340B Drug Pricing Program Database
LONGS DRUG STORES CALIFORNIA, L.L.C.
DSH050159Y VENTURA COUNTY MEDICAL CENTER - information as of 5/15/2025 2:20:30 AM
Covered Entity Details
Entity Name
VENTURA COUNTY MEDICAL CENTER
Subdivision Name
Anacapa Surgical Associates/Urology Clinic
Type
Disproportionate Share Hospital
340B ID
DSH050159Y
Entity Address
300 HILLMONT AVE, BLDG #340
#401 & #402
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
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09151
600 W MAIN ST
SANTA PAULA, CA 93060
Pharmacy Comments
01/27/2012 changed CP name (was LONGS DRUGS #151)
Contract Details
Approval Date
10/19/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/15/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kathleen Kellerhouse, Chief of Hospital Operations
(805) 652-6052
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/19/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session