340B Drug Pricing Program Database


SCH420053-00 NEWBERRY COUNTY MEMORIAL HOSPITAL (Active) - information as of 6/28/2025 12:24:37 AM

Main Details
NEWBERRY COUNTY MEMORIAL HOSPITAL
Sole Community Hospital
Yes
SCH420053-00
420053


Additional Details
Active
7/1/2011
10/1/2011
9/1/2011
8/29/2024

Contacts

Newberry County Memorial Hospital
Meg Todd Davis, Chief Nursing Officer
(803) 405-7469

Newberry County Memorial Hospital
Valerie Leaphart, DIRECTOR OF PHARMACY
(803) 405-7175

Addresses

2669 KINARD ST
NEWBERRY, SC 29108

Newberry County Memorial Hospital
PO BOX 497
2669 Kinard street
Newberry, SC 29108


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
9/1/11 FORMERLY DSH420053 PARTICIPATING 10/1/07-6/30/11, WET INK SIG 8/5/11 BY MIKE REYNOLDS 06/06/2012
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
SC2653311245326255,1134215148,1053407072,1962598987,1730468992
Shipping Addresses

Newberry County Memorial Hospital
PO BOX 497
2669 Kinard Street
Newberry, SC 29108
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailCROMER MEDICAL SERVICESD/B/A LOREX DRUGS 1310 WILSON RD
NEWBERRYSC2910803/13/201304/01/2013 02/14/201702/14/2017
Contract DetailLONGS DRUGS OF NEWBERRY1729 MAIN STREET
NEWBERRYSC2910807/14/201510/01/2015 07/28/201707/28/2017
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/09/201704/01/2017 07/28/201707/28/2017
Contract DetailWAL-MART PHARMACY 10-06242812 MAIN STREET
NEWBERRYSC2910811/15/201201/01/2013 07/28/201707/28/2017
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/09/201704/01/2017 07/28/201707/28/2017
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification8/25/2023 9:44:14 AM8/29/2024 1:27:18 PM8/29/2024 1:27 PM
DetailsLast Recertification DateUpdateRecertification9/14/2022 7:56:18 AM8/25/2023 9:44:14 AM8/25/2023 9:44 AM
Medicaid BillingNPI: NumberDeleteChange Request1316030083 (SC) 4/4/2023 10:10 AM
Medicaid BillingNPI: NumberDeleteChange Request1710073739 (SC) 4/4/2023 10:10 AM
Medicaid BillingNPI: NumberDeleteChange Request1023104031 (SC) 4/4/2023 10:10 AM
Medicaid BillingNPI: NumberDeleteChange Request1780770701 (SC) 4/4/2023 10:10 AM
Medicaid BillingNPI: NumberDeleteChange Request1417182783 (SC) 4/4/2023 10:10 AM
Medicaid BillingNPI: NumberDeleteChange Request1932338787 (SC) 4/4/2023 10:10 AM
Medicaid BillingNPI: NumberDeleteChange Request1245464056 (SC) 4/4/2023 10:10 AM
Medicaid BillingNPI: NumberDeleteChange Request1891219887 (SC) 4/4/2023 10:10 AM
Medicaid BillingNPI: NumberDeleteChange Request1740794049 (SC) 4/4/2023 10:10 AM
DetailsLast Recertification DateUpdateRecertification9/10/2021 9:36:50 AM9/14/2022 7:56:18 AM9/14/2022 7:56 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestDavis, Meg Risk Management/Quality Director Newberry County Memorial Hospital 8034057164Davis, Meg Todd Chief Nursing Officer Newberry County Memorial Hospital 80340574699/14/2022 6:45 AM
DetailsLast Recertification DateUpdateRecertification9/15/2020 9:57:01 AM9/10/2021 9:36:50 AM9/10/2021 9:36 AM
Medicaid BillingNPI: StateUpdateRecertification SC9/15/2020 9:57 AM
Medicaid BillingNPI: StateUpdateRecertification SC9/15/2020 9:57 AM
Medicaid BillingNPI: StateUpdateRecertification SC9/15/2020 9:57 AM
Medicaid BillingNPI: StateUpdateRecertification SC9/15/2020 9:57 AM
Medicaid BillingNPI: StateUpdateRecertification SC9/15/2020 9:57 AM
Medicaid BillingNPI: StateUpdateRecertification SC9/15/2020 9:57 AM
Medicaid BillingNPI: StateUpdateRecertification SC9/15/2020 9:57 AM
Medicaid BillingNPI: StateUpdateRecertification SC9/15/2020 9:57 AM
Medicaid BillingNPI: StateUpdateRecertification SC9/15/2020 9:57 AM
Medicaid BillingNPI: StateUpdateRecertification SC9/15/2020 9:57 AM
Medicaid BillingNPI: StateUpdateRecertification SC9/15/2020 9:57 AM
Medicaid BillingNPI: StateUpdateRecertification SC9/15/2020 9:57 AM
Medicaid BillingNPI: StateUpdateRecertification SC9/15/2020 9:57 AM
Medicaid BillingNPI: StateUpdateRecertification SC9/15/2020 9:57 AM
DetailsLast Recertification DateUpdateRecertification9/5/2019 4:05:21 PM9/15/2020 9:57:01 AM9/15/2020 9:57 AM
DetailsLast Recertification DateUpdateRecertification9/12/2018 4:40:47 PM9/5/2019 4:05:21 PM9/5/2019 4:05 PM
AddressesShipping AddressDeleteRecertificationNewberry Memorial County Hospital PO BOX 497 2669 Kinard Street Newberry, SC 29108 9/12/2018 4:40 PM
AddressesShipping AddressInsertRecertification Newberry County Memorial Hospital PO BOX 497 2669 Kinard Street Newberry, SC 291089/12/2018 4:40 PM
Medicaid BillingNPI: NumberInsertRecertification 12454640569/12/2018 4:40 PM
Medicaid BillingNPI: NumberInsertRecertification 18912198879/12/2018 4:40 PM
Medicaid BillingNPI: NumberInsertRecertification 17407940499/12/2018 4:40 PM
DetailsLast Recertification DateUpdateRecertification12/5/2017 1:49:32 PM9/12/2018 4:40:47 PM9/12/2018 4:40 PM
AddressesBilling AddressInsertRecertification Newberry County Memorial Hospital PO BOX 497 2669 Kinard street Newberry, SC 2910812/5/2017 1:49 PM
AddressesShipping AddressInsertRecertification Newberry Memorial County Hospital PO BOX 497 2669 Kinard Street Newberry, SC 2910812/5/2017 1:49 PM
Medicaid BillingNPI: NumberDeleteRecertification1245464056 ( ) 12/5/2017 1:49 PM
Medicaid BillingNPI: NumberDeleteRecertification1245464056 ( ) 12/5/2017 1:49 PM
DetailsLast Recertification DateUpdateRecertification8/19/2016 12:00:00 AM12/5/2017 1:49:32 PM12/5/2017 1:49 PM
ContactsAuthorizing OfficialUpdate Davis, Meg Risk Management/Quality Director 8034057164Davis, Meg Risk Management/Quality Director Newberry County Memorial Hospital 803405716410/13/2017 9:38 AM
ContactsPrimary ContactUpdate Leaphart, Valerie DIRECTOR OF PHARMACY 8034057175Leaphart, Valerie DIRECTOR OF PHARMACY Newberry County Memorial Hospital 803405717510/12/2017 2:30 PM
AddressesMain AddressInsert   2669 KINARD ST NEWBERRY, SC 291081/27/2017 10:49 AM
ContactsAuthorizing OfficialInsert  Davis, Meg Risk Management/Quality Director 80340571641/27/2017 10:49 AM
ContactsPrimary ContactUpdate HALTIWANGER, STEPHANIE DIRECTOR OF PHARMACY 8034057175Leaphart, Valerie DIRECTOR OF PHARMACY 80340571751/27/2017 10:49 AM
Medicaid BillingNPI: NumberInsert  13160300831/27/2017 10:49 AM
Medicaid BillingNPI: NumberInsert  17100737391/27/2017 10:49 AM
Medicaid BillingNPI: NumberInsert  10231040311/27/2017 10:49 AM
Medicaid BillingNPI: NumberInsert  11342151481/27/2017 10:49 AM
Medicaid BillingNPI: NumberInsert  10534070721/27/2017 10:49 AM
Medicaid BillingNPI: NumberInsert  19625989871/27/2017 10:49 AM
Medicaid BillingNPI: NumberInsert  17807707011/27/2017 10:49 AM
Medicaid BillingNPI: NumberInsert  12454640561/27/2017 10:49 AM
Medicaid BillingNPI: NumberInsert  12454640561/27/2017 10:49 AM
Medicaid BillingNPI: NumberInsert  14171827831/27/2017 10:49 AM
Medicaid BillingNPI: NumberInsert  19323387871/27/2017 10:49 AM
Medicaid BillingNPI: NumberInsert  17304689921/27/2017 10:49 AM
ContactsPrimary ContactInsert  HALTIWANGER, STEPHANIE DIRECTOR OF PHARMACY 80340571758/19/2016 11:01 AM
DetailsLast Recertification DateUpdate 8/26/2015 12:00:00 AM8/19/2016 12:00:00 AM8/19/2016 11:01 AM
DetailsLast Recertification DateUpdate 9/8/2014 12:00:00 AM8/26/2015 12:00:00 AM8/26/2015 10:42 AM
DetailsLast Recertification DateUpdate 9/13/2013 12:00:00 AM9/8/2014 12:00:00 AM9/8/2014 8:33 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False9/13/2013 11:39 AM
Medicaid BillingMedicaid: NumberInsert  2653319/13/2013 11:39 AM
Medicaid BillingMedicaid: StateInsert  SC9/13/2013 11:39 AM
Medicaid BillingNPI: NumberInsert  12453262559/13/2013 11:39 AM
DetailsLast Recertification DateUpdate  9/13/2013 12:00:00 AM9/13/2013 11:39 AM
DetailsComments PublicInsert  9/1/11 FORMERLY DSH420053 PARTICIPATING 10/1/07-6/30/11, WET INK SIG 8/5/11 BY MIKE REYNOLDS 6/6/2012 5:43 PM
DatesParticipating Approval DateUpdate  9/1/2011 12:00:00 AM6/5/2012 3:40 PM
DetailsStateUpdate RejectedActive6/5/2012 3:40 PM
DatesParticipating Approval DateUpdate 9/1/2011 12:00:00 AM 12/22/2011 9:21 AM
DatesParticipating Approval DateUpdate  9/1/2011 12:00:00 AM9/1/2011 3:48 PM
DetailsStateUpdate PendingRejected9/1/2011 3:48 PM
DatesStart DateUpdate  10/1/2011 12:00:00 AM8/30/2011 12:29 PM
Details340B IDUpdate ONLINE_REGSCH420053-008/11/2011 5:41 PM
DetailsLast Recertification DateInsert   7/1/2011 10:39 AM
DetailsGrant NumberInsert   7/1/2011 10:39 AM
Details340B IDInsert  ONLINE_REG7/1/2011 10:39 AM
DetailsIs Authorizing Official EHB DataInsert   7/1/2011 10:39 AM
DatesLast Date That 340B Drugs PurchasedInsert   7/1/2011 10:39 AM
DetailsMedicare Provider NumberInsert  4200537/1/2011 10:39 AM
DetailsEntity NameInsert  NEWBERRY COUNTY MEMORIAL HOSPITAL7/1/2011 10:39 AM
DetailsProgram CodeInsert  SCH7/1/2011 10:39 AM
DetailsEntity SubnameInsert   7/1/2011 10:39 AM
DatesParticipating Approval DateInsert   7/1/2011 10:39 AM
DetailsStateInsert  Pending7/1/2011 10:39 AM
DatesRegistration DateInsert  7/1/2011 12:00:00 AM7/1/2011 10:39 AM
DatesSigned By DateInsert   7/1/2011 10:39 AM
DatesStart DateInsert   7/1/2011 10:39 AM
TerminationsTermination CommentsInsert   7/1/2011 10:39 AM
TerminationsTermination DateInsert   7/1/2011 10:39 AM
TerminationsTermination Effective DateInsert   7/1/2011 10:39 AM
TerminationsTermination ReasonInsert   7/1/2011 10:39 AM