340B Drug Pricing Program Database


CH09129C HO OLA LAHUI HAWAII (Active) - information as of 5/1/2025 11:46:43 PM

Main Details
HO OLA LAHUI HAWAII
KAUAI COMMUNITY HEALTH CENTER - EAST
HRSA-Funded Health Center
BPS-H80-004848
CH09129C
H80CS00852


Additional Details
Active
4/1/2004
4/1/2004
3/5/2004
2/11/2025

Contacts

Hoola Lahui Hawaii
DAVID PETERS, CEO
(808) 240-0100 Ext: 113

Hoola Lahui Hawaii
GARRETT LAU, PHARMACIST
(808) 240-0199

Addresses

4800 D KAWAIHAU ROAD
KAPAA, HI 96746

HO OLA LAHUI HAWAII
PO BOX 3990
LIHUE, HI 96766


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
NEW SITE 04/01/200408/12/2005
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH091290ActiveBPS-H80-000236HO OLA LAHUI HAWAIIKAUAI COMMUNITY HEALTH CENTER4491 RICE STREET, UNIT #106 LIHUEHI
CH09129CActiveBPS-H80-004848HO OLA LAHUI HAWAIIKAUAI COMMUNITY HEALTH CENTER - EAST4800 D KAWAIHAU ROAD KAPAAHI
CH09129DActiveBPS-H80-001356HO OLA LAHUI HAWAIIKAUAI COMMUNITY HEALTH CENTER - WEST4643B WAIMEA CANYON DRIVE WAIMEAHI
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH091290ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884907/01/2018  
CH091290ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750207/01/2018 01/31/2022
CH091290ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201007/01/2018 01/31/2022
CH091290ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282207/01/2018 01/31/2022
CH091290ACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624107/01/2018 01/31/2022
CH091290ACCREDO HEALTH GROUP, INC.11411 STRANG LINE RD STE A
LENEXAKS6621507/01/2018 01/31/2022
CH091290ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349207/01/2018 01/31/2022
CH091290ACCREDO HEALTH GROUP, INC.677 ALA MOANA BLVD STE 404
HONOLULUHI96813-541208/25/2020  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/29/2024 7:05:38 PM2/11/2025 4:03:40 PM2/11/2025 4:03 PM
DetailsLast Recertification DateUpdateRecertification1/30/2023 3:44:37 PM1/29/2024 7:05:38 PM1/29/2024 7:05 PM
DetailsLast Recertification DateUpdateRecertification1/31/2022 3:23:16 PM1/30/2023 3:44:37 PM1/30/2023 3:44 PM
DetailsLast Recertification DateUpdateRecertification2/1/2021 6:08:50 PM1/31/2022 3:23:16 PM1/31/2022 3:23 PM
DetailsLast Recertification DateUpdateRecertification1/27/2020 3:19:51 PM2/1/2021 6:08:50 PM2/1/2021 6:08 PM
DetailsLast Recertification DateUpdateRecertification1/28/2019 6:33:38 PM1/27/2020 3:19:51 PM1/27/2020 3:19 PM
DetailsLast Recertification DateUpdateRecertification2/8/2018 7:06:16 PM1/28/2019 6:33:38 PM1/28/2019 6:33 PM
ContactsPrimary ContactUpdateRecertificationPETERS, DAVID CEO Hoola Lahui Hawaii 8082400100-113LAU, GARRETT PHARMACIST Hoola Lahui Hawaii 80824001992/8/2018 7:06 PM
DetailsLast Recertification DateUpdateRecertification1/25/2017 12:00:00 AM2/8/2018 7:06:16 PM2/8/2018 7:06 PM
ContactsAuthorizing OfficialUpdate PETERS, DAVID CEO 8082400100-113PETERS, DAVID CEO Hoola Lahui Hawaii 8082400100-1131/8/2018 1:02 PM
ContactsPrimary ContactUpdate PETERS, DAVID CEO 8082400100-113PETERS, DAVID CEO Hoola Lahui Hawaii 8082400100-1131/8/2018 1:02 PM
AddressesMain AddressInsert   4800 D KAWAIHAU ROAD KAPAA, HI 967461/25/2017 8:19 PM
ContactsAuthorizing OfficialInsert  PETERS, DAVID CEO 8082400100-1131/25/2017 8:19 PM
ContactsPrimary ContactInsert  PETERS, DAVID CEO 8082400100-1131/25/2017 8:19 PM
DetailsLast Recertification DateUpdate 2/23/2016 12:00:00 AM1/25/2017 12:00:00 AM1/25/2017 8:19 PM
DetailsLast Recertification DateUpdate 2/10/2015 12:00:00 AM2/23/2016 12:00:00 AM2/23/2016 3:06 PM
DetailsLast Recertification DateUpdate 3/7/2014 12:00:00 AM2/10/2015 12:00:00 AM2/10/2015 3:34 PM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM3/7/2014 12:00:00 AM3/7/2014 4:59 PM
AddressesBilling AddressInsert  HO OLA LAHUI HAWAII PO BOX 3990 LIHUE, HI 967664/25/2013 2:46 PM
DetailsStateUpdate TerminatedActive3/1/2013 2:34 PM
TerminationsTermination DateUpdate 4/1/2013 12:00:00 AM 3/1/2013 2:34 PM
TerminationsTermination ReasonUpdate Other 3/1/2013 2:34 PM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM3/1/2013 9:53 AM
DetailsStateUpdate ActiveTerminated3/1/2013 9:53 AM
TerminationsTermination DateUpdate  4/1/2013 12:00:00 AM3/1/2013 9:53 AM
TerminationsTermination ReasonUpdate  Other3/1/2013 9:53 AM
DetailsLast Recertification DateInsert   8/12/2005 12:21 PM
DetailsGrant NumberInsert  H80CS008528/12/2005 12:21 PM
Details340B IDInsert  CH09129C8/12/2005 12:21 PM
DetailsIs Authorizing Official EHB DataInsert   8/12/2005 12:21 PM
DatesLast Date That 340B Drugs PurchasedInsert   8/12/2005 12:21 PM
DetailsMedicare Provider NumberInsert   8/12/2005 12:21 PM
DetailsEntity NameInsert  HO OLA LAHUI HAWAII8/12/2005 12:21 PM
DetailsProgram CodeInsert  CH8/12/2005 12:21 PM
DetailsEntity SubnameInsert  KAUAI COMMUNITY HEALTH CENTER - EAST8/12/2005 12:21 PM
DatesParticipating Approval DateInsert  3/5/2004 12:00:00 AM8/12/2005 12:21 PM
DetailsStateInsert  Active8/12/2005 12:21 PM
DatesRegistration DateInsert  4/1/2004 12:00:00 AM8/12/2005 12:21 PM
DatesSigned By DateInsert   8/12/2005 12:21 PM
DatesStart DateInsert  4/1/2004 12:00:00 AM8/12/2005 12:21 PM
TerminationsTermination CommentsInsert   8/12/2005 12:21 PM
TerminationsTermination DateInsert   8/12/2005 12:21 PM
TerminationsTermination Effective DateInsert   8/12/2005 12:21 PM
TerminationsTermination ReasonInsert   8/12/2005 12:21 PM
DetailsComments PublicInsert  NEW SITE 04/01/20048/12/2005 12:21 PM