340B Drug Pricing Program Database


CAH281349-00 PENDER COMMUNITY HOSPITAL (Active) - information as of 6/6/2025 12:38:14 PM

Main Details
PENDER COMMUNITY HOSPITAL
Critical Access Hospital
Yes
CAH281349-00
281349


Additional Details
Active
10/20/2010
1/1/2011
10/21/2010
8/30/2024

Contacts

Pender Community Hospital
Laura Gamble, CEO
(402) 385-4012

Pender Community Hospital
Shane Michael Schuster, 340b Coordinator
(402) 385-3350

Addresses

100 HOSPITAL DR
PENDER, NE 68047-0100

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
3/30/12 - Updated addr (was 603 EARL STREET) 03/30/2012
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailEMERSON APOTHECARY1003 S MAIN ST STE 2
EMERSONNE68733-361304/02/201907/01/2019  07/01/2019
Contract DetailFRANCISCAN PHARMACY435 N MONITOR ST
WEST POINTNE6878801/12/202204/01/2022 12/16/202212/16/2022
Contract DetailFRANCISCAN PHARMACY OAKLAND301 N OAKLAND AVE
OAKLANDNE6804510/12/201801/01/2019 04/01/201908/27/2019
Contract DetailHY-VEE PHARMACY #16202501 CORNHUSKER PLAZA
SOUTH SIOUX CITYNE6877607/15/201910/01/2019 12/16/202212/16/2022
Contract DetailHy-Vee Pharmacy Fulfillment Center #4016Hy-Vee Inc 4707 Fleur Dr
Des MoinesIA5032107/15/201910/01/2019 12/16/202212/16/2022
Contract DetailHY-VEE, INC.HY-VEE PHARMACY (7090) 500 PLAZA DR.
WEST POINTNE68788-261207/15/201910/01/2019 12/16/202212/16/2022
Contract DetailSHOPKO PHARMACY #2661500 PLAZA DR
WEST POINTNE6878804/15/201607/01/2016 01/31/201901/31/2019
Contract DetailSHOPKO PHARMACY #2670615 DEARBORN ST
WAYNENE6878704/10/201707/01/2017 01/31/201901/31/2019
Contract DetailTHE APOTHECARY SHOP958 WELLNESS WAY STE 2
PENDERNE6804710/06/201401/01/2015  10/06/2014
Contract DetailTOM'S REXALL DRUG124 N MAIN ST
WEST POINTNE68788-141610/08/201901/01/2020 02/28/202202/28/2022
Contract DetailU-SAVE PHARMACY216 E 7TH ST
WAYNENE6878710/01/201801/01/2019 12/16/202212/16/2022
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738604/17/201707/01/2017 12/16/202212/16/2022
Contract DetailWAL-MART PHARMACY 10-13321601 CORNHUSKERS DRIVE
SOUTH SIOUX CITYNE6877604/17/201707/01/2017 12/16/202212/16/2022
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283704/17/201707/01/2017 12/16/202212/16/2022
Contract DetailWEST POINT APOTHECARY303 PLAZA DR.
WEST POINTNE68788-261104/02/201907/01/2019 09/22/202002/28/2022
Contract DetailWISNER APOTHECARY118 18TH ST
WISNERNE68791-224804/10/201707/01/2017 05/01/202411/14/2024
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
CAH281349-01ChildCAHPENDER COMMUNITY HOSPITALBeemer Medical Clinic212 Main StreetBeemerNEActive
CAH281349-02ChildCAHPENDER COMMUNITY HOSPITALBancroft Medical Clinic219 Main StreetBancroftNEActive
CAH281349-03ChildCAHPENDER COMMUNITY HOSPITALEmerson Medical Clinic1003 S. Main StreetEmersonNEActive
CAH281349-04ChildCAHPENDER COMMUNITY HOSPITALPender Medical Clinic958 Wellness Way, Suite 1PenderNEActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification8/22/2023 8:38:03 AM8/30/2024 6:58:36 AM8/30/2024 6:58 AM
DetailsLast Recertification DateUpdateRecertification9/7/2022 4:08:04 PM8/22/2023 8:38:03 AM8/22/2023 8:38 AM
ContactsAuthorizing OfficialUpdateAO Change RequestWewel, Beth M Chief Financial Officer Pender Community Hospital District 4023853083Gamble, Laura CEO Pender Community Hospital 402385401212/12/2022 7:07 AM
DetailsLast Recertification DateUpdateRecertification8/30/2021 10:17:00 AM9/7/2022 4:08:04 PM9/7/2022 4:08 PM
DetailsLast Recertification DateUpdateRecertification8/31/2020 3:53:15 PM8/30/2021 10:17:00 AM8/30/2021 10:17 AM
ContactsAuthorizing OfficialUpdateAO Change RequestKelly, Melissa Ann CEO Pender Community Hospital 4023854012Wewel, Beth M Chief Financial Officer Pender Community Hospital District 40238530837/12/2021 7:43 AM
DetailsLast Recertification DateUpdateRecertification8/28/2019 8:32:00 AM8/31/2020 3:53:15 PM8/31/2020 3:53 PM
ContactsAuthorizing OfficialUpdateChange RequestKelly, Melissa CFO/COO Pender Community Hospital 4023854012Kelly, Melissa Ann CEO Pender Community Hospital 402385401210/15/2019 6:23 AM
ContactsPrimary ContactUpdateRecertificationSchuster, Shane Michael Pharmacist Pender Community Hospital - Apothecary Shop 4023853350Schuster, Shane Michael 340b Coordinator Pender Community Hospital 40238533508/28/2019 8:32 AM
DetailsLast Recertification DateUpdateRecertification9/7/2018 2:29:29 PM8/28/2019 8:32:00 AM8/28/2019 8:32 AM
DetailsLast Recertification DateUpdateRecertification11/29/2017 8:13:28 PM9/7/2018 2:29:29 PM9/7/2018 2:29 PM
DetailsLast Recertification DateUpdateRecertification8/11/2016 12:00:00 AM11/29/2017 8:13:28 PM11/29/2017 8:13 PM
ContactsPrimary ContactUpdate Schuster, Shane Pharmacist Pender Community Hospital - Apothecary Shop 4023853350Schuster, Shane Michael Pharmacist Pender Community Hospital - Apothecary Shop 40238533509/27/2017 7:53 PM
ContactsPrimary ContactUpdateChange RequestBOALS, ELIZABETH PHARMACY DIRECTOR 4023854083Schuster, Shane Pharmacist Pender Community Hospital - Apothecary Shop 40238533509/27/2017 10:08 AM
ContactsAuthorizing OfficialUpdateChange RequestKelly, Melissa CFO/COO 4023854012Kelly, Melissa CFO/COO Pender Community Hospital 40238540129/27/2017 9:17 AM
ContactsAuthorizing OfficialUpdate THOMASON, RICHARD CEO 4023854067Kelly, Melissa CFO/COO 40238540124/17/2017 10:06 AM
AddressesMain AddressInsert   100 HOSPITAL DR PENDER, NE 68047-01008/23/2016 2:32 PM
DetailsLast Recertification DateUpdate 8/24/2015 12:00:00 AM8/11/2016 12:00:00 AM8/23/2016 2:32 PM
ContactsPrimary ContactInsert  BOALS, ELIZABETH PHARMACY DIRECTOR 402385408312/10/2015 2:07 PM
DetailsLast Recertification DateUpdate 8/6/2014 12:00:00 AM8/24/2015 12:00:00 AM8/24/2015 10:09 AM
DetailsLast Recertification DateUpdate 8/22/2013 8:42:31 AM8/6/2014 12:00:00 AM8/6/2014 10:05 AM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM8/22/2013 8:42:31 AM8/22/2013 8:42 AM
ContactsAuthorizing OfficialInsert  THOMASON, RICHARD CEO 40238540679/20/2012 8:12 AM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM5/9/2012 8:57 AM
DetailsComments PublicInsert  3/30/12 - Updated addr (was 603 EARL STREET) 3/30/2012 2:27 PM
DetailsLast Recertification DateInsert   10/21/2010 7:39 PM
DetailsGrant NumberInsert   10/21/2010 7:39 PM
Details340B IDInsert  CAH281349-0010/21/2010 7:39 PM
DetailsIs Authorizing Official EHB DataInsert   10/21/2010 7:39 PM
DatesLast Date That 340B Drugs PurchasedInsert   10/21/2010 7:39 PM
DetailsMedicare Provider NumberInsert  28134910/21/2010 7:39 PM
DetailsEntity NameInsert  PENDER COMMUNITY HOSPITAL10/21/2010 7:39 PM
DetailsProgram CodeInsert  CAH10/21/2010 7:39 PM
DetailsEntity SubnameInsert   10/21/2010 7:39 PM
DatesParticipating Approval DateInsert  10/21/2010 12:00:00 AM10/21/2010 7:39 PM
DetailsStateInsert  Active10/21/2010 7:39 PM
DatesRegistration DateInsert  10/20/2010 12:00:00 AM10/21/2010 7:39 PM
DatesSigned By DateInsert  9/30/2010 12:00:00 AM10/21/2010 7:39 PM
DatesStart DateInsert  1/1/2011 12:00:00 AM10/21/2010 7:39 PM
TerminationsTermination CommentsInsert   10/21/2010 7:39 PM
TerminationsTermination DateInsert   10/21/2010 7:39 PM
TerminationsTermination Effective DateInsert   10/21/2010 7:39 PM
TerminationsTermination ReasonInsert   10/21/2010 7:39 PM