340B Drug Pricing Program Database


DSH150084 ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis (Active) - information as of 5/13/2025 1:35:04 AM

Main Details
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis
Disproportionate Share Hospital
No
DSH150084
150084


Additional Details
Active
9/3/2008
9/3/2008
9/3/2008
9/3/2024

Contacts

Ascension St. Vincent, Central Region
Daniel Allen Parod, President
(317) 338-7094

Ascension
Jason Ashby, 340B Director
(812) 454-3218

Addresses

2001 WEST 86TH STREET
INDIANAPOLIS, IN 46260

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
12/22/2010- DOC. RECD. TO CONFIRM ELIG. DSH ADJ. %; 8/28/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %05/14/2012
12/22/2010- DOC. RECD. TO CONFIRM ELIG. DSH ADJ. %; 8/28/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %10/19/2009
12/22/2010- DOC. RECD. TO CONFIRM ELIG. DSH ADJ. %; 8/28/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %09/03/2008
Medicaid Billing

No
Shipping Addresses

Ascension Rx
7701 Metropolis Drive
200C
Austin, TX 78744

ASCENSION RX 1502
8414 NAAB RD
SUITE 140
INDIANAPOLIS, IN 46260
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
MEMPHISTN38134-884907/17/201810/01/2018 04/20/202107/27/2021
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750207/17/201810/01/2018 04/20/202107/27/2021
Contract DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201007/17/201810/01/2018 10/30/201910/30/2019
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349207/17/201810/01/2018 10/30/201910/30/2019
Contract DetailACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624107/17/201810/01/2018 04/20/202107/27/2021
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282207/17/201810/01/2018 10/30/201910/30/2019
Contract DetailAFFILIATED HEALTH SERVICES, INC.DBA ASCENSION RX 1303 30055 NORTHWESTERN HWY
STE 225
FARMINGTON HILLSMI4833404/13/202007/01/2020 01/27/202203/03/2022
Contract DetailASCENSION PHARMACY SERVICES, LLCDBA ASCENSION RX 1303 30055 NORTHWESTERN HWY STE 225
FARMINGTON HILLSMI4833401/12/202201/26/2022  01/27/2022
Contract DetailASCENSION RX 1001ASCENSION PHARMACY SERVICES, LLC. 7701 METROPOLIS DR STE 200B
AUSTINTX78744-312507/19/202110/01/2021  07/07/2022
Contract DetailASCENSION RX 30017701 METROPOLIS DR STE 200C
AUSTINTX78744-312510/07/202101/01/2022 11/16/202211/21/2022
Contract DetailESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111207/17/201810/01/2018 09/07/201809/07/2018
Contract DetailEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313407/17/201810/01/2018 09/07/201809/07/2018
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607507/17/201810/01/2018 04/20/202107/27/2021
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801607/17/201810/01/2018 04/20/202107/27/2021
Contract DetailST. VINCENT HOSPITAL AND HEALTH CARE CEND/B/A ASCENSION RX 1503 2001 W 86TH ST
INDIANAPOLISIN4626010/08/201601/01/2017  10/08/2016
Contract DetailST. VINCENT HOSPITAL AND HEALTH CARE CEND/B/A ASCENSION RX 1502 8414 NAAB RD STE 140
INDIANAPOLISIN4626010/09/201901/01/2020 04/03/202504/07/2025
Contract DetailWALGREEN CO.DBA: WALGREENS #15334 1424 S RANGELINE RD
CARMELIN4603211/09/201211/09/2012 10/26/202312/22/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 06165 10595 N MICHIGAN RD
CARMELIN4603211/09/201211/09/2012 10/26/202312/22/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 10149 13741 E 116TH STREET
FISHERSIN4603711/09/201211/09/2012 10/26/202312/22/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 06299 12570 REYNOLDS DR
FISHERSIN4603811/09/201211/09/2012 07/30/201508/19/2016
Contract DetailWALGREEN CO.DBA: WALGREENS # 09644 555 WESTFIELD RD
NOBLESVILLEIN46060-132111/09/201211/09/2012 08/28/201809/07/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 09129 2380 PLEASANT ST
NOBLESVILLEIN46060-362311/09/201211/09/2012 10/26/202312/22/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 07618 14625 N GRAY RD
WESTFIELDIN4606211/09/201211/09/2012 10/26/202312/22/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 06454 20 W MAIN ST
BROWNSBURGIN4611211/09/201211/09/2012 10/26/202312/22/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 05753 7975 E US HWY 36
AVONIN46123-797511/09/201211/09/2012 08/28/201809/28/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 07174 1195 N STATE STREET
GREENFIELDIN46140-120711/09/201211/09/2012 08/28/201809/28/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 06455 115 FIELDS STREET
MOORESVILLEIN4615811/09/201211/09/2012 08/28/201809/28/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 05562 1516 E. MAIN STREET
PLAINFIELDIN4616811/09/201211/09/2012 08/28/201809/07/2018
Contract DetailWALGREEN CO.DBA: WALGREENS #10973 1530 N MERIDIAN ST
INDIANAPOLISIN4620211/09/201211/09/2012 10/26/202312/22/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 02931 5199 N KEYSTONE
INDIANAPOLISIN4620511/09/201211/09/2012 10/26/202312/22/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 03066 5675 MICHIGAN RD.
INDIANAPOLISIN4622811/09/201211/09/2012 11/04/201911/04/2019
Contract DetailWALGREEN CO.DBA: WALGREENS # 06778 6191 N KEYSTONE AVE
INDIANAPOLISIN46220-242311/09/201211/09/2012 10/26/202312/22/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 02796 3003 KESSLER BLVD NORTH DR
INDIANAPOLISIN4622211/09/201211/09/2012 10/26/202312/22/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 05718 10845 E. 79TH STREET
INDIANAPOLISIN4623611/09/201211/09/2012 10/26/202312/22/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 05978 11020 PENDLETON PIKE
INDIANAPOLISIN4623611/09/201211/09/2012 10/26/202312/22/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 03142 3455 MANN ROAD
INDIANAPOLISIN4622111/09/201211/09/2012 08/28/201809/07/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 03442 7506 N SHADELAND AVE
INDIANAPOLISIN4625011/09/201211/09/2012 10/26/202312/22/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 05164 9610 ALLISONVILLE ROAD
INDIANAPOLISIN4625011/09/201211/09/2012 05/16/201608/19/2016
Contract DetailWALGREEN CO.DBA: WALGREENS # 05264 6269 W 38TH ST
INDIANAPOLISIN4625411/09/201211/09/2012 08/12/201608/19/2016
Contract DetailWALGREEN CO.DBA; WALGREENS #11624 1330 W. 86TH STREET
INDIANAPOLISIN4626011/09/201211/09/2012 06/03/202006/03/2020
Contract DetailWALGREEN CO.DBA: WALGREENS # 11248 3545 W 86TH STREET
INDIANAPOLISIN4626811/09/201211/09/2012 10/26/202312/22/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 03363 1505 E 86TH ST
INDIANAPOLISIN4624003/08/201304/01/2013 10/26/202312/22/2023
Contract DetailWALGREEN CO.DBA: WALGREENS SPECIALTY PHARMACY #16317 335 MASSACHUSETTS AVENUE
INDIANAPOLISIN4620407/15/201510/01/2015 10/26/202312/22/2023
Contract DetailWALGREEN CO.WALGREENS SPECIALTY PHARMACY #15323 9002 N MERIDIAN ST STE 213
INDIANAPOLISIN4626007/15/201510/01/2015 10/26/202312/22/2023
Contract DetailWalgreens Central Fill #213994132Plainfield Rd
Ste 110
IndianapolisIN46231-702104/10/202307/01/2023 10/26/202301/04/2024
Contract DetailWALGREENS MAIL SERVICE, INC.  8337 S PARK CIRCLE
ORLANDOFL32819-904903/08/201304/01/2013 07/20/201508/19/2016
Contract DetailWALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528404/25/201307/01/2013 07/20/201508/19/2016
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH150084CChildDSHST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent IndianapolisST. VINCENT PRIMARY CARE CENTER FAMILY MEDICINE8414 NAAB ROADINDIANAPOLISINActive
DSH150084FChildDSHST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent IndianapolisST. VINCENT OUTPATIENT TREATMENT CE11455 N MERIDIANCARMELINActive
DSH150084GChildDSHST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent IndianapolisTRANSPLANT SERVICES - Transplant8333 NAAB RDINDIANAPOLISINActive
DSH150084HChildDSHST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent IndianapolisSt Vincent Abdominal Transplant Services - Transplant8402 Harcourt RoadIndianapolisINActive
DSH150084JChildDSHST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent IndianapolisST VINCENT PRIMARY CARE CENTER - OB/GYN8414 NAAB ROADINDIANAPOLISINActive
DSH150084KChildDSHST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent IndianapolisST VINCENT PRIMARY CARE CENTER - MULTIDISCIPLINARY8414 NAAB ROADINDIANAPOLISINActive
DSH150084LChildDSHST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent IndianapolisST VINCENT PRIMARY CARE CENTER - PEDIATRIC8414 NAAB ROADINDIANAPOLISINActive
DSH150084MChildDSHST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent IndianapolisSt Vincent Primary Care Center - Internal Medicine8414 Naab RoadIndianapolisINActive
DSH150084NChildDSHST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent IndianapolisASCENSION ST VINCENT 3133 BURN - Burn Clinic8333 NAAB RDINDIANAPOLISINActive
DSH150084PChildDSHST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent IndianapolisST VINCENT MEDICATION MANAGEMENT - Medication Management Clinic8220 NAAB RDINDIANAPOLISINActive
DSH150084QChildDSHST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent IndianapolisASCENSION ST. VINCENT HEMATOLOGY AND ONCOLOGY INDIANAPOLIS - HEMATOLOGY AND ONCOLOGY8301 HARCOURT RDINDIANAPOLISINApproved
DSH150084RChildDSHST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent IndianapolisASCENSION ST. VINCENT RADIATION ONCOLOGY AND IMAGING - RADIATION ONCOLOGY AND IMAGING8301 HARCOURT RDINDIANAPOLISINApproved
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesShipping AddressInsertChange Request ASCENSION RX 1502 8414 NAAB RD SUITE 140 INDIANAPOLIS, IN 462604/8/2025 6:35 AM
AddressesShipping AddressInsertChange Request Ascension Rx 7701 Metropolis Drive 200C Austin, TX 7874412/18/2024 6:38 AM
DetailsLast Recertification DateUpdateRecertification8/23/2023 5:16:46 PM9/3/2024 2:02:19 PM9/3/2024 2:02 PM
DetailsLast Recertification DateUpdateRecertification8/31/2022 3:54:17 PM8/23/2023 5:16:46 PM8/23/2023 5:16 PM
ContactsAuthorizing OfficialUpdateAO Change RequestMetzger, Terrence COO Ascension St Vincent Hospital and Health Care 3173389769Parod, Daniel Allen President Ascension St. Vincent, Central Region 31733870945/2/2023 11:23 AM
DetailsLast Recertification DateUpdateRecertification8/24/2021 11:11:29 AM8/31/2022 3:54:17 PM8/31/2022 3:54 PM
ContactsPrimary ContactUpdateChange RequestHurst, Angela 340b analyst St. Vincent Hospital and Health Care 3173387681Ashby, Jason 340B Director Ascension 812454321811/4/2021 1:00 PM
ContactsAuthorizing OfficialUpdateChange RequestWehrmeister, Erica Lynn Regional President St. Vincent Indianapolis 3173387094Metzger, Terrence COO Ascension St Vincent Hospital and Health Care 317338976910/7/2021 7:26 AM
DetailsLast Recertification DateUpdateRecertification8/25/2020 10:36:15 AM8/24/2021 11:11:29 AM8/24/2021 11:11 AM
DetailsEntity NameUpdateChange RequestST. VINCENT HOSPITAL AND HEALTH CARE CENTERST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis11/2/2020 8:05 AM
DetailsLast Recertification DateUpdateRecertification9/9/2019 6:26:10 AM8/25/2020 10:36:15 AM8/25/2020 10:36 AM
ContactsPrimary ContactUpdateChange RequestHurst, Angela M D 340B Analyst St Vincent 3173387681Hurst, Angela 340b analyst St. Vincent Hospital and Health Care 31733876811/28/2020 11:31 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestWehrmeister, Erica Lynn COO St. Vincent Indianapolis 3173387094Wehrmeister, Erica Lynn Regional President St. Vincent Indianapolis 317338709412/9/2019 10:18 AM
DetailsLast Recertification DateUpdateRecertification8/22/2018 11:35:19 AM9/9/2019 6:26:10 AM9/9/2019 6:26 AM
ContactsAuthorizing OfficialUpdateChange RequestFeldman, Aaron Joel CEO St. Vincent Hospital and Healthcare Center 3173382455Wehrmeister, Erica Lynn COO St. Vincent Indianapolis 317338709411/7/2018 7:00 AM
DetailsLast Recertification DateUpdateRecertification11/8/2017 12:30:51 PM8/22/2018 11:35:19 AM8/22/2018 11:35 AM
ContactsPrimary ContactUpdateProfile Change RequestHurst, Angela M 340B Analyst St Vincent 3173387681Hurst, Angela M D 340B Analyst St Vincent 317338768112/11/2017 11:05 AM
ContactsPrimary ContactUpdateChange RequestAntonopoulos, Anthony Executive Director Pharmacy Services St. Vincent Hospital and Healthcare System 3173384349Hurst, Angela M 340B Analyst St Vincent 317338768112/11/2017 10:39 AM
DetailsLast Recertification DateUpdateRecertification8/26/2016 12:00:00 AM11/8/2017 12:30:51 PM11/8/2017 12:30 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestFeldman, Joel CEO St. Vincent Hospital and Healthcare Center 3173382273Feldman, Aaron Joel CEO St. Vincent Hospital and Healthcare Center 317338245511/6/2017 2:34 PM
ContactsAuthorizing OfficialUpdate Feldman, Joel CEO 3173382273Feldman, Joel CEO St. Vincent Hospital and Healthcare Center 317338227310/24/2017 5:17 PM
ContactsPrimary ContactUpdate Antonopoulos, Anthony Executive Director Pharmacy Services 3173384349Antonopoulos, Anthony Executive Director Pharmacy Services St. Vincent Hospital and Healthcare System 31733843499/26/2017 7:39 AM
ContactsAuthorizing OfficialUpdate WILLIAMS, JEFFREY P. CFO 3173389769Feldman, Joel CEO 317338227310/8/2016 11:05 AM
AddressesMain AddressInsert   2001 WEST 86TH STREET INDIANAPOLIS, IN 462609/14/2016 12:18 PM
ContactsPrimary ContactUpdate BEHRENS, GREGORY R. EXECUTIVE DIRECTOR 3173389794Antonopoulos, Anthony Executive Director Pharmacy Services 31733843499/14/2016 12:18 PM
DetailsLast Recertification DateUpdate 8/13/2015 12:00:00 AM8/26/2016 12:00:00 AM8/26/2016 10:19 AM
DetailsLast Recertification DateUpdate 8/25/2014 12:00:00 AM8/13/2015 12:00:00 AM8/13/2015 10:19 AM
DetailsLast Recertification DateUpdate 9/9/2013 12:00:00 AM8/25/2014 12:00:00 AM8/25/2014 10:17 AM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM9/9/2013 12:00:00 AM9/9/2013 6:33 AM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM5/14/2012 10:08 AM
DetailsComments PublicInsert  12/22/2010- DOC. RECD. TO CONFIRM ELIG. DSH ADJ. %; 8/28/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %5/14/2012 10:08 AM
ContactsPrimary ContactInsert  BEHRENS, GREGORY R. EXECUTIVE DIRECTOR 31733897942/17/2012 11:53 AM
ContactsAuthorizing OfficialInsert  WILLIAMS, JEFFREY P. CFO 31733897691/14/2010 2:03 PM
DetailsComments PublicInsert  12/22/2010- DOC. RECD. TO CONFIRM ELIG. DSH ADJ. %; 8/28/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %10/19/2009 3:24 PM
DetailsLast Recertification DateInsert   9/3/2008 8:32 AM
DetailsGrant NumberInsert   9/3/2008 8:32 AM
Details340B IDInsert  DSH1500849/3/2008 8:32 AM
DetailsIs Authorizing Official EHB DataInsert   9/3/2008 8:32 AM
DatesLast Date That 340B Drugs PurchasedInsert   9/3/2008 8:32 AM
DetailsMedicare Provider NumberInsert  1500849/3/2008 8:32 AM
DetailsEntity NameInsert  ST. VINCENT HOSPITAL AND HEALTH CARE CENTER9/3/2008 8:32 AM
DetailsProgram CodeInsert  DSH9/3/2008 8:32 AM
DetailsEntity SubnameInsert   9/3/2008 8:32 AM
DatesParticipating Approval DateInsert  9/3/2008 12:00:00 AM9/3/2008 8:32 AM
DetailsStateInsert  Active9/3/2008 8:32 AM
DatesRegistration DateInsert  9/3/2008 12:00:00 AM9/3/2008 8:32 AM
DatesSigned By DateInsert  8/29/2008 12:00:00 AM9/3/2008 8:32 AM
DatesStart DateInsert  9/3/2008 12:00:00 AM9/3/2008 8:32 AM
TerminationsTermination CommentsInsert   9/3/2008 8:32 AM
TerminationsTermination DateInsert   9/3/2008 8:32 AM
TerminationsTermination Effective DateInsert   9/3/2008 8:32 AM
TerminationsTermination ReasonInsert   9/3/2008 8:32 AM
DetailsComments PublicInsert  12/22/2010- DOC. RECD. TO CONFIRM ELIG. DSH ADJ. %; 8/28/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %9/3/2008 8:32 AM