340B Drug Pricing Program Database


MEDI-PARK PHARMACY - information as of 5/18/2025 12:27:50 AM


MEDI-PARK PHARMACY

420 NE GLEN OAK AVE STE 102
HILLCREST PLAZA
PEORIA, IL 61603-3171



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH141310-00Mendota Community Hospital d/b/a OSF Saint Paul Medical Center Critical Access Hospital1401 E. 12th St.
MENDOTAIL07/01/201709/30/202210/5/2022 3:09 PM
DetailsCAH141318-00OSF Holy Family Medical Center Critical Access Hospital1000 West Harlem Ave
MonmouthIL07/01/201709/30/202210/5/2022 3:10 PM
DetailsCAH141325-00OSF Saint Luke Medical Center Critical Access Hospital1051 WEST SOUTH STREET
KEWANEEIL07/01/201709/30/202210/5/2022 3:11 PM
DetailsCH051833AHeartland Community Health Clinic DBA: Heartland Health ServicesGardenHRSA-Funded Health Center1701 W Garden St
PeoriaIL10/01/2018 10/1/2018 12:05 AM
DetailsCH051833NHeartland Community Health Clinic DBA Heartland Health ServicesTazwoodHRSA-Funded Health Center3248 Vandever Ave Ste B
PekinIL01/01/2024 1/1/2024 12:01 AM
DetailsDSH140052OSF SAINT ANTHONY'S HEALTH CENTER Disproportionate Share Hospital1 SAINT ANTHONYS WAY
ALTONIL03/15/202203/15/202210/5/2022 3:07 PM
DetailsDSH140067SAINT FRANCIS MEDICAL CENTER Disproportionate Share Hospital530 NE GLEN OAK AVENUE
PEORIAIL01/01/2013 3/28/2013 3:11 PM
DetailsDSH140093OSF SACRED HEART MEDICAL CENTER Disproportionate Share Hospital812 NORTH LOGAN AVENUE
DANVILLEIL01/01/201910/09/202310/9/2023 10:44 AM
DetailsDSH140110OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER D/B/A OSF SAINT ELIZABETH MEDICAL CENTER Disproportionate Share Hospital1100 EAST NORRIS DRIVE
OTTAWAIL07/01/202001/10/20231/10/2023 10:48 AM
DetailsDSH140113OSF Heart of Mary Medical Center Disproportionate Share Hospital1400 WEST PARK STREET
URBANAIL01/01/201901/10/20231/10/2023 10:46 AM
DetailsRRC140064-00ST. MARY MEDICAL CENTER Rural Referral Center3333 N SEMINARY
GALESBURGIL01/01/201907/01/20227/1/2022 12:01 AM
DetailsRRC140110-00OTTAWA REGIONAL HOSPITAL & HEALTHCAR Rural Referral Center1100 EAST NORRIS DRIVE
OTTAWAIL07/01/201704/14/20204/14/2020 7:30 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  MEDI-PARK PHARMACY 420 NE GLEN OAK AVE STE 102 HILLCREST PLAZA PEORIA, IL 61603-31711/4/2021 4:48 PM
AddressesPharmacy AddressInsert  MEDI-PARK PHARMACY 420 N.E. GLEN OAK SUITE 102 PEORIA, IL 616039/29/2017 6:44 AM
AddressesPharmacy AddressUpdate MEDI-PARK PHARMACY 420 N.E. GLEN OAK PEORIA, IL 61603MEDI-PARK PHARMACY 420 N.E. GLEN OAK SUITE 102 PEORIA, IL 616033/28/2013 4:21 PM
DetailsCommentsUpdate   3/28/2013 4:21 PM
AddressesPharmacy AddressUpdate MEDI-PARK PHARMACY 420 N.E. GLEN OAK SUITE 102 PEORIA, IL 61603MEDI-PARK PHARMACY 420 N.E. GLEN OAK PEORIA, IL 616033/28/2013 4:21 PM
AddressesPharmacy AddressUpdate MediPark Pharmacy 420 NE Glen Oak Ave Suite 102 Peoria, IL 61603MEDI-PARK PHARMACY 420 N.E. GLEN OAK SUITE 102 PEORIA, IL 6160311/28/2012 4:22 PM
DetailsNameUpdate MediPark PharmacyMEDI-PARK PHARMACY11/28/2012 4:22 PM
DetailsCommentsInsert   10/12/2012 10:16 AM
DetailsIs DeletedInsert  False10/12/2012 10:16 AM
AddressesPharmacy AddressInsert  MediPark Pharmacy 420 NE Glen Oak Ave Suite 102 Peoria, IL 6160310/12/2012 10:16 AM