340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH330208F ST JOHNS RIVERSIDE HOSPITAL (Terminated)
Print
Main Details
Name
ST JOHNS RIVERSIDE HOSPITAL
Subdivision Name
NEW FOCUS CENTER
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330208F
Medicare Provider Number
330208
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/29/2019
Last Recertification Date
9/6/2023
Termination Date
Termination Reason
10/1/2024
Site closure
Contacts
Authorizing Official
St. John's Riverside Hospital
Michael A DiGiorno, Chief Operating Officer
(914) 798-8972
Primary Contact
St John's Riverside Hospital
JANINE O'DONNELL, AVP of Pharmacy and Medical Operations
(914) 964-4827
Addresses
Street Address
70 ASHBURTON AVENUE
YONKERS, NY 10701
Billing Address
Same as Street Address
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
Participating start date 7/1/2004, Termination 10/1/2015, Reinstate 10/1/2019
07/16/2019
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
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