| Details | Nature of Support: In Kind Support Description | Update | Recertification | Testing Kits | Testing Kits and Training for STD and HCV | 5/16/2025 12:04 PM |
| Details | Last Recertification Date | Update | Recertification | 5/21/2024 5:12:35 PM | 5/16/2025 12:04:39 PM | 5/16/2025 12:04 PM |
| Details | Grant Number | Update | Recertification | N25PS005176 | NH25PS005176 | 5/16/2025 12:04 PM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Westside
99 N. La Cienega
Suite 200
Beverly Hills, CA 90211 | | 4/15/2025 12:02 PM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Westside
8641 WILSHIRE BLVD
Ste 200
BEVERLY HILLS, CA 90211 | 4/15/2025 12:02 PM |
| Medicaid Billing | Medicaid: Is Primary | Insert | Change Request | | False | 3/7/2025 4:12 PM |
| Medicaid Billing | Medicaid: Number | Insert | Change Request | | 2349601 | 3/7/2025 4:12 PM |
| Medicaid Billing | Medicaid: State | Insert | Change Request | | LA | 3/7/2025 4:12 PM |
| Medicaid Billing | NPI: Number | Insert | Change Request | | 1891525184 | 3/7/2025 4:12 PM |
| Medicaid Billing | NPI: State | Insert | Change Request | | LA | 3/7/2025 4:12 PM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - East Los Angeles
5356 Whittier Blvd.
Los Angeles, CA 90022 | | 12/2/2024 7:05 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Hillcrest Pharmacy
120 University Avenue
San Diego, CA 92103 | | 12/2/2024 7:05 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Hillcrest North
1988 Hacienda Drive
VIsta, CA 92081 | | 12/2/2024 7:05 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Sunrise
1785 E Sunrise Blvd.
Ft. Lauderdale, FL 33304 | | 12/2/2024 7:05 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - West Hollywood
8212 Santa Monica Blvd.
West Hollywood, CA 90046 | | 11/25/2024 8:39 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Orlando OTC
1349 N Mills Avenue
Orlando, FL 32803 | | 11/25/2024 8:39 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Farmingdale
619 Main Street
Farmingdale, NY 11735 | | 11/25/2024 8:39 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Columbus
1230 N. High Street
Columbus, OH 43201 | | 11/25/2024 8:39 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Dallas
3920 Cedar Springs Rd.
Dallas, TX 75219 | | 11/25/2024 8:39 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Houston OTC
1435 Westheimer Rd.
Houston, TX 77006-2616 | | 11/25/2024 8:39 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Cabrini
901 Boren Avenue
Suite 800
Seattle, WA 98104 | | 11/25/2024 8:39 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - West
18421 South Main Street
Gardena, CA 90248 | 11/25/2024 8:39 AM |
| Medicaid Billing | NPI: Number | Insert | Change Request | | 1568088029 | 8/26/2024 5:19 PM |
| Medicaid Billing | NPI: State | Insert | Change Request | | LA | 8/26/2024 5:19 PM |
| Medicaid Billing | NPI: Number | Insert | Change Request | | 1801143607 | 8/26/2024 5:19 PM |
| Medicaid Billing | NPI: State | Insert | Change Request | | LA | 8/26/2024 5:19 PM |
| Medicaid Billing | NPI: Number | Insert | Change Request | | 1548697865 | 8/26/2024 5:19 PM |
| Medicaid Billing | NPI: State | Insert | Change Request | | LA | 8/26/2024 5:19 PM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Downtown
1400 S. Grand Avenue
Suite 801
Los Angeles, CA 90015 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - East Los Angeles
5356 Whittier Blvd.
Los Angeles, CA 90022 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Gardena
19300 S. Hamilton Avenue
Suite 170/180
Gardena, CA 90248 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Long Beach
3500 E. Pacific Coast Highway
Long Beach, CA 90804 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Oakland
400 30th Street
Suite 300
Oakland, CA 94609 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Valley
4940 Van Nuys Blvd.
Suite 200
Sherman Oaks, CA 91403 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - West Hollywood
8212 Santa Monica Blvd.
West Hollywood, CA 90046 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Westside
99 N. La Cienega
Suite 200
Beverly Hills, CA 90211 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy – Hollywood Flagship
4905 Hollywood Blvd.
Los Angeles, CA 90027 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Hillcrest Pharmacy
120 University Avenue
San Diego, CA 92103 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Hillcrest North
1988 Hacienda Drive
VIsta, CA 92081 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Mi Farmacia San Ysidro
4630 Border Village Road
San Ysidro, CA 92173 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy – San Diego
3580 5th Avenue
Suite 200
San Diego, CA 92103-5017 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Washington DC
2141 K Street NW
Suite 707
Washington, DC 20037 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Capitol Hill
650 Pennsylvania Ave.
Suite 380
Washington, DC 20003 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Jacksonville
2 Shircliff way
Suite 900
Jacksonville, FL 32204 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Wilton Manors
2097 Wilton Drive
Wilton Manors, FL 33305 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Coconut Grove
3661 S. Miami Ave.
Suite 806
Miami, FL 33133 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Safety Harbor (Tampa)
3135 Sr 580
Suite 1
Safety Harbor, FL 34695 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Jackson North
100 N.W. 170th St.
Suite 208
North Miami Beach, FL 33169 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Orlando
1701 N. Mills Ave
Orlando, FL 32803 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Sunrise
1785 E Sunrise Blvd.
Ft. Lauderdale, FL 33304 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy- Acc Fort Lauderdale
700 S.E. 3rd Ave.
Suite 100
Ft. Lauderdale, FL 33316 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - St. Petersburg
3400 26th Ave. S.
St. Petersburg, FL 33711 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Delray Beach
200 Congress Park Drive
Suite 210
Delray Beach, FL 33445 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - AHF Campus Fort Lauderdale
700 S.E. 3rd Avenue
Suite 100A
Fort Lauderdale, FL 33316 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - West Palm Beach
1411 N. Flagler Drive
Suite 9300
West Palm Beach, FL 33401-3421 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Miami Beach
4308 Alton Road
Suite 870
Miami Beach, FL 33140 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Pensacola
4300 Bayou Blvd.
Suite 17d
Pensacola, FL 32503 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Biscayne
2400 Biscayne Blvd.
Miami, FL 33137 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Orlando OTC
1349 N Mills Avenue
Orlando, FL 32803 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - North Point
6333 N. Federal Highway
Suite 301
Fort Lauderdale, FL 33308 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Oakland Park
2866 E Oakland Park Blvd
2nd FL
Fort Lauderdale, FL 33306 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy – Fort Myers
2320 Cleveland Avenue
Fort Myers, FL 33901 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Lithonia
5700 Hillandale Drive
Suite 100
Lithonia, GA 30058 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Newnan
770 Greison Trail
Suite H
Newnan, GA 30263 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Piedmont
735 Piedmont Ave NE
Atlanta, GA 30308-1416 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Peachtree
1438 W. Peachtree NW
Atlanta, GA 30309 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Cheshire Bridge
659 Auburn Avenue NE
Suite 156
Atlanta, GA 30312 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Chicago
3311 N. Halsted Street
Chicago, IL 60657-2412 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Baton Rouge
4890 Bluebonnet Blvd.
Baton Rouge, LA 70809 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Baltimore
2510 Saint Paul Street
Baltimore, MD 21218 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Jackson
766 Lakeland Drive
Suite A
Jackson, MS 39216-4610 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - North Las Vegas
3201 S. Maryland Pkwy.
Suite 218
Las Vegas, NV 89109 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Brooklyn
475 Atlantic Ave.
Brooklyn, NY 11217 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Jamaica
161-21 Jamaica Avenue
7th Floor
Jamaica, NY 11432 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Farmingdale
619 Main Street
Farmingdale, NY 11735 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - City View
2307 Astoria Blvd.
Astoria, NY 11102 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Chelsea
352 7th Avenue
Suite 1206
New York, NY 10001 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Bronx
655 Morris Avenue #2
Bronx, NY 10451-4898 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Philadelphia
1211 Chestnut Street
Suite 405
Philadelphia, PA 19107 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Carolina
Paseo Del Prado Shopping Center, Primer Nivel
Suite 107
Carolina, PR 00987 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Cleveland
2829 Euclid Avenue
Cleveland, OH 44115 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Columbus
1230 N. High Street
Columbus, OH 43201 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Columbia
3025 Farrow Road
Columbia, SC 29203 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Dallas
3920 Cedar Springs Rd.
Dallas, TX 75219 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Fort Worth
400 N. Beach Street
Suite 102
Fort Worth, TX 76111 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Dallas (Medical City)
7777 Forest Lane
Suite B-A80
Dallas, TX 75230 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Houston (Binz)
1200 Binz Street
Suite 1040
Houston, TX 77004 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Houston OTC
1435 Westheimer Rd.
Houston, TX 77006-2616 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Dallas Market Center
2600 N. Stemmons Fwy
Suite 141-A
Dallas, TX 75207-2113 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Cabrini
901 Boren Avenue
Suite 800
Seattle, WA 98104 | 8/5/2024 6:51 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Pike Street
1016 East Pike Street
Suite 100
Seattle, WA 98122 | 8/5/2024 6:51 AM |
| Details | Nature of Support: Support Received To Date | Update | Recertification | 12/31/2024 12:00:00 AM | 5/31/2026 12:00:00 AM | 5/21/2024 5:12 PM |
| Details | Last Recertification Date | Update | Recertification | | 5/21/2024 5:12:35 PM | 5/21/2024 5:12 PM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - San Francisco
518 A Castro Street
San Francisco, CA 94114 | 5/6/2024 7:21 AM |
| Details | State | Update | | Approved | Active | 4/1/2024 12:01 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Austin
2927 GUADALUPE ST
AUSTIN, TX 78705-3721 | 3/28/2024 12:57 PM |
| Contacts | Signed By | Insert | New Registration | | DeStefano, Rena
Director of Pharmacy Finance
AIDS Healthcare Foundation
6313702022 | 3/7/2024 6:57 AM |
| Details | 340B ID | Update | New Registration | | STD701154 | 3/7/2024 6:57 AM |
| Dates | Participating Approval Date | Update | New Registration | | 3/7/2024 6:57:34 AM | 3/7/2024 6:57 AM |
| Details | State | Update | New Registration | Pending | Approved | 3/7/2024 6:57 AM |
| Dates | Signed By Date | Update | New Registration | | 1/16/2024 11:06:48 AM | 3/7/2024 6:57 AM |
| Dates | Start Date | Update | New Registration | | 4/1/2024 12:00:00 AM | 3/7/2024 6:57 AM |
| Addresses | Main Address | Insert | New Registration | |
2900 Magazine Street
New Orleans, LA 70115 | 1/16/2024 11:06 AM |
| Addresses | Billing Address | Insert | New Registration | | AIDS Healthcare Foundation
6255 West Sunset Blvd. 21st Floor
Los Angeles, CA 90028 | 1/16/2024 11:06 AM |
| Medicaid Billing | Medicaid: Is Primary | Insert | New Registration | | False | 1/16/2024 11:06 AM |
| Medicaid Billing | Medicaid: Number | Insert | New Registration | | 2203631 | 1/16/2024 11:06 AM |
| Medicaid Billing | Medicaid: State | Insert | New Registration | | LA | 1/16/2024 11:06 AM |
| Details | Nature of Support: In Kind Support Description | Insert | New Registration | | Testing Kits | 1/16/2024 11:06 AM |
| Details | Nature Of Support | Insert | New Registration | | In-Kind products or services (see note below; must have been purchased with section 318 funds) | 1/16/2024 11:06 AM |
| Details | Nature of Support: Support Received From Date | Insert | New Registration | | 1/1/2024 12:00:00 AM | 1/16/2024 11:06 AM |
| Details | Nature of Support: Support Received To Date | Insert | New Registration | | 12/31/2024 12:00:00 AM | 1/16/2024 11:06 AM |
| Medicaid Billing | NPI: Number | Insert | New Registration | | 1275925604 | 1/16/2024 11:06 AM |
| Medicaid Billing | NPI: State | Insert | New Registration | | LA | 1/16/2024 11:06 AM |
| Contacts | Primary Contact | Insert | New Registration | | Altstaedter, Barry
Director of Pharmacy Finance
AIDS Healthcare Foundation
6318705169 | 1/16/2024 11:06 AM |
| Contacts | Authorizing Official | Insert | New Registration | | DeStefano, Rena
Director of Pharmacy Finance
AIDS Healthcare Foundation
6313702022 | 1/16/2024 11:06 AM |
| Details | Assistance Received From Date | Insert | New Registration | | | 1/16/2024 11:06 AM |
| Details | Assistance Received To Date | Insert | New Registration | | | 1/16/2024 11:06 AM |
| Details | Last Recertification Date | Insert | New Registration | | | 1/16/2024 11:06 AM |
| Details | Grant Number | Insert | New Registration | | N25PS005176 | 1/16/2024 11:06 AM |
| Details | 340B ID | Insert | New Registration | | | 1/16/2024 11:06 AM |
| Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 1/16/2024 11:06 AM |
| Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 1/16/2024 11:06 AM |
| Details | Medicare Provider Number | Insert | New Registration | | | 1/16/2024 11:06 AM |
| Details | Entity Name | Insert | New Registration | | AIDS Healthcare Foundation | 1/16/2024 11:06 AM |
| Details | NOFO Number | Insert | New Registration | | PS19-1901 | 1/16/2024 11:06 AM |
| Details | Program Code | Insert | New Registration | | STD | 1/16/2024 11:06 AM |
| Details | Entity Subname | Insert | New Registration | | AHF Healthcare Center - New Orleans | 1/16/2024 11:06 AM |
| Dates | Participating Approval Date | Insert | New Registration | | | 1/16/2024 11:06 AM |
| Details | State | Insert | New Registration | | Pending | 1/16/2024 11:06 AM |
| Dates | Registration Date | Insert | New Registration | | 1/16/2024 11:06:43 AM | 1/16/2024 11:06 AM |
| Dates | Signed By Date | Insert | New Registration | | | 1/16/2024 11:06 AM |
| Dates | Start Date | Insert | New Registration | | | 1/16/2024 11:06 AM |
| Terminations | Termination Comments | Insert | New Registration | | | 1/16/2024 11:06 AM |
| Terminations | Termination Date | Insert | New Registration | | | 1/16/2024 11:06 AM |
| Terminations | Termination Effective Date | Insert | New Registration | | | 1/16/2024 11:06 AM |
| Terminations | Termination Reason | Insert | New Registration | | | 1/16/2024 11:06 AM |