340B Drug Pricing Program Database


CH09242L OLE Health (Active) - information as of 6/3/2025 12:05:30 PM

Main Details
OLE Health
OLE Health - South Napa Campus
HRSA-Funded Health Center
BPS-H80-027578
CH09242L
H80CS04219


Additional Details
Active
5/13/2019
5/13/2019
5/13/2019
2/21/2025

Contacts

OLE Health
Kevin E. Moses, Legal Officer
(707) 254-1774 Ext: 8222

OLE Health
Antonio Olea, Director of Pharmacy
(619) 756-9987

Addresses

300 Hartle Court
Napa, CA 94559

OLE Health
1141 Pear Tree Lane
Suite 100
Napa, CA 94558


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

OLE Health
300 Hartle Court
Suite 140
Napa, CA 94559
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH092420ActiveBPS-H80-001711OLE HEALTHOLE Health - North Napa Campus1141 PEAR TREE LANE NAPACA
CH09242AActiveBPS-H80-014340OLE HEALTHOLE Health - St. Helena1222 Pine Street, Suite A Saint HelenaCA
CH09242AAActiveBPS-H80-037771OLE HEALTHFamily Wellness Center - Hope Building619 Lincoln Ave WoodlandCA
CH09242ABActiveBPS-H80-037765OLE HEALTHHansen Family Health Center215 W Beamer St WoodlandCA
CH09242ACActiveBPS-H80-037766OLE HEALTHVida Family Health Center954 Sacramento Ave West SacramentoCA
CH09242ADTerminatedBPS-H80-037768OLE HEALTHRespite CenterDomestic Violence Setting - Address Undisclosed UndisclosedCA
CH09242AEActiveBPS-H80-037759OLE HEALTHFamily Wellness Center - Courage Building455 1st St WoodlandCA
CH09242AFApprovedBPS-H80-039647OLE HEALTHCommuniCare+OLE Travis1313 Travis Blvd, Ste A FairfieldCA
CH09242BActiveBPS-H80-006619OLE HEALTHOLE Health - Calistoga911 Washington St CalistogaCA
CH09242DTerminatedBPS-H80-004229OLE HEALTHOLE Health - Hope Center1301 4th St NapaCA
CH09242ETerminatedBPS-H80-010257OLE HealthOLE Health - Trancas Ste 2501100 Trancas St. STE 250 NapaCA
CH09242GTerminatedBPS-H80-018375OLE HEALTHOLE Health - County Campus2751 Napa Valley Corporate DriveSuite 1100NapaCA
CH09242HActiveBPS-H80-007558OLE HEALTHSouth Napa Shelter100 Hartle Ct NapaCA
CH09242JActiveBPS-H80-015226OLE HEALTHOLE Health - Fairfield470 CHADBOURNE RD, SUITE A FAIRFIELDCA
CH09242KActiveBPS-H80-024740OLE HealthEast Fairfield1101 B Gale Wilson Blvd FairfieldCA
CH09242LActiveBPS-H80-027578OLE HealthOLE Health - South Napa Campus300 Hartle Court NapaCA
CH09242MActiveBPS-H80-035489OLE HEALTHOLE Health Mobile Health Center2650 Napa Valley Corporate Dr NapaCA
CH09242NActiveBPS-H80-035917OLE HEALTHOLE Health American Canyon3431 Broadway STE A8-A9 American CanyonCA
CH09242PActiveBPS-H80-037761OLE HEALTHCache Creek High School14320 Second Street YOLOCA
CH09242QActiveBPS-H80-037763OLE HEALTHMartin Luther King Jr. High School635 B St DavisCA
CH09242RActiveBPS-H80-037764OLE HEALTHSalud Clinic500B Jefferson BLVD STE 180 West SacramentoCA
CH09242SActiveBPS-H80-037758OLE HEALTHEsparto Elementary School17120 Omega St EspartoCA
CH09242TActiveBPS-H80-037770OLE HEALTHWoodland Community College2300 E Gibson Rd WoodlandCA
CH09242UActiveBPS-H80-037762OLE HEALTHRiverbank Elementary School1100 Carrie St West SacramentoCA
CH09242VActiveBPS-H80-037769OLE HEALTHFamily Wellness Center - Unity Building453 1st St WoodlandCA
CH09242WActiveBPS-H80-037767OLE HEALTHDAVIS COMMUNITY CLINIC2051 John Jones Rd DavisCA
CH09242YTerminatedBPS-H80-037760OLE HEALTHDavis Mental Health Navigation Control600 A St BLDG DavisCA
CH09242ZActiveBPS-H80-037743OLE HEALTHDrew Avenue Administration1590 Drew Ave STE 210 DavisCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH092420AMAZON PHARMACY #0014500 S PLEASANT VALLEY RD STE 201
AUSTINTX78744-291101/01/2025  
CH092420AMAZON PHARMACY #0063620 PLAINFIELD RD
INDIANAPOLISIN46231-700301/01/2025  
CH092420AMAZON PHARMACY #008408 TECHNOLOGY PARKWAY BUILDING B, STE 101
COLLEGE STATIONTX7784501/01/2025  
CH092420AMAZON PHARMACY #0097469 KINGSPOINTE PKWY STE 400
ORLANDOFL3281901/01/2025  
CH092420AMAZON PHARMACY #0101331 E 6TH ST
CORONACA9287901/01/2025  
CH092420ARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 08826 2350 MIRACLE MILE
BULLHEAD CITYAZ8644207/01/2022  
CH092420AZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503401/01/2025  
CH092420CAPITOL PHARMACY, INC.CAPITOL PHARMACY 1250 HARBOR BLVD STE 600
WEST SACRAMENTOCA9569110/01/2023  
CH092420CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361407/01/2022  
CH092420CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/01/2022  
CH092420CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621907/01/2022  
CH092420CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175707/01/2022  
CH092420CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808307/01/2022  
CH092420CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700407/01/2022  
CH092420CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761707/01/2022  
CH092420CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813307/01/2022  
CH092420CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237407/01/2022  
CH092420CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911907/01/2022  
CH092420CLINIC PHARMACIES III, INCDBA CLINIC OLE PHARMACY 1141 PEAR TREE LN STE 250
NAPACA94558-644510/01/2015 01/09/2019
CH09242ACLINIC PHARMACIES III, INCDBA CLINIC OLE PHARMACY 1141 PEAR TREE LN STE 250
NAPACA94558-644501/01/2016 01/09/2019
CH09242BCLINIC PHARMACIES III, INCDBA CLINIC OLE PHARMACY 1141 PEAR TREE LN STE 250
NAPACA94558-644501/01/2016 01/09/2019
CH09242DCLINIC PHARMACIES III, INCDBA CLINIC OLE PHARMACY 1141 PEAR TREE LN STE 250
NAPACA94558-644501/01/2016 10/01/2018
CH09242ECLINIC PHARMACIES III, INCDBA CLINIC OLE PHARMACY 1141 PEAR TREE LN STE 250
NAPACA94558-644501/01/2016 10/01/2019
CH09242GCLINIC PHARMACIES III, INCDBA CLINIC OLE PHARMACY 1141 PEAR TREE LN STE 250
NAPACA94558-644501/01/2016 10/01/2022
CH09242HCLINIC PHARMACIES III, INCDBA CLINIC OLE PHARMACY 1141 PEAR TREE LN STE 250
NAPACA94558-644501/01/2016 01/09/2019
CH092420CLINIC PHARMACIES III, LLC DBACLINIC OLE PHARMACY 1141 PEAR TREE LANE, SUITE 250
NAPACA9455801/10/2019  
CH092420CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/01/2021  
CH092420CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/01/2021  
CH092420CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502807/01/2022  
CH092420GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16274 3000 HARBISON DR
VACAVILLECA9568707/01/2022  
CH092420GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17342 2005 TOWN CENTER PLZ
WEST SACRAMENTOCA9569107/01/2023 01/31/2025
CH092420GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17468 2185 BRONZE STAR DR
WOODLANDCA9577607/01/2023 01/31/2025
CH092420IC PHARMACY LLCAMAZON PHARMACY #004 34 35TH STREET
STE 4BSW, UNIT 28 		BROOKLYNNY1123201/01/2025  
CH092420IMGRX SALUD, INC. DBASALUD CLINIC PHARMACY 500B JEFFERSON BOULEVARD, SUITE 181
WEST SACRAMENTOCA9560507/01/2023  
CH092420LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 01804 675 TRANCAS ST
NAPACA9455804/01/2014  
CH092420LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 07141 291 S. COOMBS ST
NAPACA9455904/01/2014 04/14/2016
CH092420LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09214 1558 TRANCAS ST
NAPACA9455804/01/2014  
CH092420LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 07141 291 S. COOMBS ST
NAPACA9455904/01/2017  
CH092420LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09371 300 TRAVIS BLVD
FAIRFIELDCA9453304/01/2018  
CH092420LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03075 5059 BUSINESS CENTER DR
FAIRFIELDCA9453407/01/2021  
CH092420LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09712 3340 N TEXAS ST
FAIRFIELDCA9453307/01/2021  
CH092420LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09142 1550 E COVELL BLVD
DAVISCA9561607/01/2023  
CH092420LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09180 7 W MAIN ST
WOODLANDCA9569507/01/2023  
CH092420LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09282 1471 W COVELL BLVD
DAVISCA9561607/01/2023 01/31/2025
CH092420LONGS DRUG STORES CALIFORNIA, LLCD.B.A. CVS DISTRIBUTION CENTER 2400 KEYSTONE PACIFIC PKWY
SUITE B 		PATTERSONCA9536301/01/2015 01/12/2018
CH092420LUCKY PHARMACY #730  2355 CALIFORNIA BLVD
NAPACA9455904/01/2014 09/15/2022
CH092420LUCKY PHARMACY #731  1312 TRANCAS STREET
NAPACA9455804/01/2014 09/15/2022
CH092420M.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312601/01/2025  
CH092420OPTUM INFUSION SERVICES 305, LLC15529 COLLEGE BLVD.
LENEXAKS66219-135111/09/2022  
CH092420OPTUM INFUSION SERVICES 401, LLC4610 NORTHGATE BLVD. STE. 130
SACRAMENTOCA95834-115408/17/2022  
CH092420OPTUM INFUSION SERVICES 550, LLC1819 ASTON AVE STE 104
CARLSBADCA9200808/17/2022  
CH092420OPTUM INFUSION SERVICES 550, LLC9045 E PIMA CENTER PKWY STE 1
SCOTTSDALEAZ85258-462108/17/2022  
CH092420OPTUM PHARMACY 700, LLC5700 DOT COM CT, STE 1000
OVIEDOFL3276508/17/2022  
CH092420OPTUM PHARMACY 700, LLC19 CHAPIN RD BLDG D, STE D8
PINE BROOKNJ0705808/17/2022  
CH092420OPTUM PHARMACY 701, LLC8131 W BOSTIAN RD STE A350
WOODINVILLEWA98072-502908/17/2022  
CH092420OPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850708/17/2022  
CH092420OPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302508/17/2022  
CH092420OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713008/17/2022  
CH092420OPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824908/17/2022  
CH092420OPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729808/17/2022  
CH092420OPTUM PHARMACY 705, LLC3539 BLUECUTT RD
COLUMBUSMS3970508/17/2022  
CH092420OPTUM PHARMACY 707, INC4900 RIVERGRADE RD STE E110
IRWINDALECA91706-140108/17/2022  
CH092420OPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508508/17/2022  
CH092420OPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983808/17/2022  
CH092420PILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310101/01/2025  
CH092420PILLPACK LLCAMAZON PHARMACY #005 20416 72ND AVE S
KENTWA98032-231901/01/2025  
CH092420PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514607/01/2022  
CH092420PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523307/01/2022  
CH092420PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681307/01/2022  
CH092420PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920307/01/2022  
CH092420PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY 445 CASTRO STREET
SAN FRANCISCOCA9411408/30/2022 01/31/2025
CH092420SAFEWAY INCSAFEWAY PHARMACY #1883 103 AMERICAN CANYON RD
AMERICAN CANYONCA9450304/01/2014  
CH092420SAFEWAY INCSAFEWAY PHARMACY #2449 3375 JEFFERSON STREET
NAPACA9455804/01/2014 04/13/2016
CH092420SAFEWAY INCSAFEWAY PHARMACY #2449 3375 JEFFERSON STREET
NAPACA9455804/01/2018  
CH092420SAFEWAY INCSAFEWAY PHARMACY #0983 1071 11TH STREET
LAKEPORTCA9545304/01/2023  
CH092420SAFEWAY PHARMACY #09131620 CLAY STREET
NAPACA9455804/01/2014 04/01/2018
CH092420THRIFTY PAYLESS, INC.RITE AID #5928 1203 W IMOLA AVE
NAPACA94559-472501/01/2020 06/04/2025
CH092420THRIFTY PAYLESS, INC.RITE AID #6197 2135 COWELL BOULEVARD
DAVISCA95618-638810/01/2023 12/10/2023
CH092420THRIFTY PAYLESS, INC.RITE AID #6048 655 RUSSELL BOULEVARD
DAVISCA9561610/01/2023 06/04/2025
CH092420THRIFTY PAYLESS, INC.RITE AID #6066 295 WEST MAIN STREET
WOODLANDCA9569510/01/2023 06/04/2025
CH092420THRIFTY PAYLESS, INC.RITE AID #6065 1260 WEST CAPITOL AVENUE
WEST SACRAMENTOCA9569110/01/2023 06/04/2025
CH092420VASCONI DRUGS1381 MAIN ST
SAINT HELENACA9457407/01/2014 06/17/2021
CH092420WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738604/01/2017  
CH092420WAL-MART PHARMACY #10-16517011 NORTH MAIN STREET
AMERICAN CANYONCA9450307/01/2014  
CH092420WAL-MART PHARMACY 10-197915960 DAM ROAD
CLEARLAKECA9542205/17/2023  
CH092420WAL-MART PHARMACY 10-20482701 N TEXAS STREET
FAIRFIELDCA9453310/01/2019 05/08/2021
CH092420WAL-MART PHARMACY 10-21901720 EAST MAIN STREET
WOODLANDCA9577610/01/2023  
CH092420WAL-MART PHARMACY 10-2925681 LINCOLN AVENUE
NAPACA9455804/01/2014  
CH092420WAL-MART PHARMACY 10-3652755 RIVER POINT CT
WEST SACRAMENTOCA9569110/01/2023  
CH092420WAL-MART PHARMACY 10-51361131 N BEALE RD
MARYSVILLECA9590110/01/2023  
CH092420WAL-MART PHARMACY 10-56061250 E GIBSON ROAD
WOODLANDCA9577610/01/2023  
CH092420WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283704/01/2017  
CH092420WALGREEN CO.DBA: WALGREENS # 03171 1050 REDWOOD STREET
VALLEJOCA9459001/01/2014 02/25/2025
CH092420WALGREEN CO.DBA: WALGREENS #11365 210 AMERICAN CANYON RD.
AMERICAN CANYONCA9450301/01/2014  
CH092420WALGREEN CO.DBA: WALGREENS #11822 1685 TRANCAS ST.
NAPACA9455801/01/2014  
CH092420WALGREEN CO.DBA: WALGREENS #15432 2590 N TEXAS ST
FAIRFIELDCA9453301/01/2017  
CH092420WALGREEN CO.DBA: WALGREENS # 03297 3093 MARLOW ROAD
SANTA ROSACA9540304/01/2017  
CH092420WALGREEN CO.DBA: WALGREENS # 06722 4610 SONOMA HWY
SANTA ROSACA95409-413704/01/2017  
CH092420WALGREEN CO.DBA: WALGREENS # 01940 1955 W TEXAS STREET
FAIRFIELDCA9453310/01/2019 02/28/2022
CH092420WALGREEN CO.DBA: WALGREENS # 04107 10 WEST MAIN ST.
WOODLANDCA9569507/01/2023  
CH092420WALGREEN CO.DBA: WALGREENS # 04198 1351 W CAPITOL AVE
WEST SACRAMENTOCA9569107/01/2023  
CH092420WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528401/01/2014 08/17/2015
CH092420WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818811/09/2022  
CH092420WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503311/09/2022  
CH092420WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527511/09/2022  
CH092420WALMART PHARMACY 10-2468901 GOLF COURSE DRIVE
ROHNERT PARKCA9492810/01/2023  
CH092420WALMART PHARMACY 10-3708350 WALTERS ROAD
SUISUN CITYCA9458510/01/2019  
CH092420WALMART PHARMACY 10-4127215 CALIFORNIA ST.
WOODLANDCA9569510/01/2023  
CH092420WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275605/17/2023  
CH092420Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616804/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/13/2024 1:14:16 PM2/21/2025 7:49:15 PM2/21/2025 7:49 PM
DetailsLast Recertification DateUpdateRecertification2/14/2023 2:30:03 PM2/13/2024 1:14:16 PM2/13/2024 1:14 PM
DetailsLast Recertification DateUpdateRecertification1/31/2022 3:47:54 PM2/14/2023 2:30:03 PM2/14/2023 2:30 PM
ContactsPrimary ContactUpdatePC Change RequestKatzman, Harvey S Clinical Pharmacist OLE Health 5309173781Olea, Antonio Director of Pharmacy OLE Health 619756998712/1/2022 12:38 PM
ContactsPrimary ContactUpdateProfile Change RequestKatzman, Harvey Clinical Pharmacist OLE Health 7072541774-1783Katzman, Harvey S Clinical Pharmacist OLE Health 53091737812/1/2022 1:42 PM
DetailsLast Recertification DateUpdateRecertification2/2/2021 5:50:45 PM1/31/2022 3:47:54 PM1/31/2022 3:47 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestMoses, Kevin E. Compliance Officer OLE Health 7072541774-8222Moses, Kevin E. Legal Officer OLE Health 7072541774-82221/31/2022 2:32 PM
ContactsSigned ByUpdateProfile Change RequestMoses, Kevin E. Compliance Officer OLE Health 7072541774-8222Moses, Kevin E. Legal Officer OLE Health 7072541774-82221/31/2022 2:32 PM
DetailsLast Recertification DateUpdateRecertification2/4/2020 5:39:46 PM2/2/2021 5:50:45 PM2/2/2021 5:50 PM
AddressesBilling AddressUpdateRecertificationOLE Health 1100 Trancas Street Suite 300 Napa, CA 94558OLE Health 1141 Pear Tree Lane Suite 100 Napa, CA 945582/4/2020 5:39 PM
DetailsLast Recertification DateUpdateRecertification 2/4/2020 5:39:46 PM2/4/2020 5:39 PM
AddressesMain AddressUpdateChange Request 300 Hartle Court, Suite 140 Napa, CA 94559 300 Hartle Court Napa, CA 945596/12/2019 2:34 PM
AddressesShipping AddressInsertChange Request OLE Health 300 Hartle Court Suite 140 Napa, CA 945596/12/2019 2:34 PM
AddressesMain AddressUpdateChange Request 300 Hartle Court Napa, CA 94559 300 Hartle Court, Suite 140 Napa, CA 945596/12/2019 9:06 AM
DetailsStateUpdateOPA EditApprovedActive5/13/2019 2:30 PM
DatesStart DateUpdateOPA Edit7/1/2019 12:00:00 AM5/13/2019 12:00:00 AM5/13/2019 2:30 PM
ContactsSigned ByInsertNew Registration Moses, Kevin E. Compliance Officer OLE Health 7072541774-82225/13/2019 12:26 PM
Details340B IDUpdateNew Registration CH09242L5/13/2019 12:26 PM
DatesParticipating Approval DateUpdateNew Registration 5/13/2019 12:26:33 PM5/13/2019 12:26 PM
DetailsStateUpdateNew RegistrationPendingApproved5/13/2019 12:26 PM
DatesSigned By DateUpdateNew Registration 5/13/2019 11:01:40 AM5/13/2019 12:26 PM
DatesStart DateUpdateNew Registration 7/1/2019 12:00:00 AM5/13/2019 12:26 PM
AddressesMain AddressInsertNew Registration  300 Hartle Court Napa, CA 945595/13/2019 11:01 AM
AddressesBilling AddressInsertNew Registration OLE Health 1100 Trancas Street Suite 300 Napa, CA 945585/13/2019 11:01 AM
ContactsPrimary ContactInsertNew Registration Katzman, Harvey Clinical Pharmacist OLE Health 7072541774-17835/13/2019 11:01 AM
ContactsAuthorizing OfficialInsertNew Registration Moses, Kevin E. Compliance Officer OLE Health 7072541774-82225/13/2019 11:01 AM
DetailsLast Recertification DateInsertNew Registration  5/13/2019 11:01 AM
DetailsGrant NumberInsertNew Registration H80CS042195/13/2019 11:01 AM
Details340B IDInsertNew Registration  5/13/2019 11:01 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  5/13/2019 11:01 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  5/13/2019 11:01 AM
DetailsMedicare Provider NumberInsertNew Registration  5/13/2019 11:01 AM
DetailsEntity NameInsertNew Registration OLE Health5/13/2019 11:01 AM
DetailsProgram CodeInsertNew Registration CH5/13/2019 11:01 AM
DetailsEntity SubnameInsertNew Registration OLE Health - South Napa Campus5/13/2019 11:01 AM
DatesParticipating Approval DateInsertNew Registration  5/13/2019 11:01 AM
DetailsStateInsertNew Registration Pending5/13/2019 11:01 AM
DatesRegistration DateInsertNew Registration 5/13/2019 11:01:36 AM5/13/2019 11:01 AM
DatesSigned By DateInsertNew Registration  5/13/2019 11:01 AM
DatesStart DateInsertNew Registration  5/13/2019 11:01 AM
TerminationsTermination CommentsInsertNew Registration  5/13/2019 11:01 AM
TerminationsTermination DateInsertNew Registration  5/13/2019 11:01 AM
TerminationsTermination Effective DateInsertNew Registration  5/13/2019 11:01 AM
TerminationsTermination ReasonInsertNew Registration  5/13/2019 11:01 AM