Covered Entity Details

STD871023 UNM Truman Health Services (Active) - information as of 4/29/2025 1:40:16 AM

Main Details

Name

UNM Truman Health Services

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD871023

Grant Number

NH25PS005180

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

In-Kind products or services (see note below; must have been purchased with section 318 funds)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
UNM Truman Health Services receives Laboratory support for testing.
1/1/2023 - 2/28/2026

Additional Details

Current Program Status

Active

Registration Date

4/2/2021

Participating Start Date

7/1/2021

Participating Approval Date

5/5/2021

Last Recertification Date

5/6/2024

Notice of Funding Opportunity (NOFO) Number

CDC-RFA-PS19-1901

Contacts

Authorizing Official

UNM Medical Group, Inc.
Jill C. Klar, Chief Operating Officer
(505) 301-8069

Primary Contact

Truman
Sam Sanchez, Director, Pharmacy Services
(505) 925-0988

Addresses

Street Address

801 Encino Place NE Building A6
Albuquerque, NM 87102

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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?
No

Shipping Addresses

Shipping Address 1

Truman Health Service Pharmacy
801 Encino PL NE
Suite B-4
Albuquerque, NM 87102

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	10/14/2021	01/01/2022		01/01/2022
Contract Detail	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	10/14/2021	01/01/2022		01/01/2022
Contract Detail	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	10/14/2021	01/01/2022	02/14/2025	02/14/2025
Contract Detail	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	10/14/2021	01/01/2022	02/14/2025	02/14/2025
Contract Detail	WALGREEN ARIZONA DRUG CO.	WALGREENS CENTRAL FILL #21372	120 N 83RD AVE STE 200	TOLLESON	AZ	85353	10/14/2021	01/01/2022	02/14/2025	02/14/2025
Contract Detail	WALGREEN CO.	WALGREENS #15033	3401 ISLETA BOULEVARD SW	ALBUQUERQUE	NM	87105	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 00023	5001 MONTGOMERY BLVD NE STE A31	ALBUQUERQUE	NM	87109	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	WALGREENS #04649	3501 LOMAS BOULEVARD NE	ALBUQUERQUE	NM	87106	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	WALGREENS #05350	1835 N MAIN STREET	ROSWELL	NM	88201	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16544	933 SAN MATEO BLVD NE STE 501	ALBUQUERQUE	NM	87108	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	WALGREENS #16391	500 WALTER STREET NE SUITE #202	ALBUQUERQUE	NM	87102	10/14/2021	01/01/2022	02/14/2025	02/14/2025
Contract Detail	WALGREEN CO.	WALGREENS #04047	101 COORS BLVD NW	ALBUQUERQUE	NM	87121	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN HASTINGS CO.	DBA: WALGREENS # 05350	1835 N MAIN STREET	ROSWELL	NM	88201	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	10/14/2021	01/01/2022	02/14/2025	02/14/2025
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/14/2021	01/01/2022	02/14/2025	02/14/2025
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	10/14/2021	01/01/2022	05/12/2022	05/12/2022
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	10/14/2021	01/01/2022	02/14/2025	02/14/2025

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Nature of Support: Support Received To Date	Update	Change Request	1/31/2025 12:00:00 AM	2/28/2026 12:00:00 AM	3/6/2025 3:41 PM
Details	Last Recertification Date	Update	Recertification	5/18/2023 2:21:13 PM	5/6/2024 3:06:16 PM	5/6/2024 3:06 PM
Details	Nature of Support: Support Received From Date	Update	Change Request	1/1/2019 12:00:00 AM	1/1/2023 12:00:00 AM	2/7/2024 2:21 PM
Details	Nature of Support: Support Received To Date	Update	Change Request		1/31/2025 12:00:00 AM	2/7/2024 2:21 PM
Details	Last Recertification Date	Update	Recertification	5/11/2022 3:36:19 PM	5/18/2023 2:21:13 PM	5/18/2023 2:21 PM
Details	Last Recertification Date	Update	Recertification		5/11/2022 3:36:19 PM	5/11/2022 3:36 PM
Addresses	Shipping Address	Insert	Change Request		Truman Health Service Pharmacy 801 Encino PL NE Suite B-4 Albuquerque, NM 87102	12/6/2021 4:41 PM
Contacts	Authorizing Official	Update	AO Change Request	Goldstein, Marjorie CFO UNM Medical Group 5052723558	Klar, Jill C. Chief Operating Officer UNM Medical Group, Inc. 5053018069	10/12/2021 12:32 PM
Details	State	Update		Approved	Active	7/1/2021 12:01 AM
Addresses	Main Address	Insert	New Registration		801 Encino Place NE Building A6 Albuquerque, NM 87102	5/5/2021 11:07 AM
Details	Nature of Support: In Kind Support Description	Update	New Registration	Note: In-Kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project program.	UNM Truman Health Services receives Laboratory support for testing.	5/5/2021 11:07 AM
Contacts	Signed By	Insert	New Registration		Goldstein, Marjorie CFO UNM Medical Group 5052723558	5/5/2021 11:07 AM
Details	340B ID	Update	New Registration		STD871023	5/5/2021 11:07 AM
Dates	Participating Approval Date	Update	New Registration		5/5/2021 11:07:00 AM	5/5/2021 11:07 AM
Details	State	Update	New Registration	Pending	Approved	5/5/2021 11:07 AM
Dates	Signed By Date	Update	New Registration		4/30/2021 7:46:18 AM	5/5/2021 11:07 AM
Dates	Start Date	Update	New Registration		7/1/2021 12:00:00 AM	5/5/2021 11:07 AM
Addresses	Main Address	Insert	New Registration		801 Encino Place NE Building A6 Albuquerque, NM 87102	4/2/2021 3:31 PM
Details	Nature of Support: In Kind Support Description	Insert	New Registration		Note: In-Kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project program.	4/2/2021 3:31 PM
Details	Nature Of Support	Insert	New Registration		In-Kind products or services (see note below; must have been purchased with section 318 funds)	4/2/2021 3:31 PM
Details	Nature of Support: Support Received From Date	Insert	New Registration		1/1/2019 12:00:00 AM	4/2/2021 3:31 PM
Details	Nature of Support: Support Received To Date	Insert	New Registration			4/2/2021 3:31 PM
Contacts	Authorizing Official	Insert	New Registration		Goldstein, Marjorie CFO UNM Medical Group 5052723558	4/2/2021 3:31 PM
Contacts	Primary Contact	Insert	New Registration		Sanchez, Sam Director, Pharmacy Services Truman 5059250988	4/2/2021 3:31 PM
Details	Assistance Received From Date	Insert	New Registration			4/2/2021 3:31 PM
Details	Assistance Received To Date	Insert	New Registration			4/2/2021 3:31 PM
Details	Last Recertification Date	Insert	New Registration			4/2/2021 3:31 PM
Details	Grant Number	Insert	New Registration		NH25PS005180	4/2/2021 3:31 PM
Details	340B ID	Insert	New Registration			4/2/2021 3:31 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/2/2021 3:31 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/2/2021 3:31 PM
Details	Medicare Provider Number	Insert	New Registration			4/2/2021 3:31 PM
Details	Entity Name	Insert	New Registration		UNM Truman Health Services	4/2/2021 3:31 PM
Details	NOFO Number	Insert	New Registration		CDC-RFA-PS19-1901	4/2/2021 3:31 PM
Details	Program Code	Insert	New Registration		STD	4/2/2021 3:31 PM
Details	Entity Subname	Insert	New Registration			4/2/2021 3:31 PM
Dates	Participating Approval Date	Insert	New Registration			4/2/2021 3:31 PM
Details	State	Insert	New Registration		Pending	4/2/2021 3:31 PM
Dates	Registration Date	Insert	New Registration		4/2/2021 3:31:23 PM	4/2/2021 3:31 PM
Dates	Signed By Date	Insert	New Registration			4/2/2021 3:31 PM
Dates	Start Date	Insert	New Registration			4/2/2021 3:31 PM
Terminations	Termination Comments	Insert	New Registration			4/2/2021 3:31 PM
Terminations	Termination Date	Insert	New Registration			4/2/2021 3:31 PM
Terminations	Termination Effective Date	Insert	New Registration			4/2/2021 3:31 PM
Terminations	Termination Reason	Insert	New Registration			4/2/2021 3:31 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History