340B Drug Pricing Program Database
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DSH390028K UPMC MERCY (Terminated)
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Main Details
Name
UPMC MERCY
Subdivision Name
UPMC Mercy Health Center Diabetes Clinic (36279)
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390028K
Medicare Provider Number
390028
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2018
Participating Start Date
4/1/2018
Participating Approval Date
2/13/2018
Last Recertification Date
8/29/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
UPMC
Jonathan Petrie, CFO UPMC Magee and Mercy
(412) 578-9416
Primary Contact
UPMC Mercy
Andrea Sargent, DIRECTOR, PHARMACY SERVICES
(412) 232-3696
Addresses
Street Address
1515 Locust Street
1st Floor
Suite 236
Pittsburgh, PA 15219
Billing Address
HC Pharmacy Central - Procurement
3175 East Carson Street
Pittsburgh, PA 15203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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