Covered Entity Details

DSH340030P DUKE UNIVERSITY HOSPITAL (Terminated) - information as of 5/2/2025 10:39:32 PM

Main Details

Name

DUKE UNIVERSITY HOSPITAL

Subdivision Name

Duke University Medical Center Dialysis Unit

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH340030P

Medicare Provider Number

340030

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

5/15/2012

Participating Start Date

7/1/2012

Participating Approval Date

6/21/2012

Last Recertification Date

11/26/2017

Termination Date
Termination Reason

4/1/2018
Other

Contacts

Authorizing Official

Duke University Health System, Duke University Hospital
Thomas Andrew Owens, Executive Vice President and COO, DUHS, President DUH
(919) 681-6624

Primary Contact

Duke University Hospital
Grayson K. Peek, Manager, Business Development and Integrity
(919) 681-1172

Addresses

Street Address

1306 Morreene Road
Durham, NC 27705

Billing Address

Duke University Hospital
2301 Erwin Road
Durham, NC 27710

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
		1053682146,1821094509,1982779286,1366515819

Shipping Addresses

Shipping Address 1

Duke University Hospital Pharmacy Storeroom
2301 Erwin Road
Pharmacy Storeroom. Room 0612
Durham, NC 27710

Shipping Address 2

Morris Pharmacy
2301 Erwin Road
30 Duke Medicine Circle, Room 15110
Durham, NC 27710

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH340030AA	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Health North Durham - Duke Nephrology North Durham	4220 N. Roxboro Street	Durham	NC	Active
DSH340030AB	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Family Medicine Center - Rheumatology	Marshall I. Pickens Building	Durham	NC	Active
DSH340030AC	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Outpatient Clinic - Smoking Cessation	4220 N. Roxboro Street	Durham	NC	Active
DSH340030AD	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Family Medicine Center - Smoking Cessation	Marshall I. Pickens Building	Durham	NC	Active
DSH340030AE	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Children's Evaluation Center - Autism Clinic	Exchange on Erwin	Durham	NC	Active
DSH340030AF	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Family Medicine Center - OB/GYN	Marshall I. Pickens Building	Durham	NC	Active
DSH340030AG	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Blood Cancer Center - Hematologic Oncology Treatment Center	2400 Pratt Street	Durham	NC	Active
DSH340030AH	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Blood Cancer Center - Hematologic Malignancies Clinic	2400 Pratt Street	Durham	NC	Active
DSH340030AJ	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Blood Cancer Center - Adult Blood and Marrow Transplant Treatment Center	2400 Pratt Street	Durham	NC	Active
DSH340030AK	Child	DSH	DUKE UNIVERSITY HOSPITAL	Lenox Baker Children's Hospital - Neurology	3000 Erwin Road	Durham	NC	Active
DSH340030AL	Child	DSH	DUKE UNIVERSITY HOSPITAL	Lenox Baker Children's Hospital - Rheumatology	3000 Erwin Road	Durham	NC	Active
DSH340030AM	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Pain Medicine Clinic - Integrated Pain and Wellness	4309 Medical Park Drive	Durham	NC	Active
DSH340030AN	Child	DSH	DUKE UNIVERSITY HOSPITAL	Lenox Baker Children's Hospital - Genetics/Metabolism	3000 Erwin Road	Durham	NC	Active
DSH340030AP	Child	DSH	DUKE UNIVERSITY HOSPITAL	Lenox Baker Children's Hospital - Neurodevelopmental	3000 Erwin Road	Durham	NC	Active
DSH340030AQ	Child	DSH	DUKE UNIVERSITY HOSPITAL	Lenox Baker Children's Hospital - Child Development	3000 Erwin Road	Durham	NC	Active
DSH340030AR	Child	DSH	DUKE UNIVERSITY HOSPITAL	Lenox Baker Children's Hospital - Orthopaedics	3000 Erwin Road	Durham	NC	Active
DSH340030AS	Child	DSH	DUKE UNIVERSITY HOSPITAL	Lenox Baker Children's Hospital - Urology	3000 Erwin Road	Durham	NC	Active
DSH340030AT	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Children's Evaluation Center - Lakeview Psych.	Exchange on Erwin	Durham	NC	Active
DSH340030AU	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Cancer Center Hematology/Oncology Infusion Macon Pond - Women's Cancer Care Raleigh	4101 Macon Pond Road	Raleigh	NC	Active
DSH340030AV	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Cancer Center Hematology/Oncology Infusion Cary - Duke Cancer Center Cary	216 Ashville Ave	Cary	NC	Active
DSH340030AW	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Cancer Center Cary - Hematology Oncology Clinic	216 Ashville Ave	Cary	NC	Active
DSH340030AX	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - Neuro Interventional Radiology	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030AY	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - Diagnostic Radiology	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030AZ	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - Vascular Interventional Radiology	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030B	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh - Pain Clinic	3404 Wake Forest Rd	Raleigh	NC	Active
DSH340030BA	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh - Benign Hematology Clinic	3404 Wake Forest Rd	Raleigh	NC	Active
DSH340030BB	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh - Radiation Oncology	3404 Wake Forest Rd	Raleigh	NC	Active
DSH340030BC	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Women's Cancer Care Raleigh- - Plastic Surgery Clinic	4101 Macon Pond Rd	Raleigh	NC	Active
DSH340030BD	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Women's Cancer Care Raleigh- - Surgical Oncology Clinic	4101 Macon Pond Rd	Raleigh	NC	Active
DSH340030BE	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh - Urology Oncology Clinic	3404 Wake Forest Rd	Raleigh	NC	Active
DSH340030BF	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - Endoscopy	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030BG	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh - Wound Healing Center	3320 Wake Forest Rd	Raleigh	NC	Active
DSH340030BH	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh - Thoracic Oncology Clinic	3404 Wake Forest Rd	Raleigh	NC	Active
DSH340030BJ	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - Cardiac Diagnostics	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030BK	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Cancer Center Cary- - Surgical Oncology Clinic	216 Ashville Ave	Cary	NC	Active
DSH340030BL	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - Emergency Department	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030BM	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh - Oncology Infusion Services	3404 Wake Forest Rd	Raleigh	NC	Active
DSH340030BN	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh - Hematology Oncology Clinic	3404 Wake Forest Rd	Raleigh	NC	Active
DSH340030BP	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - CT Scan	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030BQ	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - Magnetic Resonance Imaging (MRI)	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030BR	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - Cardiac Catheterization	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030BS	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - Ultrasound	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030BT	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - PET Imaging	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030BU	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh - Outpatient Surgery Center	3300 Executive Dr	Raleigh	NC	Active
DSH340030BV	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - Anesthesia	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030BW	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - Operating Room	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030BX	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - Nuclear Medicine	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030BY	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - Ambulatory Surgery	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030BZ	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Women's Cancer Care Raleigh- - Gynecology Oncology Clinic	4101 Macon Pond Rd	Raleigh	NC	Active
DSH340030CA	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh - Head and Neck Oncology	3404 Wake Forest Rd	Raleigh	NC	Active
DSH340030CB	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Women's Cancer Care Raleigh- - Hematology Oncology Clinic	4101 Macon Pond Rd	Raleigh	NC	Active
DSH340030CC	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh Hospital, a Campus of Duke University Hospital- - Respiratory Therapy	3400 Wake Forest Rd	Raleigh	NC	Active
DSH340030CD	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh - Surgical Oncology Clinic	3404 Wake Forest Rd	Raleigh	NC	Active
DSH340030CE	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Raleigh - Pulmonary Function Lab	3404 Wake Forest Rd	Raleigh	NC	Active
DSH340030H	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Outpatient Clinic	4220 N. Roxboro Street	Durham	NC	Active
DSH340030J	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Family Medicine Center	Marshall I. Pickens Building	Durham	NC	Active
DSH340030K	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Blood Cancer Center- Adult Blood and Marrow Transplant Clinic	2400 Pratt Street	Durham	NC	Active
DSH340030L	Child	DSH	DUKE UNIVERSITY HOSPITAL	Pavilion East at Lakeview	2608 Erwin Road	Durham	NC	Terminated
DSH340030M	Child	DSH	DUKE UNIVERSITY HOSPITAL	Lenox Baker Hospital Clinic	3000 Erwin Road	Durham	NC	Active
DSH340030N	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Health Center at Morreene Road	932 Morreene Road	Durham	NC	Active
DSH340030P	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke University Medical Center Dialysis Unit	1306 Morreene Road	Durham	NC	Terminated
DSH340030Q	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Pain Medicine Clinic	4309 Medical Park Drive	Durham	NC	Active
DSH340030R	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Children's Evaluation Center	Exchange on Erwin	Durham	NC	Active
DSH340030S	Child	DSH	DUKE UNIVERSITY HOSPITAL	Radiology - Mobile MR - Radiology - Mobile MR	3000 Erwin Road	Durham	NC	Terminated
DSH340030T	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Ambulatory Surgery Center- Periop	2400 Pratt Street	Durham	NC	Active
DSH340030U	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Ambulatory Surgery Center- OR	2400 Pratt Street	Durham	NC	Active
DSH340030V	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Fetal Diagnostic Center	2608 Erwin Road	Durham	NC	Active
DSH340030W	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Health North Durham - Duke Wound Management North Durham	4220 N. Roxboro Street	Durham	NC	Active
DSH340030X	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Health North Durham - Duke Rheumatology North Durham	4220 N. Roxboro Street	Durham	NC	Active
DSH340030Y	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Health North Durham - Duke Geriatrics North Durham	4220 N. Roxboro Street	Durham	NC	Active
DSH340030Z	Child	DSH	DUKE UNIVERSITY HOSPITAL	Duke Health North Durham - Duke Gastroenterology North Durham	4220 N. Roxboro Street	Durham	NC	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Profile Change Request	Owens, Thomas Andrew President Duke University Hospital 9196816624	Owens, Thomas Andrew Executive Vice President and COO, DUHS, President DUH Duke University Health System, Duke University Hospital 9196816624	8/21/2023 10:16 AM
Details	State	Update		To Be Terminated	Terminated	4/1/2018 12:00 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		12/30/2017 12:00:00 AM	2/2/2018 1:57 PM
Details	State	Update	Termination Request	Active	To Be Terminated	2/2/2018 1:57 PM
Terminations	Termination Comments	Update	Termination Request		Termination Reason: Sale of outpatient facility	2/2/2018 1:57 PM
Terminations	Termination Date	Update	Termination Request		4/1/2018 12:00:00 AM	2/2/2018 1:57 PM
Terminations	Termination Effective Date	Update	Termination Request		1/1/2018 12:00:00 AM	2/2/2018 1:57 PM
Terminations	Termination Reason	Update	Termination Request		Other	2/2/2018 1:57 PM
Contacts	Authorizing Official	Update	AO Change Request	Sowers, Kevin President, Duke University Hospital Duke University Hospital 9196816624	Owens, Thomas Andrew President Duke University Hospital 9196816624	1/24/2018 2:47 PM
Details	Last Recertification Date	Update	Recertification	8/26/2016 12:00:00 AM	11/26/2017 11:42:40 AM	11/26/2017 11:42 AM
Contacts	Authorizing Official	Update		Sowers, Kevin President, Duke University Hospital 9196816624	Sowers, Kevin President, Duke University Hospital Duke University Hospital 9196816624	10/24/2017 2:11 PM
Contacts	Signed By	Update		Sowers, Kevin President, Duke University Hospital 9196816624	Sowers, Kevin President, Duke University Hospital Duke University Hospital 9196816624	10/24/2017 2:11 PM
Contacts	Primary Contact	Update		Peek, Grayson K. Manager, Business Development and Integrity 9196811172	Peek, Grayson K. Manager, Business Development and Integrity Duke University Hospital 9196811172	10/12/2017 2:25 PM
Contacts	Primary Contact	Update		Rhea, Francis Eugene Manager: Procurement, Repackaging and Distribution 9196812765	Peek, Grayson K. Manager, Business Development and Integrity 9196811172	5/24/2017 3:01 PM
Contacts	Authorizing Official	Insert			Sowers, Kevin President, Duke University Hospital 9196816624	5/24/2017 3:01 PM
Contacts	Signed By	Insert			Sowers, Kevin President, Duke University Hospital 9196816624	5/24/2017 3:01 PM
Addresses	Main Address	Insert			1306 Morreene Road Durham, NC 27705	5/23/2017 4:21 PM
Addresses	Billing Address	Insert			Duke University Hospital 2301 Erwin Road Durham, NC 27710	5/23/2017 4:21 PM
Addresses	Shipping Address	Insert			Duke University Hospital Pharmacy Storeroom 2301 Erwin Road Pharmacy Storeroom. Room 0612 Durham, NC 27710	5/23/2017 4:21 PM
Addresses	Shipping Address	Insert			Morris Pharmacy 2301 Erwin Road 30 Duke Medicine Circle, Room 15110 Durham, NC 27710	5/23/2017 4:21 PM
Details	Last Recertification Date	Update		8/18/2015 12:00:00 AM	8/26/2016 12:00:00 AM	8/26/2016 9:20 AM
Medicaid Billing	NPI: Number	Insert			1053682146	8/18/2015 7:53 AM
Medicaid Billing	NPI: Number	Insert			1821094509	8/18/2015 7:53 AM
Medicaid Billing	NPI: Number	Insert			1982779286	8/18/2015 7:53 AM
Medicaid Billing	NPI: Number	Insert			1366515819	8/18/2015 7:53 AM
Details	Last Recertification Date	Update		9/5/2014 12:00:00 AM	8/18/2015 12:00:00 AM	8/18/2015 7:53 AM
Contacts	Primary Contact	Insert			Rhea, Francis Eugene Manager: Procurement, Repackaging and Distribution 9196812765	2/11/2015 6:50 PM
Details	Last Recertification Date	Update		9/9/2013 9:53:31 PM	9/5/2014 12:00:00 AM	9/5/2014 10:36 AM
Details	Last Recertification Date	Update			9/9/2013 9:53:31 PM	9/9/2013 9:53 PM
Details	340B ID	Update		IS-DR-DSH340030G	DSH340030P	6/21/2012 1:27 PM
Dates	Participating Approval Date	Update			6/21/2012 12:00:00 AM	6/21/2012 1:27 PM
Details	State	Update		Pending	Active	6/21/2012 1:27 PM
Dates	Start Date	Update			7/1/2012 12:00:00 AM	6/21/2012 1:27 PM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG	IS-DR-DSH340030G	6/6/2012 3:01 PM
Details	Last Recertification Date	Insert				5/15/2012 10:09 PM
Details	Grant Number	Insert				5/15/2012 10:09 PM
Details	340B ID	Insert			OUTPATIENT_ONLINE_REG	5/15/2012 10:09 PM
Details	Is Authorizing Official EHB Data	Insert				5/15/2012 10:09 PM
Dates	Last Date That 340B Drugs Purchased	Insert				5/15/2012 10:09 PM
Details	Medicare Provider Number	Insert			340030	5/15/2012 10:09 PM
Details	Entity Name	Insert			DUKE UNIVERSITY HOSPITAL	5/15/2012 10:09 PM
Details	Program Code	Insert			DSH	5/15/2012 10:09 PM
Details	Entity Subname	Insert			Duke University Medical Center Dialysis Unit	5/15/2012 10:09 PM
Dates	Participating Approval Date	Insert				5/15/2012 10:09 PM
Details	State	Insert			Pending	5/15/2012 10:09 PM
Dates	Registration Date	Insert			5/15/2012 12:00:00 AM	5/15/2012 10:09 PM
Dates	Signed By Date	Insert			5/15/2012 12:00:00 AM	5/15/2012 10:09 PM
Dates	Start Date	Insert				5/15/2012 10:09 PM
Terminations	Termination Comments	Insert				5/15/2012 10:09 PM
Terminations	Termination Date	Insert				5/15/2012 10:09 PM
Terminations	Termination Effective Date	Insert				5/15/2012 10:09 PM
Terminations	Termination Reason	Insert				5/15/2012 10:09 PM