340B Drug Pricing Program Database
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DSH390002 UPMC MCKEESPORT (Active)
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Main Details
Name
UPMC MCKEESPORT
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390002
Medicare Provider Number
390002
Additional Details
Current Program Status
Active
Registration Date
8/28/2006
Participating Start Date
4/1/2012
Participating Approval Date
3/30/2012
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
UPMC McKeesport
Laurene Timmons, CFO
(412) 664-6781
Primary Contact
UPMC
Amanda Pell, Manager, 340B Program
(814) 771-8354
Addresses
Street Address
1500 FIFTH AVENUE
MCKEESPORT, PA 15132
Billing Address
UPMC Presbyterian Shadyside DBA UPMC Pharmacy Supply Chain
PO Box 2058
Portland, OR 97208
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/30/12 participating 10/1/06 thru 9/30/08, not participating 10/1/08 thru 3/31/12, removed ship to (was PROCUREMENT: H C PHARMACY CENTRAL, 3175 EAST CARSON STREET, PITTSBURGH, 15203), removed Medicaid # (1007643400014), added Medicaid # and NPI #;
03/30/2012
June 2025
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