340B Drug Pricing Program Database


CH04522D RURAL HEALTH SERVICES INC (Active) - information as of 5/4/2025 10:24:00 PM

Main Details
RURAL HEALTH SERVICES INC
Women and Children's Health Center
HRSA-Funded Health Center
BPS-H80-031561
CH04522D
H80CS00653


Additional Details
Active
1/7/2025
4/1/2025
1/27/2025

Contacts

Rural Health Services INC
Donald Branum, CEO
(803) 380-7010

Rural Health Services
Kyle Herbert, CFO
(803) 380-7011

Addresses

995 Clyburn Pl
Aiken, SC 29801

Rural Health Services
1000 Clyburn PL
Aiken, SC 29801


  • 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
SCFQC3111609646611
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH045220ActiveBPS-H80-000709RURAL HEALTH SERVICES INCMARGARET J. WESTON HEALTH CENTER4645 AUGUSTA ROAD Beech IslandSC
CH04522AActiveBPS-H80-011343RURAL HEALTH SERVICES INCClyburn Center for Primary Care1000 Clyburn Place AikenSC
CH04522CActiveBPS-H80-010948RURAL HEALTH SERVICES, INC.Family Health Care120 Darlington Dr AikenSC
CH04522DActiveBPS-H80-031561RURAL HEALTH SERVICES INCWomen and Children's Health Center995 Clyburn Pl AikenSC
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH045220ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884907/01/2024  
CH045220ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750207/01/2024  
CH045220ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201007/01/2024  
CH04522AACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884907/01/2024  
CH04522AACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750207/01/2024  
CH04522AACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201007/01/2024  
CH04522CACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884907/01/2024  
CH04522CACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750207/01/2024  
CH04522CACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201007/01/2024  
CH04522AACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282207/01/2024  
CH045220ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282207/01/2024  
CH04522CACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282207/01/2024  
CH045220ACCREDO HEALTH GROUP, INC.  PHARMACY
2 BOULDEN CIRCLE SUITE 1
NEW CASTLEDE1972007/01/2024  
CH045220ACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607507/01/2024  
CH04522AACCREDO HEALTH GROUP, INC.  PHARMACY
2 BOULDEN CIRCLE SUITE 1
NEW CASTLEDE1972007/01/2024  
CH04522AACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607507/01/2024  
CH04522CACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349207/01/2024  
CH04522CACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607507/01/2024  
CH045220ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280907/01/2025  
CH045220ADVANCED MEDICAL GROUP, LLCD/B/A LANGLEY DRUG 2820 AUGUSTA ROAD
PO BOX 1860
LANGLEYSC29834-186007/01/2017  
CH045220ADVANCED MEDICAL GROUP, LLCD/B/A MEDICINE MART 839 RICHLAND AVE W
AIKENSC29801-383307/01/2017  
CH045220ADVANCED PHARMACY, LLCADVANCED PHARMACY 350 FEASTER ROAD
SUITE D
GREENVILLESC29615-617610/01/2016 08/10/2017
CH045220AHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271210/01/2014 03/10/2020
CH045220CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361407/01/2025  
CH045220CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/01/2025  
CH045220CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621907/01/2025  
CH045220CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175707/01/2025  
CH045220CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808307/01/2025  
CH045220CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700407/01/2025  
CH045220CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761707/01/2025  
CH045220CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813307/01/2025  
CH045220CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237407/01/2025  
CH045220CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911907/01/2025  
CH045220CENTERWELL PHARMACY, INC.9843 WINDISCH RD
WEST CHESTEROH4506904/01/2025  
CH045220CENTERWELL PHARMACY, INC.11010 FLORIDA CROWN DRIVE, SUITE 200
ORLANDOFL3282404/01/2025  
CH04522ACURANT HEALTH FLORIDA, LLC11001 ROOSEVELT BLVD STE 1400
ST PETERSBURGFL33716-233801/04/2010  
CH045220CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502807/01/2025  
CH045220DELIVERCARERX PHARMACY LLCDELIVERCARERX PHARMACY LLC 1471 E BUSINESS CENTER DR
STE 200
MT PROSPECTIL6005604/01/2018 03/10/2020
CH04522CESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111207/01/2024  
CH045220ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111207/01/2024  
CH04522AESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111207/01/2024  
CH04522CEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313407/01/2024  
CH045220EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313407/01/2024  
CH04522AEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313407/01/2024  
CH04522CEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801607/01/2024  
CH04522CEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607507/01/2024  
CH045220EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607507/01/2024  
CH045220EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801607/01/2024  
CH04522AEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801607/01/2024  
CH04522AEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607507/01/2024  
CH045220HIBBITTS DRUG COMPANY, LLC735 MAIN ST N
NEW ELLENTONSC2980904/01/2017 09/12/2018
CH045220KROGER PHARMACY #6401284 KNOX AVENUE
NORTH AUGUSTASC2984107/01/2019  
CH045220KROGER PHARMACY #6751795 WHISKEY ROAD
AIKENSC2980307/01/2019  
CH045220MANIFEST PHARMACY, LLC1018 S BATESVILLE RD STE 4A
GREERSC29650-520307/01/2013 01/01/2016
CH04522AMANIFEST PHARMACY, LLC1018 S BATESVILLE RD STE 4A
GREERSC29650-520307/01/2013  
CH045220PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514607/01/2025  
CH045220PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523307/01/2025  
CH045220PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920307/01/2025  
CH045220PUBLIX PHARMACYPUBLIX PHARMACY #0486 334 EAST MARTINTOWN RD
NORTH AUGUSTASC2984104/01/2025  
CH045220PUBLIX PHARMACY #0506250 EASTGATE DRIVE
AIKENSC2980304/01/2025  
CH045220PUBLIX PHARMACY #05264274 WASHINGTON ROAD
EVANSGA3080904/01/2025  
CH045220PUBLIX PHARMACY #0534403 FURY'S FERRY ROAD
MARTINEZGA3090704/01/2025  
CH045220PUBLIX SUPER MARKETS, INC.2424 ORLANDO CENTRAL PKWY STE 100 PUBLIX CENTRAL PHARMACY #3201
ORLANDOFL3280904/01/2025  
CH045220PUBLIX SUPER MARKETS, INC.PUBLIX PHARMACY #3213 1950 SAND LAKE RD, BLDG #5
ORLANDOFL3280904/01/2025  
CH045220SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04295 2062 WHISKEY ROAD
AIKENSC2980304/01/2025  
CH045220SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04388 4295 JEFFERSON DAVIS HWY.
BEECH ISLANDSC2984204/01/2025  
CH045220SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04523 1638 RICHLAND AVE W
AIKENSC29801-323604/01/2025  
CH045220SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05529 1041 YORK STREET
AIKENSC2980104/01/2025  
CH045220SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05575 101 EDGEFIELD RD.
NORTH AUGUSTASC2984107/01/2025  
CH045220WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2018  
CH045220WAL-MART PHARMACY 10-05142035 WHISKEY ROAD
AIKENSC2980310/01/2015  
CH045220WAL-MART PHARMACY 10-12701201 KNOX AVE
NORTH AUGUSTASC2984110/01/2015  
CH045220WAL-MART PHARMACY 10-4487WAL-MART STORES EAST, LP 3581 RICHLAND AVENUE SW
AIKENSC2980110/01/2015  
CH045220WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2018  
CH045220WALGREEN CO.DBA: WALGREENS #10581 1228 KNOX AVE.
NORTH AUGUSTASC29841-405507/01/2015  
CH045220WALGREEN CO.DBA: WALGREENS #11432 4380 JEFFERSON DAVIS HWY.
BEECH ISLANDSC2984207/01/2015  
CH045220WALGREEN CO.DBA: WALGREENS #11849 2191 WHISKEY RD.
AIKENSC2980307/01/2015  
CH045220WALGREEN CO.DBA: WALGREENS #12795 3510 RICHLAND AVE. W
AIKENSC2980107/01/2015 11/29/2019
CH04522CWALGREEN CO.DBA: WALGREENS #11849 2191 WHISKEY RD.
AIKENSC2980310/01/2015  
CH045220WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A
ROGERSAR7275601/01/2024  
CH04522AWALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A
ROGERSAR7275601/01/2024  
CH04522AWALMART PHARMACY 10-65761041 EDGEFIELD ROAD
NORTH AUGUSTASC2986007/01/2018 05/07/2021
CH045220WALMART PHARMACY 10-65761041 EDGEFIELD ROAD
NORTH AUGUSTASC2986007/01/2018 05/18/2021
CH04522AWalmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CH045220Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsStateUpdate ApprovedActive4/1/2025 12:01 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False2/24/2025 4:30 PM
Medicaid BillingMedicaid: NumberInsertChange Request FQC3112/24/2025 4:30 PM
Medicaid BillingMedicaid: StateInsertChange Request SC2/24/2025 4:30 PM
ContactsSigned ByInsertNew Registration Branum, Donald CEO Rural Health Services INC 80338070101/27/2025 2:56 PM
Details340B IDUpdateNew Registration CH04522D1/27/2025 2:56 PM
DatesParticipating Approval DateUpdateNew Registration 1/27/2025 2:56:10 PM1/27/2025 2:56 PM
DetailsStateUpdateNew RegistrationPendingApproved1/27/2025 2:56 PM
DatesSigned By DateUpdateNew Registration 1/7/2025 5:27:49 PM1/27/2025 2:56 PM
DatesStart DateUpdateNew Registration 4/1/2025 12:00:00 AM1/27/2025 2:56 PM
AddressesMain AddressInsertNew Registration  995 Clyburn Pl Aiken, SC 298011/7/2025 5:27 PM
AddressesBilling AddressInsertNew Registration Rural Health Services 1000 Clyburn PL Aiken, SC 298011/7/2025 5:27 PM
Medicaid BillingNPI: NumberInsertNew Registration 16096466111/7/2025 5:27 PM
Medicaid BillingNPI: StateInsertNew Registration SC1/7/2025 5:27 PM
ContactsAuthorizing OfficialInsertNew Registration Branum, Donald CEO Rural Health Services INC 80338070101/7/2025 5:27 PM
ContactsPrimary ContactInsertNew Registration Herbert, Kyle CFO Rural Health Services 80338070111/7/2025 5:27 PM
DetailsAssistance Received From DateInsertNew Registration  1/7/2025 5:27 PM
DetailsAssistance Received To DateInsertNew Registration  1/7/2025 5:27 PM
DetailsLast Recertification DateInsertNew Registration  1/7/2025 5:27 PM
DetailsGrant NumberInsertNew Registration H80CS006531/7/2025 5:27 PM
Details340B IDInsertNew Registration  1/7/2025 5:27 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/7/2025 5:27 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/7/2025 5:27 PM
DetailsMedicare Provider NumberInsertNew Registration  1/7/2025 5:27 PM
DetailsEntity NameInsertNew Registration RURAL HEALTH SERVICES INC1/7/2025 5:27 PM
DetailsNOFO NumberInsertNew Registration  1/7/2025 5:27 PM
DetailsProgram CodeInsertNew Registration CH1/7/2025 5:27 PM
DetailsEntity SubnameInsertNew Registration Women and Children's Health Center1/7/2025 5:27 PM
DatesParticipating Approval DateInsertNew Registration  1/7/2025 5:27 PM
DetailsStateInsertNew Registration Pending1/7/2025 5:27 PM
DatesRegistration DateInsertNew Registration 1/7/2025 5:27:46 PM1/7/2025 5:27 PM
DatesSigned By DateInsertNew Registration  1/7/2025 5:27 PM
DatesStart DateInsertNew Registration  1/7/2025 5:27 PM
TerminationsTermination CommentsInsertNew Registration  1/7/2025 5:27 PM
TerminationsTermination DateInsertNew Registration  1/7/2025 5:27 PM
TerminationsTermination Effective DateInsertNew Registration  1/7/2025 5:27 PM
TerminationsTermination ReasonInsertNew Registration  1/7/2025 5:27 PM