Covered Entity Details

CH051070U OPEN DOOR HEALTH SERVICES, INC. (Active) - information as of 6/27/2025 12:24:15 AM

Main Details

Name

OPEN DOOR HEALTH SERVICES, INC.

Subdivision Name

Open Door Health Services Behavioral Health

Type

HRSA-Funded Health Center

Site ID

BPS-H80-028202

340B ID

CH051070U

Grant Number

H80CS00340

Additional Details

Current Program Status

Active

Registration Date

10/9/2024

Participating Start Date

1/1/2025

Participating Approval Date

10/11/2024

Last Recertification Date

2/14/2025

Contacts

Authorizing Official

Open Door Health Services
Bryan Ayars, CEO
(765) 747-2971

Primary Contact

Open Door Health Services
Connie Michelle Taylor, VP of Finance
(765) 286-7000 Ext: 4007

Addresses

Street Address

1804-1806 West Royale Dr
Muncie, IN 47304

Billing Address
Same as Street Address

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	Address Cont.	City	State
CH0510700	Active	BPS-H80-008926	OPEN DOOR HEALTH SERVICES, INC.	Open Door Health Services	333 S Madison Street		Muncie	IN
CH051070H	Active	BPS-H80-008926	OPEN DOOR HEALTH SERVICES, INC.	Open Door Health Services	333 S Madison St		Muncie	IN
CH051070J	Active	BPS-H80-027821	OPEN DOOR HEALTH SERVICES, INC.	URGENT CARE	1651 East 29th St		Muncie	IN
CH051070L	Active	BPS-H80-006944	OPEN DOOR HEALTH SERVICES, INC.	Delaware County Jail	100 W Washington St		Muncie	IN
CH051070M	Terminated	BPS-H80-006346	OPEN DOOR HEALTH SERVICES, INC.	Madison County Jail	720 Central Ave		Anderson	IN
CH051070N	Terminated	BPS-H80-006385	OPEN DOOR HEALTH SERVICES, INC.	Open Door Family Planning Clinic	2525 E 10th St		Anderson	IN
CH051070P	Terminated	BPS-H80-015465	OPEN DOOR HEALTH SERVICES, INC.	Open Door Health Services - Anderson II	1912 JACKSON ST		ANDERSON	IN
CH051070Q	Active	BPS-H80-017992	OPEN DOOR HEALTH SERVICES, INC.	Open Door Health Services - Anderson	2101 Jackson Street	Suite 8	ANDERSON	IN
CH051070R	Active	BPS-H80-013655	OPEN DOOR HEALTH SERVICES, INC.	Open Door Mobile School Health #1	333 S Madison St		Muncie	IN
CH051070S	Active	BPS-H80-031298	OPEN DOOR HEALTH SERVICES, INC.	Open Door Pediatrics and Family Medicine	2600 W White River Blvd.		Muncie	IN
CH051070T	Active	BPS-H80-033951	OPEN DOOR HEALTH SERVICES	Open Door School-Based Health	801 N Walnut St		Muncie	IN
CH051070U	Active	BPS-H80-028202	OPEN DOOR HEALTH SERVICES, INC.	Open Door Health Services Behavioral Health	1804-1806 West Royale Dr		Muncie	IN
CH051070V	Active	BPS-H80-038230	OPEN DOOR HEALTH SERVICES, INC.	Open Door Health Services Blackford County	410 Pilgrim Blvd		Hartford City	IN

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH0510700	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	07/01/2025
CH0510700	AVITA PHARMACY 1060	RX BLUE STAR SOLUTIONS, LLC DBA AVITA PH	40 PENNWOOD PL STE 200	WARRENDALE	PA	15086-6625	07/01/2019
CH0510700	AVITA PHARMACY 1060	RX BLUE STAR SOLUTIONS, LLC DBA AVITA PH	40 PENNWOOD PL STE 200	WARRENDALE	PA	15086-6625	07/01/2019
CH0510700	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/01/2025
CH0510700	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/01/2025
CH0510700	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/01/2025
CH0510700	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	07/01/2025
CH0510700	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	07/01/2025
CH0510700	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/01/2025
CH0510700	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	07/01/2025
CH0510700	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	07/01/2025
CH0510700	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	07/01/2025
CH0510700	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	07/01/2025
CH0510700	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2025
CH0510700	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2025
CH0510700	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	07/01/2025
CH0510700	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 06616	425 E MEMORIAL DR	MUNCIE	IN	47302	01/01/2016
CH0510700	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 06623	201 S. TILLOTSON AVENUE	MUNCIE	IN	47304	01/01/2016
CH0510700	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 06629	415 EAST MCGALLIARD ROAD	MUNCIE	IN	47303	10/01/2017
CH051070H	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 06616	425 E MEMORIAL DR	MUNCIE	IN	47302	01/01/2016	02/11/2019
CH051070H	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 06623	201 S. TILLOTSON AVENUE	MUNCIE	IN	47304	01/01/2016	02/11/2019
CH051070J	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 06616	425 E MEMORIAL DR	MUNCIE	IN	47302	01/01/2016	02/11/2019
CH051070J	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 06623	201 S. TILLOTSON AVENUE	MUNCIE	IN	47304	01/01/2016	02/11/2019
CH0510700	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY #06622	1700 N. WALNUT ST	HARTFORD CITY	IN	47348	04/01/2025
CH0510700	HOOK-SUPERX, L.L.C.	CVS PHARMACY # 16860	3601 N BARR ST	MUNCIE	IN	47303	07/01/2025
CH051070H	IU HEALTH BALL MEMORIAL HOSPITAL, INC	DBA IU HEALTH SOUTHWAY PHARMACY	3813 S. MADISON ST.	MUNCIE	IN	47302	04/18/2005	12/31/2018
CH0510700	KROGER COLUMBUS CENTRAL FILL #019	2270 RICKENBACKER PKWY W		COLUMBUS	OH	43217	01/01/2025
CH0510700	MARSH DRUGS		1500 WEST MC GALLIARD	MUNCIE	IN	47304-2203	10/01/2016	06/01/2017
CH0510700	MARSH DRUGS		715 SOUTH TILLOTSON	MUNCIE	IN	47304-4526	10/01/2016	06/01/2017
CH0510700	MARSH DRUGS, LLC #7328		MARSH DRUGS LLC #7328 1900 NORTH WALNUT STREET	MUNCIE	IN	47303-1972	10/01/2016	06/01/2017
CH0510700	MARSH DRUGS, LLC #7329		1920 SOUTH HOYT AVENUE	MUNCIE	IN	47302-3041	10/01/2016	06/01/2017
CH0510700	MEIJER DISTRIBUTION INC #90	2721 WALKER AVE NW		GRAND RAPIDS	MI	49544	10/01/2019
CH0510700	MEIJER PHARMACY #139	6260 W. MCGALLIARD RD (SR 332)		MUNCIE	IN	47304-9413	10/01/2019
CH0510700	MEIJER PHARMACY #464	41255 COCA COLA DR.		BELLEVILLE	MI	48111-1827	10/01/2019
CH0510700	MEIJER STORES LIMITED PARTNERSHIP	D/B/A MEIJER PHARMACY #463	1515 PROFIT DR.	FORT WAYNE	IN	46808	10/01/2019
CH0510700	PAYLESS PHARMACY #336	1500 W MCGALLIARD RD		MUNCIE	IN	47304	07/01/2024
CH0510700	PAYLESS PHARMACY #338	715 S TILLOTSON		MUNCIE	IN	47304	04/01/2024
CH0510700	PHARMBLUE ILLINOIS LLC	2960 CHARTRES ST	SUITE 100	LA SALLE	IL	61301-1097	07/01/2019
CH0510700	PHARMBLUE ILLINOIS LLC	2960 CHARTRES ST	SUITE 100	LA SALLE	IL	61301-1097	07/01/2019
CH0510700	PHARMBLUE LLC DBA AVITA PHARMACY 1059	1226 CHESTNUT ST		PHILADELPHIA	PA	19107	07/01/2019
CH0510700	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/01/2025
CH0510700	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	07/01/2025
CH0510700	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	07/01/2025
CH0510700	TRUEPILL	3121 DIABLO AVE		HAYWARD	CA	94545	07/01/2022
CH0510700	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/01/2017
CH0510700	WAL-MART PHARMACY #10-1728	2321 CHARLES STREET		ANDERSON	IN	46013	04/01/2024
CH0510700	WAL-MART PHARMACY 10-1665	4801 W. CLARA LN		MUNCIE	IN	47304	07/01/2015
CH0510700	WAL-MART PHARMACY 10-1758	3167 S STATE RD #3		NEW CASTLE	IN	47362	04/01/2024
CH0510700	WAL-MART PHARMACY 10-3747	1501 EAST 29TH STREET		MUNCIE	IN	47302	10/01/2014
CH0510700	WAL-MART PHARMACY 10-5315	2354 COMMERCE PARK DR.		ORLANDO	FL	32819	10/01/2022
CH0510700	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/01/2017
CH0510700	WALGREEN CO	DBA: WALGREENS #10533	3250 N MORRISON ROAD	MUNCIE	IN	47304	10/01/2014
CH0510700	WALGREEN CO.	DBA: WALGREENS # 05802	100 E MCGALLIARD RD	MUNCIE	IN	47303	10/01/2014
CH0510700	WALGREEN CO.	DBA: WALGREENS # 05803	2720 W JACKSON	MUNCIE	IN	47303	10/01/2014
CH0510700	WALGREEN CO.	DBA: WALGREENS # 06420	400 E MEMORIAL DRIVE	MUNCIE	IN	47302	10/01/2014
CH0510700	WALGREEN CO.	W002 DBA: WALGREENS #07690	100 N. MEMORIAL DR	NEW CASTLE	IN	47362	07/01/2023
CH0510700	WALGREEN CO.	WALGREENS SPECIALTY PHARMACY #15323	9002 N MERIDIAN ST STE 213	INDIANAPOLIS	IN	46260	07/01/2023
CH0510700	Walgreens Central Fill #21399	4132Plainfield Rd	Ste 110	Indianapolis	IN	46231-7021	07/01/2023
CH0510700	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	10/01/2014	07/02/2015
CH0510700	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	10/01/2014	07/02/2015
CH0510700	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	07/01/2023
CH0510700	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	04/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification		2/14/2025 11:46:38 AM	2/14/2025 11:46 AM
Contacts	Primary Contact	Update	Profile Change Request	Taylor, Connie Michelle VP of Finance Open Door Health Services 7652814256	Taylor, Connie Michelle VP of Finance Open Door Health Services 7652867000-4007	2/5/2025 2:19 PM
Details	State	Update		Approved	Active	1/1/2025 12:01 AM
Contacts	Signed By	Insert	New Registration		Ayars, Bryan CEO Open Door Health Services 7657472971	10/11/2024 6:49 AM
Details	340B ID	Update	New Registration		CH051070U	10/11/2024 6:49 AM
Dates	Participating Approval Date	Update	New Registration		10/11/2024 6:49:18 AM	10/11/2024 6:49 AM
Details	State	Update	New Registration	Pending	Approved	10/11/2024 6:49 AM
Dates	Signed By Date	Update	New Registration		10/10/2024 1:12:15 PM	10/11/2024 6:49 AM
Dates	Start Date	Update	New Registration		1/1/2025 12:00:00 AM	10/11/2024 6:49 AM
Addresses	Main Address	Insert	New Registration		1804-1806 West Royale Dr Muncie, IN 47304	10/9/2024 1:41 PM
Contacts	Authorizing Official	Insert	New Registration		Ayars, Bryan CEO Open Door Health Services 7657472971	10/9/2024 1:41 PM
Contacts	Primary Contact	Insert	New Registration		Taylor, Connie Michelle VP of Finance Open Door Health Services 7652814256	10/9/2024 1:41 PM
Details	Assistance Received From Date	Insert	New Registration			10/9/2024 1:41 PM
Details	Assistance Received To Date	Insert	New Registration			10/9/2024 1:41 PM
Details	Last Recertification Date	Insert	New Registration			10/9/2024 1:41 PM
Details	Grant Number	Insert	New Registration		H80CS00340	10/9/2024 1:41 PM
Details	340B ID	Insert	New Registration			10/9/2024 1:41 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			10/9/2024 1:41 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			10/9/2024 1:41 PM
Details	Medicare Provider Number	Insert	New Registration			10/9/2024 1:41 PM
Details	Entity Name	Insert	New Registration		OPEN DOOR HEALTH SERVICES, INC.	10/9/2024 1:41 PM
Details	NOFO Number	Insert	New Registration			10/9/2024 1:41 PM
Details	Program Code	Insert	New Registration		CH	10/9/2024 1:41 PM
Details	Entity Subname	Insert	New Registration		Open Door Health Services Behavioral Health	10/9/2024 1:41 PM
Dates	Participating Approval Date	Insert	New Registration			10/9/2024 1:41 PM
Details	State	Insert	New Registration		Pending	10/9/2024 1:41 PM
Dates	Registration Date	Insert	New Registration		10/9/2024 1:41:51 PM	10/9/2024 1:41 PM
Dates	Signed By Date	Insert	New Registration			10/9/2024 1:41 PM
Dates	Start Date	Insert	New Registration			10/9/2024 1:41 PM
Terminations	Termination Comments	Insert	New Registration			10/9/2024 1:41 PM
Terminations	Termination Date	Insert	New Registration			10/9/2024 1:41 PM
Terminations	Termination Effective Date	Insert	New Registration			10/9/2024 1:41 PM
Terminations	Termination Reason	Insert	New Registration			10/9/2024 1:41 PM

340B Drug Pricing Program Database