340B Drug Pricing Program Database


KROGER SPECIALTY PHARMACY INC - information as of 4/27/2025 12:11:28 AM


KROGER SPECIALTY PHARMACY INC

KROGER SPECIALTY PHARMACY CA 3
1821 KAISER AVE
IRVINE, CA 92614-5707



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH0921430LOS ANGELES CHRISTIAN HEALTH CENTERSJOSHUA HOUSE CLINICHRSA-Funded Health Center311 Winston Street
Los AngelesCA01/01/201904/01/20214/1/2021 2:26 PM
DetailsCH092143AALos Angeles Christian Health CentersLos Angeles Christian Health Centers @ HHCLA Harm Reduction Center (Exam Rm 1 & 2)HRSA-Funded Health Center512 E 4th Street
Los AngelesCA01/01/201904/01/20214/1/2021 2:26 PM
DetailsCH092143ILOS ANGELES CHRISTIAN HEALTH CENTERSMIDNIGHT MISSIONHRSA-Funded Health Center601 S San Pedro St
Los AngelesCA01/01/201904/01/20214/1/2021 2:27 PM
DetailsCH092143LLOS ANGELES CHRISTIAN HEALTH CENTERSLos Angeles Christian Health Centers at Pico AlisoHRSA-Funded Health Center1625 E 4th St
Los AngelesCA01/01/201904/01/20214/1/2021 2:28 PM
DetailsCH092143PLOS ANGELES CHRISTIAN HEALTH CENTERSGateway Percy VillageHRSA-Funded Health Center3455 Percy St
Los AngelesCA01/01/201904/01/20214/1/2021 2:29 PM
DetailsCH092143QLOS ANGELES CHRISTIAN HEALTH CENTERSPowerHouse Church of World ImpactHRSA-Funded Health Center2003 E Imperial Hwy
Los AngelesCA01/01/201904/01/20214/1/2021 2:29 PM
DetailsCH092143RLOS ANGELES CHRISTIAN HEALTH CENTERSTeleCare- Core LAHRSA-Funded Health Center1005 S Central Ave
Los AngelesCA01/01/201904/01/20204/1/2020 12:06 AM
DetailsCH092143SLOS ANGELES CHRISTIAN HEALTH CENTERSTeleCare- LA 4HRSA-Funded Health Center600 St. Paul Ave., Ste. 100
Los AngelesCA01/01/201901/01/20191/1/2019 12:05 AM
DetailsCH092143TLOS ANGELES CHRISTIAN HEALTH CENTERSLos Angeles Christian Health Centers at New GenesisHRSA-Funded Health Center456 S. Main Street (Exam Rm 1 & 2, vitals room, waiting room)
Los AngelesCA04/01/202004/01/20214/1/2021 2:30 PM
DetailsCH092143VLOS ANGELES CHRISTIAN HEALTH CENTERSLos Angeles Christian Health Centers-Exodus Recovery/MarengoHRSA-Funded Health Center1920 Marengo Street (Exam Rm 1 & 2)
Los AngelesCA01/01/201904/01/20214/1/2021 2:31 PM
DetailsCH092143WLos Angeles Christian Health CentersLos Angeles Christian Health Centers at TeleCare- LA 4HRSA-Funded Health Center600 St. Paul Ave., Suite 200 (Exam Rms 1 & 2, waiting area)
Los AngelesCA01/01/201901/01/20211/1/2021 12:01 AM
DetailsCH092143XLos Angeles Christian Health CentersLos Angeles Christian Health Centers at Dolores Mission SchoolHRSA-Funded Health Center170 South Gless Street
Los AngelesCA01/01/201904/01/20214/1/2021 2:31 PM
DetailsCH092143YLos Angeles Christian Health CentersLos Angeles Christian Health Centers at Grape Street ElementaryHRSA-Funded Health Center1940 E. 111th Street
Los AngelesCA01/01/201904/01/20204/1/2020 12:06 AM
DetailsDSH030024ST JOSEPH'S HOSPITAL AND MEDICAL CENTER Disproportionate Share Hospital350 W THOMAS ROAD
PHOENIXAZ10/01/201903/08/20213/22/2021 5:37 PM
DetailsDSH030036CHANDLER REGIONAL MEDICAL CENTERCHANDLER REGIONAL MEDICAL CENTERDisproportionate Share Hospital1955 W. Frye Road
CHANDLERAZ01/01/202002/21/20213/15/2021 12:43 PM
DetailsDSH050078PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA DBA PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO Disproportionate Share Hospital1300 W 7TH STREET
SAN PEDROCA01/21/202111/18/202411/18/2024 12:01 AM
DetailsDSH050126Valley Presbyterian Hospital Disproportionate Share Hospital15107 Vanowen Street
Van NuysCA10/01/2019 10/1/2019 12:05 AM
DetailsDSH050231POMONA VALLEY HOSPITAL MEDICAL CENTER Disproportionate Share Hospital1798 NORTH GAREY AVENUE
POMONACA01/01/202002/28/20223/7/2022 7:15 PM
DetailsDSH050262RONALD REAGAN UCLA MEDICAL CENTER Disproportionate Share Hospital757 WESTWOOD PLAZA
LOS ANGELESCA04/01/201902/28/20224/13/2022 2:11 PM
DetailsDSH050348UCI MEDICAL CENTERUNIVERSITY OF CALIFORNIA, IRVINEDisproportionate Share Hospital101 THE CITY DR. S RT32
ORANGECA01/01/201911/05/201912/12/2019 11:26 AM
DetailsDSH050353 PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA DBA PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE Disproportionate Share Hospital4101 TORRANCE BLVD.
TORRANCECA01/21/202111/18/202411/18/2024 12:01 AM
DetailsDSH050360MARIN GENERAL HOSPITAL Disproportionate Share Hospital250 BON AIR ROAD
GREENBRAECA04/01/201909/13/20199/13/2019 2:36 PM
DetailsDSH060107NATIONAL JEWISH MEDICAL AND RESEARCH CENTER Disproportionate Share Hospital1400 JACKSON STREET
DENVERCO04/01/202202/28/20223/24/2022 11:46 AM
DetailsDSH230046UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS Disproportionate Share Hospital1500 EAST MEDICAL CENTER DRIVE
ANN ARBORMI01/01/201902/28/20223/3/2022 8:40 AM
DetailsDSH320021PRESBYTERIAN HOSPITAL Disproportionate Share Hospital1100 CENTRAL AVENUE SE
ALBUQUERQUENM04/01/201910/09/201910/25/2019 2:22 PM
DetailsDSH360085THE OHIO STATE UNIVERSITY HOSPITAL Disproportionate Share Hospital410 W. 10th Avenue
COLUMBUSOH01/01/202102/28/20224/11/2024 10:14 AM
DetailsRRC030119-00MERCY GILBERT MEDICAL CENTER Rural Referral Center3555 S. VAL VISTA DRIVE
GILBERTAZ01/01/202002/27/20213/15/2021 12:43 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  KROGER SPECIALTY PHARMACY INC KROGER SPECIALTY PHARMACY CA 3 1821 KAISER AVE IRVINE, CA 92614-570711/13/2019 4:32 PM
AddressesPharmacy AddressUpdate AXIUM HEALTHCARE PHARMACY, INC. DBA, AXIUM HEALTHCARE PHARMACY WEST 1821 KAISER AVENUE IRVINE, CA 92614KROGER SPECIALTY PHARMACY INC KROGER SPECIALTY PHARMACY CA 3 1821 KAISER AVENUE IRVINE, CA 9261412/27/2016 1:59 PM
DetailsNameUpdate AXIUM HEALTHCARE PHARMACY, INC.KROGER SPECIALTY PHARMACY INC12/27/2016 1:59 PM
DetailsCommentsInsert   10/18/2013 1:39 PM
DetailsIs DeletedInsert  False10/18/2013 1:39 PM
AddressesPharmacy AddressInsert  AXIUM HEALTHCARE PHARMACY, INC. DBA, AXIUM HEALTHCARE PHARMACY WEST 1821 KAISER AVENUE IRVINE, CA 9261410/18/2013 1:39 PM
DetailsNameInsert  AXIUM HEALTHCARE PHARMACY, INC.10/18/2013 1:39 PM