340B Drug Pricing Program Database


HERITAGE PARK PHARMACY - information as of 4/28/2025 12:55:03 AM


HERITAGE PARK PHARMACY

1223 S GEAR AVE STE 105
WEST BURLINGTON, IA 52655-1690



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH077310COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INCCHC/SEIA WEST BURLINGTON CLINICHRSA-Funded Health Center1706 W Agency Rd
West BurlingtonIA11/10/2011 3/28/2013 3:11 PM
DetailsCH07731ACOMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INCCHC/SEIA KHS KEOKUK CLINICHRSA-Funded Health Center400 N 17th St
KeokukIA10/01/201701/01/20251/1/2025 12:01 AM
DetailsCH07731CCOMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INCCHC/SEIA Louisa County ClinicHRSA-Funded Health Center2409 Spring Street
Columbus CityIA10/01/2017 10/1/2017 12:00 AM
DetailsCH07731ECOMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWAHAMILTON CLINICHRSA-Funded Health Center951 BROADWAY STREET
HAMILTONIL10/01/201707/01/20247/1/2024 12:01 AM
DetailsCH07731GCOMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INCCHC/SEIA Keokuk ClinicHRSA-Funded Health Center1618 Main Street
KeokukIA10/01/2017 10/1/2017 12:00 AM
DetailsDSH160057Southeast Iowa Regional Medical Center Disproportionate Share Hospital1221 SOUTH GEAR AVENUE
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057ASoutheast Iowa Regional Medical CenterORTHOPEDICS-SOUTHEAST IOWA REGIONAL - OrthopedicsDisproportionate Share Hospital1401 W AGENCY RD STE 101
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057AASoutheast Iowa Regional Medical CenterMENTAL HEALTH-SOUTHEAST IOWA REGION - Mental HealthDisproportionate Share Hospital1225 S GEAR AVE STE 251
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057ABSoutheast Iowa Regional Medical CenterHEMATOLOGY AND ONCOLOGY - SOUTHEAST - Hematology and OncologyDisproportionate Share Hospital1225 S GEAR AVE STE 152
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057ACSoutheast Iowa Regional Medical CenterWOUND CARE-SOUTHEAST IOWA REGIONAL - Wound CareDisproportionate Share Hospital1401 W AGENCY RD STE 172
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057ADSoutheast Iowa Regional Medical CenterFAMILY MEDICINE-SOUTHEAST IOWA REGI - Family MedicineDisproportionate Share Hospital1201 W AGENCY RD
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057AESoutheast Iowa Regional Medical CenterRADIATION ONCOLOGY-SOUTHEAST IOWA R - Radiation OncologyDisproportionate Share Hospital1315 W AGENCY RD STE 151
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057AFSoutheast Iowa Regional Medical CenterFAMILY MEDICINE, MERCY-SOUTHEAST IO - Family Medicine, MercyDisproportionate Share Hospital1225 S GEAR AVE STE 159
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057AGSoutheast Iowa Regional Medical CenterOCCUPATIONAL HEALTH - SOUTHEAST IOWA REGIONAL MEDICAL CENTER - Occupational HealthDisproportionate Share Hospital1401 West Agency Road
West BurlingtonIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057KSoutheast Iowa Regional Medical CenterSURGICAL SPECIALISTS-SOUTHEAST IOWA - Surgical SpecialistsDisproportionate Share Hospital5409 AVENUE O STE 122
FORT MADISONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057LSoutheast Iowa Regional Medical CenterWFC NURSERY - SOUTHEAST IOWA REGIONAL MEDICAL CENTER - WFC NurseryDisproportionate Share Hospital5445 Avenue O
Fort MadisonIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057MSoutheast Iowa Regional Medical CenterMEDICAL SURGICAL UNIT - SOUTHEAST IOWA REGIONAL MEDICAL CENTER - Medical Surgical UnitDisproportionate Share Hospital5445 Avenue O
Fort MadisonIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057NSoutheast Iowa Regional Medical CenterWFC BIRTHPLACE - SOUTHEAST IOWA REGIONAL MEDICAL CENTER - WFC BirthplaceDisproportionate Share Hospital5445 Avenue O
Fort MadisonIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057PSoutheast Iowa Regional Medical CenterOUTPATIENT SURGERY - SOUTHEAST IOWA REGIONAL MEDICAL CENTER - Outpatient SurgeryDisproportionate Share Hospital5445 Avenue O
Fort MadisonIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057QSoutheast Iowa Regional Medical CenterEMERGENCY DEPARTMENT - SOUTHEAST IOWA REGIONAL MEDICAL CENTER - Emergency DepartmentDisproportionate Share Hospital5445 Avenue O
Fort MadisonIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057RSoutheast Iowa Regional Medical CenterDAY HOSPITAL - SOUTHEAST IOWA REGIONAL MEDICAL CENTER - Day HospitalDisproportionate Share Hospital5445 Avenue O
Fort MadisonIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057SSoutheast Iowa Regional Medical CenterINTERNAL MEDICINE-SOUTHEAST IOWA RE - Internal MedicineDisproportionate Share Hospital1223 S GEAR AVE STE 108
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057TSoutheast Iowa Regional Medical CenterNEPHROLOGY-SOUTHEAST IOWA REGIONAL - NephrologyDisproportionate Share Hospital1223 S GEAR AVE STE 205
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057USoutheast Iowa Regional Medical CenterSURGICAL SPECIALISTS-SOUTHEAST IOWA - Surgical SpecialistsDisproportionate Share Hospital1223 S GEAR AVE STE 202
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057VSoutheast Iowa Regional Medical CenterCARDIOLOGY-SOUTHEAST IOWA REGIONAL - CardiologyDisproportionate Share Hospital1223 S GEAR AVE STE 109
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057WSoutheast Iowa Regional Medical CenterEYE SPECIALISTS-SOUTHEAST IOWA REGI - Eye SpecialistsDisproportionate Share Hospital1223 S GEAR AVE STE 309
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057XSoutheast Iowa Regional Medical CenterPULMONOLOGY-SOUTHEAST IOWA REGIONAL - PulmonologyDisproportionate Share Hospital1223 S GEAR AVE STE 304
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057YSoutheast Iowa Regional Medical CenterWOMEN'S HEALTH-SOUTHEAST IOWA REGIO - Women's HealthDisproportionate Share Hospital1223 S GEAR AVE STE 208
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160057ZSoutheast Iowa Regional Medical CenterUROLOGY-SOUTHEAST IOWA REGIONAL MED - UrologyDisproportionate Share Hospital1223 S GEAR AVE STE 303
WEST BURLINGTONIA04/01/2022 4/1/2022 12:01 AM
DetailsDSH160122Fort Madison Community Hospital Disproportionate Share Hospital5445 Avenue O
Fort MadisonIA04/01/201907/01/20217/1/2021 12:58 PM
DetailsRRC160057-00Southeast Iowa Regional Medical Center Rural Referral Center1221 S. GEAR
WEST BURLINGTONIA01/01/201101/06/20161/5/2016 9:57 AM
DetailsRRC160057-00Southeast Iowa Regional Medical Center Rural Referral Center1221 S. GEAR
WEST BURLINGTONIA07/01/201904/01/20224/1/2022 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  HERITAGE PARK PHARMACY 1223 S GEAR AVE STE 105 WEST BURLINGTON, IA 52655-169010/9/2020 1:25 PM
AddressesPharmacy AddressInsert  HERITAGE PARK PHARMACY 1223 S. GEAR AVE. SUITE 105 WEST BURLINGTON, IA 52655-16909/25/2020 6:05 PM
AddressesPharmacy AddressInsert  HERITAGE PARK PHARMACY 1223 S. GEAR AVE. SUITE 105 WEST BURLINGTON, IA 526559/29/2017 6:44 AM
AddressesPharmacy AddressUpdate HERITAGE PARK PHARMACY 1223 S GEAR AVE EASTMAN PLAZA WEST BURLINGTON, IA 52655HERITAGE PARK PHARMACY 1223 S. GEAR AVE. SUITE 105 WEST BURLINGTON, IA 526559/30/2014 12:55 PM
AddressesPharmacy AddressUpdate Heritage Park Pharmacy 1223 S. Gear Ave. Suite 105 West Burlington, IA 52655HERITAGE PARK PHARMACY 1223 S GEAR AVE EASTMAN PLAZA WEST BURLINGTON, IA 526553/28/2013 4:19 PM
DetailsNameUpdate Heritage Park PharmacyHERITAGE PARK PHARMACY3/28/2013 4:19 PM
DetailsCommentsInsert   8/10/2011 10:49 AM
DetailsIs DeletedInsert  False8/10/2011 10:49 AM
AddressesPharmacy AddressInsert  Heritage Park Pharmacy 1223 S. Gear Ave. Suite 105 West Burlington, IA 526558/10/2011 10:49 AM
DetailsNameInsert  Heritage Park Pharmacy8/10/2011 10:49 AM