340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH340113F CAROLINAS MEDICAL CENTER (Active)
Print
Main Details
Name
CAROLINAS MEDICAL CENTER
Subdivision Name
Levine Children's Specialty Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340113F
Medicare Provider Number
340113
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
2/29/2008
Participating Start Date
4/1/2008
Participating Approval Date
3/1/2008
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Atrium Health
Don McCoy Mabe, VP, Pharmacy
(704) 512-7623
Primary Contact
North Carolina Baptist Hospital
Bibi W Wishart, Program Director, 340B
(336) 713-3426
Addresses
Street Address
1001 Blythe Blvd
Suite 200
CHARLOTTE, NC 28203
Billing Address
Atrium Health Accounts Payable
PO Box 516
Elmsford, NY 10523
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
03/01/2012 REMOVED PHARMACY FROM SUB NAME AND SUITE 201
03/01/2012
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