340B Drug Pricing Program Database

Name

JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC.

Subdivision Name

JOHNS HOPKINS ALL CHILDREN'S OUTPATIENT CARE CENTER (BMT-BLOOD AND MARROW TRANSPLANT OUTPATIENT CLINIC)

Type

Children's Hospital

Rural

No

340B ID

PED103300-20

Medicare Provider Number

103300

Outpatient Facility Provider Number

Current Program Status

Terminated

Registration Date

10/5/2016

Participating Start Date

1/1/2017

Participating Approval Date

10/21/2016

Last Recertification Date

9/1/2020

Termination Date
Termination Reason

1/1/2021
Business decision by the Covered Entity

Authorizing Official

Johns Hopkins All Children's Hospital
Thomas D Kmetz, President
(727) 767-6873

Primary Contact

Johns Hopkins All Children's Hospital, Inc.
Pamela Kravitz, Pharmacy Business Manager
(727) 767-2039

Street Address

601 5TH STREET SOUTH-Suite 302
ST. PETERSBURG, FL 33701

Billing Address

Johns Hopkins Enterprise
JH A/P Shared Service Center
PO Box #33499
Baltimore, MD 21218