340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH120006Q CASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLE (Active)
Print
Main Details
Name
CASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLE
Subdivision Name
CASTLE MEDICAL CENTER - CMC Primary Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH120006Q
Medicare Provider Number
120006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/9/2024
Participating Start Date
10/1/2024
Participating Approval Date
9/16/2024
Last Recertification Date
Contacts
Authorizing Official
ADVENTIST HEALTH CASTLE
NICK JOHNSON, FINANCE OFFICER
(808) 263-5142
Primary Contact
Adventist Health Castle
Joni Freitas, Pharmacy Director
(808) 263-5192
Addresses
Street Address
321 N KUAKINI ST
STE 201
HONOLULU, HI 96817-2399
Billing Address
CASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLE
640 ULUKAHIKI STREET
KAILUA, HI 96734
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.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
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