340B Drug Pricing Program Database


CH09321AB CAMARENA HEALTH (Active) - information as of 5/6/2025 11:01:29 PM

Main Details
CAMARENA HEALTH
Camarena Health- Chowchilla North
HRSA-Funded Health Center
BPS-H80-038163
CH09321AB
H80CS00143


Additional Details
Active
4/11/2024
7/1/2024
5/30/2024
2/13/2025

Contacts

Camarena Health
Paulo A. Soares, CEO
(559) 664-4089

Camarena Health
Christine Nicole Howland, COO
(559) 664-4142

Addresses

285 Hospital Dr
Chowchilla, CA 93610-2041

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

No
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH093210TerminatedBPS-H80-002336Camarena HealthDMC WOMEN'S CARE HEALTH CTR201 S B St MaderaCA
CH09321AActiveBPS-H80-000779Camarena HealthDMC Family Care Health Center344 E 6th St MaderaCA
CH09321AAActiveBPS-H80-037292Camarena HealthCamarena Health - East Almond Avenue1050 E Almond Ave MaderaCA
CH09321ABActiveBPS-H80-038163CAMARENA HEALTHCamarena Health- Chowchilla North285 Hospital Dr ChowchillaCA
CH09321ACActiveBPS-H80-038869CAMARENA HEALTHCamarena Health- SAMC Urgent Care1245 E Herndon Ave FresnoCA
CH09321BActiveBPS-H80-027880Camarena HealthCHOWCHILLA COMMUNITY HLTH CTR300 Prosperity Boulevard ChowchillaCA
CH09321CActiveBPS-H80-011013Camarena HealthAlmond Site505 E. Almond Ave STE 101 MaderaCA
CH09321DActiveBPS-H80-012042Camarena HealthOakhurst49169 Road 426 OakhurstCA
CH09321EActiveBPS-H80-011378Camarena HealthA Street124 S. A Street MaderaCA
CH09321FActiveBPS-H80-015625CAMARENA HEALTHCamarena Health -- Country Club Drive1130 COUNTRY CLUB DR STE E MaderaCA
CH09321GActiveBPS-H80-018528CAMARENA HEALTHAlmond Urgent Care720 E Almond Avenue MaderaCA
CH09321HActiveBPS-H80-018600Camarena HealthOakhurst Dental49185 Road 426 OakhurstCA
CH09321JTerminatedBPS-H80-019561Camarena HealthAlmond Women&s Services363 E. Almond Avenue, Suite 101 MaderaCA
CH09321KActiveBPS-H80-018332Camarena HealthMadera South High School: School-Based Health Center (SBHC)705 W Pecan Ave MaderaCA
CH09321LActiveBPS-H80-021701Camarena HealthCamarena Health - Coarsegold35324 Highway 41 Ste A CoarsegoldCA
CH09321MActiveBPS-H80-022083Camarena HealthCamarena Health--Yosemite Avenue441 E Yosemite Ave MaderaCA
CH09321NActiveBPS-H80-027617Camarena HealthCamarena Health--Cleveland Avenue2339 W Cleveland Ave STE 103 MaderaCA
CH09321PActiveBPS-H80-028254Camarena HealthCamarena Health Oakhurst Urgent Care49165 Road 426 OakhurstCA
CH09321QActiveBPS-H80-028253Camarena HealthCamarena Health Country Club Urgent Care1159 Country Club Dr MaderaCA
CH09321RActiveBPS-H80-029883Camarena HealthCamarena Health--I Street509 S I St Ste C MaderaCA
CH09321SActiveBPS-H80-030534Camarena HealthCamarena Health – Millbrook Health Center7202 N Millbrook Ave Ste 202 FresnoCA
CH09321TActiveBPS-H80-031025Camarena HealthCamarena Health – Matilda Torres High School, School Based Health Center16645 Road 26 MaderaCA
CH09321UActiveBPS-H80-031027Camarena HealthCamarena Health Mobile Medical and Dental Center16911 Hill Dr MaderaCA
CH09321VActiveBPS-H80-031919Camarena HealthCamarena Health Almond Campus Medical Care740 E Almond Ave MaderaCA
CH09321WActiveBPS-H80-032055Camarena HealthCamarena Health Mariposa Mobile Unit5082 Old Hwy N MariposaCA
CH09321XActiveBPS-H80-031680Camarena HealthCamarena Health Almond Campus Dental Care750 E Almond Ave MaderaCA
CH09321YActiveBPS-H80-031773Camarena HealthCamarena Health Almond Urgent Care760 E Almond Ave MaderaCA
CH09321ZActiveBPS-H80-036114Camarena HealthCamarena Health - Tesoro Viejo4148 Town Center Blvd MaderaCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH09321AACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/01/2021  
CH093210ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/01/2021 01/01/2024
CH09321AACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/01/2021  
CH093210ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/01/2021 01/01/2024
CH09321AACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/01/2021  
CH093210ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/01/2021 01/01/2024
CH09321AACCREDO HEALTH GROUP INC2410 WARDLOW RD STE 101
CORONACA9287807/01/2025  
CH093210ACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/01/2021 01/01/2024
CH093210ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/01/2021 01/01/2024
CH09321AACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/01/2021  
CH09321AACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/01/2021  
CH093210ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/01/2021 01/01/2024
CH09321AACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/01/2021  
CH093210ACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607507/01/2022 01/01/2024
CH09321AACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607507/01/2022  
CH09321AADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280901/01/2024  
CH09321AAMAZON PHARMACY #0014500 S PLEASANT VALLEY RD STE 201
AUSTINTX78744-291107/01/2023  
CH09321AAMAZON PHARMACY #0063620 PLAINFIELD RD
INDIANAPOLISIN46231-700307/01/2023  
CH09321AARDON HEALTH, LLC11835 NE GLENN WIDING DR
PORTLANDOR97220-905710/01/2021  
CH093210ARDON HEALTH, LLC11835 NE GLENN WIDING DR
PORTLANDOR97220-905710/01/2021 01/01/2024
CH09321AAZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503404/01/2019  
CH09321RAZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503401/01/2024  
CH09321ABIOLOGICS, INC.BIOLOGICS BY MCKESSON 11800 WESTON PARKWAY
CARYNC2751304/01/2022  
CH093210BIOLOGICS, INC.BIOLOGICS BY MCKESSON 11800 WESTON PARKWAY
CARYNC2751304/01/2022 01/01/2024
CH09321ABIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526107/01/2024  
CH09321ABIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771307/01/2024  
CH09321ABIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267007/01/2024  
CH09321ABIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522607/01/2024  
CH09321ABIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620307/01/2024  
CH09321ABIRDI, INC8060 S KYRENE RD
TEMPEAZ8528401/01/2025  
CH09321ABIRDI, INC.43811 PLYMOUTH OAKS BLVD
PLYMOUTHMI4817001/01/2025  
CH09321ABIRDI, INC.7835 FREEDOM AVE NW
NORTH CANTONOH4472001/01/2025  
CH09321ACAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2024  
CH09321ACAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2024  
CH09321ACAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/01/2024  
CH09321ACAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2024  
CH09321ACAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2024  
CH09321ACAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2024  
CH09321ACAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2024  
CH09321ACAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813301/01/2024  
CH09321ACAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237401/01/2024  
CH09321ACAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/01/2024  
CH093210CENTERWELL PHARMACY, INC.9843 WINDISCH RD
WEST CHESTEROH4506910/01/2021 01/01/2024
CH09321ACENTERWELL PHARMACY, INC.10737 MARKS WAY
MIRAMARFL3302510/01/2021 07/31/2023
CH093210CENTERWELL PHARMACY, INC.10737 MARKS WAY
MIRAMARFL3302510/01/2021 01/01/2024
CH09321ACENTERWELL PHARMACY, INC.9843 WINDISCH RD
WEST CHESTEROH4506910/01/2021  
CH09321UCENTERWELL PHARMACY, INC.9843 WINDISCH RD
WEST CHESTEROH4506901/01/2024  
CH09321ACENTERWELL PHARMACY, INC.11010 FLORIDA CROWN DRIVE, SUITE 200
ORLANDOFL3282404/01/2025  
CH09321ACLEVELAND PHARMACY INCDBA CLEVELAND PHARMACY 483 E ALMOND AVE STE 102
MADERACA9363710/01/2022  
CH093210CLEVELAND PHARMACY INCDBA CLEVELAND PHARMACY 483 E ALMOND AVE STE 102
MADERACA9363710/01/2022 01/01/2024
CH09321MCLEVELAND PHARMACY INCDBA CLEVELAND PHARMACY 483 E ALMOND AVE STE 102
MADERACA9363701/01/2024  
CH09321ACLINIC PHARMACIES III, INCDBA CAMARENA PHARMACY 344 E 6TH ST STE 101
MADERACA9363810/01/2015 04/01/2019
CH09321ACLINIC PHARMACIES III, LLC DBACAMARENA PHARMACY 344 E 6TH STREET, SUITE 101
MADERACA9363801/15/2019  
CH09321ACLINIC PHARMACIES III, LLC DBACAMARENA PHARMACY 344 E 6TH STREET, SUITE 101
MADERACA9363804/01/2019 04/01/2019
CH093210COMMUNITY MEDICAL CENTER PHARMACY610 GATEWAY CENTER WAY STE A - E
SAN DIEGOCA92102-454807/01/2018 07/01/2021
CH09321ACOMMUNITY MEDICAL CENTER PHARMACY610 GATEWAY CENTER WAY STE A - E
SAN DIEGOCA92102-454810/01/2021 04/06/2023
CH09321ACVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/01/2024  
CH09321ACVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/01/2024  
CH09321ACVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2024  
CH093210CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503304/01/2020 01/01/2024
CH09321ACYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503310/01/2021  
CH09321ADIPLOMAT SPECIALTY INFUSION GROUP1819 ASTON AVE. SUITE 104
CARLSBADCA92008-733810/01/2021 01/01/2023
CH093210DIPLOMAT SPECIALTY INFUSION GROUP1819 ASTON AVE. SUITE 104
CARLSBADCA92008-733810/01/2021 07/31/2022
CH09321ADIPLOMAT SPECIALTY PHARMACY4100 S SAGINAW ST STE D
FLINTMI48507-268310/01/2021 01/01/2023
CH093210DIPLOMAT SPECIALTY PHARMACY4100 S SAGINAW ST STE D
FLINTMI48507-268310/01/2021 07/31/2022
CH09321ADIVVYMED, LLCDIVVYMED LLC DBA DIVVYDOSE 4300 44TH AVE
MOLINEIL6126501/01/2025  
CH09321ADOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K
GREENVILLESC29607-654107/01/2024  
CH09321AEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607507/01/2024  
CH09321AEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801607/01/2024  
CH09321WGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 06772 4987 N. FRESNO ST.
FRESNOCA9372601/01/2024  
CH09321HGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 05422 5180 E. KINGS CANYON ROAD
FRESNOCA9372701/01/2024  
CH09321AGARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17614 6655 NORTH RIVERSIDE DR
FRESNOCA9372201/01/2024  
CH09321AGARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16108 3173 E SHIELDS AVE
FRESNOCA9372601/01/2024  
CH09321AGARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10801 6720 N. FRESNO ST.
FRESNOCA9371001/01/2024  
CH09321AGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 06772 4987 N. FRESNO ST.
FRESNOCA9372601/01/2024  
CH09321AGARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16084 3150 W SHAW AVE
FRESNOCA9371101/01/2024  
CH09321AGARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16337 7600 N BLACKSTONE AVE
FRESNOCA9372001/01/2024  
CH09321AGENOA HEALTHCARE LLC1393 BAILEY DR STE 149
HANFORDCA9323007/01/2025  
CH09321AGENOA HEALTHCARE LLC2550 WEST CLINTON AVE STE 123
FRESNOCA9370507/01/2025  
CH09321ALONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 02423 1456 E YOSEMITE AVE
MADERACA9363804/01/2014 04/14/2017
CH09321ALONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09159 1109 COUNTRY CLUB DR
MADERACA9363804/01/2014  
CH09321ALONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09986 1400 HOWARD RD
MADERACA9363704/01/2014  
CH09321VLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09935 40044 HIGHWAY 49
OAKHURSTCA9364401/01/2024  
CH09321YLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09537 1325 W SHIELDS AVENUE
FRESNOCA9370501/01/2024  
CH09321JLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09846 6800 N MILBURN AVE
FRESNOCA9372201/01/2024 01/01/2024
CH09321XLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 07553 3011 E SHIELDS AVE
FRESNOCA9372601/01/2024  
CH09321ZLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09846 6800 N MILBURN AVE
FRESNOCA9372201/01/2024  
CH09321ALONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09537 1325 W SHIELDS AVENUE
FRESNOCA9370501/01/2024  
CH09321ALONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 07206 1970 YOSEMITE PARKWAY
MERCEDCA9534101/01/2024  
CH09321ALONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 07553 3011 E SHIELDS AVE
FRESNOCA9372601/01/2024  
CH09321ALONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09935 40044 HIGHWAY 49
OAKHURSTCA9364401/01/2024  
CH09321ALONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09971 4077 W CLINTON AVE
FRESNOCA9372201/01/2024  
CH09321ALONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09846 6800 N MILBURN AVE
FRESNOCA9372201/01/2024  
CH09321ALONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09391 1113 E CHAMPLAIN DR
FRESNOCA9372001/01/2024  
CH09321ALONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09149 6750 N CEDAR AVE
FRESNOCA9371001/01/2024  
CH093210M.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312607/01/2018 01/01/2024
CH09321AM.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312610/01/2021  
CH093210MADERA MEDICAL PHARMACYLBN- MEL PHARM INC 402 S. MADERA AVENUE
SUITE A
MADERACA9363705/24/2011 08/03/2020
CH09321AMADERA MEDICAL PHARMACYLBN- MEL PHARM INC 402 S. MADERA AVENUE
SUITE A
MADERACA9363704/01/2013 08/03/2020
CH09321CMADERA MEDICAL PHARMACYLBN- MEL PHARM INC 402 S. MADERA AVENUE
SUITE A
MADERACA9363707/01/2015 08/03/2020
CH09321FMADERA MEDICAL PHARMACYLBN- MEL PHARM INC 402 S. MADERA AVENUE
SUITE A
MADERACA9363701/01/2024  
CH093210MEL PHARM INCMADERA MEDICAL PHARMACY 402 S MADERA AVE STE A
MADERACA93637-320304/01/2020 01/01/2024
CH09321AMEL PHARM INCMADERA MEDICAL PHARMACY 402 S MADERA AVE STE A
MADERACA93637-320310/01/2021  
CH09321AOPTUM FRONTIER THERAPIES II, LLC6425 SANTA MARGARITA ST UNIT 110
LAS VEGASNV89118-191307/01/2025  
CH09321AOPTUM INFUSION SERVICES 209, INC.425 FRANKLIN GATEWAY SUITE 535
MARIETTAGA30067-773607/01/2025  
CH093210OPTUM INFUSION SERVICES 305, LLC15529 COLLEGE BLVD.
LENEXAKS66219-135110/01/2021 01/01/2024
CH09321AOPTUM INFUSION SERVICES 305, LLC15529 COLLEGE BLVD.
LENEXAKS66219-135110/01/2021  
CH09321AOPTUM INFUSION SERVICES 308, LLC485 N JUNIPER DR STE 2
CHANDLERAZ8522604/01/2023  
CH093210OPTUM INFUSION SERVICES 308, LLC485 N JUNIPER DR STE 2
CHANDLERAZ8522604/01/2023 01/01/2024
CH09321AOPTUM INFUSION SERVICES 308, LLC6547 S RACINE CIR STE 300
CENTENNIALCO8011107/01/2025  
CH093210OPTUM INFUSION SERVICES 401, LLC455 RESERVATION RD STE G
MARINACA93933-332810/01/2021 01/01/2023
CH09321AOPTUM INFUSION SERVICES 401, LLC4610 NORTHGATE BLVD. STE. 130
SACRAMENTOCA95834-115410/01/2021  
CH09321AOPTUM INFUSION SERVICES 401, LLC455 RESERVATION RD STE G
MARINACA93933-332810/01/2021 01/01/2023
CH093210OPTUM INFUSION SERVICES 401, LLC4610 NORTHGATE BLVD. STE. 130
SACRAMENTOCA95834-115410/01/2021 01/01/2024
CH093210OPTUM INFUSION SERVICES 403, LLC170 PROFESSIONAL CENTER DR STE C
ROHNERT PARKCA94928-216910/01/2021 01/01/2023
CH09321AOPTUM INFUSION SERVICES 403, LLC170 PROFESSIONAL CENTER DR STE C
ROHNERT PARKCA94928-216910/01/2021 01/01/2023
CH09321AOPTUM INFUSION SERVICES 550, LLC9045 E PIMA CENTER PKWY STE 1
SCOTTSDALEAZ85258-462110/01/2021 01/01/2023
CH093210OPTUM INFUSION SERVICES 550, LLC9045 E PIMA CENTER PKWY STE 1
SCOTTSDALEAZ85258-462110/01/2021 01/01/2023
CH09321AOPTUM INFUSION SERVICES 550, LLC1819 ASTON AVE STE 104
CARLSBADCA9200810/01/2022  
CH093210OPTUM INFUSION SERVICES 550, LLC1819 ASTON AVE STE 104
CARLSBADCA9200807/08/2022 01/01/2024
CH09321AOPTUM INFUSION SERVICES 550, LLC20 COMMERCE WAY SUITE 2
WOBURNMA0180107/01/2025  
CH09321AOPTUM PHARMACY 700, LLC19 CHAPIN RD BLDG D, STE D8
PINE BROOKNJ0705807/01/2025  
CH09321AOPTUM PHARMACY 701, LLC8131 W BOSTIAN RD STE A350
WOODINVILLEWA98072-502910/01/2021  
CH093210OPTUM PHARMACY 701, LLC8131 W BOSTIAN RD STE A350
WOODINVILLEWA98072-502910/01/2021 01/01/2024
CH09321AOPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850710/01/2022  
CH093210OPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850707/07/2022 01/01/2024
CH09321AOPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520401/01/2025  
CH09321AOPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302507/01/2025  
CH093210OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713010/01/2021 01/01/2024
CH09321AOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713010/01/2021  
CH09321SOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713001/01/2024  
CH093210OPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824910/01/2021 01/01/2024
CH09321AOPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824910/01/2021  
CH093210OPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729810/01/2021 01/01/2024
CH09321AOPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729810/01/2021  
CH09321AOPTUM PHARMACY 706, INC.30-30 47TH AVENUE SUITE 410
LONG ISLAND CITYNY1110107/01/2025  
CH093210OPTUM PHARMACY 707, INC4900 RIVERGRADE RD STE E110
IRWINDALECA91706-140110/01/2021 01/01/2024
CH09321AOPTUM PHARMACY 707, INC4900 RIVERGRADE RD STE E110
IRWINDALECA91706-140110/01/2021  
CH09321TOPTUM PHARMACY 707, INC4900 RIVERGRADE RD STE E110
IRWINDALECA91706-140101/01/2024  
CH09321AOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508507/01/2023  
CH09321AOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983810/01/2021  
CH093210OPTUMRX2858 LOKER AVE E STE 100
CARLSBADCA92010-660810/01/2021 09/28/2022
CH093210OPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983810/01/2021 01/01/2024
CH09321AOPTUMRX2858 LOKER AVE E STE 100
CARLSBADCA92010-660810/01/2021 09/28/2022
CH09321KOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983801/01/2024  
CH093210OVERLAKE PHARMACY, LLC4124 148TH AVE NE STE JA
REDMONDWA9805204/01/2020 01/01/2024
CH09321AOVERLAKE PHARMACY, LLC4124 148TH AVE NE STE JA
REDMONDWA9805210/01/2021  
CH093210PILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310107/01/2018 01/01/2024
CH09321APILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310110/01/2021  
CH093210PRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDOFL32819-999204/01/2020 01/01/2024
CH09321APRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDOFL32819-999210/01/2021  
CH09321APROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/01/2024  
CH09321APROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920301/01/2024  
CH09321APROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523301/01/2024  
CH09321ARAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103
NEWBURGHNY1255007/01/2024  
CH093210RALEY'S PHARMACY #34040041 HIGHWAY 49
OAKHURSTCA9364409/12/2012 01/01/2024
CH09321ARALEY'S PHARMACY #34040041 HIGHWAY 49
OAKHURSTCA9364409/26/2012  
CH09321ERALEY'S PHARMACY #34040041 HIGHWAY 49
OAKHURSTCA9364401/01/2024  
CH09321ARIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500207/01/2024  
CH09321ARX E-FILL SOLUTIONSCARDINAL HEALTH PHARMACY SERVICES, LLC 27680 AVENUE MENTRY STE 100
VALENCIACA9135510/01/2019  
CH09321ASANTA BARBARA SPECIALTY PHARMACY LLC4690 CARPINTERIA AVE STE B
CARPINTERIACA9301307/01/2024  
CH09321ASAVE MART PHARMACY #103  1225 E. ROBERTSON BLVD.
CHOWCHILLACA9361004/01/2013 09/15/2022
CH09321ASAVE MART PHARMACY #771504 HOWARD RD
MADERACA93637-512710/01/2017 09/15/2022
CH09321ASENDERRA RX PHARMACYSENDERRA RX PARTNERS, LLC 3712 E PLANO PKWY STE 200
PLANOTX7507410/01/2021  
CH093210SENDERRA RX PHARMACYSENDERRA RX PARTNERS, LLC 3712 E PLANO PKWY STE 200
PLANOTX7507410/01/2021 01/01/2024
CH09321ATD HAWJ CORPORATION DBA LOYALTY PHARMACY327 TRINITY AVE
CHOWCHILLACA9361004/01/2014 02/27/2019
CH09321BTD HAWJ CORPORATION DBA LOYALTY PHARMACY327 TRINITY AVE
CHOWCHILLACA9361004/01/2014 02/27/2019
CH09321ATHE VONS COMPANIES INCVONS PHARMACY #2409 40044 HIGHWAY 49
STE D
OAKHURSTCA9364407/01/2017  
CH09321DTHE VONS COMPANIES INCVONS PHARMACY #2409 40044 HIGHWAY 49
STE D
OAKHURSTCA9364401/01/2024  
CH093210THRIFTY PAYLESS, INC.RITE AID #6389 49060 ROAD 426
OAKHURSTCA9364401/01/2020 01/01/2024
CH093210THRIFTY PAYLESS, INC.RITE AID #5856 335 WEST OLIVE AVENUE
MADERACA9363701/01/2020 01/01/2024
CH093210THRIFTY PAYLESS, INC.RITE AID #5848 48 ROBERTSON BLVD
CHOWCHILLACA9361001/01/2020 01/01/2024
CH093210THRIFTY PAYLESS, INC.RITE AID #5863 6074 NORTH 1ST AVE.
FRESNOCA9371010/01/2020 02/04/2021
CH093210THRIFTY PAYLESS, INC.RITE AID #6378 8027 NORTH CEDAR AVENUE
FRESNOCA9372010/01/2020 02/04/2021
CH093210THRIFTY PAYLESS, INC.RITE AID #6476 2990 EAST NEES AVENUE
FRESNOCA9372010/01/2020 02/04/2021
CH093210THRIFTY PAYLESS, INC.RITE AID #6289 4593 NORTH CEDAR AVENUE
FRESNOCA9372610/01/2020 02/04/2021
CH09321ATHRIFTY PAYLESS, INC.RITE AID #5848 48 ROBERTSON BLVD
CHOWCHILLACA9361010/01/2021  
CH09321ATHRIFTY PAYLESS, INC.RITE AID #6389 49060 ROAD 426
OAKHURSTCA9364410/01/2021 12/13/2023
CH09321ATHRIFTY PAYLESS, INC.RITE AID #5856 335 WEST OLIVE AVENUE
MADERACA9363710/01/2021  
CH09321CTHRIFTY PAYLESS, INC.RITE AID #5848 48 ROBERTSON BLVD
CHOWCHILLACA9361001/01/2024  
CH09321GTHRIFTY PAYLESS, INC.RITE AID #5856 335 WEST OLIVE AVENUE
MADERACA9363701/01/2024  
CH09321BTHRIFTY PAYLESS, INC.RITE AID #6389 49060 ROAD 426
OAKHURSTCA9364401/01/2024  
CH093210TRUEPILL3121 DIABLO AVE
HAYWARDCA9454504/01/2020 01/01/2024
CH09321ATRUEPILL3121 DIABLO AVE
HAYWARDCA9454510/01/2021 12/18/2023
CH093210US BIOSERVICESUS BIOSERVICE CORPORATION 5025 PLANO PARKWAY
STE 100
CARROLLTONTX7501010/01/2021 09/30/2022
CH09321AUS BIOSERVICESUS BIOSERVICE CORPORATION 5025 PLANO PARKWAY
STE 100
CARROLLTONTX7501010/01/2021 09/30/2022
CH09321AUS BIOSERVICESPHARM PLUS ACQUISITION, INC. 5100 E HUNTER AVE
SUITE 101
ANAHEIMCA92807-204910/01/2021 09/30/2022
CH093210US BIOSERVICESPHARM PLUS ACQUISITION, INC. 5100 E HUNTER AVE
SUITE 101
ANAHEIMCA92807-204910/01/2021 09/30/2022
CH09321AWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738604/01/2017  
CH09321AWAL-MART PHARMACY 10-15831977 WEST CLEVELAND AVE
MADERACA9363704/01/2014  
CH09321LWAL-MART PHARMACY 10-15831977 WEST CLEVELAND AVE
MADERACA9363701/01/2024  
CH093210WAL-MART PHARMACY 10-29857065 NORTH INGRAM AVENUE
FRESNO (N)CA9365010/01/2020 01/01/2024
CH09321AWAL-MART PHARMACY 10-29857065 NORTH INGRAM AVENUE
FRESNO (N)CA9365010/01/2021  
CH093210WAL-MART PHARMACY 10-53152354 COMMERCE PARK DR.
ORLANDOFL3281901/01/2021 01/01/2024
CH09321AWAL-MART PHARMACY 10-53152354 COMMERCE PARK DR.
ORLANDOFL3281910/01/2021  
CH093210WAL-MART PHARMACY 10-53371185 HERNDON AVE
CLOVISCA9361110/01/2020 01/01/2024
CH09321AWAL-MART PHARMACY 10-53371185 HERNDON AVE
CLOVISCA9361110/01/2021  
CH093210WAL-MART PHARMACY 10-56346855 N WILLOW AVE
FRESNOCA9371010/01/2020 02/04/2021
CH09321AWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283704/01/2017  
CH093210WALGREEN CODBA: WALGREENS #11242 2020 W CLEVELAND AVE
MADERACA9363710/01/2014 01/01/2024
CH09321AWALGREEN CODBA: WALGREENS #11242 2020 W CLEVELAND AVE
MADERACA9363707/01/2015  
CH093210WALGREEN CODBA: WALGREENS #09702 5785 N FIRST ST
FRESNOCA93710-620310/01/2020 01/01/2024
CH09321AWALGREEN CODBA: WALGREENS #09702 5785 N FIRST ST
FRESNOCA93710-620310/01/2021  
CH09321QWALGREEN CODBA: WALGREENS #11242 2020 W CLEVELAND AVE
MADERACA9363701/01/2024  
CH093210WALGREEN CO.DBA: WALGREENS # 06453 1300 W YOSEMITE AVE
MADERACA9363710/01/2014 01/01/2024
CH09321AWALGREEN CO.DBA: WALGREENS # 06453 1300 W YOSEMITE AVE
MADERACA9363707/01/2015  
CH093210WALGREEN CO.DBA: WALGREENS # 05847 610 E NEES AVENUE
FRESNOCA9372010/01/2020 01/01/2024
CH093210WALGREEN CO.DBA: WALGREENS # 07266 8975 N CHESTNUT AVE
FRESNOCA9372010/01/2020 01/01/2024
CH093210WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #12761 41169 GOODWIN WAY STE 110
MADERACA9363610/01/2020 01/01/2024
CH093210WALGREEN CO.DBA: WALGREENS #11877 4771 W ASHLAN AVE
FRESNOCA9372201/01/2021 01/01/2024
CH09321AWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #12761 41169 GOODWIN WAY STE 110
MADERACA9363610/01/2021  
CH09321AWALGREEN CO.DBA: WALGREENS # 07266 8975 N CHESTNUT AVE
FRESNOCA9372010/01/2021  
CH09321AWALGREEN CO.DBA: WALGREENS # 05847 610 E NEES AVENUE
FRESNOCA9372010/01/2021  
CH09321AWALGREEN CO.DBA: WALGREENS #11877 4771 W ASHLAN AVE
FRESNOCA9372210/01/2021  
CH09321PWALGREEN CO.DBA: WALGREENS #11877 4771 W ASHLAN AVE
FRESNOCA9372201/01/2024  
CH09321NWALGREEN CO.DBA: WALGREENS # 06453 1300 W YOSEMITE AVE
MADERACA9363701/01/2024  
CH093210WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528410/01/2014 07/06/2015
CH093210WALGREENS MAIL SERVICE, INC.  8337 S PARK CIRCLE
ORLANDOFL32819-904910/01/2014 07/06/2015
CH093210WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503304/01/2020 01/01/2024
CH093210WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818804/01/2020 01/01/2024
CH093210WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527504/01/2020 01/01/2024
CH093210WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700804/01/2020 01/01/2023
CH09321AWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503310/01/2021  
CH09321AWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527510/01/2021  
CH09321AWALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700810/01/2021 09/28/2021
CH09321AWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818810/01/2021  
CH09321AWALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A
ROGERSAR7275607/01/2023  
CH093210WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A
ROGERSAR7275601/01/2024 01/01/2024
CH093210Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024 01/01/2024
CH09321AWalmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CH093210WESTERN PHARMACY GROUP LLCDBA COMMUNITY MEDICAL CENTER PHARMACY 610 GATEWAY CENTER WAY
SUITES A--E
SAN DIEGOCA9210207/01/2018 07/01/2021
CH09321AWESTERN PHARMACY GROUP LLCDBA COMMUNITY MEDICAL CENTER PHARMACY 610 GATEWAY CENTER WAY
SUITES A--E
SAN DIEGOCA9210210/01/2021 04/06/2023
CH093210YOSEMITE DRUG35300 HIGHWAY 41 STE 101
COARSEGOLDCA93614-871801/01/2020 12/02/2020
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification 2/13/2025 3:46:50 PM2/13/2025 3:46 PM
DetailsStateUpdate ApprovedActive7/1/2024 12:01 AM
ContactsSigned ByInsertNew Registration Soares, Paulo A. CEO Camarena Health 55966440895/30/2024 1:34 PM
Details340B IDUpdateNew Registration CH09321AB5/30/2024 1:34 PM
DatesParticipating Approval DateUpdateNew Registration 5/30/2024 1:34:15 PM5/30/2024 1:34 PM
DetailsStateUpdateNew RegistrationPendingApproved5/30/2024 1:34 PM
DatesSigned By DateUpdateNew Registration 4/11/2024 1:42:31 PM5/30/2024 1:34 PM
DatesStart DateUpdateNew Registration 7/1/2024 12:00:00 AM5/30/2024 1:34 PM
AddressesMain AddressInsertNew Registration  285 Hospital Dr Chowchilla, CA 93610-20414/11/2024 12:35 PM
ContactsAuthorizing OfficialInsertNew Registration Soares, Paulo A. CEO Camarena Health 55966440894/11/2024 12:35 PM
ContactsPrimary ContactInsertNew Registration Howland, Christine Nicole COO Camarena Health 55966441424/11/2024 12:35 PM
DetailsAssistance Received From DateInsertNew Registration  4/11/2024 12:35 PM
DetailsAssistance Received To DateInsertNew Registration  4/11/2024 12:35 PM
DetailsLast Recertification DateInsertNew Registration  4/11/2024 12:35 PM
DetailsGrant NumberInsertNew Registration H80CS001434/11/2024 12:35 PM
Details340B IDInsertNew Registration  4/11/2024 12:35 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  4/11/2024 12:35 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  4/11/2024 12:35 PM
DetailsMedicare Provider NumberInsertNew Registration  4/11/2024 12:35 PM
DetailsEntity NameInsertNew Registration CAMARENA HEALTH4/11/2024 12:35 PM
DetailsNOFO NumberInsertNew Registration  4/11/2024 12:35 PM
DetailsProgram CodeInsertNew Registration CH4/11/2024 12:35 PM
DetailsEntity SubnameInsertNew Registration Camarena Health- Chowchilla North4/11/2024 12:35 PM
DatesParticipating Approval DateInsertNew Registration  4/11/2024 12:35 PM
DetailsStateInsertNew Registration Pending4/11/2024 12:35 PM
DatesRegistration DateInsertNew Registration 4/11/2024 12:35:06 PM4/11/2024 12:35 PM
DatesSigned By DateInsertNew Registration  4/11/2024 12:35 PM
DatesStart DateInsertNew Registration  4/11/2024 12:35 PM
TerminationsTermination CommentsInsertNew Registration  4/11/2024 12:35 PM
TerminationsTermination DateInsertNew Registration  4/11/2024 12:35 PM
TerminationsTermination Effective DateInsertNew Registration  4/11/2024 12:35 PM
TerminationsTermination ReasonInsertNew Registration  4/11/2024 12:35 PM