340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH390028R UPMC MERCY (Active)
Print
Main Details
Name
UPMC MERCY
Subdivision Name
MERCY-SURG PAVILION - (21255)
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390028R
Medicare Provider Number
390028
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/18/2024
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
UPMC
Jonathan Petrie, CFO UPMC Magee and Mercy
(412) 578-9416
Primary Contact
UPMC Mercy
Sandra Elizabeth Nickman, Pharmacy, Director
(724) 396-8449
Addresses
Street Address
1622 Locust Street
Pittsburgh, PA 15219
Billing Address
PROCUREMENT: H C PHARMACY CENTRAL
3175 EAST CARSON ST.
PITTSBURGH, PA 15203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
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