340B Drug Pricing Program Database


DSH050100L SHARP MEMORIAL HOSPITAL (Active) - information as of 4/30/2025 10:56:26 PM

Main Details
SHARP MEMORIAL HOSPITAL
Sharp Mary Birch Hospital for Women and Newborns - Radiology Diagnostic
Disproportionate Share Hospital
No
DSH050100L
050100
050100


Additional Details
Active
7/7/2014
10/1/2014
9/3/2014
8/12/2024

Contacts

Sharp HealthCare
Tony Guerra, Chief Financial Officer
(858) 939-4090

Sharp HealthCare
Zephyr T Skeets, 340B Specialist
(858) 499-2148

Addresses

3003 Health Center Dr
San Diego, CA 92123

Same as Street Address


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

Yes
StateMedicaid NumberNPI Number
CAHSC30100F1407839921
Shipping Addresses

Same as Street Address
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH050100AAChildDSHSHARP MEMORIAL HOSPITALSharp Downtown Senior Health Center956 Tenth AveSan DiegoCATerminated
DSH050100ABChildDSHSHARP MEMORIAL HOSPITALSharp Home Care Services8080 Dagget StSan DiegoCATerminated
DSH050100ACChildDSHSHARP MEMORIAL HOSPITALSharp Mary Birch Hospital for Women and Newborns - C/S Surgery3003 Health Center DrSan DiegoCAActive
DSH050100ADChildDSHSHARP MEMORIAL HOSPITALSharp Memorial Outpatient Pavilion - C/S Surgery3075 Health Center DrSan DiegoCAActive
DSH050100AEChildDSHSHARP MEMORIAL HOSPITALSharp Memorial Outpatient Pavilion - O/P Imaging3075 Health Center DrSan DiegoCAActive
DSH050100AFChildDSHSHARP MEMORIAL HOSPITALOutpatient Pavilion / Diabetes Clinic3075 Health Center DrSan DiegoCAActive
DSH050100AGChildDSHSHARP MEMORIAL HOSPITALRehabilitation / Outpatient Clinic2999 Health Center DrSan DiegoCAActive
DSH050100AHChildDSHSHARP MEMORIAL HOSPITALHeart Transplant Clinic - Post Heart Transplant-O/P3075 Health Center Dr.SAN DIEGOCAActive
DSH050100AJChildDSHSHARP MEMORIAL HOSPITALKidney Transplant Clinic - Post Kidney Transplant-O/P8010 Frost StreetSan DiegoCAActive
DSH050100AKChildDSHSHARP MEMORIAL HOSPITALPancreas Transplant Clinic - Post Pancreas Transplant-O/P8010 Frost StreetSan DiegoCAActive
DSH050100ALChildDSHSHARP MEMORIAL HOSPITALSHARP MEMORIAL HOSPITAL - Nemeth NICU Follow Up Clinic8010 Frost StreetSan DiegoCAActive
DSH050100BChildDSHSHARP MEMORIAL HOSPITALSharp Mary Birch Hospital for Women and Newborns3003 Health Center DriveSan DiegoCATerminated
DSH050100CChildDSHSHARP MEMORIAL HOSPITALSharp Mary Birch Hospital for Women and Newborns - Women's Surgery3003 Health Center DrSan DiegoCAActive
DSH050100DChildDSHSHARP MEMORIAL HOSPITALSharp Mary Birch Hospital for Women and Newborns - Women's Recovery3003 Health Center DrSan DiegoCAActive
DSH050100EChildDSHSHARP MEMORIAL HOSPITALSharp Mary Birch Hospital for Women and Newborns - Surgical Recovery (PACU)3003 Health Center DrSan DiegoCAActive
DSH050100FChildDSHSHARP MEMORIAL HOSPITALSharp Mary Birch Hospital for Women and Newborns - O/P Surgery Center3003 Health Center DrSan DiegoCAActive
DSH050100GChildDSHSHARP MEMORIAL HOSPITALSharp Mary Birch Hospital for Women and Newborns - Triage/Urgent Care3003 Health Center DrSan DiegoCAActive
DSH050100HChildDSHSHARP MEMORIAL HOSPITALSharp Mary Birch Hospital for Women and Newborns - Maternal & Fetal3003 Health Center DrSan DiegoCAActive
DSH050100JChildDSHSHARP MEMORIAL HOSPITALSharp Mary Birch Hospital for Women and Newborns - Lactation3003 Health Center DrSan DiegoCAActive
DSH050100KChildDSHSHARP MEMORIAL HOSPITALSharp Mary Birch Hospital for Women and Newborns - Labor & Delivery3003 Health Center DrSan DiegoCAActive
DSH050100LChildDSHSHARP MEMORIAL HOSPITALSharp Mary Birch Hospital for Women and Newborns - Radiology Diagnostic3003 Health Center DrSan DiegoCAActive
DSH050100MChildDSHSHARP MEMORIAL HOSPITALSharp Mary Birch Hospital for Women and Newborns - Respiratory Therapy3003 Health Center DrSan DiegoCAActive
DSH050100NChildDSHSHARP MEMORIAL HOSPITALSharp Mary Birch Hospital for Women and Newborns - Newborn Hearing Screening3003 Health Center DrSan DiegoCAActive
DSH050100PChildDSHSHARP MEMORIAL HOSPITALSharp Memorial Outpatient Pavilion - O/P Surgery Center3075 Health Center DrSan DiegoCAActive
DSH050100QChildDSHSHARP MEMORIAL HOSPITALSharp Memorial Outpatient Pavilion - Endoscopy3075 Health Center DrSan DiegoCAActive
DSH050100RChildDSHSHARP MEMORIAL HOSPITALSharp Memorial Outpatient Pavilion - Radiology Diagnostic 3075 Health Center DrSan DiegoCAActive
DSH050100SChildDSHSHARP MEMORIAL HOSPITALSharp Memorial Outpatient Pavilion - PET Scanner3075 Health Center DrSan DiegoCAActive
DSH050100TChildDSHSHARP MEMORIAL HOSPITALSharp Memorial Outpatient Pavilion - Radiation Therapy3075 Health Center DrSan DiegoCAActive
DSH050100UChildDSHSHARP MEMORIAL HOSPITALSharp Memorial Outpatient Pavilion - CT Scan3075 Health Center DrSan DiegoCAActive
DSH050100VChildDSHSHARP MEMORIAL HOSPITALSharp Memorial Outpatient Pavilion - Ultrasound3075 Health Center DrSan DiegoCAActive
DSH050100WChildDSHSHARP MEMORIAL HOSPITALSharp Memorial Outpatient Pavilion - O/P Infusion Clinic8010 Frost StreetSan DiegoCAActive
DSH050100XChildDSHSHARP MEMORIAL HOSPITALSharp Memorial Outpatient Pavilion - Ophthalmology3075 Health Center DrSan DiegoCATerminated
DSH050100YChildDSHSHARP MEMORIAL HOSPITALHeart Transplant/Mechanical Circulatory Support Clinic3075 Health Center Dr.San DiegoCAActive
DSH050100ZChildDSHSHARP MEMORIAL HOSPITALSharp-Clairemont Senior Health Center4320 Genesee AveSan DiegoCATerminated
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification8/29/2023 6:34:19 AM8/12/2024 11:47:32 AM8/12/2024 11:47 AM
ContactsPrimary ContactUpdateRecertificationSachs, Susan System Pharmacy Manager Sharp HealthCare 8584994220Skeets, Zephyr T 340B Specialist Sharp HealthCare 85849921488/29/2023 6:34 AM
DetailsLast Recertification DateUpdateRecertification9/7/2022 2:37:40 PM8/29/2023 6:34:19 AM8/29/2023 6:34 AM
ContactsAuthorizing OfficialUpdateChange RequestSMITH, TIM CEO Sharp Memorial Hospital 8589394082Guerra, Tony Chief Financial Officer Sharp HealthCare 85893940902/17/2023 1:34 PM
DetailsLast Recertification DateUpdateRecertification8/25/2021 2:12:06 PM9/7/2022 2:37:40 PM9/7/2022 2:37 PM
DetailsLast Recertification DateUpdateRecertification8/21/2020 12:05:10 PM8/25/2021 2:12:06 PM8/25/2021 2:12 PM
DetailsLast Recertification DateUpdateRecertification9/12/2019 4:25:57 PM8/21/2020 12:05:10 PM8/21/2020 12:05 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False8/14/2020 12:19 PM
Medicaid BillingMedicaid: NumberInsertChange Request HSC30100F8/14/2020 12:19 PM
Medicaid BillingMedicaid: StateInsertChange Request CA8/14/2020 12:19 PM
Medicaid BillingNPI: StateUpdateChange Request CA8/14/2020 12:19 PM
ContactsPrimary ContactUpdateChange RequestFlores, Besher 340B Program Specialist Sharp Healthcare 8584994678Sachs, Susan System Pharmacy Manager Sharp HealthCare 85849942208/14/2020 12:19 PM
DetailsLast Recertification DateUpdateRecertification9/6/2018 5:31:14 PM9/12/2019 4:25:57 PM9/12/2019 4:25 PM
DetailsLast Recertification DateUpdateRecertification11/15/2017 12:30:02 PM9/6/2018 5:31:14 PM9/6/2018 5:31 PM
DetailsLast Recertification DateUpdateRecertification8/30/2016 12:00:00 AM11/15/2017 12:30:02 PM11/15/2017 12:30 PM
ContactsAuthorizing OfficialUpdate SMITH, TIM CEO 8589394082SMITH, TIM CEO Sharp Memorial Hospital 858939408210/5/2017 11:29 AM
ContactsSigned ByUpdate SMITH, TIM CEO 8589394082SMITH, TIM CEO Sharp Memorial Hospital 858939408210/5/2017 11:29 AM
ContactsPrimary ContactUpdate Flores, Besher 340B Program Specialist 8584994678Flores, Besher 340B Program Specialist Sharp Healthcare 858499467810/5/2017 11:05 AM
ContactsAuthorizing OfficialInsert  SMITH, TIM CEO 85893940827/14/2017 11:03 AM
ContactsSigned ByInsert  SMITH, TIM CEO 85893940827/14/2017 11:03 AM
ContactsPrimary ContactInsert  Flores, Besher 340B Program Specialist 85849946785/5/2017 11:53 AM
AddressesMain AddressInsert   3003 Health Center Dr San Diego, CA 921239/6/2016 5:08 PM
DetailsLast Recertification DateUpdate 8/18/2015 12:00:00 AM8/30/2016 12:00:00 AM9/6/2016 5:08 PM
DetailsLast Recertification DateUpdate  8/18/2015 12:00:00 AM8/18/2015 10:53 AM
DetailsEntity SubnameUpdate Sharp Mary Birch Hospital for Women and Newborns - Radiology Diagnostic / Radiology DiagnosticSharp Mary Birch Hospital for Women and Newborns - Radiology Diagnostic12/31/2014 3:51 PM
DetailsEntity SubnameUpdate Sharp Mary Birch Hospital for Women and Newborns - Radiology DiagnosticSharp Mary Birch Hospital for Women and Newborns - Radiology Diagnostic / Radiology Diagnostic12/19/2014 2:16 PM
DatesParticipating Approval DateUpdate  9/3/2014 12:00:00 AM9/3/2014 9:53 AM
DetailsStateUpdate PendingActive9/3/2014 9:53 AM
DatesStart DateUpdate  10/1/2014 12:00:00 AM9/3/2014 9:53 AM
Details340B IDUpdate OUTPATIENT_ONLINE_REG_44520DSH050100L9/1/2014 6:58 AM
DetailsEntity SubnameUpdate Sharp Mary Birch Hospital for Women and NewbornsSharp Mary Birch Hospital for Women and Newborns - Radiology Diagnostic9/1/2014 6:58 AM
Details340B IDUpdate  OUTPATIENT_ONLINE_REG_445207/7/2014 10:21 AM
Medicaid BillingNPI: NumberInsert  14078399217/7/2014 10:21 AM
DetailsLast Recertification DateInsert   7/7/2014 10:21 AM
DetailsGrant NumberInsert   7/7/2014 10:21 AM
Details340B IDInsert   7/7/2014 10:21 AM
DetailsIs Authorizing Official EHB DataInsert   7/7/2014 10:21 AM
DatesLast Date That 340B Drugs PurchasedInsert   7/7/2014 10:21 AM
DetailsMedicare Provider NumberInsert  0501007/7/2014 10:21 AM
DetailsEntity NameInsert  SHARP MEMORIAL HOSPITAL7/7/2014 10:21 AM
DetailsProgram CodeInsert  DSH7/7/2014 10:21 AM
DetailsEntity SubnameInsert  Sharp Mary Birch Hospital for Women and Newborns7/7/2014 10:21 AM
DatesParticipating Approval DateInsert   7/7/2014 10:21 AM
DetailsStateInsert  Pending7/7/2014 10:21 AM
DatesRegistration DateInsert  7/7/2014 12:00:00 AM7/7/2014 10:21 AM
DatesSigned By DateInsert  7/7/2014 12:00:00 AM7/7/2014 10:21 AM
DatesStart DateInsert   7/7/2014 10:21 AM
TerminationsTermination CommentsInsert   7/7/2014 10:21 AM
TerminationsTermination DateInsert   7/7/2014 10:21 AM
TerminationsTermination Effective DateInsert   7/7/2014 10:21 AM
TerminationsTermination ReasonInsert   7/7/2014 10:21 AM