340B Drug Pricing Program Database


DSH220010 LAWRENCE GENERAL HOSPITAL (Active) - information as of 6/12/2025 6:00:34 AM

Main Details
LAWRENCE GENERAL HOSPITAL
Disproportionate Share Hospital
No
DSH220010
220010


Additional Details
Active
4/21/2008
7/1/2004
4/21/2008
8/21/2024

Contacts

Lawrence General Hospital
Robin Hynds, Chief Operating Officer
(978) 946-8264

Lawrence General Hospital
Timothy Keaney, Pharmacy Director
(978) 683-4000 Ext: 2247

Addresses

1 GENERAL STREET
LAWRENCE, MA 01841

LAWRENCE GENERAL HOSPITAL
1 GENERAL STREET
LAWRENCE, MA 01841


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

Yes
StateMedicaid NumberNPI Number
MA1100267711750381281
NH 1750381281
NJ 1750381281
NY 1750381281
CA 1750381281
CT 1750381281
MD 1750381281
PA 1750381281
WA 1750381281
FL 1750381281
AZ 1750381281
AL 1750381281
TX 1750381281
RI 1750381281
ME 1750381281
VA 1750381281
VT 1750381281
GA 1750381281
Shipping Addresses

LAWRENCE GENERAL HOSPITAL
1 GENERAL STREET
LAWRENCE, MA 01841
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/17/201601/01/2017  10/17/2016
Contract DetailACCREDO HEALTH GROUP INC201 GREAT CIRCLE ROAD
NASHVILLETN3722810/17/201601/01/2017 10/06/202010/08/2020
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/17/201601/01/2017  10/17/2016
Contract DetailACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/17/201601/01/2017  10/17/2016
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/20/201601/01/2017  10/20/2016
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/17/201601/01/2017  10/17/2016
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/11/202204/01/2022  04/01/2022
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/11/202204/01/2022  04/01/2022
Contract DetailCVS MANCHESTER NH, L.L.C.DBA: CVS/PHARMACY # 00593 48 E. BROADWAY
DERRYNH0303801/11/202204/01/2022  04/01/2022
Contract DetailCVS MANCHESTER NH, L.L.C.DBA: CVS/PHARMACY # 01004 510-512 S. BROADWAY
SALEMNH0307901/11/202204/01/2022  04/01/2022
Contract DetailCVS MANCHESTER NH, L.L.C.DBA: CVS/PHARMACY # 00181 4 PLAISTOW RD,
PLAISTOWNH0386501/11/202204/01/2022  04/01/2022
Contract DetailCVS MANCHESTER NH, L.L.C.DBA CVS/PHARMACY # 5862 5 HAMPSTEAD RD.
SALEMNH0307901/11/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 02596 150 LAFAYETTE SQUARE
HAVERHILLMA0183201/11/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 00073 5 MACY STREET
AMESBURYMA0191301/11/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 00365 259 MAIN ST.
HAVERHILLMA0183001/11/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 00615 233 BROADWAY ST.
METHUENMA0184401/11/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 01886 425 LOWELL AVE.
HAVERHILLMA0183201/11/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 01174 68 MAIN STREET
ANDOVERMA0181001/11/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 00209 109 MAIN STREET
NORTH ANDOVERMA0184501/11/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 01239 110 TURNPIKE ST.
NORTH ANDOVERMA0184501/11/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY # 1786 266 BROADWAY
LAWRENCEMA0184101/11/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 17358 67 PLEASANT VALLEY ST
METHUENMA0184401/11/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 00952 205 SOUTH BROADWAY
LAWRENCEMA0184301/11/202204/01/2022 11/01/202208/21/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 00023 211 LINCOLN AVENUE
HAVERHILLMA0183001/11/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 04200 2 LAFAYETTE RD.
SALISBURYMA0195201/11/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 01085 76 SWAN STREET
METHUENMA0184401/11/202204/01/2022  04/01/2022
Contract DetailCYSTIC FIBROSIS SERVICESCYSTIC FIBROSIS SERVICES, INC 10530 JOHN W ELLIOTT DR, STE 200
FRISCOTX7503310/14/201601/01/2017 10/06/202010/08/2020
Contract DetailCYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503310/08/202001/01/2021  01/01/2021
Contract DetailPRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999210/08/202001/01/2021 10/01/202210/07/2022
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 03337 135 BROADWAY
LAWRENCEMA0184010/14/201601/01/2017  10/14/2016
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 04571 220 S. BROADWAY
LAWRENCEMA0184310/14/201601/01/2017  10/14/2016
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 05810 14 JACKSON STREET
METHUENMA0184410/14/201601/01/2017  10/14/2016
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 07617 800 RIVER ST
HAVERHILLMA0183210/14/201601/01/2017 04/28/202504/28/2025
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #10209 800 WAVERLY RD
NORTH ANDOVERMA01845-504710/14/201601/01/2017  10/14/2016
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09614 310 MAIN ST
HAVERHILLMA01830-504510/08/202001/01/2021  01/01/2021
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #18342 176 HAVERHILL ST
METHUENMA0184410/08/202001/01/2021  01/01/2021
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS SPECIALTY PHARMACY #21179 25 MERRIMACK ST.
LOWELLMA0185210/08/202001/01/2021  01/01/2021
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #17486 256 PLEASANT ST
METHUENMA0184410/08/202001/01/2021 04/29/202504/29/2025
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #17482 68 S MAIN ST
HAVERHILLMA0183510/08/202001/01/2021  01/01/2021
Contract DetailWalgreens Central Fill #2140044 Cabot Blvd.
MansfieldMA0204804/13/202307/01/2023  07/01/2023
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527510/14/201601/01/2017  10/14/2016
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700810/14/201601/01/2017 04/11/202304/13/2023
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818810/14/201601/01/2017  10/14/2016
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503310/14/201601/01/2017  10/14/2016
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH220010AChildDSHLAWRENCE GENERAL HOSPITALINFUSION SERVICES @ 25 MARSTON STREET - Infusion Services25 Marston StreetLawrenceMATerminated
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesBilling AddressInsertChange Request LAWRENCE GENERAL HOSPITAL 1 GENERAL STREET LAWRENCE, MA 018418/21/2024 1:23 PM
AddressesShipping AddressInsertChange Request LAWRENCE GENERAL HOSPITAL 1 GENERAL STREET LAWRENCE, MA 018418/21/2024 1:23 PM
DetailsLast Recertification DateUpdateRecertification8/31/2023 3:13:45 PM8/21/2024 12:48:46 PM8/21/2024 12:48 PM
DetailsLast Recertification DateUpdateRecertification9/15/2022 10:35:40 AM8/31/2023 3:13:45 PM8/31/2023 3:13 PM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/15/2022 10:35 AM
Medicaid BillingNPI: StateInsertRecertification VT9/15/2022 10:35 AM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/15/2022 10:35 AM
Medicaid BillingNPI: StateInsertRecertification RI9/15/2022 10:35 AM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/15/2022 10:35 AM
Medicaid BillingNPI: StateInsertRecertification VA9/15/2022 10:35 AM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/15/2022 10:35 AM
Medicaid BillingNPI: StateInsertRecertification NJ9/15/2022 10:35 AM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/15/2022 10:35 AM
Medicaid BillingNPI: StateInsertRecertification CA9/15/2022 10:35 AM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/15/2022 10:35 AM
Medicaid BillingNPI: StateInsertRecertification MD9/15/2022 10:35 AM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/15/2022 10:35 AM
Medicaid BillingNPI: StateInsertRecertification WA9/15/2022 10:35 AM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/15/2022 10:35 AM
Medicaid BillingNPI: StateInsertRecertification AZ9/15/2022 10:35 AM
DetailsLast Recertification DateUpdateRecertification9/15/2021 8:06:00 AM9/15/2022 10:35:40 AM9/15/2022 10:35 AM
ContactsAuthorizing OfficialUpdateChange RequestTurilli, Michael Chief Financial Officer Lawrence General Hospital 9789468466Hynds, Robin Chief Operating Officer Lawrence General Hospital 97894682647/12/2022 10:14 AM
DetailsLast Recertification DateUpdateRecertification9/10/2020 6:10:41 PM9/15/2021 8:06:00 AM9/15/2021 8:06 AM
ContactsAuthorizing OfficialUpdateChange RequestWilson, Deborah J. CFO Lawrence General Hospital 9786834000-2004Turilli, Michael Chief Financial Officer Lawrence General Hospital 97894684668/17/2021 7:31 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False9/10/2020 6:10 PM
Medicaid BillingMedicaid: NumberInsertRecertification 1100267719/10/2020 6:10 PM
Medicaid BillingMedicaid: StateInsertRecertification MA9/10/2020 6:10 PM
Medicaid BillingMedicaid: NumberDeleteRecertification2099 (MA) 9/10/2020 6:10 PM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/10/2020 6:10 PM
Medicaid BillingNPI: StateInsertRecertification MA9/10/2020 6:10 PM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/10/2020 6:10 PM
Medicaid BillingNPI: StateInsertRecertification ME9/10/2020 6:10 PM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/10/2020 6:10 PM
Medicaid BillingNPI: StateInsertRecertification NH9/10/2020 6:10 PM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/10/2020 6:10 PM
Medicaid BillingNPI: StateInsertRecertification NY9/10/2020 6:10 PM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/10/2020 6:10 PM
Medicaid BillingNPI: StateInsertRecertification CT9/10/2020 6:10 PM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/10/2020 6:10 PM
Medicaid BillingNPI: StateInsertRecertification PA9/10/2020 6:10 PM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/10/2020 6:10 PM
Medicaid BillingNPI: StateInsertRecertification FL9/10/2020 6:10 PM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/10/2020 6:10 PM
Medicaid BillingNPI: StateInsertRecertification AL9/10/2020 6:10 PM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/10/2020 6:10 PM
Medicaid BillingNPI: StateInsertRecertification TX9/10/2020 6:10 PM
Medicaid BillingNPI: NumberInsertRecertification 17503812819/10/2020 6:10 PM
Medicaid BillingNPI: StateInsertRecertification GA9/10/2020 6:10 PM
Medicaid BillingNPI: NumberDeleteRecertification1750381281 ( ) 9/10/2020 6:10 PM
DetailsLast Recertification DateUpdateRecertification9/5/2019 11:42:04 AM9/10/2020 6:10:41 PM9/10/2020 6:10 PM
DetailsLast Recertification DateUpdateRecertification8/22/2018 12:38:46 PM9/5/2019 11:42:04 AM9/5/2019 11:42 AM
DetailsLast Recertification DateUpdateRecertification11/29/2017 3:41:06 PM8/22/2018 12:38:46 PM8/22/2018 12:38 PM
DetailsLast Recertification DateUpdateRecertification8/15/2016 12:00:00 AM11/29/2017 3:41:06 PM11/29/2017 3:41 PM
ContactsAuthorizing OfficialUpdate Wilson, Deborah J. CFO 9786834000-2004Wilson, Deborah J. CFO Lawrence General Hospital 9786834000-200411/13/2017 9:40 AM
ContactsPrimary ContactUpdate Keaney, Timothy Pharmacy Director 9786834000-2247Keaney, Timothy Pharmacy Director Lawrence General Hospital 9786834000-22479/22/2017 8:24 AM
ContactsAuthorizing OfficialInsert  Wilson, Deborah J. CFO 9786834000-200410/20/2016 9:52 AM
AddressesMain AddressInsert   1 GENERAL STREET LAWRENCE, MA 018418/15/2016 5:23 PM
ContactsPrimary ContactUpdate Waters, Joseph DIRECTOR of Pharmacy 9786834000-2247Keaney, Timothy Pharmacy Director 9786834000-22478/15/2016 5:23 PM
DetailsLast Recertification DateUpdate 8/26/2015 12:00:00 AM8/15/2016 12:00:00 AM8/15/2016 5:23 PM
Medicaid BillingNPI: NumberInsert  175038128110/28/2015 12:57 PM
Medicaid BillingMedicaid: Is PrimaryUpdate TrueFalse8/26/2015 3:11 PM
DetailsLast Recertification DateUpdate 9/5/2014 12:00:00 AM8/26/2015 12:00:00 AM8/26/2015 3:11 PM
DetailsLast Recertification DateUpdate 8/29/2013 12:00:00 AM9/5/2014 12:00:00 AM9/5/2014 6:17 PM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM8/29/2013 12:00:00 AM8/29/2013 5:10 PM
ContactsPrimary ContactUpdate THOMASSET, KEITH B. DIRECTOR – PHARMACY SERVICES 9786834000-2247Waters, Joseph DIRECTOR of Pharmacy 9786834000-22475/15/2012 7:50 AM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM5/15/2012 7:50 AM
ContactsPrimary ContactInsert  THOMASSET, KEITH B. DIRECTOR – PHARMACY SERVICES 9786834000-224712/15/2008 1:47 PM
DetailsLast Recertification DateInsert   12/15/2008 1:47 PM
DetailsGrant NumberInsert   12/15/2008 1:47 PM
Details340B IDInsert  DSH22001012/15/2008 1:47 PM
DetailsIs Authorizing Official EHB DataInsert   12/15/2008 1:47 PM
DatesLast Date That 340B Drugs PurchasedInsert   12/15/2008 1:47 PM
DetailsMedicare Provider NumberInsert  22001012/15/2008 1:47 PM
DetailsEntity NameInsert  LAWRENCE GENERAL HOSPITAL12/15/2008 1:47 PM
DetailsProgram CodeInsert  DSH12/15/2008 1:47 PM
DetailsEntity SubnameInsert   12/15/2008 1:47 PM
DatesParticipating Approval DateInsert  4/21/2008 12:00:00 AM12/15/2008 1:47 PM
DetailsStateInsert  Active12/15/2008 1:47 PM
DatesRegistration DateInsert  4/21/2008 12:00:00 AM12/15/2008 1:47 PM
DatesSigned By DateInsert   12/15/2008 1:47 PM
DatesStart DateInsert  7/1/2004 12:00:00 AM12/15/2008 1:47 PM
TerminationsTermination CommentsInsert   12/15/2008 1:47 PM
TerminationsTermination DateInsert   12/15/2008 1:47 PM
TerminationsTermination Effective DateInsert   12/15/2008 1:47 PM
TerminationsTermination ReasonInsert   12/15/2008 1:47 PM
Medicaid BillingMedicaid: Is PrimaryInsert  True4/21/2008 11:13 AM
Medicaid BillingMedicaid: NumberInsert  20994/21/2008 11:13 AM
Medicaid BillingMedicaid: StateInsert  MA4/21/2008 11:13 AM