340B Drug Pricing Program Database


RWII10451A AIDS Healthcare Foundation (Active) - information as of 5/16/2025 11:30:49 PM

Main Details
AIDS Healthcare Foundation
AHF Healthcare Center - Brooklyn
Ryan White Part B
RWII10451A
X07HA00025


Additional Details
Active
10/11/2024
1/1/2025
10/30/2024
2/24/2025
10/1/2024 - 4/30/2025

Contacts

AIDS Healthcare Foundation
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022

AIDS Healthcare Foundation
Barry Altstaedter, Director of Pharmacy Finance
(631) 870-5169

Addresses

475 Atlantic Ave
Brooklyn, NY 11217

AIDS Healthcare Foundation
6255 West Sunset Blvd. 21st Floor
Los Angeles, CA 90028


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

No
Shipping Addresses

AHF Pharmacy - Chelsea
352 7th Avenue
New York, NY 10001

AHF Pharmacy - Brooklyn
475 Atlantic Ave
Brooklyn, NY 11217

AHF Pharmacy - West
18421 South Main Street
Gardena, CA 90248

AHF Pharmacy - Westside
8641 WILSHIRE BLVD
Ste 200
BEVERLY HILLS, CA 90211
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailAHF PHARMACYPHARMACY4HUMANITY 1435 WESTHEIMER RD
HOUSTONTX7700604/07/202507/01/2025  04/07/2025
Contract DetailAHF PHARMACYPHARMACY4HUMANITY 3920 CEDAR SPRINGS RD
DALLASTX7521904/07/202507/01/2025  04/07/2025
Contract DetailPHARMACY4HUMANITYAHF PHARMACY 18421 S MAIN ST
GARDENACA9024804/07/202507/01/2025  04/07/2025
Contract DetailPHARMACY4HUMANITYAHF PHARMACY 2097 WILTON DR
WILTON MANORSFL3330504/07/202507/01/2025  04/07/2025
Contract DetailPHARMACY4HUMANITYAHF PHARMACY 8212 SANTA MONICA BLVD
WEST HOLLYWOODCA9004604/07/202507/01/2025  04/07/2025
Contract DetailPHARMACY4HUMANITYAHF PHARMACY 23-07 ASTORIA BLVD
ASTORIANY1110204/07/202507/01/2025  04/07/2025
Contract DetailPHARMACY4HUMANITYAHF PHARMACY 120 UNIVERSITY AVE
SAN DIEGOCA9210304/07/202507/01/2025  04/07/2025
Contract DetailPHARMACY4HUMANITYAHF PHARMACY 1785 E SUNRISE BLVD
FORT LAUDERDALEFL3330404/07/202507/01/2025  04/07/2025
Contract DetailPHARMACY4HUMANITYAHF PHARMACY 619 MAIN ST
FARMINGDALENY1173504/07/202507/01/2025  04/07/2025
Contract DetailPHARMACY4HUMANITYAHF PHARMACY 1988 HACIENDA DR
VISTACA9208104/07/202507/01/2025  04/07/2025
Contract DetailPHARMACY4HUMANITYAHF PHARMACY 1349 N MILLS AVE
ORLANDOFL3280304/07/202507/01/2025  04/07/2025
Contract DetailPHARMACY4HUMANITYAHF PHARMACY 5356 WHITTIER BLVD
LOS ANGELESCA9002204/07/202507/01/2025  04/07/2025
Contract DetailPHARMACY4HUMANITYAHF PHARMACY 1230 N HIGH ST
COLUMBUSOH4320104/07/202507/01/2025  04/07/2025
Contract DetailPHARMACY4HUMANITYAHF PHARMACY 700 SE 3RD AVE STE 100
FORT LAUDERDALEFL3331604/07/202507/01/2025  04/07/2025
Contract DetailPHARMACY4HUMANITYAHF PHARMACY 901 BOREN AVE., STE. 800
SEATTLEWA9810404/07/202507/01/2025  04/07/2025
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesShipping AddressInsertGroup Change Request AHF Pharmacy - Westside 8641 WILSHIRE BLVD Ste 200 BEVERLY HILLS, CA 902114/15/2025 12:02 PM
DetailsLast Recertification DateUpdateRecertification 2/24/2025 2:05:48 PM2/24/2025 2:05 PM
DetailsStateUpdate ApprovedActive1/1/2025 12:01 AM
AddressesShipping AddressInsertGroup Change Request AHF Pharmacy - West 18421 South Main Street Gardena, CA 9024811/25/2024 8:39 AM
ContactsSigned ByInsertNew Registration DeStefano, Rena Director of Pharmacy Finance AIDS Healthcare Foundation 631370202210/30/2024 1:29 PM
Details340B IDUpdateNew Registration RWII10451A10/30/2024 1:29 PM
DatesParticipating Approval DateUpdateNew Registration 10/30/2024 1:29:56 PM10/30/2024 1:29 PM
DetailsStateUpdateNew RegistrationPendingApproved10/30/2024 1:29 PM
DatesSigned By DateUpdateNew Registration 10/11/2024 3:03:44 PM10/30/2024 1:29 PM
DatesStart DateUpdateNew Registration 1/1/2025 12:00:00 AM10/30/2024 1:29 PM
AddressesMain AddressInsertNew Registration  475 Atlantic Ave Brooklyn, NY 1121710/11/2024 3:03 PM
AddressesBilling AddressInsertNew Registration AIDS Healthcare Foundation 6255 West Sunset Blvd. 21st Floor Los Angeles, CA 9002810/11/2024 3:03 PM
AddressesShipping AddressInsertNew Registration AHF Pharmacy - Chelsea 352 7th Avenue New York, NY 1000110/11/2024 3:03 PM
AddressesShipping AddressInsertNew Registration AHF Pharmacy - Brooklyn 475 Atlantic Ave Brooklyn, NY 1121710/11/2024 3:03 PM
ContactsPrimary ContactInsertNew Registration Altstaedter, Barry Director of Pharmacy Finance AIDS Healthcare Foundation 631870516910/11/2024 3:03 PM
ContactsAuthorizing OfficialInsertNew Registration DeStefano, Rena Director of Pharmacy Finance AIDS Healthcare Foundation 631370202210/11/2024 3:03 PM
DetailsAssistance Received From DateInsertNew Registration 10/1/2024 12:00:00 AM10/11/2024 3:03 PM
DetailsAssistance Received To DateInsertNew Registration 4/30/2025 12:00:00 AM10/11/2024 3:03 PM
DetailsLast Recertification DateInsertNew Registration  10/11/2024 3:03 PM
DetailsGrant NumberInsertNew Registration X07HA0002510/11/2024 3:03 PM
Details340B IDInsertNew Registration  10/11/2024 3:03 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  10/11/2024 3:03 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  10/11/2024 3:03 PM
DetailsMedicare Provider NumberInsertNew Registration  10/11/2024 3:03 PM
DetailsEntity NameInsertNew Registration AIDS Healthcare Foundation10/11/2024 3:03 PM
DetailsNOFO NumberInsertNew Registration  10/11/2024 3:03 PM
DetailsProgram CodeInsertNew Registration RWII10/11/2024 3:03 PM
DetailsEntity SubnameInsertNew Registration AHF Healthcare Center - Brooklyn10/11/2024 3:03 PM
DatesParticipating Approval DateInsertNew Registration  10/11/2024 3:03 PM
DetailsStateInsertNew Registration Pending10/11/2024 3:03 PM
DatesRegistration DateInsertNew Registration 10/11/2024 3:03:41 PM10/11/2024 3:03 PM
DatesSigned By DateInsertNew Registration  10/11/2024 3:03 PM
DatesStart DateInsertNew Registration  10/11/2024 3:03 PM
TerminationsTermination CommentsInsertNew Registration  10/11/2024 3:03 PM
TerminationsTermination DateInsertNew Registration  10/11/2024 3:03 PM
TerminationsTermination Effective DateInsertNew Registration  10/11/2024 3:03 PM
TerminationsTermination ReasonInsertNew Registration  10/11/2024 3:03 PM