340B Drug Pricing Program Database


CH05213AC Christopher Greater Area Rural Health Planning Corporation (Active) - information as of 5/20/2025 12:53:01 AM

Main Details
Christopher Greater Area Rural Health Planning Corporation
Benton Mental Health Wellness Center
HRSA-Funded Health Center
BPS-H80-038802
CH05213AC
H80CS00726


Additional Details
Active
1/3/2025
4/1/2025
1/6/2025

Contacts

Christopher Rural Health Planning Corporation
KIMBERLY A. MITROKA, PRESIDENT/CEO
(618) 724-2436 Ext: 1602

CRHPC
Merideth Rogers, Pharmacy Director
(618) 724-1630

Addresses

107 East Smith Street STE B
Benton, IL 62812

Christopher Rural Health Planning Corporation
PO Box 155
Christopher, IL 62822


  • 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
IL371041283008,3710412830261548200298,1447080205
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH052130ActiveBPS-H80-003564CHRISTOPHER RURAL HEALTH PLANNING CORP.REA CLINIC4241 HWY 14 WEST CHRISTOPHERIL
CH05213AActiveBPS-H80-029688CHRISTOPHER RURAL HEALTH PLANNING CORP.CLAY MEDICAL CENTER165 Kinnaman Drive FLORAIL
CH05213AAActiveBPS-H80-034173Christopher Greater Area Rural Health Planning CorporationCRHPC Comprehensive Behavioral Health Center119 Gas Plant Rd Du QuoinIL
CH05213ABActiveBPS-H80-035230Christopher Greater Area Rural Health Planning CorporationCarrier Mills Community Health Center7211 US 45 S Carrier MillsIL
CH05213ACActiveBPS-H80-038802Christopher Greater Area Rural Health Planning CorporationBenton Mental Health Wellness Center107 East Smith Street STE B BentonIL
CH05213BActiveBPS-H80-010057CHRISTOPHER RURAL HEALTH PLANNING CORPSesser Community Health Center6294 State Highway 154 SesserIL
CH05213IActiveBPS-H80-004248CHRISTOPHER RURAL HEALTH PLANNING CORPMT VERNON COMMUNITY HLTH CENTER2920 VETERAN'S PKWY MT VERNONIL
CH05213JTerminatedBPS-H80-005649CHRISTOPHER RURAL HEALTH PLANNING CORP.REA DENTAL CLINIC4241 HIGHWAY 14 WEST CHRISTOPHERIL
CH05213LTerminatedBPS-H80-002415CHRISTOPHER RURAL HEALTH PLANNING CORPREA CLINIC-DUQUOIN FACILITY119 Gas Plant Rd Du QuoinIL
CH05213L1ActiveBPS-H80-008067CHRISTOPHER RURAL HEALTH PLANNING CORP.JOHNSTON CITY COMMUNITY HEALTH CENTER14410 IL-37 JOHNSTON CITYIL
CH05213MActiveBPS-H80-009146CHRISTOPHER RURAL HEALTH PLANNING CORP.SHAWNEETOWN HEALTH CARE CENTER9525 Gold Hill Road ShawneetownIL
CH05213NTerminatedBPS-H80-003132CHRISTOPHER RURAL HEALTH PLANNING CORPREA CLINIC-HERRIN3303 Logan Dr HerrinIL
CH05213OTerminatedBPS-H80-002573CHRISTOPHER RURAL HEALTH PLANNING CORP.ROYALTON COMMUNITY HEALTH CENTER300 SOUTH MAIN ROYALTONIL
CH05213PTerminatedBPS-H80-005294CHRISTOPHER RURAL HEALTH PLANNING CORPZEIGLER COMMUNITY HEALTH CTR27 Circle St ZeiglerIL
CH05213RTerminatedBPS-H80-002116CHRISTOPHER RURAL HEALTH PLANNING CORPHAMILTON COUNTY HEALTH CENTER613 S Marshall Ave Mc LeansboroIL
CH05213STerminatedBPS-H80-002876CHRISTOPHER RURAL HEALTH PLANNING CORP.CISNE MEDICAL CENTERRAILROAD AND PARK STREET CISNEIL
CH05213TTerminatedBPS-H80-000937CHRISTOPHER RURAL HEALTH PLANNING CORPREA CLINIC-BENTON201 Bailey Ln BentonIL
CH05213UActiveBPS-H80-012565CHRISTOPHER RURAL HEALTH PLANNING CORPEldorado Rural Health Clinic1401 US-45 North EldoradoIL
CH05213VActiveBPS-H80-038330CHRISTOPHER RURAL HEALTH PLANNING CORPFairfield Community Health Center1007 W Main St FairfieldIL
CH05213WActiveBPS-H80-011076CHRISTOPHER RURAL HEALTH PLANNING CORPAlbion Community Health Center33 West Main Street AlbionIL
CH05213XActiveBPS-H80-011156CHRISTOPHER RURAL HEALTH PLANNING CORPCRHPC-Carmi Health Center103 Commerce Street CarmiIL
CH05213YActiveBPS-H80-018327Christopher Rural Health Planning CorpRea Clinic - Du Quoin1564 South Washington Street Du QuoinIL
CH05213ZActiveBPS-H80-031530Christopher Rural Health Planning CorpRea Clinic - Benton206 E Church St Ste B BentonIL
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH05213L1BANDY DRUGS905 GRAND AVE
JOHNSTON CITYIL62951-121905/05/2010 04/05/2017
CH052130CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2024  
CH052130CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2024  
CH052130CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/01/2024  
CH052130CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2024  
CH052130CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2024  
CH052130CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2024  
CH052130CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2024  
CH052130CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813301/01/2024  
CH052130CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237401/01/2024  
CH052130CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/01/2024  
CH052130CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870604/01/2023  
CH052130CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005604/01/2023  
CH052130CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2024  
CH052130EDS MEDICENTER PHARMACYSESSER PHARMACY SI LLC 1116 W MAIN ST
FAIRFIELDIL62837-232404/01/2018 09/23/2020
CH052130HIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 06885 700 W. MAIN ST.
FAIRFIELDIL6283710/01/2018  
CH052130HIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 06385 1301 N. STATE ST.
FLORAIL6283910/01/2018  
CH052130HIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 06372 705 WEST MAINST.
BENTONIL6281210/01/2018  
CH052130HIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 06887 915 N. MARKET ST.
MOUNT CARMELIL6286310/01/2018  
CH052130HIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 06886 1101 W. MAIN ST.
CARMIIL6282110/01/2018  
CH052130HIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 06373 304 W. MAIN ST.
WEST FRANKFORTIL6289610/01/2018  
CH052130HIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 06388 801 W. MAIN ST.
MARIONIL6295910/01/2018  
CH052130HIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 06370 2700 BROADWAY
MOUNT VERNONIL6286401/01/2019  
CH052130HIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 03188 ONE SOUTH COMMERCIAL STREET
HARRISBURGIL6294601/01/2019  
CH052130HIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 06371 914 W. MAIN ST.
OLNEYIL6245001/01/2019  
CH052130HIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 06390 2431 W. MAIN ST.
CARBONDALEIL6290104/01/2023  
CH05213NLOGAN PRIMARY PHARMACY401 RUSHING DR
HERRINIL6294805/06/2010 10/01/2016
CH052130MEDICENTER PHARMACYSESSER PHARMACY SI LLC 6294 STATE HIGHWAY 154
SUITE A 		SESSERIL62884-216304/01/2018 06/30/2021
CH052130MEDICENTER PHARMACY DUQUOINTOWN & COUNTRY PHARMACIES, INC. 204 S WASHINGTON ST.
DU QUOINIL62832-180504/01/2015  
CH05213LMEDICENTER PHARMACY DUQUOINTOWN & COUNTRY PHARMACIES, INC. 204 S WASHINGTON ST.
DU QUOINIL62832-180504/16/2010 04/01/2019
CH052130PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/01/2024  
CH052130PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920301/01/2024  
CH052130PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523301/01/2024  
CH052130THE MEDICINE SHOPPEEDLUCY, INC. 1116 WEST MAIN STREET
FAIRFIELDIL6283704/01/2015 01/03/2017
CH052130WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2017  
CH052130WAL-MART PHARMACY 10-0224110 DAVIDSON AVENUE
MOUNT VERNONIL6286410/01/2022  
CH052130WAL-MART PHARMACY 10-0237710 SOUTH COMMERCIAL
HARRISBURGIL6294604/01/2015  
CH052130WAL-MART PHARMACY 10-0252215 GRANT WAY
DU QUOINIL6283204/01/2015  
CH052130WAL-MART PHARMACY 10-0262919 GIACONE DR
BENTONIL6281204/01/2015  
CH052130WAL-MART PHARMACY 10-0454150 COMMERCE DR.
FAIRFIELDIL6283701/01/2015  
CH052130WAL-MART PHARMACY 10-05061540 N WORTHY
FLORAIL6283904/01/2016  
CH052130WAL-MART PHARMACY 10-08331344 ILLINOIS HWY #1
CARMIIL6282101/01/2015  
CH052130WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2017  
CH052130WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/01/2023  
CH052130Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsStateUpdate ApprovedActive4/1/2025 12:01 AM
ContactsSigned ByInsertNew Registration MITROKA, KIMBERLY A. PRESIDENT/CEO Christopher Rural Health Planning Corporation 6187242436-16021/6/2025 8:24 AM
Details340B IDUpdateNew Registration CH05213AC1/6/2025 8:24 AM
DatesParticipating Approval DateUpdateNew Registration 1/6/2025 8:24:40 AM1/6/2025 8:24 AM
DetailsStateUpdateNew RegistrationPendingApproved1/6/2025 8:24 AM
DatesSigned By DateUpdateNew Registration 1/3/2025 1:22:21 PM1/6/2025 8:24 AM
DatesStart DateUpdateNew Registration 4/1/2025 12:00:00 AM1/6/2025 8:24 AM
AddressesMain AddressInsertNew Registration  107 East Smith Street STE B Benton, IL 628121/3/2025 1:08 PM
AddressesBilling AddressInsertNew Registration Christopher Rural Health Planning Corporation PO Box 155 Christopher, IL 628221/3/2025 1:08 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/3/2025 1:08 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 3710412830081/3/2025 1:08 PM
Medicaid BillingMedicaid: StateInsertNew Registration IL1/3/2025 1:08 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/3/2025 1:08 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 3710412830261/3/2025 1:08 PM
Medicaid BillingMedicaid: StateInsertNew Registration IL1/3/2025 1:08 PM
Medicaid BillingNPI: NumberInsertNew Registration 15482002981/3/2025 1:08 PM
Medicaid BillingNPI: StateInsertNew Registration IL1/3/2025 1:08 PM
Medicaid BillingNPI: NumberInsertNew Registration 14470802051/3/2025 1:08 PM
Medicaid BillingNPI: StateInsertNew Registration IL1/3/2025 1:08 PM
ContactsAuthorizing OfficialInsertNew Registration MITROKA, KIMBERLY A. PRESIDENT/CEO Christopher Rural Health Planning Corporation 6187242436-16021/3/2025 1:08 PM
ContactsPrimary ContactInsertNew Registration Rogers, Merideth Pharmacy Director CRHPC 61872416301/3/2025 1:08 PM
DetailsAssistance Received From DateInsertNew Registration  1/3/2025 1:08 PM
DetailsAssistance Received To DateInsertNew Registration  1/3/2025 1:08 PM
DetailsLast Recertification DateInsertNew Registration  1/3/2025 1:08 PM
DetailsGrant NumberInsertNew Registration H80CS007261/3/2025 1:08 PM
Details340B IDInsertNew Registration  1/3/2025 1:08 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/3/2025 1:08 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/3/2025 1:08 PM
DetailsMedicare Provider NumberInsertNew Registration  1/3/2025 1:08 PM
DetailsEntity NameInsertNew Registration Christopher Greater Area Rural Health Planning Corporation1/3/2025 1:08 PM
DetailsNOFO NumberInsertNew Registration  1/3/2025 1:08 PM
DetailsProgram CodeInsertNew Registration CH1/3/2025 1:08 PM
DetailsEntity SubnameInsertNew Registration Benton Mental Health Wellness Center1/3/2025 1:08 PM
DatesParticipating Approval DateInsertNew Registration  1/3/2025 1:08 PM
DetailsStateInsertNew Registration Pending1/3/2025 1:08 PM
DatesRegistration DateInsertNew Registration 1/3/2025 1:08:15 PM1/3/2025 1:08 PM
DatesSigned By DateInsertNew Registration  1/3/2025 1:08 PM
DatesStart DateInsertNew Registration  1/3/2025 1:08 PM
TerminationsTermination CommentsInsertNew Registration  1/3/2025 1:08 PM
TerminationsTermination DateInsertNew Registration  1/3/2025 1:08 PM
TerminationsTermination Effective DateInsertNew Registration  1/3/2025 1:08 PM
TerminationsTermination ReasonInsertNew Registration  1/3/2025 1:08 PM