340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH371312-00 St. John Sapulpa (Active)
Print
Main Details
Name
St. John Sapulpa
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH371312-00
Medicare Provider Number
371312
Additional Details
Current Program Status
Active
Registration Date
10/10/2013
Participating Start Date
1/1/2014
Participating Approval Date
10/25/2013
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
St. John Sapulpa
Michael James Christian, President
(918) 224-4394
Primary Contact
Ascension St. John Sapulpa
Abram James McMahan, Pharmacy Manager
(918) 227-8605
Addresses
Street Address
1004 East Bryan Ave.
Sapulpa, OK 74066
Billing Address
Same as Street Address
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.
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