340B Drug Pricing Program Database
SIMI PHARMACY
DSH050159V VENTURA COUNTY MEDICAL CENTER - information as of 6/5/2025 3:06:36 PM
Covered Entity Details
Entity Name
VENTURA COUNTY MEDICAL CENTER
Subdivision Name
Cardiology Clinic
Type
Disproportionate Share Hospital
340B ID
DSH050159V
Entity Address
300 HILLMONT AVE, BLDG #340
#503
Ventura, CA 93003
Medicare Provider Number
050159
Outpatient Facility Provider Number
Participating Start Date
4/1/2005
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
SIMI PHARMACY
Pharmacy Address
1357 E LOS ANGELES AVE STE C
SIMI VALLEY, CA 93065-2890
Pharmacy Comments
Contract Details
Approval Date
7/12/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kathleen Kellerhouse, Chief of Hospital Operations
(805) 652-6052
Contract Pharmacy Representative
Independent
Vandana Parnami, President
(805) 582-7474
Signed By Date
7/12/2013
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