340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH390164N UPMC - PRESBYTERIAN SHADYSIDE (Terminated)
Print
Main Details
Name
UPMC - PRESBYTERIAN SHADYSIDE
Subdivision Name
WPIC-NATP Buprenorphine (37103) - WPIC D&A
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390164N
Medicare Provider Number
390164
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/9/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/27/2020
Last Recertification Date
8/24/2022
Termination Date
Termination Reason
4/1/2023
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
UPMC Aids Center for Treatment
Jared Weiner, CFO, UPMC Presbyterian Shadyside
(412) 864-7000
Primary Contact
UPMC Presbyterian
Alfred Adam L'Altrelli, Administrative Director of Pharmacy
(724) 554-9566
Addresses
Street Address
225 Penn Avenue
Floor 1
Wilkinsburg, PA 15221
Billing Address
HC Pharmacy Central
3175 East Carson Street
Pittsburgh, PA 15203
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