340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PED363303-04 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (Terminated)
Print
Main Details
Name
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON
Subdivision Name
AKRON CHILDREN'S HOSPITAL PEDIATRICS ASHLAND OFFICE
Type
Children's Hospital
Rural
No
340B ID
PED363303-04
Medicare Provider Number
363303
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
2/28/2022
Participating Start Date
4/1/2022
Participating Approval Date
3/15/2022
Last Recertification Date
Termination Date
Termination Reason
7/1/2022
Other
Contacts
Authorizing Official
Children's Hospital Medical Center of Akron
Alicia Lamancusa, Vice President Finance
(330) 543-8171
Primary Contact
Children's Hospital Medical Center of Akron
John E Lepto, Director of Pharmacy
(330) 543-8167
Addresses
Street Address
2212 MIFFLIN AVE.
SUITE 235
ASHLAND, OH 44805
Billing Address
AKRON CHILDRENS HOSPITAL PEDIATRICS ASHLAND
1120 GEORGE ROAD
ASHLAND, OH 44805
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
Participated starting 2/26/2010, terminated 7/1/2017. Reinstated 4/1/2022.
03/14/2022
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