| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Washington DC
2141 K. Street N.W.
Suite 707
Washington, DC 20037 | | 5/29/2025 6:57 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy- Washington DC
1701 K Street N.W.
Suite 400
Washington, DC 20006 | 5/29/2025 6:57 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - ACC Fort Lauderdale
700 S.E. 3rd Avenue
Suite 100
Fort Lauderdale, FL 33316 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Baton Rouge
4890 Bluebonnet Blvd.
Baton Rouge, LA 70809 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Biscayne
2400 Biscayne Blvd
Miami, FL 33137 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Bronx
655 Morris Avenue
#2
Bronx, NY 10451 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Brooklyn
475 Atlantic Ave.
Brooklyn, NY 11217 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Chicago
3311 N. Halsted Street
Chicago, IL 60657 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Cleveland
2829 Euclid Avenue
Cleveland, OH 44115 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Coconut Grove
3661 S. Miami Avenue
Suite 806
Miami, FL 33133 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Columbia
3025 Farrow Road
Columbia, SC 29203 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Dallas Market Center
2600 N. Stemmons Fwy
Suite 141-A
Dallas, TX 75207 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Dallas (Medical City)
7777 Forest Lane
Suite B-A80
Dallas, TX 75230 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Delray Beach
200 Congress Park Drive
Suite 210
Delray Beach, FL 33445 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Downtown
1400 S Grand Avenue
Suite 801
Los Angeles, CA 90015 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Fort Myers
2320 Cleveland Ave
Fort Myers, FL 33901 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Fort Worth
400 N. Beach Street
Suite 102
Fort Worth, TX 76111 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Hollywood Flagship
4905 Hollywood Blvd
Los Angeles, CA 90027 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Houston (Binz)
1200 Binz Street
Suite 1040
Houston, TX 77004 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Jackson
766 Lakeland Drive
Suite A
Jackson, MS 39216 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Jackson North
100 N.W. 170th Street
Suite 208
North Miami Beach, FL 33169 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Jacksonville
2 Shircliff Way
Suite 900
Jacksonville, FL 32204 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - North Las Vegas
3201 S. Maryland Pkwy
Suite 218
Las Vegas, NV 89109 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Lithonia
5700 Hillandale Drive
Suite 100
Lithonia, GA 30058 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Long Beach
3500 E. Pacific Coast Highway
Long Beach, CA 90804 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Chelsea
352 7th Ave
Suite 1206
New York, NY 10001 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Mi Farmacia
4630 Border Village Road
San Ysidro, CA 92173 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - North Point
6333 N. Federal Highway
Suite 301
Fort Lauderdale, FL 33308 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Oakland
400 30th Street
Suite 300
Oakland, CA 94609 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Oakland Park
2866 E. Oakland Park Blvd
2nd Floor
Fort Lauderdale, FL 33306 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Orlando
1701 N Mills Avenue
Orlando, FL 32803 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Peachtree
1438 W Peachtree St. NW
Atlanta, GA 30309 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Pensacola
4300 Bayou Blvd.
Suite 17D
Pensacola, FL 32503 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Philadelphia
1211 Chestnut Street
Suite 405
Philadelphia, PA 19107 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Safety Harbor
3135 SR 580
Suite 1
Safety Harbor, FL 34695 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Priority
3580 5th Avenue
Suite 200
San Diego, CA 92103 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Carolina
Paseo Del Prado Shopping Center, Primer Nivel Suite 107
Carolina, PR 00987 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Pike Street
1016 East Pike Street
Suite 100
Seattle, WA 98122 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Miami Beach
4308 Alton Road
Suite 870
Miami Beach, FL 33140 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - St. Petersburg
3400 26th Ave. S.
St. Petersburg, FL 33711 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Valley
4940 Van Nuys Blvd.
Suite 200
Sherman Oaks, CA 91403 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Washington DC
2141 K. Street N.W.
Suite 707
Washington, DC 20037 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - West Palm Beach
1411 North Flagler Drive
Suite 9300
West Palm Beach, FL 33401 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Cheshire Bridge
659 Auburn Avenue NE
Suite 156
Atlanta, GA 30312 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy- Austin
2927 Guadalupe Street
Austin, TX 78705 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy- Baltimore
2510 Saint Paul Street
Baltimore, MD 21218 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - AHF Campus Fort Lauderdale
700 S.E. 3rd Avenue
Suite 100A
Fort Lauderdale, FL 33316 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy- Capitol Hill
650 Pennsylvania Ave. SE
Suite 380
Washington, DC 20003 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy- Cumberland
8425 Cumberland Pl
Baton Rouge, LA 70806 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy- Hollywood FL
3800 Johnson Street
Suite F
Hollywood, FL 33019 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy- Newnan
770 Greison Trail
Suite H
Newnan, GA 30263 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy- Piedmont
735 Piedmont Ave NE
Atlanta, GA 30308 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Jamaica
91-30 Van Wyck Expressway
Jamaica, NY 11418 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy- San Francisco
518 A Castro Street
San Francisco, CA 94114 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy- West
18421 South Main Street
Gardena, CA 90248 | 5/21/2025 6:26 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Westside
8641 WILSHIRE BLVD
STE 200
BEVERLY HILLS, CA 90211 | 4/15/2025 11:28 AM |
| Details | State | Update | | Approved | Active | 4/1/2025 12:01 AM |
| Details | Assistance Received From Date | Update | Group Change Request | 3/1/2024 12:00:00 AM | 3/1/2025 12:00:00 AM | 3/17/2025 11:55 AM |
| Details | Assistance Received To Date | Update | Group Change Request | 2/28/2025 12:00:00 AM | 2/28/2026 12:00:00 AM | 3/17/2025 11:55 AM |
| Contacts | Signed By | Insert | New Registration | | DeStefano, Rena
Director of Pharmacy Finance
AIDS Healthcare Foundation
6313702022 | 1/27/2025 10:06 AM |
| Details | 340B ID | Update | New Registration | | RWI32204H | 1/27/2025 10:06 AM |
| Dates | Participating Approval Date | Update | New Registration | | 1/27/2025 10:06:17 AM | 1/27/2025 10:06 AM |
| Details | State | Update | New Registration | Pending | Approved | 1/27/2025 10:06 AM |
| Dates | Signed By Date | Update | New Registration | | 1/13/2025 5:59:16 PM | 1/27/2025 10:06 AM |
| Dates | Start Date | Update | New Registration | | 4/1/2025 12:00:00 AM | 1/27/2025 10:06 AM |
| Addresses | Main Address | Insert | New Registration | |
3135 State Road 580
Safety Harbor, FL 34695 | 1/13/2025 5:59 PM |
| Addresses | Billing Address | Insert | New Registration | | AIDS Healthcare Foundation
6255 West Sunset Blvd. 21st Floor
Los Angeles, CA 90028 | 1/13/2025 5:59 PM |
| Contacts | Primary Contact | Insert | New Registration | | Altstaedter, Barry
Director of Pharmacy Finance
AIDS Healthcare Foundation
6318705169 | 1/13/2025 5:59 PM |
| Contacts | Authorizing Official | Insert | New Registration | | DeStefano, Rena
Director of Pharmacy Finance
AIDS Healthcare Foundation
6313702022 | 1/13/2025 5:59 PM |
| Details | Assistance Received From Date | Insert | New Registration | | 3/1/2024 12:00:00 AM | 1/13/2025 5:59 PM |
| Details | Assistance Received To Date | Insert | New Registration | | 2/28/2025 12:00:00 AM | 1/13/2025 5:59 PM |
| Details | Last Recertification Date | Insert | New Registration | | | 1/13/2025 5:59 PM |
| Details | Grant Number | Insert | New Registration | | H89HA00024 | 1/13/2025 5:59 PM |
| Details | 340B ID | Insert | New Registration | | | 1/13/2025 5:59 PM |
| Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 1/13/2025 5:59 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 1/13/2025 5:59 PM |
| Details | Medicare Provider Number | Insert | New Registration | | | 1/13/2025 5:59 PM |
| Details | Entity Name | Insert | New Registration | | AIDS Healthcare Foundation | 1/13/2025 5:59 PM |
| Details | NOFO Number | Insert | New Registration | | | 1/13/2025 5:59 PM |
| Details | Program Code | Insert | New Registration | | RWI | 1/13/2025 5:59 PM |
| Details | Entity Subname | Insert | New Registration | | AHF Healthcare Center - Safety Harbor | 1/13/2025 5:59 PM |
| Dates | Participating Approval Date | Insert | New Registration | | | 1/13/2025 5:59 PM |
| Details | State | Insert | New Registration | | Pending | 1/13/2025 5:59 PM |
| Dates | Registration Date | Insert | New Registration | | 1/13/2025 5:59:14 PM | 1/13/2025 5:59 PM |
| Dates | Signed By Date | Insert | New Registration | | | 1/13/2025 5:59 PM |
| Dates | Start Date | Insert | New Registration | | | 1/13/2025 5:59 PM |
| Terminations | Termination Comments | Insert | New Registration | | | 1/13/2025 5:59 PM |
| Terminations | Termination Date | Insert | New Registration | | | 1/13/2025 5:59 PM |
| Terminations | Termination Effective Date | Insert | New Registration | | | 1/13/2025 5:59 PM |
| Terminations | Termination Reason | Insert | New Registration | | | 1/13/2025 5:59 PM |