340B Drug Pricing Program Database


DSH330005 KALEIDA HEALTH (Active) - information as of 5/19/2025 12:51:01 AM

Main Details
KALEIDA HEALTH
Disproportionate Share Hospital
No
DSH330005
330005


Additional Details
Active
3/2/2006
4/1/2006
3/2/2006
8/15/2024

Contacts

Kaleida Health
Chisholm P Hugh, EVP Chief Financial Officer
(716) 859-8836

Kaleida Health
Wendy Ann DellaNeve, Manager 340B Program
(716) 859-8012

Addresses

100 High Street
BUFFALO, NY 14203

Same as Street Address


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

Yes
StateMedicaid NumberNPI Number
NY003619681366473183,1992540546
Shipping Addresses

Kaleida Health Outpatient Pharmacy
100 High Street
Buffalo, NY 14203

Kaleida Health
100 High Street
Buffalo, NY 14203
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract Detail31ST & 3RD PHARMACY INCD/B/A AVITA PHARMACY 1063 1860 WALT WHITMAN RD STE 700
MELVILLENY1174710/17/201601/01/2017 10/01/201810/22/2018
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/17/201601/01/2017  07/13/2017
Contract DetailACCREDO HEALTH GROUP INC201 GREAT CIRCLE ROAD
NASHVILLETN3722810/17/201601/01/2017 06/01/202110/13/2023
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/17/201601/01/2017  07/13/2017
Contract DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201004/17/201707/01/2017  07/13/2017
Contract DetailACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/17/201601/01/2017 10/01/202310/13/2023
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/17/201601/01/2017  07/13/2017
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/17/201601/01/2017  07/13/2017
Contract DetailACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607510/13/202301/01/2024  01/01/2024
Contract DetailACRO PHARMACEUTICAL SERVICES LLCACRO PHARMACEUTICAL SERVICES LLC 313 HENDERSON DR
SHARON HILLPA1907910/17/201601/01/2017 07/03/201907/09/2019
Contract DetailAVELLA OF COLUMBUS4830 KNIGHTSBRIDGE BLVD STE C
COLUMBUSOH43214-230007/06/201710/01/2017 12/01/202012/01/2020
Contract DetailAVELLA OF DEER VALLEY, INC. #38DBA AVELLA SPECIALTY PHARMACY 24416 N. 19TH AVE
PHOENIXAZ8508507/06/201710/01/2017 12/01/202012/01/2020
Contract DetailBROADWAY PENORA, INC.DBA: TOPS MARKET #114 5175 BROADWAY
DEPEWNY1404304/08/201907/01/2019 12/01/202112/14/2021
Contract DetailBUFFALO PHARMACIES813 FAY RD STE P1
SYRACUSENY13219-300904/09/201304/09/2013 09/17/201912/09/2019
Contract DetailBUFFALO PHARMACIESD/B/A CLEVE-HILL DRUG 1479 KENSINGTON AVE
BUFFALONY14215-143604/09/201304/09/2013 12/01/202104/13/2022
Contract DetailBUFFALO PHARMACIES INC20 LAWRENCE BELL DR
WILLIAMSVILLENY14221-709004/08/201407/01/2014 12/01/202104/13/2022
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361404/17/201707/01/2017 09/30/201803/07/2019
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361407/15/202110/01/2021  10/01/2021
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005604/17/201707/01/2017 09/30/201803/07/2019
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/15/202110/01/2021  10/01/2021
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621904/17/201707/01/2017 09/30/201803/07/2019
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621907/15/202110/01/2021  10/01/2021
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175704/17/201707/01/2017 09/30/201803/07/2019
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175707/15/202110/01/2021  10/01/2021
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808304/17/201707/01/2017 09/30/201803/07/2019
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808307/15/202110/01/2021  10/01/2021
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700404/17/201707/01/2017 09/30/201803/07/2019
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700407/15/202110/01/2021  10/01/2021
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761704/17/201707/01/2017 09/30/201803/07/2019
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761707/15/202110/01/2021  10/01/2021
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813304/17/201707/01/2017 09/30/201803/07/2019
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813307/15/202110/01/2021  10/01/2021
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237404/17/201707/01/2017 09/30/201803/07/2019
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237407/15/202110/01/2021  10/01/2021
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911907/15/202110/01/2021  10/01/2021
Contract DetailCOMMCARE PHARMACY-FTL, LLC855 SW 78TH AVE STE C100
PLANTATIONFL33324-322307/14/201610/01/2016 07/03/201907/09/2019
Contract DetailCORAM HEALTHCARE CORPORATION OF GREATERDBA CORAM CVS/SPECIALTY INFUSION SERVICE 2949 ERIE BLVD EAST
SUITE 103 		SYRACUSENY1322404/17/201707/01/2017 09/30/201803/07/2019
Contract DetailCORAM HEALTHCARE CORPORATION OF GREATERDBA CORAM CVS/SPECIALTY INFUSION SERVICE 375 NORTH FRENCH RD
SUITE 108 		AMHERSTNY1422804/17/201707/01/2017 09/30/201803/07/2019
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00274 360 DINGENS ST.
BUFFALONY1420611/09/201210/27/2012 09/30/201803/07/2019
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00282 1678 HERTEL AVENUE
BUFFALONY1421611/09/201210/27/2012 09/30/201803/07/2019
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00308 432 MAIN STREET
BUFFALONY1420211/09/201210/27/2012 09/30/201803/07/2019
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00598 1717 SHERIDAN DR.
TONAWANDANY1422311/09/201210/27/2012 09/30/201803/07/2019
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00609 1625 ELMWOOD AVE.
SPECTRUM BLDG 		BUFFALONY1420711/09/201210/27/2012 09/30/201803/07/2019
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00618 4968 HARLEM ROAD
AMHERSTNY1422611/09/201210/27/2012 09/30/201803/07/2019
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00725 392 KENMORE AVENUE
BUFFALONY1422311/09/201210/27/2012 09/30/201803/07/2019
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00762 2000 KENSINGTON AVENUE
AMHERSTNY1422611/09/201210/27/2012 09/30/201803/07/2019
Contract DetailCVS ALBANY, L.L.C.CVS PHARMACY # 17271 4920 TRANSIT RD
DEPEWNY1404307/15/202110/01/2021  10/01/2021
Contract DetailCVS ALBANY, L.L.C.CVS/PHARMACY #11186 1806 PINE AVE.
NIAGARA FALLSNY1430107/15/202110/01/2021 08/29/202210/06/2022
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00609 1625 ELMWOOD AVE.
SPECTRUM BLDG 		BUFFALONY1420707/15/202110/01/2021  10/01/2021
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00578 1231 FRENCH ROAD
DEPEWNY1404307/15/202110/01/2021 09/03/202410/04/2024
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00598 1717 SHERIDAN DR.
TONAWANDANY1422307/15/202110/01/2021  10/01/2021
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00762 2000 KENSINGTON AVENUE
AMHERSTNY1422607/15/202110/01/2021  10/01/2021
Contract DetailCVS ALBANY, L.L.C.CVS PHARMACY # 16401 7414 NIAGARA FALLS BLVD
NIAGARA FALLSNY1430407/15/202110/01/2021  10/01/2021
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 05496 9300 TRANSIT RD
EAST AMHERSTNY1405107/15/202110/01/2021  10/01/2021
Contract DetailCVS ALBANY, L.L.C.CVS PHARMACY # 16400 8290 TRANSIT RD
WILLIAMSVILLENY1422107/15/202110/01/2021  10/01/2021
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00725 392 KENMORE AVENUE
BUFFALONY1422307/15/202110/01/2021  10/01/2021
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00274 360 DINGENS ST.
BUFFALONY1420607/15/202110/01/2021  10/01/2021
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00577 2972 SAUNDERS SETTLEMENT ROAD
SANBORNNY1413207/15/202110/01/2021  10/01/2021
Contract DetailCVS ALBANY, L.L.C.CVS PHARMACY # 16403 1750 WALDEN AVE
CHEEKTOWAGANY1422507/15/202110/01/2021  10/01/2021
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00618 4968 HARLEM ROAD
AMHERSTNY1422607/15/202110/01/2021  10/01/2021
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/15/202110/01/2021  10/01/2021
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/15/202110/01/2021  10/01/2021
Contract DetailCVS RX SERVICES, INCDBA:CVS/ PHARMACY DISTRIBUTION 150 WHITE WAGON ROAD
CHEMUNGNY1482510/06/201401/01/2015 09/30/201803/07/2019
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502807/15/202110/01/2021  10/01/2021
Contract DetailDELIVERCARERX PHARMACY LLCDELIVERCARERX PHARMACY LLC 1471 E BUSINESS CENTER DR
STE 200 		MT PROSPECTIL6005607/17/201710/01/2017 09/30/201807/22/2019
Contract DetailECKERD CORPORATIONRITE AID #10836 2401 GENESEE STREET
CHEEKTOWAGANY1422501/13/202004/01/2020 07/19/202307/27/2023
Contract DetailECKERD CORPORATIONRITE AID #10825 1625 BROADWAY STREET
BUFFALONY1421204/17/202305/03/2023 05/12/202305/25/2023
Contract DetailECKERD CORPORATIONRITE AID #10827 2585 MAIN STREET
BUFFALONY1421404/17/202305/03/2023 07/19/202307/27/2023
Contract DetailECKERD CORPORATIONRITE AID #10824 789 TONAWANDA STREET
BUFFALONY1420704/17/202305/03/2023 12/01/202412/04/2024
Contract DetailECKERD CORPORATIONRITE AID #10826 291 WEST FERRY STREET
BUFFALONY1421304/17/202305/03/2023 05/12/202305/25/2023
Contract DetailFAMILY PHARMACEUTICAL SER1001 MAIN ST. 2ND FLOOR
BUFFALONY1420310/18/201110/18/2011 09/27/201912/09/2019
Contract DetailFAMILY PHARMACEUTICAL SERVICES LLCDBA: HIGH ST. PRESCRIPTION CENTER 100 HIGH ST
BUFFALONY14203-112610/18/201110/18/2011  07/13/2017
Contract DetailFAMILY PHARMACEUTICAL SERVICES LLCD/B/A SUBURBAN FAMILY PHARMACY 1540 MAPLE ROAD
WILLIAMSVILLENY1422110/18/201110/18/2011 12/01/202112/14/2021
Contract DetailISLAND CARE PHARMACY INCPARAMOUNT SPECIALTY PHARMACY 150 NEW SCOTLAND AVE
ALBANYNY12208-342310/17/201601/01/2017 10/01/201810/22/2018
Contract DetailNIAGARA-LOCKPORT ENTERPRISES, INC.DBA: TOPS MARKET #021 5827 SOUTH TRANSIT ROAD
LOCKPORTNY1409404/08/201907/01/2019 02/07/202405/11/2024
Contract DetailNOBLE HEALTH SERVICES INC.6040 TARBELL ROAD
SYRACUSENY1320604/17/201707/01/2017 01/18/202001/18/2020
Contract DetailONCOMED PHARMACEUTICAL SERVICES OF MA, LD/B/A ONCO360 335 BEAR HILL RD
STE 2100 		WALTHAMMA0245101/15/201904/01/2019 02/01/202102/01/2021
Contract DetailONCOMED THE ONCOLOGY PHARMACY OF BUFFALOD/B/A ONCO360 140 JOHN JAMES AUDUBON PKWY STE 101
AMHERSTNY1422801/15/201904/01/2019  04/01/2019
Contract DetailOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508507/15/202007/15/2020 12/01/202012/01/2020
Contract DetailPARKVIEW HEALTH SERVICES OF NEW YORK LLCPARKVIEW 1770 COLVIN BLVD
BUFFALONY1422304/09/201304/09/2013 01/16/201707/13/2017
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514604/17/201707/01/2017 09/30/201803/07/2019
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514607/15/202110/01/2021  10/01/2021
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920307/15/202110/01/2021  10/01/2021
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681307/15/202110/01/2021  10/01/2021
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523307/15/202110/01/2021  10/01/2021
Contract DetailRITE AID DRUG PALACE, INC.RITE AID #1674 3950 UNION ROAD
CHEEKTOWAGANY1422501/13/202004/01/2020 07/19/202307/27/2023
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #4982 1640 HOPKINS ROAD
WILLIAMSVILLENY1422101/13/202004/01/2020 07/19/202307/27/2023
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #497 350 NIAGARA STREET
BUFFALONY1420101/13/202004/01/2020 07/19/202307/27/2023
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #499 424 ELMWOOD AVE.
BUFFALONY1422201/13/202004/01/2020 07/19/202307/27/2023
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #3521 1410 DELAWARE AVENUE
BUFFALONY1420901/13/202004/01/2020 12/01/202412/04/2024
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #1511 2474 BAILEY AVENUE
BUFFALONY1421501/13/202004/01/2020 07/19/202307/27/2023
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #1677 476 WILLIAM STREET
BUFFALONY1420601/13/202004/01/2020 12/01/202412/04/2024
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #3585 9160 MAIN STREET
CLARENCENY1403101/13/202004/01/2020 04/10/202304/17/2023
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #107 654 COLVIN AVENUE
KENMORENY1421701/13/202004/01/2020 07/19/202307/27/2023
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #650 419 DIVISION STREET
NORTH TONAWANDANY1412001/13/202004/01/2020 07/19/202307/27/2023
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #2448 1070 GENESEE STREET
BUFFALONY1421104/17/202305/03/2023 07/19/202307/27/2023
Contract DetailSINA DRUG LLCD/B/A ONCO 360 13410 EASTPOINT CENTRE DR
STE 101 		LOUISVILLEKY4022301/15/201904/01/2019  04/01/2019
Contract DetailSINA DRUG LLCDBA ONCO360 1985 MARCUS AVE STE 120
NEW HYDE PARKNY1104201/15/201904/01/2019  04/01/2019
Contract DetailSORKIN'S RX LTDD/B/A CAREMED PHARMACEUTICAL SERVICES 1985 MARCUS AVE STE 130
NEW HYDE PARKNY11042-202401/15/201904/01/2019  04/01/2019
Contract DetailSPECIALTY PHARMACY MANAGEMENT, LLC15 EARHART DR STE 101
AMHERSTNY14221-707907/17/201710/01/2017  10/01/2017
Contract DetailTOPS MARKETS7200 NIAGARA FALLS BLVD.
NIAGARA FALLSNY1430401/25/201301/25/2013 02/07/202405/11/2024
Contract DetailTOPS MARKETS3500 MAIN STREET
AMHERSTNY1422601/25/201301/25/2013 02/07/202405/11/2024
Contract DetailTOPS MARKETSDBA TOPS PHARMACY #49 355 ORCHARD PARK ROAD
WEST SENECANY1422401/25/201301/25/2013 12/01/201912/09/2019
Contract DetailTOPS MARKETS3201 SOUTHWESTERN BLVD.
ORCHARD PARKNY1412701/25/201301/25/2013 12/01/201912/09/2019
Contract DetailTOPS MARKETS2140 GRAND ISLAND BLVD
GRAND ISLANDNY1407201/25/201301/25/2013 01/01/202001/13/2020
Contract DetailTOPS MARKETSC/O PHARMACY 700 THRUWAY PLAZA DR.
CHEEKTOWAGANY1422501/25/201301/25/2013 02/07/202405/11/2024
Contract DetailTOPS MARKETSD/B/A TOPS PHARMACY #207 3035 NIAGARA FALL BLVD
AMHERSTNY1422801/25/201301/25/2013 12/01/202112/14/2021
Contract DetailTOPS MARKETS2000 WASHINGTON ST
JAMESTOWNNY1470101/25/201301/25/2013 12/01/201912/09/2019
Contract DetailTOPS MARKETS345 AMHERST ST
BUFFALONY1420701/25/201301/25/2013 02/07/202405/11/2024
Contract DetailTOPS MARKETS1460 SOUTH PARK AVENUE
BUFFALONY1422001/25/201301/25/2013 02/07/202405/11/2024
Contract DetailTOPS MARKETS4777 TRANSIT RD
DEPEWNY1404301/25/201301/25/2013 02/07/202405/11/2024
Contract DetailTOPS MARKETS2351 MAPLE ROAD
AMHERSTNY1422101/25/201301/25/2013 02/07/202405/11/2024
Contract DetailTOPS MARKETS890 YOUNG STREET
TONAWANDANY1415001/25/201301/25/2013 02/07/202405/11/2024
Contract DetailTOPS MARKETS9660 TRANSIT RD
EAST AMHERSTNY1405101/25/201301/25/2013 02/07/202405/11/2024
Contract DetailTOPS MARKETSC/O PHARMACY DEPT 150 NIAGARA ST.
TONAWANDANY1415001/25/201301/25/2013 12/01/202112/14/2021
Contract DetailTOPS MARKETSS6150 S. PARK AVE
HAMBURGNY1407501/25/201301/25/2013 12/01/201912/09/2019
Contract DetailTOPS MARKETSC/O PHARMACY 6363 TRANSIT ROAD
DEPEWNY1404301/25/201301/25/2013 02/07/202405/11/2024
Contract DetailTOPS MARKETS301 MEADOW DR
NORTH TONOWANDANY1412001/25/201301/25/2013 02/07/202405/11/2024
Contract DetailTOPS MARKETS LLC3980 MAPLE RD
AMHERSTNY1422601/25/201301/25/2013 02/07/202405/11/2024
Contract DetailTOPS MARKETS, LLC2401 W. STATE STREET
OLEANNY1476001/25/201301/25/2013 12/01/201912/09/2019
Contract DetailTOPS MARKETS, LLC2101 ELMWOOD AVE
BUFFALONY1420701/25/201301/25/2013 02/07/202405/11/2024
Contract DetailTOPS MARKETS, LLC1740 SHERIDAN DRIVE
TONAWANDANY1422301/25/201301/25/2013 12/01/202112/14/2021
Contract DetailTOPS MARKETS, LLCTOPS PHARMACY #250 1275 JEFFERSON AVE
BUFFALONY1420801/25/201301/25/2013 02/07/202405/11/2024
Contract DetailTOPS MARKETS, LLCTOPS PHARMACY #261 12775 BROADWAY
ALDENNY1400401/25/201301/25/2013 12/01/201912/09/2019
Contract DetailTOPS MARKETS, LLCTOPS PHARMACY #264 3955 VINEYARD DR.
DUNKIRKNY1404801/25/201301/25/2013 12/01/202112/14/2021
Contract DetailTOPS MARKETS, LLCTOPS PHARMACY #268 6914 ERIE RD
DERBYNY1404701/25/201301/25/2013 09/01/202009/11/2020
Contract DetailTOPS PHARMACY MARKETS LLC3865 UNION ROAD
CHEEKTOWAGANY1422501/25/201301/25/2013 12/01/202112/14/2021
Contract DetailTOPS PT, LLCTOPS PHARMACY #275 7134 ROCHESTER ROAD
LOCKPORTNY1409401/25/201301/25/2013 02/07/202405/11/2024
Contract DetailVASCUSCRIPT INC.D/B/A MOBILE PHARMACY SOLUTIONS 644 ELLICOTT STREET
SUITE 104 		BUFFALONY1420307/15/201310/01/2013 12/29/201705/18/2018
Contract DetailVNA HOME CARE SERVICES650 AIRBORNE PARKWAY
CHEEKTOWAGANY14225-148207/17/201810/01/2018  10/01/2018
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/15/201401/01/2015  07/13/2017
Contract DetailWAL-MART PHARMACY 10-19091540 MILITARY ROAD
NIAGARA FALLSNY1430410/15/201210/15/2012 12/01/202412/04/2024
Contract DetailWAL-MART PHARMACY 10-21075735 S. TRANSIT RD
LOCKPORTNY1409410/15/201210/15/2012  07/13/2017
Contract DetailWAL-MART PHARMACY 10-22103290 SHERIDAN DR
AMHERSTNY1422609/07/201209/07/2012  07/13/2017
Contract DetailWAL-MART PHARMACY 10-23555033 TRANSIT RD
WILLIAMSVILLENY1422109/07/201209/07/2012  07/13/2017
Contract DetailWAL-MART PHARMACY 10-24055360 SOUTHWESTERN BLVD
HAMBURGNY1407510/15/201210/15/2012  07/13/2017
Contract DetailWAL-MART PHARMACY 10-25862500 WALDEN AVE
CHEEKTOWAGA (EAST)NY1422509/07/201209/07/2012 12/01/202412/04/2024
Contract DetailWAL-MART PHARMACY 10-50274975 TRANSIT ROAD
DEPEWNY1404309/07/201209/07/2012 12/01/202412/04/2024
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/15/201401/01/2015  07/13/2017
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #11984 3242 ROUTE 39
YORKSHIRENY1417304/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 04968 5 N. TRANSIT ST.
LOCKPORTNY1409404/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 03267 2043 KENSINGTON AVE.
AMHERSTNY1422604/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 2320 GRAND ISLAND BLVD.
GRAND ISLANDNY1407204/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #12117 1066 PAYNE AVE.
NORTH TONAWANDANY14120-272004/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 03857 3488 MAIN ST
BUFFALONY1421404/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09759 5305 MAIN STREET
WILLIAMSVILLENY14221-532904/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 1180 FRENCH RD.
CHEEKTOWAGANY14227-370604/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 03897 10 YOUNG ST
TONAWANDANY1415004/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 05714 578 DICK RD
DEPEWNY1404304/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09717 6785 TRANSIT RD
EAST AMHERSTNY1405104/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #11142 9217 MAIN ST.
CLARENCENY14031-193104/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 9050 ERIE RD.
ANGOLANY14006-955604/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #18251 1422 S MAIN ST
MEDINANY1410304/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 03257 1328 ABBOTT ROAD
LACKAWANNANY1421804/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 10383 815 HARLEM RD.
WEST SENECANY14224-108204/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 03288 650 DELAWARE AVENUE
BUFFALONY1420204/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 05592 5275 TRANSIT RD.
BUFFALONY1422104/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 1306 MILITARY RD.
NIAGARA FALLSNY14304-471104/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 05610 3605 SHERIDAN DRIVE
AMHERSTNY1422604/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #12408 2970 NIAGARA FALLS BLVD
AMHERSTNY1422804/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA WALGREENS SPECIALTY PHARMACY #16563 1010 MAIN ST
SUITE 100 		BUFFALONY1420204/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 03290 1556 HERTEL AVE.
BUFFALONY1421604/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 03270 2601 SHERIDAN DRIVE
TONAWANDANY1415004/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 03438 1202 PINE AVE
NIAGARA FALLSNY1430104/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 6199 SOUTH PARK AVE.
HAMBURGNY1407504/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #10442 2739 DELAWARE AVE.
KENMORENY14217-270104/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 3008 UNION RD.
ORCHARD PARKNY14127-121504/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 03859 4815 BROADWAY
DEPEWNY1404304/17/202305/10/2023  05/10/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #10443 3564 DELAWARE AVE.
TONAWANDANY1421704/17/202305/10/2023  05/10/2023
Contract DetailWALMART PHARMACY 10-4597886 NIAGARA FALLS BLVD.
NORTH TONAWANDANY1412010/15/201210/15/2012  07/13/2017
Contract DetailWALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/17/202305/03/2023 10/01/202310/13/2023
Contract DetailWalmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616810/13/202301/01/2024  01/01/2024
Contract DetailWEGMANS FOOD MARKETS, INC.651 DICK ROAD ATTN: PHARMACY
DEPEWNY1404307/02/201410/01/2014 12/29/201705/18/2018
Contract DetailWEGMANS FOOD MARKETS, INC.675 ALBERTA DRIVE ATTN: PHARMACY
AMHERSTNY1422607/02/201410/01/2014 12/29/201705/18/2018
Contract DetailWEGMANS FOOD MARKETS, INC.5275 SHERIDAN DRIVE ATTN: PHARMACY
WILLIAMSVILLENY1422107/02/201410/01/2014 12/29/201705/18/2018
Contract DetailWEGMANS FOOD MARKETS, INC.S-3740 MCKINLEY PARKWAY ATTN: PHARMACY
BLASDELLNY1421907/02/201410/01/2014 12/29/201705/18/2018
Contract DetailWEGMANS FOOD MARKETS, INC.3135 NIAGARA FALLS BLVD
AMHERSTNY1422807/02/201410/01/2014 12/29/201705/18/2018
Contract DetailWEGMANS FOOD MARKETS, INC.4960 TRANSIT ROAD ATTN: PHARMACY
DEPEWNY1404307/02/201410/01/2014 12/29/201705/18/2018
Contract DetailWEGMANS FOOD MARKETS, INC.945 FAIRMOUNT AVE. WE ATTN: PHARMACY
JAMESTOWNNY1470107/02/201410/01/2014 12/29/201705/18/2018
Contract DetailWEGMANS FOOD MARKETS, INC.370 ORCHARD PARK ROAD ATTN: PHARMACY
WEST SENECANY1422407/02/201410/01/2014 12/29/201705/18/2018
Contract DetailWEGMANS FOOD MARKETS, INC.8270 TRANSIT ROAD ATTN: PHARMACY
WILLIAMSVILLENY1422107/02/201410/01/2014 12/29/201705/18/2018
Contract DetailWEGMANS FOOD MARKETS, INC.601 AMHERST STREET ATTN: PHARMACY
BUFFALONY1420707/02/201410/01/2014 12/29/201705/18/2018
Contract DetailWEGMANS FOOD MARKETS, INC.1577 MILITARY ROAD ATTN: PHARMACY
NIAGARA FALLSNY1430407/02/201410/01/2014 12/29/201705/18/2018
Contract DetailWEGMANS FOOD MARKETS, INC.4960 TRANSIT ROAD ATTN: PHARMACY
DEPEWNY1404307/09/201910/01/2019  10/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.675 ALBERTA DRIVE ATTN: PHARMACY
AMHERSTNY1422607/09/201910/01/2019  10/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.1577 MILITARY ROAD ATTN: PHARMACY
NIAGARA FALLSNY1430407/09/201910/01/2019  10/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.5275 SHERIDAN DRIVE ATTN: PHARMACY
WILLIAMSVILLENY1422107/09/201910/01/2019  10/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.651 DICK ROAD ATTN: PHARMACY
DEPEWNY1404307/09/201910/01/2019  10/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.3135 NIAGARA FALLS BLVD
AMHERSTNY1422807/09/201910/01/2019  10/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.601 AMHERST STREET ATTN: PHARMACY
BUFFALONY1420707/09/201910/01/2019  10/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.370 ORCHARD PARK ROAD ATTN: PHARMACY
WEST SENECANY1422407/15/201910/01/2019 10/01/202410/04/2024
Contract DetailWEGMANS FOOD MARKETS, INC.8270 TRANSIT ROAD ATTN: PHARMACY
WILLIAMSVILLENY1422107/15/201910/01/2019  10/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.S-3740 MCKINLEY PARKWAY ATTN: PHARMACY
BLASDELLNY1421907/15/201910/01/2019  10/01/2019
Contract DetailWURLITZER FAMILY PHARMACY INC.521 DIVISION ST
NORTH TONAWANDANY1412004/08/201407/01/2014 10/01/202010/01/2020
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH330005AChildDSHKALEIDA HEALTHBUFFALO GENERAL HOSPITAL100 HIGH STREETBUFFALONYActive
DSH330005AAChildDSHKALEIDA HEALTHDental Clinic1001 MAIN STREETBUFFALONYTerminated
DSH330005ABChildDSHKALEIDA HEALTHPlastic Surgery Clinic1001 Main StBUFFALONYActive
DSH330005ACChildDSHKALEIDA HEALTHOCH Department of Otolaryngology (ENT)1001 Main StBUFFALONYActive
DSH330005ADChildDSHKALEIDA HEALTHOCH - Orthopedics Center1001 Main StBUFFALONYActive
DSH330005AEChildDSHKALEIDA HEALTHWOMEN & CHILDRENS HOSPITAL - Sports Medicine Clinic219 BRYANT STBUFFALONYTerminated
DSH330005AFChildDSHKALEIDA HEALTHOCH - Perinatal Clinic1001 Main StBUFFALONYActive
DSH330005AGChildDSHKALEIDA HEALTHOCH - Rehabilitation Center1001 Main StBUFFALONYActive
DSH330005AHChildDSHKALEIDA HEALTHDEGRAFF HOSPITAL - Geriatrics Clinic445 TREMONT STREETNORTH TONAWANDANYTerminated
DSH330005AJChildDSHKALEIDA HEALTHDEGRAFF HOSPITAL - Wound Care Clinic445 TREMONT STREETNORTH TONAWANDANYTerminated
DSH330005AKChildDSHKALEIDA HEALTHDEGRAFF HOSPITAL - Disease Monitoring Clinic445 TREMONT STREETNORTH TONAWANDANYTerminated
DSH330005ALChildDSHKALEIDA HEALTHDEGRAFF HOSPITAL - Women's Health Center445 TREMONT STREETNORTH TONAWANDANYTerminated
DSH330005AMChildDSHKALEIDA HEALTHNorth Buffalo Medical Park Cardiology900 HERTEL AVEBUFFALONYActive
DSH330005ANChildDSHKALEIDA HEALTHHertel Elmwood Health Center Internal Medicine Clinic900 HERTEL AVEBUFFALONYActive
DSH330005APChildDSHKALEIDA HEALTHHertel Elmwood Health Center Dermatology Clinic900 HERTEL AVEBUFFALONYTerminated
DSH330005AQChildDSHKALEIDA HEALTHHertel Elmwood Health Center Podiatry Clinic900 HERTEL AVEBUFFALONYActive
DSH330005ARChildDSHKALEIDA HEALTHBroadway Pediatrics -OCH Youth Link Clinic1021 Broadway StreetBuffaloNYActive
DSH330005ASChildDSHKALEIDA HEALTHBehavioral Health Clinic - Main Street 10281028 Main StreetBuffaloNYActive
DSH330005ATChildDSHKALEIDA HEALTHNORTH BUFFALO SURGERY CLINIC900 HERTEL AVEBUFFALONYActive
DSH330005AUChildDSHKALEIDA HEALTHCHILDREN'S HEALTHY WEIGHT OF BUFFALO1001 Main StBUFFALONYActive
DSH330005AVChildDSHKALEIDA HEALTHVASCULAR ANOMALIES CLINIC1001 Main StBUFFALONYActive
DSH330005AWChildDSHKALEIDA HEALTHMAPLE WEST PLAZA / PHYSICAL THERAPY705 MAPLE ROADWILLIAMSVILLENYActive
DSH330005AXChildDSHKALEIDA HEALTHMAPLE WEST PLAZA / SPEECH THERAPY705 MAPLE ROADWILLIAMSVILLENYActive
DSH330005AYChildDSHKALEIDA HEALTHMAPLE WEST PLAZA / OCCUPATIONAL THERAPY705 MAPLE ROADWILLIAMSVILLENYActive
DSH330005AZChildDSHKALEIDA HEALTHMAPLE WEST PLAZA / PODIATRY705 MAPLE ROADWILLIAMSVILLENYActive
DSH330005BChildDSHKALEIDA HEALTHKaleida Health DBA John R. Oishei Children's Hospital818 Ellicott St.BUFFALONYActive
DSH330005BBChildDSHKALEIDA HEALTHOCH Fetal Care Center1001 Main St.BUFFALONYActive
DSH330005BCChildDSHKALEIDA HEALTHKALEIDA HEALTH / DMH General Surgery Clinic445 TREMONT STNORTH TONAWANDANYTerminated
DSH330005BDChildDSHKALEIDA HEALTHKALEIDA HEALTH / DMH INFUSION CENTER445 TREMONT STNORTH TONAWANDANYTerminated
DSH330005BEChildDSHKALEIDA HEALTHOCH / INFUSION CENTER818 Ellicott StreetBUFFALONYActive
DSH330005BFChildDSHKALEIDA HEALTHMillard Fillmore Suburban at Spindrift Drive/ CHEMOTHERAPY CENTER45 SPINDRIFT DRIVEWILLIAMSVILLENYActive
DSH330005BGChildDSHKALEIDA HEALTHKaleida Health - Family Planning1100 Main StreetBuffaloNYActive
DSH330005BHChildDSHKALEIDA HEALTHMILLARD FILLMORE SUBURBAN HOSPITAL - INFUSION THERAPY1540 MAPLE ROADWILLIAMSVILLENYActive
DSH330005BJChildDSHKALEIDA HEALTHBUFFALO GENERAL HOSPITAL - BGH OP Transfusion100 HIGH STBUFFALONYActive
DSH330005BKChildDSHKALEIDA HEALTHBGMC Bariatric Clinic - Bariatric Clinic100 High StreetBuffaloNYApproved
DSH330005BLChildDSHKALEIDA HEALTHBGMC Urology - Urology100 High StreetBuffaloNYApproved
DSH330005DChildDSHKALEIDA HEALTHMILLARD FILLMORE SUBURBAN HOSPITAL1540 MAPLE ROADWILLIAMSVILLENYActive
DSH330005EChildDSHKALEIDA HEALTHDEGRAFF MEDICAL PARK445 TREMONT STREETNORTH TONAWANDANYActive
DSH330005FChildDSHKALEIDA HEALTHNorth Buffalo Medical Park900 Hertel AvenueBuffaloNYActive
DSH330005GChildDSHKALEIDA HEALTHBroadway Pediatrics1021 Broadway StreetBuffaloNYActive
DSH330005HChildDSHKALEIDA HEALTHDiabetes - Endocrinology Ctr. of WNY705 Maple RoadAmherstNYActive
DSH330005JChildDSHKALEIDA HEALTHOCH Child Advocacy Program556 Franklin StreetBuffaloNYActive
DSH330005KChildDSHKALEIDA HEALTHNiagara Street Pediatrics ( formerly Hodge Pediatrics)1050 Niagara StreetBuffaloNYActive
DSH330005LChildDSHKALEIDA HEALTHLockport OB/GYN475 South Transit RoadLockportNYTerminated
DSH330005MChildDSHKALEIDA HEALTHMcKinley OB/GYN3860 McKinley ParkwayHamburgNYTerminated
DSH330005NChildDSHKALEIDA HEALTHHamburg ENT4535 Southwestern BlvdHamburgNYActive
DSH330005PChildDSHKALEIDA HEALTHLancaster OB/GYN6363 Transit RdLancasterNYTerminated
DSH330005QChildDSHKALEIDA HEALTHKensington OB/GYN462 Grider StreetBuffaloNYActive
DSH330005RChildDSHKALEIDA HEALTHNeurology Clinic1001 MAIN STREETBUFFALONYActive
DSH330005SChildDSHKALEIDA HEALTHSurgery Clinic1001 Main StBUFFALONYActive
DSH330005TChildDSHKALEIDA HEALTHOpthalmology Clinic1001 MAIN STREETBUFFALONYActive
DSH330005UChildDSHKALEIDA HEALTHLung Center Clinic1001 Main StBUFFALONYActive
DSH330005VChildDSHKALEIDA HEALTHRheumatology Clinic1001 Main StBUFFALONYActive
DSH330005WChildDSHKALEIDA HEALTHAutism Disorder Center1001 Main StBUFFALONYActive
DSH330005XChildDSHKALEIDA HEALTHCraniofacial Center1001 MAIN STREETBUFFALONYActive
DSH330005YChildDSHKALEIDA HEALTHDermatology Clinic1001 MAIN STREETBUFFALONYActive
DSH330005ZChildDSHKALEIDA HEALTHNiagara OBGYN (formerly Womens Health Clinic)564 Niagara StreetBUFFALONYActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesShipping AddressInsertChange Request Kaleida Health Outpatient Pharmacy 100 High Street Buffalo, NY 142039/13/2024 5:51 PM
AddressesShipping AddressInsertChange Request Kaleida Health 100 High Street Buffalo, NY 142039/13/2024 5:51 PM
Medicaid BillingNPI: NumberInsertChange Request 19925405469/13/2024 5:51 PM
Medicaid BillingNPI: StateInsertChange Request NY9/13/2024 5:51 PM
DetailsLast Recertification DateUpdateRecertification9/8/2023 7:17:35 AM8/15/2024 4:18:31 PM8/15/2024 4:18 PM
ContactsAuthorizing OfficialUpdateChange RequestDrake, Matthew D EVP Chief Financial Officer Kaleida Health 7168598836Hugh, Chisholm P EVP Chief Financial Officer Kaleida Health 716859883610/26/2023 7:09 AM
ContactsPrimary ContactUpdateProfile Change RequestDellaNeve, Wendy Ann Supervisor 340B Program Kaleida Health 7168598012DellaNeve, Wendy Ann Manager 340B Program Kaleida Health 716859801210/6/2023 12:46 PM
DetailsLast Recertification DateUpdateRecertification9/13/2022 11:14:38 AM9/8/2023 7:17:35 AM9/8/2023 7:17 AM
DetailsLast Recertification DateUpdateRecertification9/13/2021 3:01:53 PM9/13/2022 11:14:38 AM9/13/2022 11:14 AM
ContactsAuthorizing OfficialUpdateChange RequestBelter, Paul E EVP Chief Financial Officer Kaleida Health 7168598836Drake, Matthew D EVP Chief Financial Officer Kaleida Health 716859883612/21/2021 3:57 PM
DetailsLast Recertification DateUpdateRecertification9/11/2020 10:53:27 AM9/13/2021 3:01:53 PM9/13/2021 3:01 PM
ContactsAuthorizing OfficialUpdateChange RequestNesselbush, Robert Joseph EVP, CFO Kaleida Health 7168591215Belter, Paul E EVP Chief Financial Officer Kaleida Health 71685988364/8/2021 10:37 AM
Medicaid BillingNPI: NumberDeleteRecertification1366473183 ( ) 9/11/2020 10:53 AM
Medicaid BillingNPI: NumberInsertRecertification 13664731839/11/2020 10:53 AM
Medicaid BillingNPI: StateInsertRecertification NY9/11/2020 10:53 AM
DetailsLast Recertification DateUpdateRecertification9/20/2019 10:25:30 AM9/11/2020 10:53:27 AM9/11/2020 10:53 AM
DetailsLast Recertification DateUpdateRecertification8/31/2018 7:59:07 AM9/20/2019 10:25:30 AM9/20/2019 10:25 AM
ContactsPrimary ContactUpdateProfile Change RequestDellaNeve, Wendy Ann 340B Specialist Kaleida Health 7168598012DellaNeve, Wendy Ann Supervisor 340B Program Kaleida Health 71685980126/12/2019 9:51 AM
ContactsPrimary ContactUpdateChange RequestHeiser, Amanda Accounting Manager Kaleida Health 7168598513DellaNeve, Wendy Ann 340B Specialist Kaleida Health 71685980125/20/2019 9:05 AM
ContactsAuthorizing OfficialUpdateChange RequestSwiatkowski, Jonathan Thomas EVP, Chief Financial Officer Kaleida Health 7168598836Nesselbush, Robert Joseph EVP, CFO Kaleida Health 71685912155/20/2019 9:05 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False3/7/2019 10:46 AM
Medicaid BillingMedicaid: NumberInsertChange Request 003619683/7/2019 10:46 AM
Medicaid BillingMedicaid: StateInsertChange Request NY3/7/2019 10:46 AM
Medicaid BillingNPI: NumberInsertChange Request 13664731833/7/2019 10:46 AM
ContactsPrimary ContactUpdateChange RequestRyszka, Daniel 340B Coordinator Kaleida Health 7166902232Heiser, Amanda Accounting Manager Kaleida Health 71685985139/4/2018 9:26 AM
DetailsLast Recertification DateUpdateRecertification11/15/2017 9:59:21 PM8/31/2018 7:59:07 AM8/31/2018 7:59 AM
DetailsLast Recertification DateUpdateRecertification8/30/2016 12:00:00 AM11/15/2017 9:59:21 PM11/15/2017 9:59 PM
ContactsPrimary ContactUpdate Ryszka, Daniel 340B Coordinator 7166902232Ryszka, Daniel 340B Coordinator Kaleida Health 716690223210/19/2017 2:01 PM
ContactsAuthorizing OfficialUpdate Swiatkowski, Jonathan EVP, Chief Financial Officer 7168598836Swiatkowski, Jonathan Thomas EVP, Chief Financial Officer Kaleida Health 716859883610/10/2017 5:49 PM
ContactsAuthorizing OfficialInsert  Swiatkowski, Jonathan EVP, Chief Financial Officer 71685988367/17/2017 5:58 PM
ContactsPrimary ContactUpdate Summerville, Kathy Manager Financial Systems 7168598468Ryszka, Daniel 340B Coordinator 71669022327/14/2017 3:22 PM
AddressesMain AddressUpdate  726 Exchange Street Suite 522 BUFFALO, NY 14210 100 High Street BUFFALO, NY 142037/14/2017 3:08 PM
AddressesMain AddressInsert   726 Exchange Street Suite 522 BUFFALO, NY 142107/14/2017 3:08 PM
ContactsPrimary ContactUpdate Chmielewski, Steve Senior Accountant 7168598300Summerville, Kathy Manager Financial Systems 71685984688/30/2016 5:22 PM
DetailsLast Recertification DateUpdate 9/3/2015 12:00:00 AM8/30/2016 12:00:00 AM8/30/2016 5:22 PM
DetailsLast Recertification DateUpdate 9/4/2014 12:00:00 AM9/3/2015 12:00:00 AM9/3/2015 2:06 PM
DetailsLast Recertification DateUpdate 9/5/2013 12:00:00 AM9/4/2014 12:00:00 AM9/4/2014 1:40 PM
ContactsPrimary ContactInsert  Chmielewski, Steve Senior Accountant 71685983003/13/2014 4:51 PM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM9/5/2013 12:00:00 AM9/5/2013 2:00 PM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM5/14/2012 10:27 AM
DetailsLast Recertification DateInsert   3/2/2006 12:23 PM
DetailsGrant NumberInsert   3/2/2006 12:23 PM
Details340B IDInsert  DSH3300053/2/2006 12:23 PM
DetailsIs Authorizing Official EHB DataInsert   3/2/2006 12:23 PM
DatesLast Date That 340B Drugs PurchasedInsert   3/2/2006 12:23 PM
DetailsMedicare Provider NumberInsert  3300053/2/2006 12:23 PM
DetailsEntity NameInsert  KALEIDA HEALTH3/2/2006 12:23 PM
DetailsProgram CodeInsert  DSH3/2/2006 12:23 PM
DetailsEntity SubnameInsert   3/2/2006 12:23 PM
DatesParticipating Approval DateInsert  3/2/2006 12:00:00 AM3/2/2006 12:23 PM
DetailsStateInsert  Active3/2/2006 12:23 PM
DatesRegistration DateInsert  3/2/2006 12:00:00 AM3/2/2006 12:23 PM
DatesSigned By DateInsert  2/27/2006 12:00:00 AM3/2/2006 12:23 PM
DatesStart DateInsert  4/1/2006 12:00:00 AM3/2/2006 12:23 PM
TerminationsTermination CommentsInsert   3/2/2006 12:23 PM
TerminationsTermination DateInsert   3/2/2006 12:23 PM
TerminationsTermination Effective DateInsert   3/2/2006 12:23 PM
TerminationsTermination ReasonInsert   3/2/2006 12:23 PM