Disproportionate share hospital · RI
MEMORIAL HOSPITAL OF RHODE ISLAND
- 0Registered locations
- 1Associated locations
- 42Contract pharmacies
- 0With no end date
- 1 July 2004In 340B since
Finances, as filed
No Medicare cost report is recorded for this hospital.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “MEMORIAL HOSPITAL OF RHODE ISLAND” (340B ID DSH410001), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/DSH410001
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 July 2004
- Termination date
- 1 April 2018
- Termination reason
- Site closure
- Certification date
- 15 November 2017
- Record last edited
- 2 May 2018
Identifiers
- 340B ID
- DSH410001
- Entity type as filed
- DSH
- CMS certification number
- 410001
- Rural
- No
111 BREWSTER ST, PAWTUCKET RI 02860
Associated locations
| Organization | Address | Where |
|---|---|---|
| MEMORIAL HOSPITAL OF RHODE ISLAND | 111 BREWSTER ST | PAWTUCKET RI 02860 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | 26 February 2016 | 1 April 2018 |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | 26 February 2016 | 1 April 2018 |
| ACCREDO HEALTH GROUP INC | NASHVILLE, TN | 26 February 2016 | 1 April 2018 |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | 26 February 2016 | 1 April 2018 |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | 26 February 2016 | 1 April 2018 |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | 26 February 2016 | 1 April 2018 |
| BRIOVARX OF MAINE INC | SOUTH PORTLAND, ME | 1 January 2017 | 1 April 2018 |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | 1 January 2016 | 1 April 2018 |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | 1 July 2017 | 1 April 2018 |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | 1 July 2017 | 1 April 2018 |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | 1 January 2016 | 1 April 2018 |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | 1 January 2016 | 1 April 2018 |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | 1 July 2017 | 1 April 2018 |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | 1 January 2016 | 1 April 2018 |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | 1 January 2016 | 1 April 2018 |
| CAREMARK, L.L.C. | REDLANDS, CA | 1 January 2016 | 1 April 2018 |
| CYSTIC FIBROSIS SERVICES, LLC | FRISCO, TX | 1 July 2017 | 1 April 2018 |
| OPTUM FRONTIER THERAPIES II, LLC | LAS VEGAS, NV | 1 January 2017 | 1 April 2018 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | 1 January 2017 | 1 April 2018 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | 1 January 2017 | 1 April 2018 |
| OPTUM PHARMACY 706, INC. | LONG ISLAND CITY, NY | 1 January 2017 | 1 April 2018 |
| PRIME THERAPEUTICS SPECIALTY PHARMACY LL | ORLANDO, FL | 1 October 2016 | 1 April 2018 |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | 1 January 2016 | 1 April 2018 |
| RHODE ISLAND CVS PHARMACY, L.L.C. | PAWTUCKET, RI | 1 January 2016 | 1 April 2018 |
| RHODE ISLAND CVS PHARMACY, L.L.C. | CENTRAL FALLS, RI | 1 January 2016 | 1 April 2018 |
| RHODE ISLAND CVS PHARMACY, L.L.C. | CUMBERLAND, RI | 1 January 2016 | 1 April 2018 |
| RHODE ISLAND CVS PHARMACY, L.L.C. | PAWTUCKET, RI | 1 January 2016 | 1 April 2018 |
| RHODE ISLAND CVS PHARMACY, L.L.C. | PAWTUCKET, RI | 1 January 2016 | 1 April 2018 |
| WALGREEN EASTERN CO., INC. | WOONSOCKET, RI | 1 January 2016 | 1 April 2018 |
| WALGREEN EASTERN CO., INC. | CRANSTON, RI | 1 January 2016 | 1 April 2018 |
| WALGREEN EASTERN CO., INC. | EAST PROVIDENCE, RI | 1 January 2016 | 1 April 2018 |
| WALGREEN EASTERN CO., INC. | NORTH PROVIDENCE, RI | 1 January 2016 | 1 April 2018 |
| WALGREEN EASTERN CO., INC. | PAWTUCKET, RI | 1 January 2016 | 1 April 2018 |
| WALGREEN EASTERN CO., INC. | PAWTUCKET, RI | 1 January 2016 | 1 April 2018 |
| WALGREEN EASTERN CO., INC. | PROVIDENCE, RI | 1 January 2016 | 1 April 2018 |
| WALGREEN EASTERN CO., INC. | PROVIDENCE, RI | 1 October 2016 | 1 April 2018 |
| WALGREEN EASTERN CO., INC. | PROVIDENCE, RI | 1 January 2016 | 1 April 2018 |
| WALGREENS SPECIALTY PHARMACY, LLC | PITTSBURGH, PA | 1 January 2016 | 1 April 2018 |
| WALGREENS SPECIALTY PHARMACY, LLC | CANTON, MI | 1 January 2016 | 1 April 2018 |
| WALGREENS SPECIALTY PHARMACY, LLC | BEAVERTON, OR | 1 January 2016 | 1 April 2018 |
| WALGREENS SPECIALTY PHARMACY, LLC | FRISCO, TX | 1 January 2016 | 1 April 2018 |
| CYSTIC FIBROSIS SERVICES | FRISCO, TX | 1 January 2016 | 9 August 2017 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.