340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH330259A MERCY MEDICAL CENTER (Active)
Print
Main Details
Name
MERCY MEDICAL CENTER
Subdivision Name
Family Counseling Services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330259A
Medicare Provider Number
330259
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/9/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/17/2015
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Mercy Medical Center
Ihab Ibrahim, Chief Operating Officer/Director of Pharmacy
(516) 705-6480
Primary Contact
Mercy Hospital
Anne-Marie Kesicier, Pharmacy Director
(516) 705-1053
Addresses
Street Address
506 Stewart AVE
MERCY MEDICAL CENTER COUNSELING SERVICE
GARDEN CITY, NY 11530-6543
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.
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