340B Drug Pricing Program Database


DSH240106 REGIONS HOSPITAL (Active) - information as of 6/16/2025 11:17:51 PM

Main Details
REGIONS HOSPITAL
Disproportionate Share Hospital
No
DSH240106
240106


Additional Details
Active
10/31/2007
12/1/1992
10/31/2007
8/21/2024

Contacts

Regions Hospital
John M Clark, VP Finance
(651) 254-0900

Regions Hospital
Tanya Y Barnhart, Director, Pharmaceutical Services
(651) 254-9560

Addresses

640 JACKSON ST.
ST. PAUL, MN 55101

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
FORMERLY ST. PAUL-RAMSEY10/31/2007
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
WI110056001013951748,1518995349,1629006457,1174168652,1962149419,1104681105,1679391122
MN4222474001013951748,1518995349,1629006457,1174168652,1962149419,1104681105,1679391122
Shipping Addresses

Regions Hospital
640 Jackson St
St. Paul, MN 55101
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607501/15/202504/01/2025  04/01/2025
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005604/14/202107/01/2021  07/01/2021
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621904/14/202107/01/2021  07/01/2021
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700404/14/202107/01/2021  07/01/2021
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911904/14/202107/01/2021  07/01/2021
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502804/14/202107/01/2021  07/01/2021
Contract DetailFAIRVIEW SPECIALTY SERVICES PHARMACY711 KASOTA AVENUE SE, SUITE A
MINNEAPOLISMN5541401/13/202004/01/2020  04/01/2020
Contract DetailGRAND ST. PAUL CVS, L.L.C.DBA CVS/PHARMACY # 2152 6540 PENN AVENUE SOUTH
RICHFIELDMN5542304/01/202407/01/2024  07/01/2024
Contract DetailGRAND ST. PAUL CVS, L.L.C.CVS PHARMACY # 16471 1650 NEW BRIGHTON BLVD
MINNEAPOLISMN5541304/01/202407/01/2024  07/01/2024
Contract DetailGRAND ST. PAUL CVS, L.L.C.DBA CVS/PHARMACY #11070 4400 OAK GROVE PARKWAY N.
BROOKLYN PARKMN5544304/01/202407/01/2024  07/01/2024
Contract DetailGRAND ST. PAUL CVS, L.L.C.DBA: CVS/PHARMACY #8285 1010 W. LAKE STREET
MINNEAPOLISMN5540804/01/202407/01/2024  07/01/2024
Contract DetailGRAND ST. PAUL CVS, L.L.C.CVS PHARMACY # 16714 900 NICOLLET MALL
MINNEAPOLISMN5540304/01/202407/01/2024  07/01/2024
Contract DetailGRAND ST. PAUL CVS, L.L.C.DBA: CVS/PHARMACY # 01129 4152 LAKELAND AVE. NORTH
ROBBINSDALEMN5542204/01/202407/01/2024  07/01/2024
Contract DetailGRAND ST. PAUL CVS, L.L.C.DBA CVS/PHARMACY #10902 30 FAIRVIEW AVE S
SAINT PAULMN5510504/01/202407/01/2024  07/01/2024
Contract DetailGRAND ST. PAUL CVS, L.L.C.DBA: CVS/PHARMACY # 07172 2001 NICOLLETT AVE.
MINNEAPOLISMN5540404/01/202407/01/2024 02/11/202502/26/2025
Contract DetailGRAND ST. PAUL CVS, L.L.C.DBA: CVS/PHARMACY # 01683 5801 BROOKLYN BLVD.
BROOKLYN CENTERMN5542904/01/202407/01/2024 01/30/202502/26/2025
Contract DetailGRAND ST. PAUL CVS, L.L.C.DBA: CVS/PHARMACY # 05161 1040 GRAND AVE.
SAINT PAULMN5510504/01/202407/01/2024  07/01/2024
Contract DetailHEALTHPARTNERSSPECIALTY CENTER PHARMACY MAILSTOP: 41101B
401 PHALEN BLVD 		SAINT PAULMN5513010/17/201210/17/2012 07/01/201507/20/2015
Contract DetailHEALTHPARTNERS APPLE VALLEYPHARMACY 15290 PENNOCK LANE
APPLE VALLEYMN5512410/17/201210/17/2012 07/01/201507/20/2015
Contract DetailHEALTHPARTNERS ARDEN HILLSPHARMACY 3930 NORTHWOODS DRIVE
ARDEN HILLSMN5511210/17/201210/17/2012 07/01/201507/20/2015
Contract DetailHEALTHPARTNERS BLOOMINGTONPHARMACY 8600 NICOLLET AVENUE
BLOOMINGTONMN5542010/17/201210/17/2012 07/01/201507/20/2015
Contract DetailHEALTHPARTNERS BROOKLYN CENTRPHARMACY 6845 LEE AVENUE NORTH
BROOKLYN CENTERMN5542910/17/201210/17/2012 07/01/201507/20/2015
Contract DetailHEALTHPARTNERS COMO PHARMACY2500 COMO AVE
SAINT PAULMN5510810/17/201210/17/2012 07/01/201507/20/2015
Contract DetailHEALTHPARTNERS COON RAPIDSPHARMACY 11475 ROBINSON DR NW
COON RAPIDSMN55433-374610/17/201210/17/2012 07/01/201507/20/2015
Contract DetailHEALTHPARTNERS INVER GROVEHEALTHPARTNERS INVER GROVE HEIGHTS PHARM 5625 CENEX DR
INVER GROVE HEIGHTSMN55077-172410/17/201210/17/2012 07/01/201507/20/2015
Contract DetailHEALTHPARTNERS MAPLEWOODPHARMACY 2165 WHITE BEAR AVENUE
MAPLEWOODMN5510910/17/201210/17/2012 07/01/201507/20/2015
Contract DetailHEALTHPARTNERS PHYSICIANSHEALTHPARTNERS MIDWAY PHARMACY 451 DUNLAP ST N
SAINT PAULMN55104-461910/17/201210/17/2012 07/01/201507/20/2015
Contract DetailHEALTHPARTNERS RIVERSIDE PHAR2220 RIVERSIDE AVENUE SOUTH
MINNEAPOLISMN5545410/17/201210/17/2012 07/01/201507/20/2015
Contract DetailHEALTHPARTNERS ST PAUL PHARM205 SOUTH WABASHA
W SAINT PAULMN55107-180510/17/201210/17/2012 07/01/201507/20/2015
Contract DetailHEALTHPARTNERS WEST PHARMACY1665 UTICA AVE S
ST LOUIS PARKMN55416-158810/17/201210/17/2012 07/01/201507/20/2015
Contract DetailHEALTHPARTNERS WHITE BEARLAKE PHARMACY 1430 HIGHWAY 96
WHITE BEAR LAKEMN5511010/17/201210/17/2012 07/01/201507/20/2015
Contract DetailHEALTHPARTNERS WOODBURY8450 SEASONS PARKWAY
WOODBURYMN5512510/17/201210/17/2012 07/01/201507/20/2015
Contract DetailPARK NICOLLET PHARMACY3850 PARK NICOLLET BLVD.
ST LOUIS PARKMN5541601/15/202004/01/2020 06/01/202006/17/2020
Contract DetailPARK NICOLLET PHARMACY #870173800 PARK NICOLLET BLVD STE 1170
ST LOUIS PARKMN55416-252710/17/201210/17/2012 07/01/201507/20/2015
Contract DetailPARK NICOLLET PHARMACY #870173800 PARK NICOLLET BLVD STE 1170
ST LOUIS PARKMN55416-252701/10/201704/01/2017  01/10/2017
Contract DetailPRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999204/14/202007/01/2020 10/26/202210/27/2022
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514607/11/201410/01/2014  07/11/2014
Contract DetailWALGREEN CODBA: WALGREENS #10473 1700 RICE ST
SAINT PAULMN55113-681212/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CODBA: WALGREENS #11421 1180 ARCADE ST
SAINT PAULMN55106-262912/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CODBA: WALGREENS #1751 2920 WHITE BEAR AVE N
MAPLEWOODMN5510912/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 09511 7845 PORTLAND AVE S
BLOOMINGTONMN55420-131212/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 03665 1401 MARYLAND AVE E
ST PAULMN5510612/03/201212/03/2012 11/30/202301/05/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 02355 1550 UNIVERSITY AVE W
ST PAULMN5510412/03/201212/03/2012 10/20/201712/23/2019
Contract DetailWALGREEN CO.DBA: WALGREENS #21365 3001A NICOLLET AVE
MINNEAPOLISMN5540812/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 16476 398 WABASHA ST N
ST PAULMN5510212/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 04260 540 BLAKE ROAD N
HOPKINSMN5534312/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 00828 12 W 66TH ST
RICHFIELDMN5542312/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 03832 7700 BROOKLYN BLVD
BROOKLYN PARKMN5544312/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 00430 5695 DULUTH ST
GOLDEN VALLEYMN5542212/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 06057 7135 E POINT DOUGLAS RD SOUTH
COTTAGE GROVEMN5501612/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 02805 1133 S ROBERT ST
WEST ST PAULMN5511812/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 07188 4880 CENTRAL AVE NE
HILLTOPMN5542112/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 01303 4323 CHICAGO AVENUE
MINNEAPOLISMN5540712/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS #10641 1274 TOWN CENTRE DR
EAGANMN55123-106612/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 16279 3121 E LAKE ST
MINNEAPOLISMN5540612/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 06714 2860 COON RAPIDS BLVD NW
COON RAPIDSMN5543312/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 15982 2610 CENTRAL AVE NE
MINNEAPOLISMN5541812/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS #15272 1110 LARPENTEUR AVE W
ST PAULMN5511312/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS #15560 2700 LINCOLN DR
ROSEVILLEMN5511312/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS #16275 655 NICOLLET MALL
MINNEAPOLISMN5540212/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 02038 3240 W LAKE ST
MINNEAPOLISMN5541612/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 04394 9800 LYNDALE AVE. S
BLOOMINGTONMN5542012/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 16057 5428 LYNDALE AVE S
MINNEAPOLISMN5541912/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 09795 1585 RANDOLPH AVE
ST PAULMN55105-214912/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 02142 734 GRAND AVE
ST PAULMN5510512/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 04119 4547 HIAWATHA AVE
MINNEAPOLISMN5540612/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 05882 4200 WINNETKA AVE N
NEW HOPEMN5542812/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 02509 4916 FRANCE AVE S
EDINAMN5541012/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 02496 14700 LAC LAVON DR
BURNSVILLEMN5530612/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 02661 15250 CEDAR AVE
APPLE VALLEYMN5512412/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 02769 915 WILDWOOD RD
WHITE BEAR LAKEMN55115-184712/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 10188 1615 QUEENS DR
WOODBURYMN5512512/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.W002:WALGREENS #16361 2650 HENNEPIN AVE.
MINNEAPOLISMN5540812/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 11419 950 COUNTY RD 42W
BURNSVILLEMN5533712/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 02767 4005 VINEWOOD LANE N
PLYMOUTHMN5544212/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 02766 2010 CLIFF RD
EAGANMN5512212/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS #13685 2635 RICE ST
ROSEVILLEMN5511312/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 03114 6975 YORK AVE S
EDINAMN5543512/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 02935 10686 UNIVERSITY AVE NW
COON RAPIDSMN5544812/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 03122 985 GENEVA AVENUE N
OAKDALEMN5512812/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 03293 9273 S. HIGHWAY DR.
CIRCLE PINESMN55014-393812/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 03423 1911 S FERRY ST
ANOKAMN5530312/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 03187 1075 HIGHWAY 96 E
WHITE BEAR LAKEMN5512712/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 04320 6390 BROOKLYN BLVD.
BROOKLYN CENTERMN5542912/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 04038 15034 SHANNON PKWY
ROSEMOUNTMN5506812/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 04697 6525 NE UNIVERSITY AVE
FRIDLEYMN5543212/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 04725 11401 MARKET PLACE DRIVE N
CHAMPLINMN5531612/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 04879 8100 W COUNTY ROAD 42
SAVAGEMN5537812/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 04882 5825 CAHILL AVE.
INVER GROVE HEIGHTSMN5507612/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 05048 1017 VERMILLION ST
HASTINGSMN5503312/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 05081 4220 LEXINGTON AVE S
EAGANMN5512312/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 05685 2200 HWY 13 EAST
BURNSVILLEMN5533712/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 05413 600 COUNTY ROAD 10 NE
BLAINEMN5543412/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 06056 1965 DONEGAL DR
WOODBURYMN55125-487012/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 06573 3470 RIVER RAPIDS DR NW
COON RAPIDSMN5544812/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 06447 2387 MOUNDS VIEW BLVD
MOUNDS VIEWMN5511212/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 06735 3700 SILVER LAKE RD NE
SAINT ANTHONYMN5542112/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 06995 1788 OLD HUDSON ROAD
ST PAULMN55119-430712/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 06280 16395 WAGNER WAY
EDEN PRAIRIEMN5534412/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 06943 4560 S ROBERT TRAIL
INVER GROVE HEIGHTSMN5507712/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 07111 1207 W BROADWAY AVE
FOREST LAKEMN55025-141812/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 07781 4202 PHEASANT RIDGE DRIVE NE
BLAINEMN5544912/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 07388 1665 WHITE BEAR AVENUE N
ST PAULMN55106-161112/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 06916 6061 OSGOOD AVE N
OAK PARK HGTSMN55082-613312/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 01951 612 4TH ST NW
FARIBAULTMN55021-503512/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 02316 2024 85TH AVE N
BROOKLYN PARKMN55444-149512/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 02078 2134 BUNKER LAKE BLVD NW
ANDOVERMN5530412/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 07218 12480 ABERDEEN ST NE
BLAINEMN5544912/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 09727 14020 PILOT KNOB RD
APPLE VALLEYMN5512412/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 01002 3255 VICKSBURG LANE N
PLYMOUTHMN5544712/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS # 10585 1047 N MAIN ST
RIVER FALLSWI5402212/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS SPECIALTY PHARMACY #11916 1221 W LAKE ST, STE 200
MINNEAPOLISMN5540812/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.DBA: WALGREENS #12403 600 VILLAGE CENTER DR.
NORTH OAKSMN5512712/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS #11835 7200 CEDAR LAKE RD S
ST LOUIS PARKMN55426-272512/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA: WALGREENS #12434 2499 HIGHWAY 7
EXCELSIORMN5533112/03/201212/03/2012 09/20/202109/20/2021
Contract DetailWALGREEN CO.WALGREENS #11764 790 N PLAZA DR
MENDOTA HEIGHTSMN55120-150912/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.DBA:WALGREENS #13690 2099 FORD PARKWAY
ST. PAULMN5511612/03/201212/03/2012  03/28/2013
Contract DetailWALGREEN CO.WALGREENS SPECIALTY PHARMACY #15309 2100 LYNDALE AVE S STE A
MINNEAPOLISMN5540510/07/201601/01/2017  10/07/2016
Contract DetailWALGREEN CO.DBA: WALGREENS SPECIALTY PHARMACY #11916 1221 W LAKE ST, STE 200
MINNEAPOLISMN5540801/05/202404/01/2024  04/01/2024
Contract DetailWALGREENS MAIL SERVICE, INC.  8337 S PARK CIRCLE
ORLANDOFL32819-904904/10/201307/01/2013 07/07/201507/08/2015
Contract DetailWALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528404/10/201307/01/2013 07/07/201507/08/2015
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700804/14/202007/01/2020 09/20/202109/20/2021
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527504/14/202007/01/2020  07/01/2020
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503304/14/202007/01/2020  07/01/2020
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818804/14/202007/01/2020  07/01/2020
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH240106AChildDSHREGIONS HOSPITALREGIONS OUTPATIENT SERVICES401 PHALEN BLVDST. PAULMNTerminated
DSH240106BChildDSHREGIONS HOSPITALREGIONS OUTPATIENT SERVICES435 PHALEN BLVDST. PAULMNTerminated
DSH240106CChildDSHREGIONS HOSPITALHSC Dexascan401 Phalen BlvdSt. PaulMNTerminated
DSH240106DChildDSHREGIONS HOSPITALHSC Ultrasound401 Phalen BlvdSaint PaulMNTerminated
DSH240106EChildDSHREGIONS HOSPITALHSC CT Scan401 Phalen BlvdSaint PaulMNTerminated
DSH240106FChildDSHREGIONS HOSPITALHSC 401 Magnetic Resonance Imaging401 Phalen BlvdSaint PaulMNActive
DSH240106GChildDSHREGIONS HOSPITALHSC PET Scan401 Phalen BlvdSaint PaulMNTerminated
DSH240106JChildDSHREGIONS HOSPITALHSC Same Day Surgery435 Phalen BlvdSt. PaulMNActive
DSH240106KChildDSHREGIONS HOSPITALHSC GI Clinic/Services435 Phalen BlvdSaint PaulMNActive
DSH240106LChildDSHREGIONS HOSPITALSLEEP HEALTH CENTER2688 MAPLEWOOD DRMAPLEWOODMNActive
DSH240106MChildDSHREGIONS HOSPITALADAP (ALCOHOL DRUG ABUSE PROGRAM)445 ETNA STREETST PAULMNTerminated
DSH240106NChildDSHREGIONS HOSPITALCARDIOPULMONARY REHAB2575 UNIVERSITY AVE STE 140 WESTGATEST PAULMNTerminated
DSH240106PChildDSHREGIONS HOSPITALHSC HAND THERAPY401 PHALEN BLVDST PAULMNTerminated
DSH240106QChildDSHREGIONS HOSPITALDIGESTIVE CARE ENDOSCOPY PROCEDURES435 PHALEN BLVDST PAULMNActive
DSH240106RChildDSHREGIONS HOSPITALDigestive Clinic435 Phalen BlvdSaint PaulMNTerminated
DSH240106SChildDSHREGIONS HOSPITALPHYSICAL THERAPY1710 Suburban SquareSAINT PAULMNTerminated
DSH240106TChildDSHREGIONS HOSPITALREGIONS HOSPITAL REHABILITATION INS8425 SEASONS PKWY STE 103WOODBURYMNTerminated
DSH240106UChildDSHREGIONS HOSPITALRIVERSIDE HAND AND PHYSICAL THERAPY2220 RIVERSIDE AVENUEMINNEAPOLISMNTerminated
DSH240106VChildDSHREGIONS HOSPITALREGIONS HOSPITAL - NEUROSCIENCE CENTER RADIOLOGY295 PHALEN BLVDST. PAULMNActive
DSH240106WChildDSHREGIONS HOSPITALREGIONS HOSPITAL - Med Mgmt435 PHALEN BLVDSAINT PAULMNActive
DSH240106XChildDSHREGIONS HOSPITALREGIONS HOSPITAL - Infusion Clinic - Coon Rapids11850 BLACKFOOT ST NWCOON RAPIDSMNActive
DSH240106YChildDSHREGIONS HOSPITALREGIONS HOSPITAL - Cancer Clinic - Coon Rapids11850 BLACKFOOT ST NWCOON RAPIDSMNActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
Medicaid BillingNPI: NumberInsertChange Request 11046811053/16/2025 12:22 AM
Medicaid BillingNPI: StateInsertChange Request WI3/16/2025 12:22 AM
Medicaid BillingNPI: NumberInsertChange Request 11046811053/16/2025 12:22 AM
Medicaid BillingNPI: StateInsertChange Request MN3/16/2025 12:22 AM
Medicaid BillingNPI: NumberInsertChange Request 16793911223/16/2025 12:22 AM
Medicaid BillingNPI: StateInsertChange Request WI3/16/2025 12:22 AM
Medicaid BillingNPI: NumberInsertChange Request 16793911223/16/2025 12:22 AM
Medicaid BillingNPI: StateInsertChange Request MN3/16/2025 12:22 AM
DetailsLast Recertification DateUpdateRecertification8/23/2023 8:26:57 AM8/21/2024 12:29:21 AM8/21/2024 12:29 AM
DetailsLast Recertification DateUpdateRecertification8/31/2022 2:38:43 PM8/23/2023 8:26:57 AM8/23/2023 8:26 AM
Medicaid BillingNPI: NumberInsertChange Request 19621494193/22/2023 4:53 PM
Medicaid BillingNPI: StateInsertChange Request WI3/22/2023 4:53 PM
Medicaid BillingNPI: NumberInsertChange Request 19621494193/22/2023 4:53 PM
Medicaid BillingNPI: StateInsertChange Request MN3/22/2023 4:53 PM
DetailsLast Recertification DateUpdateRecertification8/18/2021 9:51:23 AM8/31/2022 2:38:43 PM8/31/2022 2:38 PM
ContactsAuthorizing OfficialUpdateChange RequestCONRAD, HEIDI CFO Regions Hospital 6512540900Clark, John M VP Finance Regions Hospital 65125409009/16/2021 12:45 PM
DetailsLast Recertification DateUpdateRecertification8/26/2020 6:13:44 AM8/18/2021 9:51:23 AM8/18/2021 9:51 AM
Medicaid BillingNPI: NumberInsertChange Request 11741686522/19/2021 9:52 AM
Medicaid BillingNPI: StateInsertChange Request WI2/19/2021 9:52 AM
Medicaid BillingNPI: NumberInsertChange Request 11741686522/19/2021 9:52 AM
Medicaid BillingNPI: StateInsertChange Request MN2/19/2021 9:52 AM
Medicaid BillingNPI: NumberDeleteChange Request1336238765 (WI) 1/13/2021 5:47 PM
Medicaid BillingNPI: NumberDeleteChange Request1336238765 (MN) 1/13/2021 5:47 PM
Medicaid BillingNPI: NumberInsertRecertification 10139517488/26/2020 6:13 AM
Medicaid BillingNPI: StateInsertRecertification WI8/26/2020 6:13 AM
Medicaid BillingNPI: NumberInsertRecertification 13362387658/26/2020 6:13 AM
Medicaid BillingNPI: StateInsertRecertification WI8/26/2020 6:13 AM
Medicaid BillingNPI: NumberInsertRecertification 15189953498/26/2020 6:13 AM
Medicaid BillingNPI: StateInsertRecertification WI8/26/2020 6:13 AM
Medicaid BillingNPI: NumberInsertRecertification 16290064578/26/2020 6:13 AM
Medicaid BillingNPI: StateInsertRecertification WI8/26/2020 6:13 AM
Medicaid BillingNPI: NumberInsertRecertification 10139517488/26/2020 6:13 AM
Medicaid BillingNPI: StateInsertRecertification MN8/26/2020 6:13 AM
Medicaid BillingNPI: NumberInsertRecertification 13362387658/26/2020 6:13 AM
Medicaid BillingNPI: StateInsertRecertification MN8/26/2020 6:13 AM
Medicaid BillingNPI: NumberInsertRecertification 15189953498/26/2020 6:13 AM
Medicaid BillingNPI: StateInsertRecertification MN8/26/2020 6:13 AM
Medicaid BillingNPI: NumberInsertRecertification 16290064578/26/2020 6:13 AM
Medicaid BillingNPI: StateInsertRecertification MN8/26/2020 6:13 AM
Medicaid BillingNPI: NumberDeleteRecertification1629006457 ( ) 8/26/2020 6:13 AM
Medicaid BillingNPI: NumberDeleteRecertification1013951748 ( ) 8/26/2020 6:13 AM
Medicaid BillingNPI: NumberDeleteRecertification1336238765 ( ) 8/26/2020 6:13 AM
Medicaid BillingNPI: NumberDeleteRecertification1518995349 ( ) 8/26/2020 6:13 AM
DetailsLast Recertification DateUpdateRecertification8/26/2019 10:15:12 AM8/26/2020 6:13:44 AM8/26/2020 6:13 AM
ContactsPrimary ContactUpdateProfile Change RequestBarnhart, Tanya Y Director, Pharmaceutical Services Regions Hospital 6512540869Barnhart, Tanya Y Director, Pharmaceutical Services Regions Hospital 65125495606/17/2020 10:40 AM
ContactsPrimary ContactUpdateChange RequestHarvey, Craig L. Director of Pharmacy Svcs Regions Hospital 6512549560Barnhart, Tanya Y Director, Pharmaceutical Services Regions Hospital 65125408696/8/2020 11:02 AM
DetailsLast Recertification DateUpdateRecertification8/30/2018 1:30:10 PM8/26/2019 10:15:12 AM8/26/2019 10:15 AM
AddressesShipping AddressInsertChange Request Regions Hospital 640 Jackson St St. Paul, MN 551017/2/2019 6:33 AM
Medicaid BillingNPI: NumberInsertChange Request 15189953492/21/2019 5:10 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False10/22/2018 6:04 PM
Medicaid BillingMedicaid: NumberInsertChange Request 1100560010/22/2018 6:04 PM
Medicaid BillingMedicaid: StateInsertChange Request WI10/22/2018 6:04 PM
DetailsLast Recertification DateUpdateRecertification11/17/2017 12:05:50 PM8/30/2018 1:30:10 PM8/30/2018 1:30 PM
DetailsLast Recertification DateUpdateRecertification8/15/2016 12:00:00 AM11/17/2017 12:05:50 PM11/17/2017 12:05 PM
ContactsAuthorizing OfficialUpdate CONRAD, HEIDI CFO 6512540900CONRAD, HEIDI CFO Regions Hospital 651254090010/19/2017 12:21 PM
ContactsPrimary ContactUpdate Harvey, Craig L. Director of Pharmacy Svcs 6512549560Harvey, Craig L. Director of Pharmacy Svcs Regions Hospital 651254956010/2/2017 1:45 PM
ContactsAuthorizing OfficialInsert  CONRAD, HEIDI CFO 65125409001/10/2017 11:02 AM
ContactsPrimary ContactInsert  Harvey, Craig L. Director of Pharmacy Svcs 65125495608/17/2016 7:11 AM
AddressesMain AddressInsert   640 JACKSON ST. ST. PAUL, MN 551018/16/2016 5:15 PM
DetailsLast Recertification DateUpdate 8/5/2015 12:00:00 AM8/15/2016 12:00:00 AM8/16/2016 5:15 PM
Medicaid BillingMedicaid: Is PrimaryUpdate TrueFalse8/7/2015 12:00 PM
DetailsLast Recertification DateUpdate 8/7/2014 12:00:00 AM8/5/2015 12:00:00 AM8/7/2015 12:00 PM
DetailsLast Recertification DateUpdate 9/6/2013 12:00:00 AM8/7/2014 12:00:00 AM8/7/2014 8:39 AM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM9/6/2013 12:00:00 AM9/6/2013 10:45 AM
Medicaid BillingNPI: NumberInsert  10139517486/15/2012 12:49 PM
Medicaid BillingNPI: NumberInsert  13362387656/15/2012 12:49 PM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM5/30/2012 7:46 AM
Medicaid BillingMedicaid: NumberUpdate 70000814222474004/25/2012 12:26 PM
Medicaid BillingNPI: NumberInsert  16290064574/25/2012 12:26 PM
DatesParticipating Approval DateUpdate 10/31/2007 4:26:27 PM10/31/2007 12:00:00 AM1/31/2012 4:41 PM
DetailsLast Recertification DateInsert   10/31/2007 4:29 PM
DetailsGrant NumberInsert   10/31/2007 4:29 PM
Details340B IDInsert  DSH24010610/31/2007 4:29 PM
DetailsIs Authorizing Official EHB DataInsert   10/31/2007 4:29 PM
DatesLast Date That 340B Drugs PurchasedInsert   10/31/2007 4:29 PM
DetailsMedicare Provider NumberInsert  24010610/31/2007 4:29 PM
DetailsEntity NameInsert  REGIONS HOSPITAL10/31/2007 4:29 PM
DetailsProgram CodeInsert  DSH10/31/2007 4:29 PM
DetailsEntity SubnameInsert   10/31/2007 4:29 PM
DatesParticipating Approval DateInsert  10/31/2007 4:26:27 PM10/31/2007 4:29 PM
DetailsStateInsert  Active10/31/2007 4:29 PM
DatesRegistration DateInsert  10/31/2007 12:00:00 AM10/31/2007 4:29 PM
DatesSigned By DateInsert   10/31/2007 4:29 PM
DatesStart DateInsert  12/1/1992 12:00:00 AM10/31/2007 4:29 PM
TerminationsTermination CommentsInsert   10/31/2007 4:29 PM
TerminationsTermination DateInsert   10/31/2007 4:29 PM
TerminationsTermination Effective DateInsert   10/31/2007 4:29 PM
TerminationsTermination ReasonInsert   10/31/2007 4:29 PM
DetailsComments PublicInsert  FORMERLY ST. PAUL-RAMSEY10/31/2007 4:29 PM
Medicaid BillingMedicaid: Is PrimaryInsert  True10/31/2007 4:28 PM
Medicaid BillingMedicaid: NumberInsert  700008110/31/2007 4:28 PM
Medicaid BillingMedicaid: StateInsert  MN10/31/2007 4:28 PM