAllentownPAActive
DSH390133CRChildDSHLEHIGH VALLEYLehigh Valley Hospital - CHA 1503 PACU (09241) - CHA 1503 PACU (09241)1503 N. Cedar Crest Boulevard, 3rd FloorAllentownPAActive
DSH390133CSChildDSHLEHIGH VALLEYLehigh Valley Hospital - CHA 1503 DIAG RADIOL (09572) - CHA 1503 DIAG RADIOL (09572)1503 N. Cedar Crest Boulevard, 2nd FloorAllentownPAActive
DSH390133CTChildDSHLEHIGH VALLEYLehigh Valley Hospital - CHA 1503 STAGING (09241) - CHA 1503 STAGING (09241)1503 N. Cedar Crest Boulevard, 3rd FloorAllentownPAActive
DSH390133CUChildDSHLEHIGH VALLEYLehigh Valley Hospital - CHA 1503 OR (09403) - OR1503 N. Cedar Crest Boulevard, 3rd FloorAllentownPAActive
DSH390133CVChildDSHLEHIGH VALLEYLehigh Valley Hospital - CHA 1503 VAS LAB Ultrasound (09542) - Ultrasound1503 N. Cedar Crest Boulevard, 1st FloorAllentownPAActive
DSH390133CWChildDSHLEHIGH VALLEYLehigh Valley Hospital - CHA 1503 3A Med/Surg Unit (09551) - Med/Surg Unit1503 N. Cedar Crest Boulevard, 2nd FloorAllentownPAActive
DSH390133CXChildDSHLEHIGH VALLEYLehigh Valley Hospital - CHA 1503 2A Med/Surg Unit (09551) - Med/Surg Unit1503 N. Cedar Crest Boulevard, 2nd FloorAllentownPAActive
DSH390133CYChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Rad Oncology (02746/18468) - Oncology2545 Schoenersville Road, Kolb Bldg 1st FlrBethlehemPAActive
DSH390133CZChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Pulm Function (18736) - Pulmonology2545 Schoenersville Road, 2nd FlrBethlehemPAActive
DSH390133DChildDSHLEHIGH VALLEYLehigh Valley Hospital - 17 OR (02505)1627 W Chew Street, 2nd FloorAllentownPAActive
DSH390133DAChildDSHLEHIGH VALLEYLehigh Valley Hospital - M ICU North (06061) - Intensive Care Unit2545 Schoenersville RoadBethlehemPAActive
DSH390133DBChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC Neuro-Ophthalm (09136) - Neurology1250 South Cedar Crest Blvd, Ste 405AllentownPAActive
DSH390133DCChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC Stem Cell Office (09330) - Hematology Oncology1240 South Cedar Crest Blvd, 4th FloorAllentownPAActive
DSH390133DDChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Gynecologic Oncology (06244) - Oncology2545 Schoenersville Road, Ste 300BethlehemPAActive
DSH390133DEChildDSHLEHIGH VALLEYLehigh Valley Hospital - HO Hematology Oncology (02068) - Hematology Oncology3788 Hecktown Road, 2nd Floor, Ste 210EastonPAActive
DSH390133DFChildDSHLEHIGH VALLEYLehigh Valley Hospital - HO Surgical Oncology (02069) - Surgical Oncology3788 Hecktown Road, Suite 200EastonPAActive
DSH390133DGChildDSHLEHIGH VALLEYLehigh Valley Hospital - B 2300 Rheumatology (00127) - Rheumatology2300 Highland Avenue, Building A, 2nd FloorBethlehemPAActive
DSH390133DHChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Neurosurgery (06243) - Neurosurgery1770 Bathgate Road, Ste 402BethlehemPAActive
DSH390133DJChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Neurology (06242) - Neurology1770 Bathgate Road, Ste 403BethlehemPAActive
DSH390133DKChildDSHLEHIGH VALLEYLehigh Valley Hospital - CC Surgical Oncology (09794) - Surgical Oncology1240 South Cedar Crest Blvd, Ste 410AllentownPAActive
DSH390133DLChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Surgical Oncology (06246) - Surgical Oncology2545 Schoenersville Road, Ste 300BethlehemPAActive
DSH390133DMChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Hematology Oncology (06245) - Hematology Oncology2545 Schoenersville Road, Ste 300BethlehemPAActive
DSH390133DNChildDSHLEHIGH VALLEYLehigh Valley Hospital - CRB ICU (04055) - Intensive Care Unit2128 Blakeslee Boulevard Drive EastLehightonPAActive
DSH390133DPChildDSHLEHIGH VALLEYLehigh Valley Hospital - M 4S (06235) - Adults and Pediatrics (General Routine Care)2545 Schoenersville RoadBethlehemPAActive
DSH390133DQChildDSHLEHIGH VALLEYLehigh Valley Hospital - HO ICU (02012) - Intensive Care Unit3780 Hecktown RoadEastonPAActive
DSH390133EChildDSHLEHIGH VALLEYLehigh Valley Hospital - 17 PACU (02443)1627 W. Chew Street, 2nd FloorAllentownPAActive
DSH390133FChildDSHLEHIGH VALLEYLehigh Valley Hospital - 17 SSU/Observation (02102)1627 W Chew Street, 3rd FloorAllentownPAActive
DSH390133GChildDSHLEHIGH VALLEYLehigh Valley Hospital - 17 ED (02500)1627 W Chew Street, Ground FloorAllentownPAActive
DSH390133HChildDSHLEHIGH VALLEYLehigh Valley Hospital - 17 Heart Station/Vascular Lab (02412)1627 West Chew StreetAllentownPATerminated
DSH390133JChildDSHLEHIGH VALLEYLehigh Valley Hospital - 17 CDC (02127)1627 West Chew Street, 1st FloorAllentownPATerminated
DSH390133KChildDSHLEHIGH VALLEYLehigh Valley Hospital - M 2S (18609, 10003007)2545 SCHOENERSVILLE ROADBethlehemPAActive
DSH390133LChildDSHLEHIGH VALLEYLehigh Valley Hospital - M 2SEAU(10003008, 18608)2545 Schoenersville RoadBethlehemPATerminated
DSH390133MChildDSHLEHIGH VALLEYLehigh Valley Hospital - M 4T (18620)2545 Schoenersville RoadBethlehemPAActive
DSH390133NChildDSHLEHIGH VALLEYLehigh Valley Hospital - M 5T (18610)2545 Schoenersville RoadBethlehemPAActive
DSH390133PChildDSHLEHIGH VALLEYLehigh Valley Hospital - M 6T2545 Schoenersville RoadBethlehemPAActive
DSH390133QChildDSHLEHIGH VALLEYLehigh Valley Hospital - M 7T (18619)2545 Schoenersville RoadBethlehemPAActive
DSH390133RChildDSHLEHIGH VALLEYLehigh Valley Hospital - M ASU (18661)2545 Schoenersville RoadBethlehemPAActive
DSH390133SChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Cardiac Cath (18723)2545 Schoenersville RoadBethlehemPAActive
DSH390133TChildDSHLEHIGH VALLEYLehigh Valley Hospital - M CT SCAN (18722)2545 Schoenersville RoadBethlehemPAActive
DSH390133UChildDSHLEHIGH VALLEYLehigh Valley Hospital - M CVM (18730)2545 Schoenersville RoadBethlehemPAActive
DSH390133VChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Dental Clinic (18795)2545 Schoenersville RoadBethlehemPAActive
DSH390133WChildDSHLEHIGH VALLEYLehigh Valley Hospital - M ED (18683)2545 Schoenersville RoadBethlehemPAActive
DSH390133XChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Heart Station (18711)2545 Schoenersville RoadBethlehemPAActive
DSH390133YChildDSHLEHIGH VALLEYLehigh Valley Hospital - M ICU (18640)2545 Schoenersville RoadBethlehemPAActive
DSH390133ZChildDSHLEHIGH VALLEYLehigh Valley Hospital - M Interventional RAD (18724)2545 Schoenersville RoadBethlehemPAActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsAuthorizing OfficialUpdateChange RequestMarchozzi, Thomas Executive Vice President & Chief Financial Officer Lehigh Valley Health Network 4848623943Thomas, Robert Sr. Vice President Finance & Chief Accounting Officer Lehigh Valley Health Network 48488409012/7/2025 2:00 PM
AddressesShipping AddressDeleteRecertificationLehigh Valley Hospital 1200 S Cedar Crest Blvd Allentown, PA 18103 8/30/2024 7:35 AM
AddressesShipping AddressDeleteRecertificationLehigh Valley Pharmacy Services 1627 Chew Street Allentown, PA 18102 8/30/2024 7:35 AM
AddressesShipping AddressDeleteRecertificationLehigh Valley Pharmacy Services 2226 Blakeslee Boulevard Drive East Lehighton, PA 18235 8/30/2024 7:35 AM
AddressesShipping AddressDeleteRecertificationLehigh Valley Pharmacy Services 3788 Hecktown Road Easton, PA 18045 8/30/2024 7:35 AM
AddressesShipping AddressInsertRecertification Lehigh Valley Hospital Cedar Crest 1200 S Cedar Crest Blvd Allentown, PA 181038/30/2024 7:35 AM
AddressesShipping AddressInsertRecertification Lehigh Valley Pharmacy Services 1637 Chew Street Allentown, PA 181028/30/2024 7:35 AM
AddressesShipping AddressInsertRecertification Lehigh Valley Hospital Carbon 2226 Blakeslee Boulevard Drive East Lehighton, PA 182358/30/2024 7:35 AM
AddressesShipping AddressInsertRecertification Lehigh Valley Hospital Hecktown Oaks 3788 Hecktown Road Easton, PA 180458/30/2024 7:35 AM
AddressesShipping AddressInsertRecertification Lehigh Valley Hospital 17th Street 1627 Chew Street Allentown, PA 181028/30/2024 7:35 AM
AddressesShipping AddressInsertRecertification Lehigh Valley Hospital Tilghman 4815 West Tilghman Street Allentown, PA 181048/30/2024 7:35 AM
AddressesShipping AddressInsertRecertification Lehigh Valley Hospital Muhlenberg 2545 Schoenersville Road Bethlehem, PA 180178/30/2024 7:35 AM
AddressesShipping AddressInsertRecertification Lehigh Valley Hospital Highland Avenue 2310 Highland Avenue Bethlehem, PA 180208/30/2024 7:35 AM
AddressesShipping AddressInsertRecertification Lehigh Valley Hospital 1503 N Cedar Crest 1503 N. Cedar Crest Boulevard Allentown, PA 181048/30/2024 7:35 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1007660210114 (PA) 8/30/2024 7:35 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1007660210135 (PA) 8/30/2024 7:35 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1007660210136 (PA) 8/30/2024 7:35 AM
Medicaid BillingMedicaid: NumberDeleteRecertification1007660210139 (PA) 8/30/2024 7:35 AM
DetailsLast Recertification DateUpdateRecertification8/28/2023 3:30:20 PM8/30/2024 7:35:59 AM8/30/2024 7:35 AM
AddressesShipping AddressInsertChange Request Lehigh Valley Hospital Pharmacy - N. Cedar Crest 1405 North Cedar Crest Boulevard, Suite 63 Allentown, PA 181042/20/2024 3:10 PM
AddressesBilling AddressUpdateChange RequestLehigh Valley Hospital 2100 Mack Boulevard, Allentown, PA 18105 Allentown, PA 18103Lehigh Valley Hospital PO Box 1110 Allentown, PA 1810510/18/2023 11:06 AM
DetailsLast Recertification DateUpdateRecertification 8/28/2023 3:30:20 PM8/28/2023 3:30 PM
ContactsPrimary ContactUpdateChange RequestParnell, Claude Laurence 340B Program Manager Lehigh Valley Health Network 6104025522Mattern, Paul 340B Program Manager Lehigh Valley Hospital 61040210077/26/2023 5:56 PM
AddressesShipping AddressUpdateChange RequestLehigh Valley Hospital Pharmacy Services 1202 South Cedar Crest Boulevard Allentown, PA 18103Lehigh Valley Pharmacy Services 1202 South Cedar Crest Boulevard Allentown, PA 181037/24/2023 11:15 AM
AddressesShipping AddressUpdateChange RequestLehigh Valley Hospital 2226 Blakeslee Boulevard Drive East Lehighton, PA 18235Lehigh Valley Pharmacy Services 2226 Blakeslee Boulevard Drive East Lehighton, PA 182357/24/2023 11:15 AM
AddressesShipping AddressUpdateChange RequestLehigh Valley Hospital 3788 Hecktown Road Easton, PA 18045Lehigh Valley Pharmacy Services 3788 Hecktown Road Easton, PA 180457/24/2023 11:15 AM
AddressesShipping AddressUpdateChange RequestLehigh Valley Pharmacy Services 1637 Chew Street Allentown, PA 18102Lehigh Valley Pharmacy Services 1627 Chew Street Allentown, PA 181026/20/2023 7:35 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False5/18/2023 12:48 PM
Medicaid BillingMedicaid: NumberInsertChange Request 10076602101355/18/2023 12:48 PM
Medicaid BillingMedicaid: StateInsertChange Request PA5/18/2023 12:48 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False5/18/2023 12:48 PM
Medicaid BillingMedicaid: NumberInsertChange Request 10076602101365/18/2023 12:48 PM
Medicaid BillingMedicaid: StateInsertChange Request PA5/18/2023 12:48 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False5/18/2023 12:48 PM
Medicaid BillingMedicaid: NumberInsertChange Request 10076602101395/18/2023 12:48 PM
Medicaid BillingMedicaid: StateInsertChange Request PA5/18/2023 12:48 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1007660210115 (PA) 4/13/2023 9:53 AM
Medicaid BillingMedicaid: NumberDeleteChange Request1007660210117 (PA) 4/13/2023 9:53 AM
Medicaid BillingMedicaid: NumberDeleteChange Request1007660210125 (PA) 4/13/2023 9:53 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False4/13/2023 9:53 AM
Medicaid BillingMedicaid: NumberInsertChange Request 10076602100884/13/2023 9:53 AM
Medicaid BillingMedicaid: StateInsertChange Request PA4/13/2023 9:53 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False4/13/2023 9:53 AM
Medicaid BillingMedicaid: NumberInsertChange Request 10076602100534/13/2023 9:53 AM
Medicaid BillingMedicaid: StateInsertChange Request PA4/13/2023 9:53 AM
AddressesShipping AddressInsertChange Request Lehigh Valley Hospital 3788 Hecktown Road Easton, PA 180453/16/2023 7:42 AM
AddressesShipping AddressInsertChange Request Lehigh Valley Hospital 2226 Blakeslee Boulevard Drive East Lehighton, PA 182351/25/2023 10:58 AM
AddressesShipping AddressInsertChange Request Lehigh Valley Hospital Pharmacy Services 1202 South Cedar Crest Boulevard Allentown, PA 181031/13/2023 1:41 PM
AddressesShipping AddressInsertChange Request Lehigh Valley Pharmacy Services 2545 Schoenersville Road Bethlehem, PA 180171/13/2023 1:41 PM
AddressesShipping AddressInsertChange Request Lehigh Valley Pharmacy Services 2024 Lehigh Street, Suite 600 Allentown, PA 181031/13/2023 1:41 PM
AddressesShipping AddressInsertChange Request Lehigh Valley Pharmacy Services 1637 Chew Street Allentown, PA 181021/13/2023 1:41 PM
DetailsStateUpdate ApprovedActive1/1/2023 12:01 AM
AddressesMain AddressUpdateChange Request 2100 MACK BLVD. 4TH FLOOR FINANCE ALLENTOWN, PA 18105-4000 1200 South Cedar Crest Boulevard ALLENTOWN, PA 18103-400011/18/2022 12:56 PM
AddressesShipping AddressDeleteChange RequestLehigh Valley Pharmacy Services 1202 South Cedar Crest Boulevard Allentown, PA 18103 11/18/2022 12:56 PM
AddressesShipping AddressDeleteChange RequestLehigh Valley Pharmacy Services 2024 Lehigh Street, Suite 600 Allentown, PA 18103 11/18/2022 12:56 PM
AddressesShipping AddressDeleteChange RequestLehigh Valley Pharmacy Services 1637 Chew Street Allentown, PA 18102 11/18/2022 12:56 PM
AddressesBilling AddressUpdateChange RequestLehigh Valley Hospital 1200 South Cedar Crest Boulevard, Allentown, PA 18103 Allentown, PA 18103Lehigh Valley Hospital 2100 Mack Boulevard, Allentown, PA 18105 Allentown, PA 1810311/18/2022 12:56 PM
AddressesBilling AddressUpdateChange RequestLehigh Valley Hospital 2100 Mack Boulevard Allentown, PA 18103Lehigh Valley Hospital 1200 South Cedar Crest Boulevard, Allentown, PA 18103 Allentown, PA 1810311/18/2022 7:59 AM
AddressesShipping AddressDeleteHospital Type Change RequestLehigh Valley Pharmacy Services 2545 Schoenersville Road Bethlehem, PA 18017 11/17/2022 7:02 AM
AddressesShipping AddressDeleteHospital Type Change RequestLehigh Valley Hospital 3788 Hecktown Road Easton, PA 18045 11/17/2022 7:02 AM
AddressesShipping AddressDeleteHospital Type Change RequestLehigh Valley Hospital - Coordinated Health Allentown 1405 North Cedar Crest Boulevard, STE 63 Allentown, PA 18104 11/17/2022 7:02 AM
AddressesShipping AddressDeleteHospital Type Change RequestLehigh Valley Hospital 2226 Blakeslee Boulevard Drive East Lehighton, PA 18235 11/17/2022 7:02 AM
AddressesBilling AddressInsertHospital Type Change Request Lehigh Valley Hospital 2100 Mack Boulevard Allentown, PA 1810311/17/2022 7:02 AM
ContactsSigned ByUpdateHospital Type Change RequestO'Dea, Edward Executive Vice President & Chief Financial Officer Lehigh Valley Health Network 4848623943Marchozzi, Thomas Executive Vice President & Chief Financial Officer Lehigh Valley Health Network 484862394311/17/2022 7:02 AM
Details340B IDUpdateHospital Type Change Request DSH39013311/17/2022 7:02 AM
DatesParticipating Approval DateUpdateHospital Type Change Request 11/17/2022 7:02:57 AM11/17/2022 7:02 AM
DetailsStateUpdateHospital Type Change RequestPendingApproved11/17/2022 7:02 AM
DatesSigned By DateUpdateHospital Type Change Request 11/16/2022 7:31:30 AM11/17/2022 7:02 AM
DatesStart DateUpdateHospital Type Change Request 1/1/2023 12:00:00 AM11/17/2022 7:02 AM
AddressesMain AddressInsertHospital Type Change Request  2100 MACK BLVD. 4TH FLOOR FINANCE ALLENTOWN, PA 18105-400010/3/2022 9:40 AM
AddressesBilling AddressInsertHospital Type Change Request Lehigh Valley Hospital 2100 Mack Boulevard Allentown, PA 1810310/3/2022 9:40 AM
AddressesShipping AddressInsertHospital Type Change Request Lehigh Valley Hospital 1200 S Cedar Crest Blvd Allentown, PA 1810310/3/2022 9:40 AM
AddressesShipping AddressInsertHospital Type Change Request Lehigh Valley Pharmacy Services 1202 South Cedar Crest Boulevard Allentown, PA 1810310/3/2022 9:40 AM
AddressesShipping AddressInsertHospital Type Change Request Lehigh Valley Pharmacy Services 2545 Schoenersville Road Bethlehem, PA 1801710/3/2022 9:40 AM
AddressesShipping AddressInsertHospital Type Change Request Lehigh Valley Pharmacy Services 2024 Lehigh Street, Suite 500 Allentown, PA 1810310/3/2022 9:40 AM
AddressesShipping AddressInsertHospital Type Change Request Lehigh Valley Pharmacy Services 2024 Lehigh Street, Suite 600 Allentown, PA 1810310/3/2022 9:40 AM
AddressesShipping AddressInsertHospital Type Change Request Lehigh Valley Pharmacy Services 1637 Chew Street Allentown, PA 1810210/3/2022 9:40 AM
AddressesShipping AddressInsertHospital Type Change Request Lehigh Valley Hospital 3788 Hecktown Road Easton, PA 1804510/3/2022 9:40 AM
AddressesShipping AddressInsertHospital Type Change Request Lehigh Valley Hospital - Coordinated Health Allentown 1405 North Cedar Crest Boulevard, STE 63 Allentown, PA 1810410/3/2022 9:40 AM
AddressesShipping AddressInsertHospital Type Change Request Lehigh Valley Hospital 2226 Blakeslee Boulevard Drive East Lehighton, PA 1823510/3/2022 9:40 AM
Medicaid BillingMedicaid: Is PrimaryInsertHospital Type Change Request False10/3/2022 9:40 AM
Medicaid BillingMedicaid: NumberInsertHospital Type Change Request 100766021001810/3/2022 9:40 AM
Medicaid BillingMedicaid: StateInsertHospital Type Change Request PA10/3/2022 9:40 AM
Medicaid BillingMedicaid: Is PrimaryInsertHospital Type Change Request False10/3/2022 9:40 AM
Medicaid BillingMedicaid: NumberInsertHospital Type Change Request 100766021003110/3/2022 9:40 AM
Medicaid BillingMedicaid: StateInsertHospital Type Change Request PA10/3/2022 9:40 AM
Medicaid BillingMedicaid: Is PrimaryInsertHospital Type Change Request False10/3/2022 9:40 AM
Medicaid BillingMedicaid: NumberInsertHospital Type Change Request 100766021005510/3/2022 9:40 AM
Medicaid BillingMedicaid: StateInsertHospital Type Change Request PA10/3/2022 9:40 AM
Medicaid BillingMedicaid: Is PrimaryInsertHospital Type Change Request False10/3/2022 9:40 AM
Medicaid BillingMedicaid: NumberInsertHospital Type Change Request 100766021010510/3/2022 9:40 AM
Medicaid BillingMedicaid: StateInsertHospital Type Change Request PA10/3/2022 9:40 AM
Medicaid BillingMedicaid: Is PrimaryInsertHospital Type Change Request False10/3/2022 9:40 AM
Medicaid BillingMedicaid: NumberInsertHospital Type Change Request 100766021011410/3/2022 9:40 AM
Medicaid BillingMedicaid: StateInsertHospital Type Change Request PA10/3/2022 9:40 AM
Medicaid BillingMedicaid: Is PrimaryInsertHospital Type Change Request False10/3/2022 9:40 AM
Medicaid BillingMedicaid: NumberInsertHospital Type Change Request 100766021011510/3/2022 9:40 AM
Medicaid BillingMedicaid: StateInsertHospital Type Change Request PA10/3/2022 9:40 AM
Medicaid BillingMedicaid: Is PrimaryInsertHospital Type Change Request False10/3/2022 9:40 AM
Medicaid BillingMedicaid: NumberInsertHospital Type Change Request 100766021011710/3/2022 9:40 AM
Medicaid BillingMedicaid: StateInsertHospital Type Change Request PA10/3/2022 9:40 AM
Medicaid BillingMedicaid: Is PrimaryInsertHospital Type Change Request False10/3/2022 9:40 AM
Medicaid BillingMedicaid: NumberInsertHospital Type Change Request 100766021008510/3/2022 9:40 AM
Medicaid BillingMedicaid: StateInsertHospital Type Change Request PA10/3/2022 9:40 AM
Medicaid BillingMedicaid: Is PrimaryInsertHospital Type Change Request False10/3/2022 9:40 AM
Medicaid BillingMedicaid: NumberInsertHospital Type Change Request 100766021012510/3/2022 9:40 AM
Medicaid BillingMedicaid: StateInsertHospital Type Change Request PA10/3/2022 9:40 AM
Medicaid BillingNPI: NumberInsertHospital Type Change Request 116440013110/3/2022 9:40 AM
Medicaid BillingNPI: StateInsertHospital Type Change Request PA10/3/2022 9:40 AM
Medicaid BillingNPI: NumberInsertHospital Type Change Request 145743641210/3/2022 9:40 AM
Medicaid BillingNPI: StateInsertHospital Type Change Request PA10/3/2022 9:40 AM
Medicaid BillingNPI: NumberInsertHospital Type Change Request 132617754410/3/2022 9:40 AM
Medicaid BillingNPI: StateInsertHospital Type Change Request PA10/3/2022 9:40 AM
Medicaid BillingNPI: NumberInsertHospital Type Change Request 167959681110/3/2022 9:40 AM
Medicaid BillingNPI: StateInsertHospital Type Change Request PA10/3/2022 9:40 AM
Medicaid BillingNPI: NumberInsertHospital Type Change Request 199226138210/3/2022 9:40 AM
Medicaid BillingNPI: StateInsertHospital Type Change Request PA10/3/2022 9:40 AM
Medicaid BillingNPI: NumberInsertHospital Type Change Request 135636449110/3/2022 9:40 AM
Medicaid BillingNPI: StateInsertHospital Type Change Request PA10/3/2022 9:40 AM
ContactsSigned ByInsertHospital Type Change Request O'Dea, Edward Executive Vice President & Chief Financial Officer Lehigh Valley Health Network 484862394310/3/2022 9:40 AM
ContactsAuthorizing OfficialInsertHospital Type Change Request Marchozzi, Thomas Executive Vice President & Chief Financial Officer Lehigh Valley Health Network 484862394310/3/2022 9:40 AM
ContactsPrimary ContactInsertHospital Type Change Request Parnell, Claude Laurence 340B Program Manager Lehigh Valley Health Network 610402552210/3/2022 9:40 AM
DetailsAssistance Received From DateInsertHospital Type Change Request  10/3/2022 9:40 AM
DetailsAssistance Received To DateInsertHospital Type Change Request  10/3/2022 9:40 AM
DetailsLast Recertification DateInsertHospital Type Change Request  10/3/2022 9:40 AM
DetailsGrant NumberInsertHospital Type Change Request  10/3/2022 9:40 AM
Details340B IDInsertHospital Type Change Request  10/3/2022 9:40 AM
DetailsIs Authorizing Official EHB DataInsertHospital Type Change Request  10/3/2022 9:40 AM
DatesLast Date That 340B Drugs PurchasedInsertHospital Type Change Request  10/3/2022 9:40 AM
DetailsMedicare Provider NumberInsertHospital Type Change Request 39013310/3/2022 9:40 AM
DetailsEntity NameInsertHospital Type Change Request LEHIGH VALLEY10/3/2022 9:40 AM
DetailsNOFO NumberInsertHospital Type Change Request  10/3/2022 9:40 AM
DetailsProgram CodeInsertHospital Type Change Request DSH10/3/2022 9:40 AM
DetailsEntity SubnameInsertHospital Type Change Request  10/3/2022 9:40 AM
DatesParticipating Approval DateInsertHospital Type Change Request  10/3/2022 9:40 AM
DetailsStateInsertHospital Type Change Request Pending10/3/2022 9:40 AM
DatesRegistration DateInsertHospital Type Change Request 10/3/2022 9:40:35 AM10/3/2022 9:40 AM
DatesSigned By DateInsertHospital Type Change Request  10/3/2022 9:40 AM
DatesStart DateInsertHospital Type Change Request  10/3/2022 9:40 AM
TerminationsTermination CommentsInsertHospital Type Change Request  10/3/2022 9:40 AM
TerminationsTermination DateInsertHospital Type Change Request  10/3/2022 9:40 AM
TerminationsTermination Effective DateInsertHospital Type Change Request  10/3/2022 9:40 AM
TerminationsTermination ReasonInsertHospital Type Change Request  10/3/2022 9:40 AM