340B Drug Pricing Program Database


CHC26803-07 NEIGHBORHOOD MEDICAL CENTER INC. (Active) - information as of 4/30/2025 12:00:49 AM

Main Details
NEIGHBORHOOD MEDICAL CENTER INC.
Neighborhood Medical Center South Monroe
HRSA-Funded Health Center
BPS-H80-033766
CHC26803-07
H80CS26803


Additional Details
Active
4/5/2024
7/1/2024
4/5/2024
3/7/2025

Contacts

Neighborhood Medical Center, Inc.
Jeanne S Freeman, CEO
(850) 577-1558

Neighborhood Medical Center
Otis W Kirksey, Director of Pharmacy Services
(850) 513-3267

Addresses

2613 S Monroe St
Tallahassee, FL 32301-6308

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
FL112813302,1128133031174239784
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC26803-00ActiveBPS-H80-013705Neighborhood Medical Center Inc.Neighborhood Medical Center Lincoln Center438 W BREVARD ST TALLAHASSEEFL
CHC26803-01ActiveBPS-H80-013710Neighborhood Medical Center Inc.Neighborhood Medical Center Smith Williams Center2295 PASCO ST TALLAHASSEEFL
CHC26803-02ActiveBPS-H80-013708Neighborhood Medical Center Inc.Neighborhood Medical Center C.V. Butler Building604 E 5TH AVE HAVANAFL
CHC26803-03ActiveBPS-H80-013707NEIGHBORHOOD MEDICAL CENTER INC.Neighborhood Medical Center Havana Middle School1210 KEMP RD HAVANAFL
CHC26803-04ActiveBPS-H80-015440NEIGHBORHOOD MEDICAL CENTER INC.NMC Mobile Unit872 W ORANGE AVE TALLAHASSEEFL
CHC26803-05TerminatedBPS-H80-015444NEIGHBORHOOD MEDICAL CENTER INC.NMC Orange Avenue Site872 W ORANGE AVE TALLAHASSEEFL
CHC26803-06ActiveBPS-H80-021570Neighborhood Medical Center Inc.Neighborhood Medical Center, Inc. at the Milicent Holifield Health Academy3013 Jim Lee Road TallahasseeFL
CHC26803-07ActiveBPS-H80-033766NEIGHBORHOOD MEDICAL CENTER INC.Neighborhood Medical Center South Monroe2613 S Monroe St TallahasseeFL
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC26803-00CURANT HEALTH FLORIDA, LLC11001 ROOSEVELT BLVD STE 1400
ST PETERSBURGFL33716-233810/01/2018  
CHC26803-00CURANT HEALTH GEORGIA LLCCURANT HEALTH 200 TECHNOLOGY CT SE BLDG 200
SUITE B 		SMYRNAGA30082-525010/01/2018  
CHC26803-00ECONOMY DRUG STORE319 N MACOMB ST
TALLAHASSEEFL32301-101707/01/2014 04/14/2020
CHC26803-00FLORIDA A & M UNIVERSITYFAMU PHARMACY 438 W BREVARD ST
FAMU PHARMACY 		TALLAHASSEEFL3230107/01/2014  
CHC26803-00FLORIDA A&M UNIVERSITYFAMU HEALTH DEPT PHARAMCY 872 W ORANGE AVE
TALLAHASSEEFL3231007/01/2014  
CHC26803-00HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00633 3090 S MONROE ST
TALLAHASSEEFL3230110/01/2019  
CHC26803-00HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00710 1708 N MONROE ST
TALLAHASSEEFL3230310/01/2019  
CHC26803-00HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 01256 1300 APALACHEE PKWY
TALLAHASSEEFL3230110/01/2019  
CHC26803-00HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03624 1208 W. JEFFERSON ST.
QUINCYFL3235110/01/2019  
CHC26803-00HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03910 3479 THOMASVILLE RD
TALLAHASSEEFL3230910/01/2019  
CHC26803-00HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04024 5466 THOMASVILLE RD N
TALLAHASSEEFL3231210/01/2019  
CHC26803-00HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04469 1819 W TENNESSEE ST
TALLAHASSEEFL3230410/01/2019  
CHC26803-00HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04478 3831 N MONROE ST
TALLAHASSEEFL3230310/01/2019  
CHC26803-00HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04639 5670 N MONROE ST
TALLAHASSEEFL3230310/01/2019  
CHC26803-00HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05025 1875 CAPITAL CIR NE
TALLAHASSEEFL3230810/01/2019  
CHC26803-00HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05069 2668 CRAWFORDVILLE HWY
CRAWFORDVILLEFL3232710/01/2019  
CHC26803-00HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 07895 3035 APALACHEE PKWY.
TALLAHASSEEFL3230110/01/2019  
CHC26803-00HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 07958 3644 COOLIDGE COURT
TALLAHASSEEFL3231110/01/2019  
CHC26803-00HOLIDAY CVS, L.L.C.DBA CVS/PHARMACY #10482 822 WEST PENSACOLA STREET
TALLAHASSEEFL32304-803610/01/2019  
CHC26803-00HOLIDAY CVS, L.L.C.CVS PHARMACY # 16288 2120 APALACHEE PKWY
TALLAHASSEEFL3230110/01/2019  
CHC26803-00HOLIDAY CVS, L.L.C.CVS PHARMACY # 17089 3700 BRADFORDVILLE RD
TALLAHASSEEFL3230910/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00633 3090 S MONROE ST
TALLAHASSEEFL3230110/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00710 1708 N MONROE ST
TALLAHASSEEFL3230310/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 01256 1300 APALACHEE PKWY
TALLAHASSEEFL3230110/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03624 1208 W. JEFFERSON ST.
QUINCYFL3235110/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03910 3479 THOMASVILLE RD
TALLAHASSEEFL3230910/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04024 5466 THOMASVILLE RD N
TALLAHASSEEFL3231210/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04469 1819 W TENNESSEE ST
TALLAHASSEEFL3230410/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04478 3831 N MONROE ST
TALLAHASSEEFL3230310/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04639 5670 N MONROE ST
TALLAHASSEEFL3230310/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05025 1875 CAPITAL CIR NE
TALLAHASSEEFL3230810/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05069 2668 CRAWFORDVILLE HWY
CRAWFORDVILLEFL3232710/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 07895 3035 APALACHEE PKWY.
TALLAHASSEEFL3230110/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 07958 3644 COOLIDGE COURT
TALLAHASSEEFL3231110/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.DBA CVS/PHARMACY #10482 822 WEST PENSACOLA STREET
TALLAHASSEEFL32304-803610/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.CVS PHARMACY # 16288 2120 APALACHEE PKWY
TALLAHASSEEFL3230110/01/2019  
CHC26803-01HOLIDAY CVS, L.L.C.CVS PHARMACY # 17089 3700 BRADFORDVILLE RD
TALLAHASSEEFL3230910/01/2019  
CHC26803-02HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00633 3090 S MONROE ST
TALLAHASSEEFL3230110/01/2019  
CHC26803-02HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00710 1708 N MONROE ST
TALLAHASSEEFL3230310/01/2019  
CHC26803-02HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 01256 1300 APALACHEE PKWY
TALLAHASSEEFL3230110/01/2019  
CHC26803-00PHARMACY INVESTMENT COORDINATORS, INC.D/B/A BUY RITE DRUGS #6 704 S US HIGHWAY 27
PIC INC 		HAVANAFL3233307/01/2014 04/14/2020
CHC26803-00PUBLIX SUPER MARKETSPUBLIX PHARMACY #0610 5032 CAPITAL CIRCLE SW, SUITE 1
TALLAHASSEEFL3230504/01/2019  
CHC26803-01PUBLIX SUPER MARKETSPUBLIX PHARMACY #0610 5032 CAPITAL CIRCLE SW, SUITE 1
TALLAHASSEEFL3230504/01/2019  
CHC26803-00PUBLIX SUPER MARKETSPUBLIX PHARMACY #0887 3551 BLAIRSTONE RD
TALLAHASSEEFL3230104/01/2019  
CHC26803-00PUBLIX SUPER MARKETS INCPUBLIX PHARMACY #0782 800 OCALA ROAD
TALLAHASSEEFL3230404/01/2019  
CHC26803-00PUBLIX SUPER MARKETS, INC.PUBLIX CENTRAL PHARMACY #3201 2424 ORLANDO CENTRAL PARKWAY
ORLANDOFL3280904/01/2019  
CHC26803-00PUBLIX SUPER MARKETS, INC.PUBLIX PHARMACY #3213 1950 SAND LAKE RD, BLDG #5
ORLANDOFL3280904/01/2019  
CHC26803-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2018  
CHC26803-00WAL-MART PHARMACY 10-04881940 PAT THOMAS PARKWAY
QUINCYFL3235110/01/2018 10/22/2022
CHC26803-00WAL-MART PHARMACY 10-14084400 W. TENNESSEE
TALLAHASSEEFL3230410/01/2018  
CHC26803-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2018  
CHC26803-00WALGREEN CO.DBA: WALGREENS # 10147 1217 W JEFFERSON ST
QUINCYFL32351-212504/01/2015  
CHC26803-00WALGREEN CO.DBA: WALGREENS # 02074 1202 N MAGNOLIA DR
TALLAHASSEEFL32308-463404/01/2015  
CHC26803-00WALGREEN CO.DBA: WALGREENS # 04311 3531 THOMASVILLE ROAD
TALLAHASSEEFL3230904/01/2015  
CHC26803-00WALGREEN CO.DBA: WALGREENS #10717 140 CAPITAL CIRCLE SW
TALLAHASSEEFL3230404/01/2015  
CHC26803-00WALGREEN CO.DBA: WALGREENS # 04091 2009 W. TENNESSEE STREET
TALLAHASSEEFL3230404/01/2015  
CHC26803-00WALGREEN CO.DBA: WALGREENS # 03374 100 E MAGNOLIA DR
TALLAHASSEEFL3230104/01/2015 10/23/2017
CHC26803-00WALGREEN CO.DBA: WALGREENS # 11537 414 S. MAGNOLIA DRIVE
TALLAHASSEEFL3230110/01/2017  
CHC26803-00Walgreens #21395Walgreens Central Fill #21395 5710 Young Pine Rd
OrlandoFL3282901/01/2023  
CHC26803-01Walgreens #21395Walgreens Central Fill #21395 5710 Young Pine Rd
OrlandoFL3282901/01/2023  
CHC26803-00WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528404/01/2015 06/26/2015
CHC26803-00WALGREENS MAIL SERVICE, INC.  8337 S PARK CIRCLE
ORLANDOFL32819-904904/01/2015 06/26/2015
CHC26803-00WINN DIXIE STORE #1841632 W. JEFFERSON STREET
QUINCYFL3235107/01/2016 04/14/2020
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification 3/7/2025 10:54:34 AM3/7/2025 10:54 AM
DetailsStateUpdate ApprovedActive7/1/2024 12:01 AM
ContactsSigned ByInsertNew Registration Freeman, Jeanne S CEO Neighborhood Medical Center, Inc. 85057715584/5/2024 2:39 PM
Details340B IDUpdateNew Registration CHC26803-074/5/2024 2:39 PM
DatesParticipating Approval DateUpdateNew Registration 4/5/2024 2:39:37 PM4/5/2024 2:39 PM
DetailsStateUpdateNew RegistrationPendingApproved4/5/2024 2:39 PM
DatesSigned By DateUpdateNew Registration 4/5/2024 10:42:52 AM4/5/2024 2:39 PM
DatesStart DateUpdateNew Registration 7/1/2024 12:00:00 AM4/5/2024 2:39 PM
AddressesMain AddressInsertNew Registration  2613 S Monroe St Tallahassee, FL 32301-63084/5/2024 10:42 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False4/5/2024 10:42 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 1128133024/5/2024 10:42 AM
Medicaid BillingMedicaid: StateInsertNew Registration FL4/5/2024 10:42 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False4/5/2024 10:42 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 1128133034/5/2024 10:42 AM
Medicaid BillingMedicaid: StateInsertNew Registration FL4/5/2024 10:42 AM
Medicaid BillingNPI: NumberInsertNew Registration 11742397844/5/2024 10:42 AM
Medicaid BillingNPI: StateInsertNew Registration FL4/5/2024 10:42 AM
ContactsAuthorizing OfficialInsertNew Registration Freeman, Jeanne S CEO Neighborhood Medical Center, Inc. 85057715584/5/2024 10:42 AM
ContactsPrimary ContactInsertNew Registration Kirksey, Otis W Director of Pharmacy Services Neighborhood Medical Center 85051332674/5/2024 10:42 AM
DetailsAssistance Received From DateInsertNew Registration  4/5/2024 10:42 AM
DetailsAssistance Received To DateInsertNew Registration  4/5/2024 10:42 AM
DetailsLast Recertification DateInsertNew Registration  4/5/2024 10:42 AM
DetailsGrant NumberInsertNew Registration H80CS268034/5/2024 10:42 AM
Details340B IDInsertNew Registration  4/5/2024 10:42 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  4/5/2024 10:42 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  4/5/2024 10:42 AM
DetailsMedicare Provider NumberInsertNew Registration  4/5/2024 10:42 AM
DetailsEntity NameInsertNew Registration NEIGHBORHOOD MEDICAL CENTER INC.4/5/2024 10:42 AM
DetailsNOFO NumberInsertNew Registration  4/5/2024 10:42 AM
DetailsProgram CodeInsertNew Registration CH4/5/2024 10:42 AM
DetailsEntity SubnameInsertNew Registration Neighborhood Medical Center South Monroe4/5/2024 10:42 AM
DatesParticipating Approval DateInsertNew Registration  4/5/2024 10:42 AM
DetailsStateInsertNew Registration Pending4/5/2024 10:42 AM
DatesRegistration DateInsertNew Registration 4/5/2024 10:42:50 AM4/5/2024 10:42 AM
DatesSigned By DateInsertNew Registration  4/5/2024 10:42 AM
DatesStart DateInsertNew Registration  4/5/2024 10:42 AM
TerminationsTermination CommentsInsertNew Registration  4/5/2024 10:42 AM
TerminationsTermination DateInsertNew Registration  4/5/2024 10:42 AM
TerminationsTermination Effective DateInsertNew Registration  4/5/2024 10:42 AM
TerminationsTermination ReasonInsertNew Registration  4/5/2024 10:42 AM