340B Drug Pricing Program Database


DSH390114 UPMC Magee-Womens Hospital (Active) - information as of 5/10/2025 10:52:41 PM

Main Details
UPMC Magee-Womens Hospital
Disproportionate Share Hospital
No
DSH390114
390114


Additional Details
Active
10/22/2007
4/1/2003
10/22/2007
8/29/2024

Contacts

UPMC
Jonathan Petrie, CFO UPMC Magee and Mercy
(412) 578-9416

UPMC Magee-Womens Hospital
Rosella Hoffmann, Director of Pharmacy
(412) 641-4352

Addresses

300 HALKET STREET
PITTSBURGH, PA 15213

UPMC Presbyterian Shadyside DBA UPMC Pharmacy Supply Chain
PO Box 2058
Portland, OR 97208


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

Yes
StateMedicaid NumberNPI Number
PA1007711570045,1007711570053,1007711570032,1007711570026,1007711570051,1007711570052,10077115700211952311508,1285741900,1659435501,1134301021
Shipping Addresses

HILLMAN CANCER CENTER PHARMACY
5115 CENTRE AVE RM 225
PITTSBURGH, PA 15232

UPMC MAGEE WOMENS HOSPITAL
300 HALKET ST
300 HALKET ST ROOM 4670
Pittsburgh, PA 15213

UPMC MAGEE WOMENS HOSPITAL
300 HALKET ST RM 3330
300 HALKET ST ROOM 0807.4
PITTSBURGH, PA 15213

UPMC Presbyterian Shadyside DBA UPMC Pharmacy Supply Chain
3175 E Carson St
Pittsburgh, PA 15203
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
WARRENDALEPA15086-750201/11/201804/01/2018  10/16/2023
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884907/13/202110/01/2021  10/16/2023
Contract DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201007/13/202110/01/2021  10/16/2023
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349201/11/201804/01/2018  10/16/2023
Contract DetailACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624107/13/202110/01/2021 05/31/202310/16/2023
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282207/13/202110/01/2021  10/16/2023
Contract DetailACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607507/12/202210/01/2022  10/16/2023
Contract DetailADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280901/12/202404/01/2024  04/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526101/15/202104/01/2021 10/24/202410/24/2024
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361407/13/202110/01/2021  10/01/2021
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/19/201710/01/2017  10/01/2017
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621907/19/201710/01/2017  10/01/2017
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175707/13/202110/01/2021  10/01/2021
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808307/13/202110/01/2021  10/01/2021
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700407/19/201710/01/2017  10/01/2017
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761707/13/202110/01/2021  10/01/2021
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813307/13/202110/01/2021  10/01/2021
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237407/13/202110/01/2021  10/01/2021
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911907/13/202110/01/2021  10/01/2021
Contract DetailCHARTWELL PENNSYLVANIA1001 OAKDALE RD
OAKDALEPA15071-150201/12/201504/01/2015  03/06/2015
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/13/202110/01/2021  10/01/2021
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/13/202110/01/2021  10/01/2021
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502807/13/202110/01/2021  10/01/2021
Contract DetailCYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503307/12/202210/01/2022 01/19/202401/19/2024
Contract DetailECKERD CORPORATIONRITE AID #10987 100 SEVEN FIELDS BLVD
SEVEN FIELDSPA1604607/12/202310/01/2023  10/01/2023
Contract DetailESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111210/16/202301/01/2024  01/01/2024
Contract DetailEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313410/16/202301/01/2024  01/01/2024
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/16/202301/01/2024  01/01/2024
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607510/16/202301/01/2024  01/01/2024
Contract DetailFALK PHARMACY3601 5TH AVE STE 211
PITTSBURGHPA15213-340307/12/201107/15/2011  03/06/2015
Contract DetailFORBES PHARMACY3501 FORBES AVE ROOM 756
PITTSBURGHPA1521301/12/202304/01/2023  04/01/2023
Contract DetailGIANT EAGLE PHARMACY #0008200 TARENTUM BRIDGE RD
NEW KENSINGTONPA1506807/15/202010/01/2020 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #00147000 OXFORD DRIVE
BETHEL PARKPA1510208/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #00176401 PENN AVE
PITTSBURGHPA1520608/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #00181671 BUTLER PLANK
GLENSHAWPA1511608/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #0025WEST VIEW PLAZA 1029 WEST VIEW PARK DRIVE
PITTSBURGHPA1522908/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #00381901 MURRAY AVENUE
PITTSBURGHPA1521708/24/201208/24/2012 12/29/201512/29/2015
Contract DetailGIANT EAGLE PHARMACY #00381901 MURRAY AVENUE
PITTSBURGHPA1521708/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #00405550 CENTRE AVE
PITTSBURGHPA1523208/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #004141 TOWNE CENTER DR
LEECHBURGPA1565607/15/202010/01/2020 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #0043155 TOWNE CENTRE DRIVE
WEXFORDPA1509007/15/202010/01/2020 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #00459805 MCKNIGHT ROAD
PITTSBURGHPA1523708/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #0047100 SETTLERS RIDGE CENTER DR
PITTSBURGHPA1520508/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #0052132 BEN AVON HTS ROAD
PITTSBURGHPA1523708/24/201208/24/2012 09/19/201609/28/2016
Contract DetailGIANT EAGLE PHARMACY #00604010 MONROEVILLE BLVD.
MONROEVILLEPA1514608/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #00612021 WHARTON ST
PITTSBURGHPA1520308/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #00634250 MURRAY AVENUE
PITTSBURGHPA1521701/18/201704/01/2017 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #00634250 MURRAY AVENUE
PITTSBURGHPA1521707/13/202110/01/2021  10/01/2021
Contract DetailGIANT EAGLE PHARMACY #00678080 MCINTYRE SQUARE DRIVE
PITTSBURGHPA1523708/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #00699001 FRANKSTOWN RD
PITTSBURGHPA1523508/24/201208/24/2012 09/19/201609/28/2016
Contract DetailGIANT EAGLE PHARMACY #0072910 FREEPORT ROAD
PITTSBURGHPA1523808/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #0078230 RODI ROAD
PITTSBURGHPA1523508/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #0079510 MARWALT LANE
ROARING SPRINGPA1667307/15/202010/01/2020 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #0091318 CEDAR AVENUE
PITTSBURGHPA1521208/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #0093600 TOWNE SQUARE WAY
BRENTWOODPA1522708/24/201208/24/2012 09/19/201609/28/2016
Contract DetailGIANT EAGLE PHARMACY #022120160 CENTER RIDGE ROAD, SUITE 201
ROCKY RIVEROH4411607/15/202010/01/2020 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #022120160 CENTER RIDGE ROAD, SUITE 201
ROCKY RIVEROH4411607/13/202110/01/2021  10/01/2021
Contract DetailGIANT EAGLE PHARMACY #12202001 LINCOLN WAY
WHITE OAKPA1513107/13/202110/01/2021  10/01/2021
Contract DetailGIANT EAGLE PHARMACY #124651 WALSH RD
PITTSBURGHPA1520508/24/201208/24/2012 09/19/201609/28/2016
Contract DetailGIANT EAGLE PHARMACY #1291400 NORTHTOWNE SQUARE
GIBSONIAPA1504408/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #1619EDGEWOOD TOWNE CENTER 1705 SOUTH BRADDOCK AVE
PITTSBURGHPA1521808/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #2404200 ALLEGHENY RIVER BLVD
VERONAPA1514708/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #6379420 EAST WATERFRONT DRIVE
HOMESTEADPA1512008/24/201208/24/2012 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #89912500 LOVI RD
FREEDOMPA1504207/15/202010/01/2020 04/09/202104/09/2021
Contract DetailGIANT EAGLE PHARMACY #89912500 LOVI RD
FREEDOMPA1504207/13/202110/01/2021  10/01/2021
Contract DetailHILLMAN CENTER PHARMACY5115 CENTRE AVE RM AG30.1
PITTSBURGHPA1523207/12/201107/15/2011  03/06/2015
Contract DetailONCOMED PHARMACEUTICAL SERVICES OF MA, LD/B/A ONCO360 335 BEAR HILL RD
STE 2100 		WALTHAMMA0245104/14/202207/01/2022  07/01/2022
Contract DetailONCOMED THE ONCOLOGY PHARMACY OF BUFFALOD/B/A ONCO360 140 JOHN JAMES AUDUBON PKWY STE 101
AMHERSTNY1422810/12/202101/01/2022 04/07/202204/14/2022
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04245 175 W. BEAU STREET
WASHINGTONPA1530107/13/202110/01/2021  10/01/2021
Contract DetailPINT SIZE PRESCRIPTIONS4401 PENN AVE FL 1
PITTSBURGHPA15224-133407/13/202110/01/2021  10/01/2021
Contract DetailPRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999207/12/202210/01/2022 10/11/202210/11/2022
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514607/19/201710/01/2017  10/01/2017
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523307/13/202110/01/2021  10/01/2021
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920307/13/202110/01/2021  10/01/2021
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY # 02553 1117 WALNUT ST.
PHILADELPHIAPA1910707/13/202110/01/2021  10/01/2021
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681301/12/202404/01/2024  04/01/2024
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #48611 141 PREBLE STREET
PORTLANDME0410101/12/202404/01/2024  04/01/2024
Contract DetailPROCARE PHARMACY, L.L.C.CVS/PHARMACY #48637 2700 NORTHEAST EXPY NE STE B800
BUILDING B 		ATLANTAGA3034501/12/202404/01/2024  04/01/2024
Contract DetailRite Aid 6811701 Delran Pkwy
DelranNJ0807504/09/202507/01/2025  04/09/2025
Contract DetailRITE AID OF OHIO, INC.RITE AID #3167 304 EAST STATE STREET
ALLIANCEOH4460107/12/202310/01/2023  10/01/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #2482 300 MARKET STREET
ELIZABETHPA1503707/12/202310/01/2023  10/01/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #7781 20480 ROUTE 19
CRANBERRY TWPPA1606607/12/202310/01/2023  10/01/2023
Contract DetailRX PARTNERS-LTC500 OLD POND RD STE 406
BRIDGEVILLEPA1501701/15/202004/01/2020 04/09/202104/09/2021
Contract DetailSINA DRUG LLCD/B/A ONCO 360 13410 EASTPOINT CENTRE DR
STE 101 		LOUISVILLEKY4022310/12/202101/01/2022  01/01/2022
Contract DetailSINA DRUG LLCDBA ONCO360 1985 MARCUS AVE STE 120
NEW HYDE PARKNY1104204/14/202207/01/2022  07/01/2022
Contract DetailTHRIFT DRUG, INC.RITE AID #10905 1701 DUNCAN AVENUE
ALLISON PARKPA1510107/12/202310/01/2023  10/01/2023
Contract DetailTHRIFT DRUG, INC.RITE AID #10910 4927 HOMEVILLE ROAD
WEST MIFFLINPA1512207/12/202310/01/2023  10/01/2023
Contract DetailTHRIFT DRUG, INC.RITE AID #10916 517 BEAVER STREET
SEWICKLEYPA1514307/12/202310/01/2023  10/01/2023
Contract DetailTHRIFT DRUG, INC.RITE AID #10955 1804 GOLDEN MILE HIGHWAY
PITTSBURGHPA1523907/12/202310/01/2023  10/01/2023
Contract DetailUPMC CHILDRENS HOSPITAL OF PITTSBURGH4401 PENN AVE
PITTSBURGHPA15224-133407/12/201107/15/2011 05/14/202105/14/2021
Contract DetailUPMC MAGEE-WOMENS HOSPITAL PHARMACY NO.UPMC MAGEE-WOMENS HOSPITAL PHARMACY NO. 300 HALKET ST RM 0807.4
PITTSBURGHPA1521307/03/202410/01/2024  10/01/2024
Contract DetailUPMC MERCY PHARMACY1400 LOCUST ST
PITTSBURGHPA1521907/12/201107/15/2011  03/06/2015
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738607/12/202310/01/2023  10/01/2023
Contract DetailWAL-MART PHARMACY 10-173930 TRINITY POINT DRIVE
WASHINGTONPA1530107/12/202310/01/2023  10/01/2023
Contract DetailWAL-MART PHARMACY 10-22812351 CENTURY DR
WEST MIFFLINPA1512207/12/202310/01/2023  10/01/2023
Contract DetailWAL-MART PHARMACY 10-2300250 SUMMIT PARK DR
PITTSBURGHPA1527507/12/202310/01/2023  10/01/2023
Contract DetailWAL-MART PHARMACY 10-2420100 SARA WAY/ ROSTRAVER SQUARE
BELLE VERNONPA1501207/12/202310/01/2023  10/01/2023
Contract DetailWAL-MART PHARMACY 10-2588100 WAL-MART DRIVE
NORTH VERSAILLESPA1513707/12/202310/01/2023  10/01/2023
Contract DetailWAL-MART PHARMACY 10-4501134 DANIEL KENDALL DR
WEST BROWNSVILLEPA1541707/12/202310/01/2023  10/01/2023
Contract DetailWAL-MART PHARMACY 10-50402200 WASHINGTON PIKE
CARNEGIEPA1510607/12/202310/01/2023  10/01/2023
Contract DetailWAL-MART PHARMACY 10-53152354 COMMERCE PARK DR.
ORLANDOFL3281907/12/202310/01/2023  10/01/2023
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283707/12/202310/01/2023  10/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS #11695 2001 SUNSET BLVD.
STEUBENVILLEOH4395207/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 01034 112 W STEUBEN STREET
CRAFTONPA1520507/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 1701 WILLIAM FLYNN HWY.
GLENSHAWPA15116-174707/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09187 1741 WASHINGTON RD
PITTSBURGHPA15241-120107/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09188 4 OLD CLAIRTON RD
PLEASANT HILLSPA1523607/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09281 5956 CENTRE AVENUE
PITTSBURGHPA15206-383007/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09344 2455 LEECHBURG ROAD
NEW KENSINGTONPA15068-461907/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09586 1210 WILMINGTON AVENUE
NEW CASTLEPA16105-256907/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09674 133 WEST 8TH AVE
HOMESTEADPA15120-180007/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09675 6201 SALTSBURG ROAD
PITTSBURGHPA1523507/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 99 JEFFERSON AVE.
WASHINGTONPA15301-443407/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 4885 MCKNIGHT RD
STE 6 STE 7 		PITTSBURGHPA1523707/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09803 324 HULTON ROAD
OAKMONTPA15139-191707/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 2646 DARLINGTON RD.
BEAVER FALLSPA15010-124007/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 2055 OLD WASHINGTON PIKE
CARNEGIEPA1510607/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 1000 LINCOLN PL.
GREENSBURGPA1560107/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 30 PINE CREEK RD.
WEXFORDPA15090-931407/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 7628 PENN AVE.
PITTSBURGHPA15221-211407/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 100 RHODE ISLAND AVE.
ROCHESTERPA15074-221407/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 2801 SHARKYS DR.
LATROBEPA1565007/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 100 CAVASINA DR.
CANONSBURGPA15317-176707/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 280 NEW CASTLE RD.
BUTLERPA16001-253007/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 6906 UNIVERSITY BLVD.
MOON TOWNSHIPPA15108-424807/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 4900 LIBRARY RD.
BETHEL PARKPA15102-281007/12/202210/01/2022 11/15/202207/12/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 4667 WILLIAM PENN HWY.
MURRYSVILLEPA1566807/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 20260 ROUTE 19
CRANBERRYPA1606607/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 234 S MAIN STREET
ZELIENOPLEPA1606307/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 100 E. MCMURRAY RD.
MCMURRAYPA15317-296207/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA WALGREENS SPECIALTY PHARMACY #21169 541 HAMILTON ST
ALLENTOWNPA1810107/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818807/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503307/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527507/12/202210/01/2022 01/19/202401/19/2024
Contract DetailWALMART PHARMACY 10-46447500 UNIVERSITY BOULEVARD
MOON TOWNSHIPPA15108-151007/12/202310/01/2023  10/01/2023
Contract DetailWALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275607/12/202310/01/2023  10/01/2023
Contract DetailWalmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616810/10/202301/01/2024  01/01/2024
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH390114AAChildDSHUPMC Magee-Womens HospitalMAGEE-Womens Special Lemieux - (89020)9100 Babcock BlvdPittsburghPAActive
DSH390114ABChildDSHUPMC Magee-Womens HospitalMAGEE-HBC Drake St. Clair - (33521)1000 Bower Hill RoadPittsburghPAActive
DSH390114ACChildDSHUPMC Magee-Womens HospitalMAGEE- Butler HBC - (33532)129 Oneida Valley RoadButlerPAActive
DSH390114ADChildDSHUPMC Magee-Womens HospitalMAGEE- Norwin HBC - (33546)8775 Norwin AvenueIrwinPAActive
DSH390114AEChildDSHUPMC Magee-Womens HospitalMAGEE- Greensburg HBC - (33531)200 Village DriveGreensburgPAActive
DSH390114AFChildDSHUPMC Magee-Womens HospitalMAGEE- Mt Pleasant HBC - (33541)508 South Church StreetMt PleasantPAActive
DSH390114BChildDSHUPMC Magee-Womens HospitalMAGEE AT CLAIRTON559 MILLER AVENUECLAIRTONPATerminated
DSH390114DChildDSHUPMC Magee-Womens HospitalMAGEE AT MONROEVILLECORP ONE OFFICE PARK, BLDG 2MONROEVILLEPATerminated
DSH390114EChildDSHUPMC Magee-Womens HospitalMAGEE AT WILKINSBURG720 PENN AVENUEPITTSBURGHPATerminated
DSH390114FChildDSHUPMC Magee-Womens HospitalMt Oliver1630 Arlington AvenuePittsburghPATerminated
DSH390114GChildDSHUPMC Magee-Womens HospitalUPMC CancerCenter, Beaver1030 Beaner Hollow RoadBeaverPAActive
DSH390114HChildDSHUPMC Magee-Womens HospitalHillman CancerCenter / Second Floor5115 Center AvenuePittsburghPAActive
DSH390114JChildDSHUPMC Magee-Womens HospitalHillman CancerCenter / Third Floor5115 Center AvenuePittsburghPAActive
DSH390114KChildDSHUPMC Magee-Womens HospitalHillman CancerCenter / The Mario Lemieux Center for Blood Cancers5115 Center AvenuePittsburghPAActive
DSH390114LChildDSHUPMC Magee-Womens HospitalUPMC CancerCenter, Jefferson1907 Lebanon Church RoadWest MifflinPAActive
DSH390114MChildDSHUPMC Magee-Womens HospitalUPMC CancerCenter, Monroeville400 Oxford DriveMonroevillePAActive
DSH390114NChildDSHUPMC Magee-Womens HospitalUPMC CancerCenter, Natrona Heights1604 Burtner RoadNatrona HeightsPAActive
DSH390114PChildDSHUPMC Magee-Womens HospitalUPMC CancerCenter at UPMC Passavant / North Hills9100 Babcock Blvd.PittsburghPAActive
DSH390114QChildDSHUPMC Magee-Womens HospitalUPMC CancerCenter at St. Margaret200 Delafield RoadPittsburghPAActive
DSH390114RChildDSHUPMC Magee-Womens HospitalUPMC CancerCenter, Washington470 Johnson RoadWashingtonPAActive
DSH390114SChildDSHUPMC Magee-Womens HospitalUPMC CancerCenter, Sewickley1600 Coraopolis Heights Rd.Moon TownshipPAActive
DSH390114TChildDSHUPMC Magee-Womens HospitalUPMC CancerCenter, Upper St. Clair (Drake)2000 Oxford DriveBethel ParkPATerminated
DSH390114UChildDSHUPMC Magee-Womens HospitalUPMC CancerCenter at UPMC Passavant / North Hills HOA HBC9100 Babcock Blvd.PittsburghPAActive
DSH390114VChildDSHUPMC Magee-Womens HospitalUPMC CENTER FOR REPRODUCTIVE - Reproductive and Fertility ASC419 RODI ROADPITTSBURGHPAActive
DSH390114WChildDSHUPMC Magee-Womens HospitalMt Oliver Midwives - (34362)1630 Arlington AvePittsburghPATerminated
DSH390114XChildDSHUPMC Magee-Womens HospitalMonroeville - (34364)4075 Monroeville BlvdMonroevillePATerminated
DSH390114YChildDSHUPMC Magee-Womens HospitalPregnancy Recover Center - Clairton - (34000)559 Miller AvenueClairtonPATerminated
DSH390114ZChildDSHUPMC Magee-Womens HospitalMAGEE-Cranberry Hospital Based Clinic - (33337)3 St. Francis WayCranberry TownshipPAActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesBilling AddressUpdateGroup Change RequestHC Pharmacy Central - Procurement 3175 E. Carson Street Pittsburgh, PA 15203UPMC Presbyterian Shadyside DBA UPMC Pharmacy Supply Chain PO Box 2058 Portland, OR 972085/6/2025 2:23 PM
AddressesShipping AddressInsertGroup Change Request UPMC Presbyterian Shadyside DBA UPMC Pharmacy Supply Chain 3175 E Carson St Pittsburgh, PA 152035/6/2025 2:23 PM
AddressesShipping AddressDeleteGroup Change RequestHC PHARMACY CENTRAL 3175 E CARSON ST PITTSBURGH, PA 15203 5/6/2025 2:23 PM
DetailsLast Recertification DateUpdateRecertification8/25/2023 12:17:16 PM8/29/2024 2:46:59 PM8/29/2024 2:46 PM
AddressesShipping AddressInsertChange Request HILLMAN CANCER CENTER PHARMACY 5115 CENTRE AVE RM 225 PITTSBURGH, PA 152322/12/2024 9:46 AM
AddressesShipping AddressInsertChange Request UPMC MAGEE WOMENS HOSPITAL 300 HALKET ST 300 HALKET ST ROOM 4670 Pittsburgh, PA 152132/12/2024 9:46 AM
AddressesShipping AddressInsertChange Request UPMC MAGEE WOMENS HOSPITAL 300 HALKET ST RM 3330 300 HALKET ST ROOM 0807.4 PITTSBURGH, PA 152132/12/2024 9:46 AM
AddressesShipping AddressUpdateChange RequestHC PHARMACY CENTRAL - PROCUREMENT 3175 E. CARSON ST PITTSBURGH, PA 15203HC PHARMACY CENTRAL 3175 E CARSON ST PITTSBURGH, PA 152032/12/2024 9:46 AM
DetailsLast Recertification DateUpdateRecertification9/1/2022 3:15:55 PM8/25/2023 12:17:16 PM8/25/2023 12:17 PM
ContactsAuthorizing OfficialUpdateAO Change RequestDeems, Ron Wesley CFO Mercy and Magee UPMC 4125768808Petrie, Jonathan CFO UPMC Magee and Mercy UPMC 41257894166/20/2023 10:32 AM
DetailsLast Recertification DateUpdateRecertification9/10/2021 1:25:35 PM9/1/2022 3:15:55 PM9/1/2022 3:15 PM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False8/23/2022 1:12 PM
Medicaid BillingMedicaid: NumberInsertGroup Change Request 10077115700458/23/2022 1:12 PM
Medicaid BillingMedicaid: StateInsertGroup Change Request PA8/23/2022 1:12 PM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False8/23/2022 1:12 PM
Medicaid BillingMedicaid: NumberInsertGroup Change Request 10077115700538/23/2022 1:12 PM
Medicaid BillingMedicaid: StateInsertGroup Change Request PA8/23/2022 1:12 PM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False8/23/2022 1:12 PM
Medicaid BillingMedicaid: NumberInsertGroup Change Request 10077115700328/23/2022 1:12 PM
Medicaid BillingMedicaid: StateInsertGroup Change Request PA8/23/2022 1:12 PM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False8/23/2022 1:12 PM
Medicaid BillingMedicaid: NumberInsertGroup Change Request 10077115700268/23/2022 1:12 PM
Medicaid BillingMedicaid: StateInsertGroup Change Request PA8/23/2022 1:12 PM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False8/23/2022 1:12 PM
Medicaid BillingMedicaid: NumberInsertGroup Change Request 10077115700518/23/2022 1:12 PM
Medicaid BillingMedicaid: StateInsertGroup Change Request PA8/23/2022 1:12 PM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False8/23/2022 1:12 PM
Medicaid BillingMedicaid: NumberInsertGroup Change Request 10077115700528/23/2022 1:12 PM
Medicaid BillingMedicaid: StateInsertGroup Change Request PA8/23/2022 1:12 PM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False8/23/2022 1:12 PM
Medicaid BillingMedicaid: NumberInsertGroup Change Request 10077115700218/23/2022 1:12 PM
Medicaid BillingMedicaid: StateInsertGroup Change Request PA8/23/2022 1:12 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 19523115088/23/2022 1:12 PM
Medicaid BillingNPI: StateInsertGroup Change Request PA8/23/2022 1:12 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 12857419008/23/2022 1:12 PM
Medicaid BillingNPI: StateInsertGroup Change Request PA8/23/2022 1:12 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16594355018/23/2022 1:12 PM
Medicaid BillingNPI: StateInsertGroup Change Request PA8/23/2022 1:12 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 11343010218/23/2022 1:12 PM
Medicaid BillingNPI: StateInsertGroup Change Request PA8/23/2022 1:12 PM
DetailsLast Recertification DateUpdateRecertification9/4/2020 9:18:42 AM9/10/2021 1:25:35 PM9/10/2021 1:25 PM
ContactsAuthorizing OfficialUpdateAO Change RequestSimmons, Eileen CFO UPMC Mercy 4126477713Deems, Ron Wesley CFO Mercy and Magee UPMC 41257688081/29/2021 9:11 AM
Medicaid BillingMedicaid: NumberDeleteChange Request1007711570045 (PA) 11/30/2020 8:51 AM
Medicaid BillingMedicaid: NumberDeleteChange Request1007711570047 (PA) 11/30/2020 8:51 AM
Medicaid BillingMedicaid: NumberDeleteChange Request1007711570021 (PA) 11/30/2020 8:51 AM
Medicaid BillingMedicaid: NumberDeleteChange Request1007711570051 (PA) 11/30/2020 8:51 AM
Medicaid BillingMedicaid: NumberDeleteChange Request1007711570026 (PA) 11/30/2020 8:51 AM
Medicaid BillingMedicaid: NumberDeleteChange Request1007711570052 (PA) 11/30/2020 8:51 AM
Medicaid BillingNPI: NumberDeleteChange Request1952311508 (PA) 11/30/2020 8:51 AM
Medicaid BillingNPI: NumberDeleteChange Request1134301021 (PA) 11/30/2020 8:51 AM
Medicaid BillingNPI: StateUpdateRecertification PA9/4/2020 9:18 AM
Medicaid BillingNPI: NumberInsertRecertification 11343010219/4/2020 9:18 AM
Medicaid BillingNPI: StateInsertRecertification PA9/4/2020 9:18 AM
Medicaid BillingNPI: NumberDeleteRecertification1336403674 ( ) 9/4/2020 9:18 AM
DetailsLast Recertification DateUpdateRecertification8/31/2019 7:01:36 AM9/4/2020 9:18:42 AM9/4/2020 9:18 AM
AddressesBilling AddressInsertRecertification HC Pharmacy Central - Procurement 3175 E. Carson Street Pittsburgh, PA 152038/31/2019 7:01 AM
Medicaid BillingNPI: NumberInsertRecertification 19523115088/31/2019 7:01 AM
DetailsLast Recertification DateUpdateRecertification8/29/2018 3:40:36 PM8/31/2019 7:01:36 AM8/31/2019 7:01 AM
DetailsLast Recertification DateUpdateRecertification11/29/2017 8:39:40 PM8/29/2018 3:40:36 PM8/29/2018 3:40 PM
DetailsEntity NameUpdateChange RequestMAGEE-WOMENS HOSPITAL OF UPMC HEALTH SYSUPMC Magee-Womens Hospital7/27/2018 12:40 PM
ContactsPrimary ContactUpdateChange RequestHoffmann, Rosella Director of Pharmacy UPMC Magee Womens Hospital of UPMC 4126414352Hoffmann, Rosella Director of Pharmacy UPMC Magee-Womens Hospital 41264143527/16/2018 9:50 AM
DetailsLast Recertification DateUpdateRecertification8/23/2016 12:00:00 AM11/29/2017 8:39:40 PM11/29/2017 8:39 PM
ContactsPrimary ContactUpdateRecertificationHoffmann, Rosella Director of Pharmacy 4126414352Hoffmann, Rosella Director of Pharmacy UPMC Magee Womens Hospital of UPMC 412641435211/21/2017 3:55 PM
ContactsAuthorizing OfficialUpdate Simmons, Eileen CFO 4126477713Simmons, Eileen CFO UPMC Mercy 412647771310/20/2017 1:33 PM
ContactsAuthorizing OfficialInsert  Simmons, Eileen CFO 41264777137/19/2017 4:07 PM
ContactsPrimary ContactInsert  Hoffmann, Rosella Director of Pharmacy 41264143528/23/2016 8:48 AM
AddressesMain AddressInsert   300 HALKET STREET PITTSBURGH, PA 152138/23/2016 8:48 AM
DetailsLast Recertification DateUpdate 8/25/2015 12:00:00 AM8/23/2016 12:00:00 AM8/23/2016 8:48 AM
DetailsLast Recertification DateUpdate 9/5/2014 12:00:00 AM8/25/2015 12:00:00 AM8/25/2015 2:27 PM
AddressesShipping AddressInsert  HC PHARMACY CENTRAL - PROCUREMENT 3175 E. CARSON ST PITTSBURGH, PA 152034/29/2015 10:22 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False4/29/2015 10:22 AM
Medicaid BillingMedicaid: NumberInsert  10077115700214/29/2015 10:22 AM
Medicaid BillingMedicaid: StateInsert  PA4/29/2015 10:22 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False4/29/2015 10:22 AM
Medicaid BillingMedicaid: NumberInsert  10077115700514/29/2015 10:22 AM
Medicaid BillingMedicaid: StateInsert  PA4/29/2015 10:22 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False4/29/2015 10:22 AM
Medicaid BillingMedicaid: NumberInsert  10077115700264/29/2015 10:22 AM
Medicaid BillingMedicaid: StateInsert  PA4/29/2015 10:22 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False4/29/2015 10:22 AM
Medicaid BillingMedicaid: NumberInsert  10077115700524/29/2015 10:22 AM
Medicaid BillingMedicaid: StateInsert  PA4/29/2015 10:22 AM
Medicaid BillingNPI: NumberInsert  13364036744/29/2015 10:22 AM
DetailsLast Recertification DateUpdate 9/6/2013 12:00:00 AM9/5/2014 12:00:00 AM9/5/2014 6:26 PM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM9/6/2013 12:00:00 AM9/6/2013 3:52 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False7/12/2013 1:16 PM
Medicaid BillingMedicaid: NumberInsert  10077115700457/12/2013 1:16 PM
Medicaid BillingMedicaid: StateInsert  PA7/12/2013 1:16 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False7/12/2013 1:16 PM
Medicaid BillingMedicaid: NumberInsert  10077115700477/12/2013 1:16 PM
Medicaid BillingMedicaid: StateInsert  PA7/12/2013 1:16 PM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM5/18/2012 12:31 PM
DetailsLast Recertification DateInsert   11/2/2007 11:44 AM
DetailsGrant NumberInsert   11/2/2007 11:44 AM
Details340B IDInsert  DSH39011411/2/2007 11:44 AM
DetailsIs Authorizing Official EHB DataInsert   11/2/2007 11:44 AM
DatesLast Date That 340B Drugs PurchasedInsert   11/2/2007 11:44 AM
DetailsMedicare Provider NumberInsert  39011411/2/2007 11:44 AM
DetailsEntity NameInsert  MAGEE-WOMENS HOSPITAL OF UPMC HEALTH SYS11/2/2007 11:44 AM
DetailsProgram CodeInsert  DSH11/2/2007 11:44 AM
DetailsEntity SubnameInsert   11/2/2007 11:44 AM
DatesParticipating Approval DateInsert  10/22/2007 12:00:00 AM11/2/2007 11:44 AM
DetailsStateInsert  Active11/2/2007 11:44 AM
DatesRegistration DateInsert  10/22/2007 12:00:00 AM11/2/2007 11:44 AM
DatesSigned By DateInsert   11/2/2007 11:44 AM
DatesStart DateInsert  4/1/2003 12:00:00 AM11/2/2007 11:44 AM
TerminationsTermination CommentsInsert   11/2/2007 11:44 AM
TerminationsTermination DateInsert   11/2/2007 11:44 AM
TerminationsTermination Effective DateInsert   11/2/2007 11:44 AM
TerminationsTermination ReasonInsert   11/2/2007 11:44 AM