Covered Entity Details

CAH051334-00 OJAI VALLEY COMMUNITY HOSPITAL (Active) - information as of 5/13/2025 11:06:42 PM

Main Details

Name

OJAI VALLEY COMMUNITY HOSPITAL

Subdivision Name

Type

Critical Access Hospital

Rural

340B ID

CAH051334-00

Medicare Provider Number

051334

Additional Details

Current Program Status

Active

Registration Date

10/11/2016

Participating Start Date

1/1/2017

Participating Approval Date

10/17/2016

Last Recertification Date

8/21/2024

Contacts

Authorizing Official

Community Memorial Health System
James A Corwin, Chief Financial Officer
(805) 948-5003

Primary Contact

Ojai Valley Community Hospital
Liron Schoonveld, Pharmacy 340B Program Manager
(805) 640-4024

Addresses

Street Address

1306 MARICOPA HIGHWAY
OJAI, CA 93023

Billing Address
Same as Street Address

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
CA		1992876767

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	COMMUNITY MEMORIAL PHARMACY	2790 LOMA VISTA RD		VENTURA	CA	93003	01/16/2023	04/01/2023		04/01/2023
Contract Detail	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08820	123 N. REINO ROAD	NEWBURY PARK	CA	91320	01/15/2020	04/01/2020	03/22/2024	05/22/2024
Contract Detail	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY #11033	2260 E. THOMPSON BLVD	VENTURA	CA	93001	01/15/2020	04/01/2020		04/01/2020
Contract Detail	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 17461	245 S MILLS RD	VENTURA	CA	93003	01/15/2020	04/01/2020		04/01/2020
Contract Detail	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09695	551 S. VENTURA RD.	OXNARD	CA	93030	01/15/2020	04/01/2020		04/01/2020
Contract Detail	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09764	351 CARMEN DR., SUITE B	CAMARILLO	CA	93010	01/15/2020	04/01/2020		04/01/2020
Contract Detail	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 17620	2850 N OXNARD BLVD	OXNARD	CA	93036	01/15/2020	04/01/2020		04/01/2020
Contract Detail	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09683	5900 TELEGRAPH RD.	VENTURA	CA	93003	01/15/2020	04/01/2020		04/01/2020
Contract Detail	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16414	209 W VENTURA BLVD	CAMARILLO	CA	93010	01/15/2020	04/01/2020		04/01/2020
Contract Detail	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08520	1205 S. OXNARD BLVD	OXNARD	CA	93030	01/15/2020	04/01/2020		04/01/2020
Contract Detail	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16096	4200 E MAIN ST	VENTURA	CA	93003	01/15/2020	04/01/2020		04/01/2020
Contract Detail	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16475	2705 TELLER RD	THOUSAND OAKS	CA	91320	01/15/2020	04/01/2020		04/01/2020
Contract Detail	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09719	5259 MISSION OAKS BLVD.	CAMARILLO	CA	93012	01/15/2020	04/01/2020		04/01/2020
Contract Detail	HALEIVO, INC.	DBA OJAI VILLAGE PHARMACY	202 E. OJAI AVE.	OJAI	CA	93023	01/12/2017	04/01/2017	03/31/2020	03/31/2020
Contract Detail	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09844	760 ARNEILL RD	CAMARILLO	CA	93010	01/15/2020	04/01/2020		04/01/2020
Contract Detail	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09151	600 W MAIN ST	SANTA PAULA	CA	93060	01/15/2020	04/01/2020		04/01/2020
Contract Detail	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09143	5800 SANTA ROSA RD	CAMARILLO	CA	93012	01/15/2020	04/01/2020		04/01/2020
Contract Detail	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09556	1740 S VICTORIA AVE	VENTURA	CA	93003	01/15/2020	04/01/2020		04/01/2020
Contract Detail	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09286	581 W CHANNEL ISLANDS BLVD	PORT HUENEME	CA	93041	01/15/2020	04/01/2020		04/01/2020
Contract Detail	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09236	50 N ASHWOOD AVE	VENTURA	CA	93003	01/15/2020	04/01/2020		04/01/2020
Contract Detail	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09235	1036 CASITAS PASS RD	CARPINTERIA	CA	93013	01/15/2020	04/01/2020		04/01/2020
Contract Detail	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09969	7850 TELEGRAPH RD	VENTURA	CA	93004	01/15/2020	04/01/2020		04/01/2020
Contract Detail	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03069	451 S REINO RD	NEWBURY PARK	CA	91320	01/15/2020	04/01/2020		04/01/2020
Contract Detail	MEDICAL ARTS PHARMACY	PLATT, LLC	1320 MARICOPA HWY	OJAI	CA	93023	01/12/2017	04/01/2017	09/16/2021	09/21/2021
Contract Detail	MEDICAL ARTS PHARMACY	PLATT, LLC	1320 MARICOPA HWY	OJAI	CA	93023	01/16/2023	04/01/2023	11/05/2024	11/12/2024
Contract Detail	MEDICINE SHOPPE	960 E OJAI AVENUE		OJAI	CA	93023	01/04/2017	04/01/2017	09/27/2019	10/11/2019
Contract Detail	MEDICINE SHOPPE	960 E OJAI AVENUE		OJAI	CA	93023	10/11/2019	01/01/2020		01/01/2020
Contract Detail	PHARMACYWORX, INC.	DBA: OJAI VILLAGE PHARMACY	11420 N VENTURA AVE STE 106	OJAI	CA	93023	01/15/2020	04/01/2020	04/24/2023	04/28/2023
Contract Detail	THRIFTY PAYLESS, INC.	RITE AID #5771	131 WEST MAIN STREET	VENTURA	CA	93001	01/23/2017	04/01/2017	06/27/2018	07/09/2018
Contract Detail	THRIFTY PAYLESS, INC.	RITE AID #5779	11496 NORTH VENTURA AVE.	OJAI (MIRA MONTE)	CA	93023	01/23/2017	04/01/2017	06/27/2018	07/09/2018
Contract Detail	THRIFTY PAYLESS, INC.	RITE AID #5779	11496 NORTH VENTURA AVE.	OJAI (MIRA MONTE)	CA	93023	01/03/2025	04/01/2025		04/01/2025

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
CAH051334-01	Child	CAH	OJAI VALLEY COMMUNITY HOSPITAL	CLINIC	1202 MARICOPA HWY, SUITE A	OJAI	CA	Active
CAH051334-02	Child	CAH	OJAI VALLEY COMMUNITY HOSPITAL	OAK VIEW FAMILY PRACTICE RHC	655 VENTURA AVENUE	OAK VIEW	CA	Active
CAH051334-03	Child	CAH	OJAI VALLEY COMMUNITY HOSPITAL	COMMUNITY MEMORIAL HEALTH SYSTEM - Midtown medical Group - Pirie	117 PIRIE RD	OJAI	CA	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	8/29/2023 2:24:37 PM	8/21/2024 2:19:12 PM	8/21/2024 2:19 PM
Contacts	Primary Contact	Update	Profile Change Request	Schoonveld, Liron Pharmacy Operations Manager Ojai Valley Community Hospital 8056402244	Schoonveld, Liron Pharmacy 340B Program Manager Ojai Valley Community Hospital 8056404024	5/15/2024 5:23 PM
Details	Last Recertification Date	Update	Recertification	9/5/2022 8:46:18 AM	8/29/2023 2:24:37 PM	8/29/2023 2:24 PM
Details	Last Recertification Date	Update	Recertification	8/17/2021 5:28:19 PM	9/5/2022 8:46:18 AM	9/5/2022 8:46 AM
Contacts	Primary Contact	Update	Profile Change Request	Lepine, Liron Pharmacy Operations Manager Ojai Valley Community Hospital 8056402244	Schoonveld, Liron Pharmacy Operations Manager Ojai Valley Community Hospital 8056402244	10/15/2021 1:16 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1992876767	10/15/2021 1:09 PM
Medicaid Billing	NPI: State	Insert	Change Request		CA	10/15/2021 1:09 PM
Medicaid Billing	NPI: Number	Delete	Change Request	1114339918 (CA)		10/15/2021 1:09 PM
Details	Last Recertification Date	Update	Recertification	9/3/2020 2:07:25 PM	8/17/2021 5:28:19 PM	8/17/2021 5:28 PM
Contacts	Authorizing Official	Update	AO Change Request	GLYER, DAVID BURRIS cfo Community Memorial Health System 8056525003	Corwin, James A Chief Financial Officer Community Memorial Health System 8059485003	12/8/2020 8:24 AM
Medicaid Billing	NPI: State	Update	Recertification		CA	9/3/2020 2:07 PM
Details	Last Recertification Date	Update	Recertification	8/26/2019 6:42:57 AM	9/3/2020 2:07:25 PM	9/3/2020 2:07 PM
Details	Last Recertification Date	Update	Recertification	8/27/2018 11:35:31 AM	8/26/2019 6:42:57 AM	8/26/2019 6:42 AM
Details	Last Recertification Date	Update	Recertification	11/29/2017 6:48:12 AM	8/27/2018 11:35:31 AM	8/27/2018 11:35 AM
Details	Last Recertification Date	Update	Recertification		11/29/2017 6:48:12 AM	11/29/2017 6:48 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1114339918	10/11/2017 6:36 PM
Contacts	Authorizing Official	Update		GLYER, DAVID BURRIS cfo 8056525003	GLYER, DAVID BURRIS cfo Community Memorial Health System 8056525003	10/11/2017 6:15 PM
Contacts	Signed By	Update		GLYER, DAVID BURRIS cfo 8056525003	GLYER, DAVID BURRIS cfo Community Memorial Health System 8056525003	10/11/2017 6:15 PM
Contacts	Primary Contact	Update		Lepine, Liron Pharmacy Operations Manager 8056402244	Lepine, Liron Pharmacy Operations Manager Ojai Valley Community Hospital 8056402244	9/29/2017 6:14 PM
Contacts	Primary Contact	Insert			Lepine, Liron Pharmacy Operations Manager 8056402244	4/11/2017 5:33 PM
Contacts	Authorizing Official	Insert			GLYER, DAVID BURRIS cfo 8056525003	4/11/2017 5:33 PM
Contacts	Signed By	Insert			GLYER, DAVID BURRIS cfo 8056525003	4/11/2017 5:33 PM
Addresses	Main Address	Insert			1306 MARICOPA HIGHWAY OJAI, CA 93023	4/10/2017 5:36 PM
Dates	Participating Approval Date	Update			10/17/2016 12:00:00 AM	10/17/2016 9:43 AM
Details	State	Update		Pending	Active	10/17/2016 9:43 AM
Dates	Start Date	Update			1/1/2017 12:00:00 AM	10/17/2016 9:43 AM
Details	340B ID	Update		ONLINE_REG_72838	CAH051334-00	10/11/2016 4:21 PM
Details	340B ID	Update			ONLINE_REG_72838	10/11/2016 12:29 PM
Details	Last Recertification Date	Insert				10/11/2016 12:29 PM
Details	Grant Number	Insert				10/11/2016 12:29 PM
Details	340B ID	Insert				10/11/2016 12:29 PM
Details	Is Authorizing Official EHB Data	Insert				10/11/2016 12:29 PM
Dates	Last Date That 340B Drugs Purchased	Insert				10/11/2016 12:29 PM
Details	Medicare Provider Number	Insert			051334	10/11/2016 12:29 PM
Details	Entity Name	Insert			OJAI VALLEY COMMUNITY HOSPITAL	10/11/2016 12:29 PM
Details	Program Code	Insert			CAH	10/11/2016 12:29 PM
Details	Entity Subname	Insert				10/11/2016 12:29 PM
Dates	Participating Approval Date	Insert				10/11/2016 12:29 PM
Details	State	Insert			Pending	10/11/2016 12:29 PM
Dates	Registration Date	Insert			10/11/2016 12:00:00 AM	10/11/2016 12:29 PM
Dates	Signed By Date	Insert			10/11/2016 12:00:00 AM	10/11/2016 12:29 PM
Dates	Start Date	Insert				10/11/2016 12:29 PM
Terminations	Termination Comments	Insert				10/11/2016 12:29 PM
Terminations	Termination Date	Insert				10/11/2016 12:29 PM
Terminations	Termination Effective Date	Insert				10/11/2016 12:29 PM
Terminations	Termination Reason	Insert				10/11/2016 12:29 PM