340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CROSSBAY CHEMISTS CORP
DSH330014H JAMAICA HOSPITAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
JAMAICA HOSPITAL MEDICAL CENTER
Subdivision Name
MEDISYS SENIOR HEALTH CARE CENTER (OZONE PK CLOCKTOWER)
Type
Disproportionate Share Hospital
340B ID
DSH330014H
Entity Address
91-20 ATLANTIC AVENUE
OZONE PARK, NY 11416
Medicare Provider Number
330014
Outpatient Facility Provider Number
Participating Start Date
9/1/2008
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
CROSSBAY CHEMISTS CORP
Pharmacy Address
D/B/A CROSS BAY CHEMIST
157-02 CROSSBAY BLVD
HOWARD BEACH, NY 11414-2753
Pharmacy Comments
Contract Details
Approval Date
1/11/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MOUNIR F. DOSS, EXECUTIVE VP & CFO
(718) 206-6291
Contract Pharmacy Representative
jamaica
Frank Pantina, Pharmacist
(718) 659-9500
Signed By Date
1/11/2019
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