Covered Entity Details

HV00130B UNM Truman Health Services Roswell (Active) - information as of 5/20/2025 12:45:50 AM

Main Details

Name

UNM Truman Health Services Roswell

Subdivision Name

Type

Ryan White Part C

340B ID

HV00130B

Grant Number

H76HA00130-34-00

Additional Details

Current Program Status

Active

Registration Date

4/9/2024

Participating Start Date

7/1/2024

Participating Approval Date

6/5/2024

Last Recertification Date

2/13/2025

Time Period the Assistance was Received

4/1/2025 - 3/31/2028

Contacts

Authorizing Official

UNM Medical Group, Inc.
Jill C. Klar, Chief Operating Officer
(505) 301-8069

Primary Contact

Truman
Sam Sanchez, Director, Pharmacy Services
(505) 925-0988

Addresses

Street Address

601 West Country Club Road
Suite 102
Roswell, NM 88201

Billing Address

UNM Truman Health Services
801 Encino PL NE
Building-F
Albuquerque, NM 87102

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Last Updated On
Contract Detail	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	04/15/2025	07/01/2025	04/15/2025
Contract Detail	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	04/15/2025	07/01/2025	04/15/2025
Contract Detail	WALGREEN CO.	WALGREENS #04047	101 COORS BLVD NW	ALBUQUERQUE	NM	87121	04/15/2025	07/01/2025	04/15/2025
Contract Detail	WALGREEN CO.	WALGREENS #05350	1835 N MAIN STREET	ROSWELL	NM	88201	04/15/2025	07/01/2025	04/15/2025
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 00023	5001 MONTGOMERY BLVD NE STE A31	ALBUQUERQUE	NM	87109	04/15/2025	07/01/2025	04/15/2025
Contract Detail	WALGREEN CO.	WALGREENS #04649	3501 LOMAS BOULEVARD NE	ALBUQUERQUE	NM	87106	04/15/2025	07/01/2025	04/15/2025
Contract Detail	WALGREEN CO.	WALGREENS #15033	3401 ISLETA BOULEVARD SW	ALBUQUERQUE	NM	87105	04/15/2025	07/01/2025	04/15/2025
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16544	933 SAN MATEO BLVD NE STE 501	ALBUQUERQUE	NM	87108	04/15/2025	07/01/2025	04/15/2025

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Assistance Received From Date	Update	Change Request	4/1/2022 12:00:00 AM	4/1/2025 12:00:00 AM	4/4/2025 2:46 PM
Details	Assistance Received To Date	Update	Change Request	3/31/2025 12:00:00 AM	3/31/2028 12:00:00 AM	4/4/2025 2:46 PM
Details	Grant Number	Update	Change Request	H76HA00130-32-01	H76HA00130-34-00	4/4/2025 2:46 PM
Addresses	Billing Address	Insert	Recertification		UNM Truman Health Services 801 Encino PL NE Building-F Albuquerque, NM 87102	2/13/2025 3:10 PM
Details	Last Recertification Date	Update	Recertification		2/13/2025 3:10:18 PM	2/13/2025 3:10 PM
Details	Assistance Received From Date	Update	Change Request	4/1/2024 12:00:00 AM	4/1/2022 12:00:00 AM	1/13/2025 5:53 PM
Details	State	Update		Approved	Active	7/1/2024 12:01 AM
Contacts	Signed By	Insert	New Registration		Klar, Jill C. Chief Operating Officer UNM Medical Group, Inc. 5053018069	6/5/2024 12:42 PM
Details	340B ID	Update	New Registration		HV00130B	6/5/2024 12:42 PM
Dates	Participating Approval Date	Update	New Registration		6/5/2024 12:42:00 PM	6/5/2024 12:42 PM
Details	State	Update	New Registration	Pending	Approved	6/5/2024 12:42 PM
Dates	Signed By Date	Update	New Registration		4/9/2024 8:53:29 PM	6/5/2024 12:42 PM
Dates	Start Date	Update	New Registration		7/1/2024 12:00:00 AM	6/5/2024 12:42 PM
Addresses	Main Address	Insert	New Registration		601 West Country Club Road Suite 102 Roswell, NM 88201	4/9/2024 4:57 PM
Contacts	Primary Contact	Insert	New Registration		Sanchez, Sam Director, Pharmacy Services Truman 5059250988	4/9/2024 4:57 PM
Contacts	Authorizing Official	Insert	New Registration		Klar, Jill C. Chief Operating Officer UNM Medical Group, Inc. 5053018069	4/9/2024 4:57 PM
Details	Assistance Received From Date	Insert	New Registration		4/1/2024 12:00:00 AM	4/9/2024 4:57 PM
Details	Assistance Received To Date	Insert	New Registration		3/31/2025 12:00:00 AM	4/9/2024 4:57 PM
Details	Last Recertification Date	Insert	New Registration			4/9/2024 4:57 PM
Details	Grant Number	Insert	New Registration		H76HA00130-32-01	4/9/2024 4:57 PM
Details	340B ID	Insert	New Registration			4/9/2024 4:57 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/9/2024 4:57 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/9/2024 4:57 PM
Details	Medicare Provider Number	Insert	New Registration			4/9/2024 4:57 PM
Details	Entity Name	Insert	New Registration		UNM Truman Health Services Roswell	4/9/2024 4:57 PM
Details	NOFO Number	Insert	New Registration			4/9/2024 4:57 PM
Details	Program Code	Insert	New Registration		HV	4/9/2024 4:57 PM
Details	Entity Subname	Insert	New Registration			4/9/2024 4:57 PM
Dates	Participating Approval Date	Insert	New Registration			4/9/2024 4:57 PM
Details	State	Insert	New Registration		Pending	4/9/2024 4:57 PM
Dates	Registration Date	Insert	New Registration		4/9/2024 4:57:27 PM	4/9/2024 4:57 PM
Dates	Signed By Date	Insert	New Registration			4/9/2024 4:57 PM
Dates	Start Date	Insert	New Registration			4/9/2024 4:57 PM
Terminations	Termination Comments	Insert	New Registration			4/9/2024 4:57 PM
Terminations	Termination Date	Insert	New Registration			4/9/2024 4:57 PM
Terminations	Termination Effective Date	Insert	New Registration			4/9/2024 4:57 PM
Terminations	Termination Reason	Insert	New Registration			4/9/2024 4:57 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History