340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SORKIN'S RX LTD
DSH440063A JOHNSON CITY MEDICAL CENTER
Print
Covered Entity Details
Entity Name
JOHNSON CITY MEDICAL CENTER
Subdivision Name
Ballad Health Cancer Care a Department of Johnson City Medical Center
Type
Disproportionate Share Hospital
340B ID
DSH440063A
Entity Address
1 PROFESSIONAL PARK DRIVE
SUITE 21
JOHNSON CITY, TN 37604
Medicare Provider Number
440063
Outpatient Facility Provider Number
Participating Start Date
7/1/2010
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
SORKIN'S RX LTD
Pharmacy Address
D/B/A CAREMED PHARMACEUTICAL SERVICES
1985 MARCUS AVE STE 130
NEW HYDE PARK, NY 11042-2024
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shane Hilton, VP/CFO - Market Operations
(423) 302-3467
Contract Pharmacy Representative
CareMed Specialty Pharmacy
Salvatore Spatola, Inventory Manager
(877) 227-3405 Ext: 9031
Signed By Date
7/17/2018
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