Covered Entity Details

CHC28991-06 The ROADS Foundation (Active) - information as of 6/22/2025 11:13:15 PM

Main Details

Name

The ROADS Foundation

Subdivision Name

ROADS Community Clinic - Lynwood

Type

HRSA-Funded Health Center

Site ID

BPS-H80-037709

340B ID

CHC28991-06

Grant Number

H80CS28991

Additional Details

Current Program Status

Active

Registration Date

4/2/2024

Participating Start Date

7/1/2024

Participating Approval Date

5/21/2024

Last Recertification Date

2/23/2025

Contacts

Authorizing Official

The R.O.A.D.S. Foundation, Inc.
Shaunt Arevian, Chief Executive Officer
(310) 627-5800 Ext: 260

Primary Contact

The R.O.A.D.S. Foundation, Inc.
Rose Soriano, VP Administration
(310) 627-5860

Addresses

Street Address

3737 Martin Luther King Jr Blvd, Ste 402
Lynwood, CA 90262-3533

Billing Address

The ROADS Foundation
121 S. Long Beach Blvd.
Compton, CA 90221

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC28991-00	Active	BPS-H80-015454	The ROADS Foundation	ROADS Community Clinic - Compton	121 S LONG BEACH BLVD	COMPTON	CA
CHC28991-01	Active	BPS-H80-029953	The ROADS Foundation	ROADS Community Clinic - East Long Beach	4800 E Los Coyotes Diagonal	Long Beach	CA
CHC28991-02	Active	BPS-H80-033498	THE ROADS FOUNDATION	The ROADS Foundation - ROADS Mobile 2	4800 E Los Coyotes Diagonal	Long Beach	CA
CHC28991-03	Terminated	BPS-H80-035525	THE R O A D S FOUNDATION	ROADS Community Clinic - Lynwood	3737 Martin Luther King Jr Blvd STE 605	Lynwood	CA
CHC28991-04	Active	BPS-H80-035707	The ROADS Foundation	The ROADS Foundation - ROADS Mobile 3	4800 E Los Coyotes Diagonal	Long Beach	CA
CHC28991-05	Active	BPS-H80-022365	The ROADS Foundation	ROADS - MCA Behavioral Health Center	4525 E. Atherton Street, Second Floor	Long Beach	CA
CHC28991-06	Active	BPS-H80-037709	The ROADS Foundation	ROADS Community Clinic - Lynwood	3737 Martin Luther King Jr Blvd, Ste 402	Lynwood	CA
CHC28991-07	Active	BPS-H80-038448	The ROADS Foundation	ROADS Community Clinic - Paramount	16415 Colorado Avenue STE 308	Paramount	CA
CHC28991-08	Active	BPS-H80-036193	The ROADS Foundation	The ROADS Foundation - ROADS Mobile 1	4800 E Los Coyotes Diagonal	Long Beach	CA
CHC28991-09	Active	BPS-H80-038910	The ROADS Foundation	ROADS Community Clinic - Gardena	14111 Van Ness Ave, Ste 2	Gardena	CA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC28991-00	COMPTON COMMUNITY PHARMACY	555 W COMPTON BLVD STE 102		COMPTON	CA	90220-3087	01/01/2021
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 01176	25829 NARBONNE AVE.	LOMITA	CA	90717	04/01/2020	05/14/2024
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 03986	8400 FIRESTONE BLVD.	DOWNEY	CA	90241	04/01/2020	05/23/2023
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY #4019	5837 S. CENTRAL AVE.	LOS ANGELES	CA	90001	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 04043	3401 KATELLA AVE	LOS ALAMITOS	CA	90720	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05012	23806 MAIN STREET	CARSON	CA	90745	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05014	4909 PARAMOUNT BLVD.	LAKEWOOD	CA	90712	04/01/2020	09/04/2024
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05809	4775 W. ROSECRANS AVE.	HAWTHORNE	CA	90250	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 06755	5030 LONG BEACH BLVD.	LONG BEACH	CA	90805	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 07191	15718 HAWTHORNE BLVD (NEC)	LAWNDALE	CA	90260	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08831	3880 W. ROSECRANS AVE.	HAWTHORNE	CA	90250	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08835	3710 TWEEDY BOULEVARD	SOUTH GATE	CA	90280	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08837	222 N. MARKET ST.	INGLEWOOD	CA	90301	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08838	2130 N. BELLFLOWER BLVD.	LONG BEACH	CA	90815	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08839	150 WEST CARSON STREET	CARSON	CA	90745	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08840	311W. PACIFIC COAST HWY. SUITE C	WILMINGTON	CA	90744	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08841	11623 ROSECRANS AVE.	NORWALK	CA	90650	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08843	921 PACIFIC COAST HWY.	SEAL BEACH	CA	90740	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08844	6510 SOUTH ST.	LAKEWOOD	CA	90713	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08852	4235 PACIFIC COAST HIGHWAY	TORRANCE	CA	90505	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08853	1645 EAST 103RD STREET	LOS ANGELES	CA	90002	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08858	7101 ATLANTIC AVENUE	BELL	CA	90201	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08860	11831 HAWTHORNE BOULEVARD	HAWTHORNE	CA	90250	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08864	3575 ATLANTIC AVENUE	LONG BEACH	CA	90807	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08867	7915 FLORENCE AVENUE	DOWNEY	CA	90240	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08868	5020 WEST 190TH STREET	TORRANCE	CA	90503	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08870	8859 ALONDRA BLVD.	PARAMOUNT	CA	90723	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08876	233 EAST WILLOW STREET	LONG BEACH	CA	90806	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08878	5505 CARSON ST.	LAKEWOOD	CA	90713	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08889	12618 STUDEBAKER ROAD	NORWALK	CA	90650	04/01/2020	11/07/2022
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08892	5822 SOUTH VERMONT AVENUE	LOS ANGELES	CA	90044	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08898	7300 S ALAMEDA ST	WALNUT PARK	CA	90255	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09122	700 S. GAFFEY ST.	SAN PEDRO	CA	90731	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09123	3800 MARTIN LUTHER KING JR. BOULEVARD	LYNWOOD	CA	90262	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09475	4320 REDONDO BEACH BOULEVARD	TORRANCE	CA	90504	04/01/2020	04/05/2023
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09488	11851 ARTESIA BOULEVARD	ARTESIA	CA	90701	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09489	13303 EAST SOUTH STREET	CERRITOS	CA	90703	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09495	220 EAST COMPTON BOULEVARD	COMPTON	CA	90220	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09501	2655 SANTA ANA STREET	SOUTH GATE	CA	90280	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09504	8008 FIRESTONE BOULEVARD	DOWNEY	CA	90241	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09505	4400 EAST LOS COYOTES DIAGONAL	LONG BEACH	CA	90815	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09507	650 EAST EL SEGUNDO BOULEVARD	LOS ANGELES	CA	90059	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09531	4501 WEST SLAUSON AVENUE	LOS ANGELES	CA	90043	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09543	2001 PACIFIC COAST HIGHWAY	LOMITA	CA	90717	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09551	12490 SEAL BEACH BOULEVARD	SEAL BEACH	CA	90740	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09557	1250 E.PACIFIC COAST HIGHWAY	LONG BEACH	CA	90806	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09564	15700 SOUTH WESTERN AVENUE	GARDENA	CA	90247	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09566	596 LONG BEACH BOULEVARD	LONG BEACH	CA	90802	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09571	950 NORTH WESTERN AVENUE	SAN PEDRO	CA	90732	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09572	5117 LAKEWOOD BOULEVARD	LAKEWOOD	CA	90712	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09578	3120 W. IMPERIAL HWY.	INGLEWOOD	CA	90303	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09579	4570 ATLANTIC AVENUE	LONG BEACH	CA	90807	04/01/2020	07/20/2023
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09584	4345 WEST CENTURY BOULEVARD	INGLEWOOD	CA	90304	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09589	12221 CARSON STREET	HAWAIIAN GARDENS	CA	90716	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09590	6000 ATLANTIC AVENUE	LONG BEACH	CA	90805	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09594	901 S. CENTRAL AVENUE	COMPTON	CA	90220	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09596	5960 PACIFIC BOULEVARD	HUNTINGTON PARK	CA	90255	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09696	10048 MILLS AVE.	WHITTIER	CA	90604	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09738	11735 WHITTIER BOULEVARD	WHITTIER	CA	90601	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09740	15210 ROSECRANS AVENUE	LA MIRADA	CA	90638	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09784	1030 COLORADO BLVD.	EAGLE ROCK	CA	90041	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09852	11426 WASHINGTON BLVD.	WHITTIER	CA	90606	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09857	800 W. WHITTIER BLVD.	MONTEBELLO	CA	90640	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY #10008	6265 EAST 2ND ST.	LONG BEACH	CA	90803	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY # 10022	1303 SEPULVEDA BLVD.	TORRANCE	CA	90501	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	CVS/PHARMACY #10292	4030 SOUTH WESTERN AVE.	LOS ANGELES	CA	90062	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16748	141 LAKEWOOD CENTER MALL	LAKEWOOD	CA	90712	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16756	200 W ORANGETHORPE AVE	FULLERTON	CA	92832	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16761	12051 IMPERIAL HWY	NORWALK	CA	90650	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 17349	1621 S ALAMEDA ST	COMPTON	CA	90220	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 17354	2700 W 120TH ST	HAWTHORNE	CA	90250	04/01/2020
CHC28991-00	GARFIELD BEACH CVS, L.L.C.	CVS/PHARMACY # 17730	2222 E. LINCOLN AVE.	ANAHEIM	CA	92806	04/01/2020	02/22/2024
CHC28991-00	LA DRUGS INC	DBA ATLANTIC DRUGS	4233 ATLANTIC AVE	LONG BEACH	CA	90807	01/01/2019
CHC28991-00	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03931	650 N BELLFLOWER BLVD	LONG BEACH	CA	90814	04/01/2020	02/05/2020
CHC28991-00	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 06582	255 MAIN STREET	VENICE	CA	90291	04/01/2020	02/05/2020
CHC28991-00	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09144	7021 HOLLYWOOD BLVD	LOS ANGELES	CA	90028	04/01/2020	02/05/2020
CHC28991-00	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09373	16922 BOLSA CHICA STREET	HUNTINGTON BEACH	CA	92649	04/01/2020	02/05/2020
CHC28991-00	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09544	1880 S PACIFIC COAST HWY	REDONDO BEACH	CA	90277	04/01/2020	02/05/2020
CHC28991-00	THRIFTY PAYLESS, INC.	RITE AID #6313	107 SOUTH LONG BEACH BLVD	COMPTON	CA	90221	04/01/2020	05/31/2025

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Billing Address	Update	Recertification	The R.O.A.D.S. Foundation, Inc. 121 S. Long Beach Blvd. Compton, CA 90221	The ROADS Foundation 121 S. Long Beach Blvd. Compton, CA 90221	2/23/2025 1:46 PM
Details	Last Recertification Date	Update	Recertification		2/23/2025 1:46:51 PM	2/23/2025 1:46 PM
Details	Entity Name	Update	Recertification	THE R.O.A.D.S. FOUNDATION, INC.	The ROADS Foundation	2/23/2025 1:46 PM
Contacts	Authorizing Official	Update	AO Change Request	Yoseloff, Lee D. Chief Executive Officer The R.O.A.D.S. Foundation, Inc. 3106275800	Arevian, Shaunt Chief Executive Officer The R.O.A.D.S. Foundation, Inc. 3106275800-260	2/19/2025 7:48 AM
Details	State	Update		Approved	Active	7/1/2024 12:01 AM
Contacts	Signed By	Insert	New Registration		Yoseloff, Lee D. Chief Executive Officer The R.O.A.D.S. Foundation, Inc. 3106275800	5/21/2024 6:46 AM
Details	340B ID	Update	New Registration		CHC28991-06	5/21/2024 6:46 AM
Dates	Participating Approval Date	Update	New Registration		5/21/2024 6:46:36 AM	5/21/2024 6:46 AM
Details	State	Update	New Registration	Pending	Approved	5/21/2024 6:46 AM
Dates	Signed By Date	Update	New Registration		4/2/2024 10:44:49 AM	5/21/2024 6:46 AM
Dates	Start Date	Update	New Registration		7/1/2024 12:00:00 AM	5/21/2024 6:46 AM
Addresses	Main Address	Insert	New Registration		3737 Martin Luther King Jr Blvd, Ste 402 Lynwood, CA 90262-3533	4/2/2024 10:44 AM
Addresses	Billing Address	Insert	New Registration		The R.O.A.D.S. Foundation, Inc. 121 S. Long Beach Blvd. Compton, CA 90221	4/2/2024 10:44 AM
Contacts	Authorizing Official	Insert	New Registration		Yoseloff, Lee D. Chief Executive Officer The R.O.A.D.S. Foundation, Inc. 3106275800	4/2/2024 10:44 AM
Contacts	Primary Contact	Insert	New Registration		Soriano, Rose VP Administration The R.O.A.D.S. Foundation, Inc. 3106275860	4/2/2024 10:44 AM
Details	Assistance Received From Date	Insert	New Registration			4/2/2024 10:44 AM
Details	Assistance Received To Date	Insert	New Registration			4/2/2024 10:44 AM
Details	Last Recertification Date	Insert	New Registration			4/2/2024 10:44 AM
Details	Grant Number	Insert	New Registration		H80CS28991	4/2/2024 10:44 AM
Details	340B ID	Insert	New Registration			4/2/2024 10:44 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/2/2024 10:44 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/2/2024 10:44 AM
Details	Medicare Provider Number	Insert	New Registration			4/2/2024 10:44 AM
Details	Entity Name	Insert	New Registration		THE R.O.A.D.S. FOUNDATION, INC.	4/2/2024 10:44 AM
Details	NOFO Number	Insert	New Registration			4/2/2024 10:44 AM
Details	Program Code	Insert	New Registration		CH	4/2/2024 10:44 AM
Details	Entity Subname	Insert	New Registration		ROADS Community Clinic - Lynwood	4/2/2024 10:44 AM
Dates	Participating Approval Date	Insert	New Registration			4/2/2024 10:44 AM
Details	State	Insert	New Registration		Pending	4/2/2024 10:44 AM
Dates	Registration Date	Insert	New Registration		4/2/2024 10:44:47 AM	4/2/2024 10:44 AM
Dates	Signed By Date	Insert	New Registration			4/2/2024 10:44 AM
Dates	Start Date	Insert	New Registration			4/2/2024 10:44 AM
Terminations	Termination Comments	Insert	New Registration			4/2/2024 10:44 AM
Terminations	Termination Date	Insert	New Registration			4/2/2024 10:44 AM
Terminations	Termination Effective Date	Insert	New Registration			4/2/2024 10:44 AM
Terminations	Termination Reason	Insert	New Registration			4/2/2024 10:44 AM

340B Drug Pricing Program Database