340B Drug Pricing Program Database
MISSOURI CVS PHARMACY, L.L.C. - information as of 5/3/2025 11:41:13 PM
Export
Name
MISSOURI CVS PHARMACY, L.L.C.
Address
DBA CVS/PHARMACY #11309
1018 N JESSE JAMES RD
EXCELSIOR SPRINGS, MO 64024
Comments
Contracts
History
Contracts
Contract Detail
340B ID
Entity Name
Sub Name
Entity Type
Address
Address Cont.
City
State
Begin Date
Term Date
Edit Date
Details
CAH261322-00
Excelsior Spring City Hospital DBA Excelsior Springs Hospital
Critical Access Hospital
1700 Rainbow Blvd
Excelsior Springs
MO
11/19/2018
01/15/2020
1/15/2020 4:59 PM
Details
DSH170040
UNIVERSITY OF KANSAS HOSPITAL
Disproportionate Share Hospital
4000 Cambridge Street
Kansas City
KS
07/01/2024
05/01/2025
5/1/2025 12:01 AM
Details
DSH260006
HEARTLAND REGIONAL MEDICAL CENTER
Disproportionate Share Hospital
5325 FARAON
ST. JOSEPH
MO
01/01/2024
1/1/2024 12:01 AM
Details
SCH260006-00
HEARTLAND REGIONAL MEDICAL CENTER
Sole Community Hospital
5325 FARAON
ST. JOSEPH
MO
01/01/2021
01/15/2021
1/19/2021 9:04 AM
Details
SCH260006-00
HEARTLAND REGIONAL MEDICAL CENTER
Sole Community Hospital
5325 FARAON
ST. JOSEPH
MO
04/01/2022
01/01/2024
1/1/2024 12:01 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
6/25/2018 1:56 PM
Details
Is Deleted
Insert
False
6/25/2018 1:56 PM
Addresses
Pharmacy Address
Insert
MISSOURI CVS PHARMACY, L.L.C. DBA CVS/PHARMACY #11309 1018 N JESSE JAMES RD EXCELSIOR SPRINGS, MO 64024
6/25/2018 1:56 PM
Details
Name
Insert
MISSOURI CVS PHARMACY, L.L.C.
6/25/2018 1:56 PM
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