340B Drug Pricing Program Database


HM8413 UNIVERSITY OF OKLAHOMA HEALTH SCIENCE DBA OKLAHOMA CENTER FOR BLEEDING DISORDERS (Active) - information as of 5/15/2025 1:47:37 AM

Main Details
UNIVERSITY OF OKLAHOMA HEALTH SCIENCE DBA OKLAHOMA CENTER FOR BLEEDING DISORDERS
Comprehensive Hemophilia Treatment Center
HM8413
H30MC24051


Additional Details
Active
11/29/2006
1/1/2007
11/29/2006
2/28/2025

Contacts

Oklahoma Center for Bleeding and Clotting Disorders
Kimberly F Lay, Accounting Manager
(405) 271-8001 Ext: 42317

University of Oklahoma Health Sciences Center
Stephan Larson, Business Manager
(405) 271-8001 Ext: 42535

Addresses

1200 Children Ave A2
14712
OKLAHOMA CITY, OK 73104

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • History
Comments
CommentLast Updated On 
2/7/12 update address to Childrens Ave 6/7/2011 ADDR CORRECTED (WAS SUITE 1450); 1/12/11 BILL/SHIP TO CHAGED (WAS 825 NE 10TH STREET SUITE 2200/SUITE 1450) 11/13/09 UPDATED ADDR (WAS 940 NE 13TH ST);11/13/09 ADDED BILL TO02/07/2012
6/7/2011 ADDR CORRECTED (WAS SUITE 1450); 1/12/11 BILL/SHIP TO CHAGED (WAS 825 NE 10TH STREET SUITE 2200/SUITE 1450) 11/13/09 UPDATED ADDR (WAS 940 NE 13TH ST);11/13/09 ADDED BILL TO11/29/2006
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
OK200928550A1356746267
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailGULF STATES PHARMACY UNIVERSITY OF TEXASUNIVERSITY OF TEXAS HEALTH SCIENCE CENTE 7000 FANNIN ST STE 1900
HOUSTONTX7703007/14/201710/01/2017  10/01/2017
Contract DetailJIMMY EVEREST CANCER CTR PHARMACY1200 CHILDRENS AVE RM 7303
OKLAHOMA CITYOK7310407/14/201710/01/2017 07/28/202308/01/2023
Contract DetailRED CHIP OF NEVADA18009 SKY PARK CIRCLE SUITE F
IRVINECA92614-926101/06/202104/01/202110/01/2021 07/20/2021
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
Medicaid BillingMedicaid: NumberDeleteRecertification200532040A (OK) 2/28/2025 9:29 AM
Medicaid BillingNPI: NumberDeleteRecertification1669895108 (OK) 2/28/2025 9:29 AM
DetailsLast Recertification DateUpdateRecertification1/31/2024 9:39:12 AM2/28/2025 9:29:33 AM2/28/2025 9:29 AM
ContactsPrimary ContactUpdatePC Change RequestWesley, Brian Pharmacist Board of Regents of the University of Oklahoma 4052711047Larson, Stephan Business Manager University of Oklahoma Health Sciences Center 4052718001-425352/8/2024 12:43 PM
DetailsLast Recertification DateUpdateRecertification2/24/2023 2:22:38 PM1/31/2024 9:39:12 AM1/31/2024 9:39 AM
ContactsAuthorizing OfficialUpdateAO Change RequestChudnaya, Anna Administrative Manager Oklahoma Center for Bleeding and Clotting Disorders 4052718001-42535Lay, Kimberly F Accounting Manager Oklahoma Center for Bleeding and Clotting Disorders 4052718001-423173/13/2023 6:57 AM
AddressesMain AddressUpdateRecertification 1200 Children Ave A2 14709 OKLAHOMA CITY, OK 73104 1200 Children Ave A2 14712 OKLAHOMA CITY, OK 731042/24/2023 2:22 PM
DetailsLast Recertification DateUpdateRecertification2/8/2022 3:29:56 PM2/24/2023 2:22:38 PM2/24/2023 2:22 PM
ContactsAuthorizing OfficialUpdateAO Change RequestLuttrell, Reanna Marie Administrative Manager Oklahoma Center for Bleeding and Clotting Disorders 4052715311-42535Chudnaya, Anna Administrative Manager Oklahoma Center for Bleeding and Clotting Disorders 4052718001-425352/24/2023 6:31 AM
DetailsLast Recertification DateUpdateRecertification2/8/2021 8:35:22 AM2/8/2022 3:29:56 PM2/8/2022 3:29 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False3/10/2021 6:07 PM
Medicaid BillingMedicaid: NumberInsertChange Request 200928550A3/10/2021 6:07 PM
Medicaid BillingMedicaid: StateInsertChange Request OK3/10/2021 6:07 PM
Medicaid BillingNPI: NumberInsertChange Request 13567462673/5/2021 9:49 AM
Medicaid BillingNPI: StateInsertChange Request OK3/5/2021 9:49 AM
AddressesMain AddressUpdateRecertification 1200 Children Ave 7911 OKLAHOMA CITY, OK 73104 1200 Children Ave A2 14709 OKLAHOMA CITY, OK 731042/8/2021 8:35 AM
Medicaid BillingNPI: NumberDeleteRecertification1669895108 ( ) 2/8/2021 8:35 AM
Medicaid BillingNPI: NumberInsertRecertification 16698951082/8/2021 8:35 AM
Medicaid BillingNPI: StateInsertRecertification OK2/8/2021 8:35 AM
DetailsLast Recertification DateUpdateRecertification2/4/2020 10:16:48 AM2/8/2021 8:35:22 AM2/8/2021 8:35 AM
AddressesShipping AddressDeleteRecertificationOKLAHOMA CENTER FOR BLEEDING DISORDERS 1200 Children Ave, 7303 OKLAHOMA CITY, OK 73014 2/4/2020 10:16 AM
AddressesMain AddressUpdateRecertification 1200 Children Ave 7303 OKLAHOMA CITY, OK 73104 1200 Children Ave 7911 OKLAHOMA CITY, OK 731042/4/2020 10:16 AM
DetailsLast Recertification DateUpdateRecertification1/29/2019 8:54:04 AM2/4/2020 10:16:48 AM2/4/2020 10:16 AM
ContactsAuthorizing OfficialUpdateAO Change RequestDavis, Scott ASSOCIATE DIRECTOR, OFFICE OF RESEARCH ADMINISTRATION Board of Regents of the University of Oklahoma 4052712090Luttrell, Reanna Marie Administrative Manager Oklahoma Center for Bleeding and Clotting Disorders 4052715311-425351/30/2020 7:45 AM
DetailsLast Recertification DateUpdateRecertification2/15/2018 8:50:00 AM1/29/2019 8:54:04 AM1/29/2019 8:54 AM
AddressesShipping AddressInsertChange Request OKLAHOMA CENTER FOR BLEEDING DISORDERS 1200 Children Ave, 7303 OKLAHOMA CITY, OK 7301410/26/2018 10:14 AM
AddressesMain AddressUpdateChange Request 1200 Children Ave 10A OKLAHOMA CITY, OK 73104 1200 Children Ave 7303 OKLAHOMA CITY, OK 7310410/26/2018 10:14 AM
AddressesBilling AddressUpdateChange RequestOKLAHOMA CENTER FOR BLEEDING DISORDERS 1200 Children Ave, 10A OKLAHOMA CITY, OK 73104OKLAHOMA CENTER FOR BLEEDING DISORDERS 1200 Children Ave, 7303 OKLAHOMA CITY, OK 7310410/26/2018 10:14 AM
AddressesShipping AddressDeleteChange RequestOKLAHOMA CENTER FOR BLEEDING DISORDERS 1200 Children Ave, 10A OKLAHOMA CITY, OK 73014 10/26/2018 10:14 AM
ContactsPrimary ContactUpdateChange RequestSTONE, KATHY PED HEM/ONC BUSINESS MANAGER Oklahoma Center for Bleeding and Clotting 4052713661-4Wesley, Brian Pharmacist Board of Regents of the University of Oklahoma 405271104710/26/2018 10:14 AM
DetailsLast Recertification DateUpdateRecertification1/26/2017 12:00:00 AM2/15/2018 8:50:00 AM2/15/2018 8:50 AM
ContactsPrimary ContactUpdate STONE, KATHY PED HEM/ONC BUSINESS MANAGER 4052713661-4STONE, KATHY PED HEM/ONC BUSINESS MANAGER Oklahoma Center for Bleeding and Clotting 4052713661-41/10/2018 12:25 PM
ContactsAuthorizing OfficialUpdate Davis, Scott ASSOCIATE DIRECTOR, OFFICE OF RESEARCH ADMINISTRATION 4052712090Davis, Scott ASSOCIATE DIRECTOR, OFFICE OF RESEARCH ADMINISTRATION Board of Regents of the University of Oklahoma 405271209010/12/2017 1:04 PM
AddressesMain AddressInsert   1200 Children Ave 10A OKLAHOMA CITY, OK 731047/21/2017 1:37 PM
AddressesBilling AddressInsert  OKLAHOMA CENTER FOR BLEEDING DISORDERS 1200 Children Ave, 10A OKLAHOMA CITY, OK 731047/21/2017 1:37 PM
AddressesShipping AddressInsert  OKLAHOMA CENTER FOR BLEEDING DISORDERS 1200 Children Ave, 10A OKLAHOMA CITY, OK 730147/21/2017 1:37 PM
ContactsPrimary ContactInsert  STONE, KATHY PED HEM/ONC BUSINESS MANAGER 4052713661-47/21/2017 1:37 PM
ContactsAuthorizing OfficialUpdate ASCH, LISA C. ASSOCIATE DIRECTOR, OFFICE OF RESEARCH ADMINISTRATION 4052712090Davis, Scott ASSOCIATE DIRECTOR, OFFICE OF RESEARCH ADMINISTRATION 40527120907/21/2017 1:37 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False7/21/2017 1:37 PM
Medicaid BillingMedicaid: NumberInsert  200532040A7/21/2017 1:37 PM
Medicaid BillingMedicaid: StateInsert  OK7/21/2017 1:37 PM
DetailsLast Recertification DateUpdate 2/12/2016 12:00:00 AM1/26/2017 12:00:00 AM1/26/2017 1:29 PM
DetailsLast Recertification DateUpdate 2/2/2015 12:00:00 AM2/12/2016 12:00:00 AM2/12/2016 7:31 AM
DetailsLast Recertification DateUpdate 2/14/2014 12:00:00 AM2/2/2015 12:00:00 AM2/2/2015 9:31 PM
Medicaid BillingNPI: NumberInsert  16698951085/2/2014 1:23 PM
ContactsAuthorizing OfficialInsert  ASCH, LISA C. ASSOCIATE DIRECTOR, OFFICE OF RESEARCH ADMINISTRATION 40527120902/14/2014 1:02 PM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM2/14/2014 12:00:00 AM2/14/2014 1:02 PM
DetailsGrant NumberUpdate H30MC00029H30MC240512/14/2014 11:13 AM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM2/19/2013 9:36 AM
DetailsGrant NumberUpdate  H30MC000292/7/2012 11:56 AM
DetailsComments PublicInsert  2/7/12 update address to Childrens Ave 6/7/2011 ADDR CORRECTED (WAS SUITE 1450); 1/12/11 BILL/SHIP TO CHAGED (WAS 825 NE 10TH STREET SUITE 2200/SUITE 1450) 11/13/09 UPDATED ADDR (WAS 940 NE 13TH ST);11/13/09 ADDED BILL TO2/7/2012 11:56 AM
DetailsGrant NumberUpdate H30MC00029 6/7/2011 4:18 PM
DetailsLast Recertification DateInsert   11/29/2006 1:37 PM
DetailsGrant NumberInsert  H30MC0002911/29/2006 1:37 PM
Details340B IDInsert  HM841311/29/2006 1:37 PM
DetailsIs Authorizing Official EHB DataInsert   11/29/2006 1:37 PM
DatesLast Date That 340B Drugs PurchasedInsert   11/29/2006 1:37 PM
DetailsMedicare Provider NumberInsert   11/29/2006 1:37 PM
DetailsEntity NameInsert  UNIVERSITY OF OKLAHOMA HEALTH SCIENCE DBA OKLAHOMA CENTER FOR BLEEDING DISORDERS11/29/2006 1:37 PM
DetailsProgram CodeInsert  HM11/29/2006 1:37 PM
DetailsEntity SubnameInsert   11/29/2006 1:37 PM
DatesParticipating Approval DateInsert  11/29/2006 12:00:00 AM11/29/2006 1:37 PM
DetailsStateInsert  Active11/29/2006 1:37 PM
DatesRegistration DateInsert  11/29/2006 12:00:00 AM11/29/2006 1:37 PM
DatesSigned By DateInsert  11/17/2006 12:00:00 AM11/29/2006 1:37 PM
DatesStart DateInsert  1/1/2007 12:00:00 AM11/29/2006 1:37 PM
TerminationsTermination CommentsInsert   11/29/2006 1:37 PM
TerminationsTermination DateInsert   11/29/2006 1:37 PM
TerminationsTermination Effective DateInsert   11/29/2006 1:37 PM
TerminationsTermination ReasonInsert   11/29/2006 1:37 PM
DetailsComments PublicInsert  6/7/2011 ADDR CORRECTED (WAS SUITE 1450); 1/12/11 BILL/SHIP TO CHAGED (WAS 825 NE 10TH STREET SUITE 2200/SUITE 1450) 11/13/09 UPDATED ADDR (WAS 940 NE 13TH ST);11/13/09 ADDED BILL TO11/29/2006 1:37 PM