340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo
Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

KROGER SPECIALTY PHARMACY INC.
CAH131325-00 BMH, INC. DBA BINGHAM MEMORIAL HOSPITAL

Covered Entity Details

Critical Access Hospital
CAH131325-00
98 POPLAR
BLACKFOOT, ID 83221
131325
9/8/2010
8/14/2024


Pharmacy Details

3200 LAKE EMMA RD UNIT 1000
LAKE MARY, FL 32746-3358

Contract Details

1/15/2020
4/1/2020

5/23/2022
Business decision by covered entity and/or pharmacy


Contacts


Jake Erickson, CEO
(208) 785-3803



Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
1/15/2020