Covered Entity Details

CAN360242-00 OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL (Terminated) - information as of 4/26/2025 11:41:12 PM

Main Details

Name

OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL

Subdivision Name

Type

Free Standing Cancer Hospital

Rural

340B ID

CAN360242-00

Medicare Provider Number

360242

Additional Details

Current Program Status

Terminated

Registration Date

1/12/2018

Participating Start Date

4/1/2018

Participating Approval Date

2/6/2018

Last Recertification Date

8/24/2018

Termination Date
Termination Reason

1/1/2019
DSH percentage below statutory minimum

Contacts

Authorizing Official

The Ohio State University Hospital
Mark Larmore, Chief Financial Officer
(614) 685-9420

Primary Contact

Ohio State University
Robert Joseph Weber, Chief Pharmacy Officer
(614) 293-8470

Addresses

Street Address

460 WEST 10TH AVENUE
COLUMBUS, OH 43210-1240

Billing Address

OSUMC Accounts Payable Department
660 Ackerman Rd.
PO Box 183104
Columbus, OH 43218-3104

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
OH	0805990
		1124127683

Shipping Addresses

Shipping Address 1

OH State University Medical Center Main Campus- Pharmacy
410 West 10th Avenue
Rm 327 Rhodes Hall
Columbus, OH 43210-0000

Shipping Address 2

OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL
460 W 10th Ave
Room B510
Columbus, OH 43210

Shipping Address 3

OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL
460 W 10th Ave
Room D120
Columbus, OH 43210

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/17/2018	07/01/2018	01/01/2019	01/01/2019
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/17/2018	07/01/2018	01/01/2019	01/01/2019
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/17/2018	07/01/2018	01/01/2019	01/01/2019
Contract Detail	BIOSCRIP PHARMACY SERVICES, INC.	BIOSCRIP PHARMACY SERVICES	5700 PERIMETER DR STE B	DUBLIN	OH	43017	04/16/2018	07/01/2018	01/01/2019	01/01/2019
Contract Detail	CLINICAL SPECIALTIES INC	7654 CROSSWOODS DR.		COLUMBUS	OH	43235	04/17/2018	07/01/2018	01/01/2019	01/01/2019
Contract Detail	CLINICAL SPECIALTIES INC	6288 HUDSON CROSSING PKWY		HUDSON	OH	44236	04/17/2018	07/01/2018	01/01/2019	01/01/2019
Contract Detail	OPTION CARE ENTERPRISES, INC.	D/B/A OPTION CARE	4380 13TH ST.	ASHLAND	KY	41102-5432	04/17/2018	07/01/2018	01/01/2019	01/01/2019
Contract Detail	OPTION CARE ENTERPRISES, INC.	D/B/A OPTION CARE	11403 BLUEGRASS PARKWAY SUITE 400	LOUISVILLE	KY	40299-2398	04/17/2018	07/01/2018	01/01/2019	01/01/2019
Contract Detail	OPTION CARE ENTERPRISES, INC.	OPTION CARE	50 WEST TECHNE CENTER DRIVE SUITE J	MILFORD	OH	45150-8403	04/19/2018	07/01/2018	01/01/2019	01/01/2019
Contract Detail	THE OHIO STATE UNIVERSITY OUTPATIENT PHA	600 ACKERMAN RD STE E1014		COLUMBUS	OH	43202-4500	04/16/2018	07/01/2018	01/01/2019	01/01/2019
Contract Detail	THE OHIO STATE UNIVERSITY OUTPATIENT PHA	AT THE CCCT	460 W 10TH AVE RM L012	COLUMBUS	OH	43210	04/16/2018	07/01/2018	01/01/2019	01/01/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02117	181 TAYLOR AVENUE UNIVERSITY HOSPITALS EAST	COLUMBUS	OH	43203	04/17/2018	07/01/2018	01/01/2019	01/01/2019
Contract Detail	WALGREEN CO.	WALGREENS # 09541	5555 NEW ALBANY RD	NEW ALBANY	OH	43054-8825	04/17/2018	07/01/2018	01/01/2019	01/01/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02127	410 W 10TH AVE	COLUMBUS	OH	43210-1240	04/19/2018	07/01/2018	01/01/2019	01/01/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS #13680	1040 DELAWARE AVENUE STE A	MARION	OH	43302	04/19/2018	07/01/2018	01/01/2019	01/01/2019
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	04/17/2018	07/01/2018	01/01/2019	01/01/2019

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
CAN360242-01	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - JAMES ANTICOAGULATION CLINIC	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-02	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - JAMES ANTICOAGULATION CLINIC	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-03	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - CHEMO	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-04	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - PET CT	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-05	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - EXAM	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-06	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - JAMES THORACIC CLINIC	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-07	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - LAB	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-08	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - MAMMOGRAPHY	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-09	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - PM & R	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-10	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - VOICE & SWALLOWING CLINIC	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-11	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP 11 -- CHEMOTHERAPY	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-12	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - RADIOLOGY	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-13	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - SURGICAL ONCOLOGY	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-14	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - PLASTICS	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-15	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE GYN ONCOLOGY CENTER - JCMR - GYN ONC - CLINIC	3651 RIDGE MILL DRIVE	HILLIARD	OH	Terminated
CAN360242-16	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT UNIVERSITY HOSPITAL EAST - JAMESCARE EAST -- CHEMO	181 Taylor Ave	Columbus	OH	Terminated
CAN360242-17	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP LAB	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-18	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - GYNECOLOGY ONCOLOGY	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-19	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - RADIATION ONCOLOGY	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-20	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - SPEECH & LANGUAGE PATHOLOGY	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-21	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - PORT DRAW	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-22	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OHIO STATE UNIVERSITY ARTHUR G JAM - BSH - RADIATION ONCOLOGY	300W 10TH AVE	COLUMBUS	OH	Terminated
CAN360242-23	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OHIO STATE UNIVERSITY ARTHUR G JAM - BSH - JAMES 300 - CHEMO	300W 10TH AVE	COLUMBUS	OH	Terminated
CAN360242-24	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OHIO STATE UNIVERSITY ARTHUR G JAM - BSH - JAMES 300 - THORACIC CLINIC	300W 10TH AVE	COLUMBUS	OH	Terminated
CAN360242-25	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OHIO STATE UNIVERSITY ARTHUR G JAM - BSH - JAMES 300 - GU & UROLOGY CLINIC	300W 10TH AVE	COLUMBUS	OH	Terminated
CAN360242-26	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - ONCOLOGY REHABILITATION	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-27	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - JCSR EXAM	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-28	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - SURVIVORSHIP CLINIC - PT	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-29	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - PET CT SCAN	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-30	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT UNIVERSITY HOSPITAL EAST - JAMESCARE EAST -- EXAM	181 Taylor Ave	Columbus	OH	Terminated
CAN360242-31	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP 4 -- CUTANEOUS CLINIC	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-32	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP 10 -- ENDOCRINE CLINIC	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-33	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OHIO STATE UNIVERSITY ARTHUR G JAM - BSH - JAMES 300 - NEURO ONC CLINIC	300W 10TH AVE	COLUMBUS	OH	Terminated
CAN360242-34	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE GYN ONCOLOGY CENTER - JCMR - GYN ONC - CHEMO	3651 RIDGE MILL DRIVE	HILLIARD	OH	Terminated
CAN360242-35	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - MEDICAL ONCOLOGY	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	1/1/2019 12:05 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		11/28/2018 12:00:00 AM	11/30/2018 12:32 PM
Details	State	Update	Termination Request	Active	To Be Terminated	11/30/2018 12:32 PM
Terminations	Termination Date	Update	Termination Request		1/1/2019 12:00:00 AM	11/30/2018 12:32 PM
Terminations	Termination Effective Date	Update	Termination Request		11/29/2018 12:00:00 AM	11/30/2018 12:32 PM
Terminations	Termination Reason	Update	Termination Request		DSH percentage below statutory minimum	11/30/2018 12:32 PM
Addresses	Billing Address	Insert	Change Request		OSUMC Accounts Payable Department 660 Ackerman Rd. PO Box 183104 Columbus, OH 43218-3104	8/31/2018 10:49 AM
Details	Last Recertification Date	Update	Recertification		8/24/2018 1:54:24 PM	8/24/2018 1:54 PM
Addresses	Shipping Address	Delete	Change Request	OHIO STATE UNIVERSITY JAMES CANCER H 460 W 10th Ave Room B510 Columbus, OH 43210		4/20/2018 7:26 AM
Addresses	Shipping Address	Delete	Change Request	OHIO STATE UNIVERSITY JAMES CANCER H 460 W 10th Ave Room D120 Columbus, OH 43210		4/20/2018 7:26 AM
Addresses	Shipping Address	Insert	Change Request		OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL 460 W 10th Ave Room B510 Columbus, OH 43210	4/20/2018 7:26 AM
Addresses	Shipping Address	Insert	Change Request		OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL 460 W 10th Ave Room D120 Columbus, OH 43210	4/20/2018 7:26 AM
Details	Entity Name	Update	Change Request	OHIO STATE UNIVERSITY JAMES CANCER H	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	4/20/2018 7:26 AM
Addresses	Shipping Address	Delete	Change Request	Ohio State University Medical Cntr Main Campus - Pharmacy 410 W 10th Ave Room 327 Columbus, OH 43210		3/20/2018 7:18 AM
Addresses	Shipping Address	Insert	Change Request		OH State University Medical Center Main Campus- Pharmacy 410 West 10th Avenue Rm 327 Rhodes Hall Columbus, OH 43210-0000	3/20/2018 7:18 AM
Details	State	Update	Change Request	Approved	Active	3/20/2018 7:18 AM
Addresses	Shipping Address	Insert	Change Request		Ohio State University Medical Cntr Main Campus - Pharmacy 410 W 10th Ave Room 327 Columbus, OH 43210	3/13/2018 12:22 PM
Addresses	Shipping Address	Insert	Change Request		OHIO STATE UNIVERSITY JAMES CANCER H 460 W 10th Ave Room B510 Columbus, OH 43210	3/13/2018 12:22 PM
Addresses	Shipping Address	Insert	Change Request		OHIO STATE UNIVERSITY JAMES CANCER H 460 W 10th Ave Room D120 Columbus, OH 43210	3/13/2018 12:22 PM
Contacts	Signed By	Insert	New Registration		Larmore, Mark Chief Financial Officer The Ohio State University Hospital 6146859420	2/6/2018 2:42 PM
Details	340B ID	Update	New Registration		CAN360242-00	2/6/2018 2:42 PM
Dates	Participating Approval Date	Update	New Registration		2/6/2018 2:42:34 PM	2/6/2018 2:42 PM
Details	State	Update	New Registration	Pending	Approved	2/6/2018 2:42 PM
Dates	Signed By Date	Update	New Registration		2/6/2018 1:40:56 PM	2/6/2018 2:42 PM
Dates	Start Date	Update	New Registration		4/1/2018 12:00:00 AM	2/6/2018 2:42 PM
Addresses	Main Address	Insert	New Registration		460 WEST 10TH AVENUE COLUMBUS, OH 43210-1240	1/12/2018 4:10 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	1/12/2018 4:10 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0805990	1/12/2018 4:10 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		OH	1/12/2018 4:10 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1124127683	1/12/2018 4:10 PM
Contacts	Authorizing Official	Insert	New Registration		Larmore, Mark Chief Financial Officer The Ohio State University Hospital 6146859420	1/12/2018 4:10 PM
Contacts	Primary Contact	Insert	New Registration		Weber, Robert Joseph Chief Pharmacy Officer Ohio State University 6142938470	1/12/2018 4:10 PM
Details	Last Recertification Date	Insert	New Registration			1/12/2018 4:10 PM
Details	Grant Number	Insert	New Registration			1/12/2018 4:10 PM
Details	340B ID	Insert	New Registration			1/12/2018 4:10 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			1/12/2018 4:10 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			1/12/2018 4:10 PM
Details	Medicare Provider Number	Insert	New Registration		360242	1/12/2018 4:10 PM
Details	Entity Name	Insert	New Registration		OHIO STATE UNIVERSITY JAMES CANCER H	1/12/2018 4:10 PM
Details	Program Code	Insert	New Registration		CAN	1/12/2018 4:10 PM
Details	Entity Subname	Insert	New Registration			1/12/2018 4:10 PM
Dates	Participating Approval Date	Insert	New Registration			1/12/2018 4:10 PM
Details	State	Insert	New Registration		Pending	1/12/2018 4:10 PM
Dates	Registration Date	Insert	New Registration		1/12/2018 4:10:57 PM	1/12/2018 4:10 PM
Dates	Signed By Date	Insert	New Registration			1/12/2018 4:10 PM
Dates	Start Date	Insert	New Registration			1/12/2018 4:10 PM
Terminations	Termination Comments	Insert	New Registration			1/12/2018 4:10 PM
Terminations	Termination Date	Insert	New Registration			1/12/2018 4:10 PM
Terminations	Termination Effective Date	Insert	New Registration			1/12/2018 4:10 PM
Terminations	Termination Reason	Insert	New Registration			1/12/2018 4:10 PM