Covered Entity Details

CH03088BQ VALLEY HEALTH SYSTEMS INC (Approved) - information as of 4/28/2025 12:44:15 AM

Main Details

Name

VALLEY HEALTH SYSTEMS INC

Subdivision Name

VALLEY HEALTH - HARMONY HOUSE

Type

HRSA-Funded Health Center

Site ID

BPS-H80-039727

340B ID

CH03088BQ

Grant Number

H80CS00614

Additional Details

Current Program Status

Approved

Registration Date

4/2/2025

Participating Start Date

7/1/2025

Participating Approval Date

4/7/2025

Last Recertification Date

Contacts

Authorizing Official

VALLEY HEALTH SYSTEMS
MARYBETH BRUBECK, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER
(304) 525-3334 Ext: 5110

Primary Contact

Valley Health Systems, Inc
Ashley Houvouras, Chief Pharmacy Officer
(304) 399-3338

Addresses

Street Address

627 4th Ave
Huntington, WV 25701-1320

Billing Address

Valley Health Systems, Inc
4290 US Route 60
Huntington, WV 25705

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	City	State
CH030880	Active	BPS-H80-010137	VALLEY HEALTH SYSTEMS, INC.	VALLEY HEALTH - EAST HUNTINGTON	85 Donohoe Dr	Huntington	WV
CH03088AG	Active	BPS-H80-005020	Valley Health Systems, Inc.	VALLEY HEALTH - WESTMORELAND	2908 Auburn Rd	Huntington	WV
CH03088AH	Active	BPS-H80-010230	Valley Health Systems, Inc.	VALLEY HEALTH - POINT PLEASANT PEDIATRICS	2801 Jackson Ave	Point Pleasant	WV
CH03088AJ	Active	BPS-H80-037808	Valley Health Systems, INC.	VALLEY HEALTH Apple Grove	26489 Huntington Road	Apple Grove	WV
CH03088AK	Active	BPS-H80-021976	Valley Health Systems, Inc.	VALLEY HEALTH - MILTON	220 Johns Creek Rd	Milton	WV
CH03088AM	Active	BPS-H80-009943	Valley Health Systems, Inc.	VALLEY HEALTH - SOUTHSIDE ELEMENTARY/HUNTINGTON MIDDLE SCHOOL	10th Avenue and 3rd Street	Huntington	WV
CH03088AN	Active	BPS-H80-010967	Valley Health Systems, Inc.	VALLEY HEALTH - HURRICANE	3729 Teays Valley Road STE 100	Hurricane	WV
CH03088AP	Terminated	BPS-H80-000973	Valley Health Systems, Inc.	Valley Health at Prestera	3375 US Route 60	Huntington	WV
CH03088AQ	Terminated	BPS-H80-011173	Valley Health Systems, INC.	VALLEY HEALTH - POCA HIGH SCHOOL	5B RR 2	Poca	WV
CH03088AR	Active	BPS-H80-011174	Valley Health Systems, INC.	VALLEY HEALTH - HARTS INTERMEDIATE SCHOOL	1246 McClellan HWY	Harts	WV
CH03088AT	Active	BPS-H80-002366	Valley Health Systems, Inc.	VALLEY HEALTH HIGHLAWN	2585 3rd Ave	Huntington	WV
CH03088AU	Terminated	BPS-H80-017207	VALLEY HEALTH SYSTEMS, INC.	VALLEY HEALTH - MOUNTWEST	One Mountwest Way	Huntington	WV
CH03088AV	Terminated	BPS-H80-017533	VALLEY HEALTH SYSTEMS, INC.	VALLEY HEALTH - ONA	1509 W Main Street	Milton	WV
CH03088AW	Active	BPS-H80-017553	VALLEY HEALTH SYSTEMS, INC.	VALLEY HEALTH - COAL GROVE	205 Marion Pike	Coal Grove	OH
CH03088AX	Active	BPS-H80-017534	VALLEY HEALTH SYSTEMS, INC.	VALLEY HEALTH - 10TH STREET	540 10th Street	Huntington	WV
CH03088AY	Active	BPS-H80-017669	VALLEY HEALTH SYSTEMS, INC.	Valley Health - FoodFair Route 60	6350 US Route 60	Barboursville	WV
CH03088AZ	Active	BPS-H80-017742	VALLEY HEALTH SYSTEMS, INC.	VALLEY HEALTH - OTOLARYNGOLOGY	3 Stonecrest Drive	Huntington	WV
CH03088BA	Terminated	BPS-H80-024496	Valley Health Systems, Inc.	VALLEY HEALTH-PROACT	800 20th St	Huntington	WV
CH03088BB	Terminated	BPS-H80-027858	Valley Health Systems, Inc.	Valley Health- Oakwood Road	864 Oakwood Rd	Charleston	WV
CH03088BC	Active	BPS-H80-028082	Valley Health Systems, Inc.	Valley Health- Teays Pediatrics	111 Great Teays Blvd	Scott Depot	WV
CH03088BD	Active	BPS-H80-031059	Valley Health Systems, Inc.	Valley Health- Kanawha City	4407 Maccorkle Ave SE Bldg	Charleston	WV
CH03088BE	Active	BPS-H80-033015	Valley Health Systems, Inc.	Valley Health - Huntington Dental	1319 Hal Greer Blvd	Huntington	WV
CH03088BF	Active	BPS-H80-036002	Valley Health Systems, Inc.	Valley Health- Pea Ridge	4270 US Route 60	Huntington	WV
CH03088BG	Active	BPS-H80-010889	Valley Health Systems, Inc.	VALLEY HEALTH - MILTON AT HARBOUR WAY	1 Harbour Way	Milton	WV
CH03088BH	Active	BPS-H80-036519	Valley Health Systems, Inc.	Valley Health - Point Pleasant Fruth	2501 Jackson Ave	Point Pleasant	WV
CH03088BJ	Terminated	BPS-H80-036896	Valley Health Systems, Inc.	Valley Health Mobile Unit	4270 US Route 60	Huntington	WV
CH03088BK	Active	BPS-H80-038136	VALLEY HEALTH SYSTEMS INC	Valley Health SCP Hurricane	3751 Teays Valley Rd	Hurricane	WV
CH03088BL	Active	BPS-H80-038138	VALLEY HEALTH SYSTEMS INC	Valley Health SCP Charleston 305	830 Pennsylvania Ave, Ste 305	Charleston	WV
CH03088BM	Active	BPS-H80-038137	VALLEY HEALTH SYSTEMS INC	Valley Health SCP Charleston 110	830 Pennsylvania Ave, Ste 110	Charleston	WV
CH03088BN	Active	BPS-H80-038109	VALLEY HEALTH SYSTEMS INC	Valley Health SCP Charleston 108	830 Pennsylvania Ave, Ste 108	Charleston	WV
CH03088BP	Approved	BPS-H80-039686	VALLEY HEALTH SYSTEMS INC	Valley Health Louisa	112 S Vinson Ave FL 1	Louisa	KY
CH03088BQ	Approved	BPS-H80-039727	VALLEY HEALTH SYSTEMS INC	VALLEY HEALTH - HARMONY HOUSE	627 4th Ave	Huntington	WV
CH03088F	Active	BPS-H80-005396	Valley Health Systems, Inc.	VALLEY HEALTH - HARTS	22 Fleming Dr	Harts	WV
CH03088G	Active	BPS-H80-017935	Valley Health Systems, Inc.	VALLEY HEALTH - WAYNE	42 McGinnis Drive	Wayne	WV
CH03088H	Active	BPS-H80-003655	VALLEY HEALTH SYSTEMS, INC.	VALLEY HEALTH - UPPER KANAWHA	408 ALEXANDER ST	CEDAR GROVE	WV
CH03088I	Active	BPS-H80-001951	Valley Health Systems, Inc.	VALLEY HEALTH - FORT GAY	71 Wayne St	Fort Gay	WV
CH03088L	Active	BPS-H80-002620	Valley Health Systems, Inc.	WHEELING HEALTH RIGHT CENTER	61 29th St	Wheeling	WV
CH03088M	Active	BPS-H80-004857	Valley Health Systems, Inc.	VALLEY HEALTH - STEPPTOWN	3 ADENA DRIVE	KERMIT	WV
CH03088N	Terminated	BPS-H80-001968	Valley Health Systems, Inc.	VALLEY HEALTH - HARMONY HOUSE	627 4th Ave	Huntington	WV
CH03088O	Active	BPS-H80-004113	Valley Health Systems, Inc.	VALLEY HEALTH - HUNTINGTON	1301 Hal Greer Blvd	Huntington	WV
CH03088P	Active	BPS-H80-001266	Valley Health Systems, Inc.	VALLEY HEALTH - A WOMAN'S PLACE	1630 13th Ave	Huntington	WV
CH03088Q	Terminated	BPS-H80-017553	Valley Health Systems, Inc.	VALLEY HEALTH - COAL GROVE	205 Marion Pike	Coal Grove	OH
CH03088R	Active	BPS-H80-000179	Valley Health Systems, Inc.	VALLEY HEALTH - CABELL-MIDLAND HIGH SCHOOL	11315 US Route 60	Ona	WV
CH03088S	Active	BPS-H80-000719	Valley Health Systems, Inc.	VALLEY HEALTH - HUNTINGTON HIGH SCHOOL	1 Highlander Way	Huntington	WV
CH03088T	Active	BPS-H80-005268	Valley Health Systems, Inc.	VALLEY HEALTH - SPRING VALLEY HIGH SCHOOL	1 Timberwolfe Dr	Huntington	WV
CH03088V	Active	BPS-H80-002541	Valley Health Systems, Inc.	VALLEY HEALTH - WAYNE HIGH SCHOOL	100 Pioneer Rd	Wayne	WV
CH03088Y	Active	BPS-H80-004213	Valley Health Systems, Inc.	VALLEY HEALTH - SOUTHSIDE	723 9th Ave	Huntington	WV
CH03088Z	Active	BPS-H80-014489	VALLEY HEALTH SYSTEMS, INC.	VALLEY HEALTH - TEAYS VALLEY	1100 HOSPITAL DR	HURRICANE	WV

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH030880	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2025
CH030880	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2025
CH030880	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2025
CH030880	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2025
CH030880	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2025
CH030880	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/01/2025
CH030880	ARACOMA DRUG CO OF CHAPMANVIL	772 MAIN STREET	BOX 1570	CHAPMANVILLE	WV	25508-1570	10/01/2015	07/20/2023
CH030880	CABELL HUNTINGTON OUTPATIENT PHARMACY	DBA MARSHALL PHARMACY	1600 MEDICAL CENTER DRIVE	HUNTINGTON	WV	25701	01/01/2020	10/06/2020
CH030880	CUSTOMSCRIPT INFUSION VITAL CARE	DBA CUSTOMSCRIPT INFUSION	3738 TEAYS VALLEY RD SUITE B	HURRICANE	WV	25526	07/01/2015	03/30/2016
CH030880	CUSTOMSCRIPT INFUSION VITAL CARE	DBA CUSTOMSCRIPT PHARMACY	3738 TEAYS VALLEY RD SUITE C	HURRICANE	WV	25526	07/01/2015	03/30/2016
CH030880	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	10/01/2021
CH030880	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	10/01/2021
CH030880	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/01/2025
CH030880	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2025
CH030880	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/01/2025
CH030880	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2025
CH030880	FAIRFIELD PHARMACY	WAYNE PHARMACY	701 HENDRICKS ST P.O. BOX 338	WAYNE	WV	25570-0338	04/09/2012	06/21/2019
CH030880	FRUTH	FRUTH PHARMACY #20	501 ROOSEVELT BLVD	ELEANOR	WV	25070	07/01/2019	04/23/2024
CH030880	FRUTH PHARMACY	FRUTH PHARMACY #8	259 STATE STREET	PROCTORVILLE	OH	45669	10/11/2011	01/01/2022
CH030880	FRUTH PHARMACY	FRUTH PHARMACY #11	425 CAMDEN RD FRUTH PHARMACY	HUNTINGTON	WV	25704-2764	10/11/2011	04/23/2024
CH030880	FRUTH PHARMACY	FRUTH PHARMACY #13	DBA FRUTH PHCY OF WINFIELD 12803 WINFIELD RD	WINFIELD	WV	25213-9608	07/01/2019
CH030880	FRUTH PHARMACY	FRUTH PHARMACY #14	DBA FRUTH PHCY OAKWOOD RD 864 OAKWOOD RD	CHARLESTON	WV	25314-2010	10/01/2019	12/09/2020
CH030880	FRUTH PHARMACY #23	FRUTH PHARMACY #23	4539 TEAYS VALLEY ROAD	SCOTT DEPOT	WV	25560-7806	10/11/2011	01/01/2022
CH030880	FRUTH PHARMACY INC	FRUTH PHARMACY #1	2501 JACKSON AVE	POINT PLEASANT	WV	25550	10/11/2011
CH030880	FRUTH PHARMACY OF HURRICANE	FRUTH PHARMACY #10	3109 TEAYS VALLEY RD	HURRICANE	WV	25526	10/11/2011
CH030880	FRUTH PHARMACY OF MILTON INC	FRUTH PHARMACY #5	16 PERRY MORRIS SQ	MILTON	WV	25541	10/11/2011	08/29/2021
CH030880	FRUTH PHARMACY OF MILTON INC	FRUTH PHARMACY #5	16 PERRY MORRIS SQ	MILTON	WV	25541	01/01/2022	12/19/2024
CH030880	FRUTH PHARMACY OF OHIO, INC.	FRUTH PHARMACY #26	1848 STATE ROUTE 141	IRONTON	OH	45638	07/01/2013	01/01/2022
CH030880	GENOA HEALTHCARE LLC	55 DONOHOE DR STE P		HUNTINGTON	WV	25705	07/01/2022
CH030880	HARTS PHARMACY, INC.	217 HARTS STREET	P.O. BOX 250	HARTS	WV	25524-0250	10/01/2020	02/28/2023
CH030880	KENTUCKY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06340	197 APPALACHIAN PLAZA	SOUTH WILLIAMSON	KY	41503	01/01/2020
CH030880	KENTUCKY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06347	1221 LEXINGTON AVENUE	ASHLAND	KY	41101	01/01/2020
CH030880	KROGER COLUMBUS CENTRAL FILL #019	2270 RICKENBACKER PKWY W		COLUMBUS	OH	43217	07/01/2024
CH030880	KROGER PHARMACY	#19 7TH AVE. WEST		HUNTINGTON	WV	25701	06/16/2011
CH030880	KROGER PHARMACY #754	10635 MACCORKLE AVE. S.E.		MARMET	WV	25315	06/16/2011
CH030880	KROGER PHARMACY #781	6306 COUNTY ROAD 107		PROCTORVILLE	OH	45669	07/01/2019
CH030880	KROGER PHARMACY #788	6360 U.S. ROUTE 60		BARBOURSVILLE	WV	25504	07/01/2019
CH030880	KROGER PHARMACY #792	2627 FIFTH AVENUE		HUNTINGTON	WV	25702	06/16/2011
CH030880	KROGER PHARMACY #794	101 GREAT TEAYS BLVD.		SCOTT DEPOT	WV	25560	10/01/2024
CH030880	MARSHALL PHARMACY	1600 MEDICAL CENTER DR		HUNTINGTON	WV	25701-3655	01/01/2019	01/01/2019
CH030880	MARSHALL PHARMACY	800 20TH ST		HUNTINGTON	WV	25703-1850	07/01/2019	10/06/2020
CH030880	MEDICINE CABINET PHARMACY	50 LINCOLN STREET		KERMIT	WV	25674	10/01/2015	09/21/2017
CH030880	MEDICINE CABINET PHARMACY	MEDICINE CABINET PHARMACY	50 LINCOLN STREET PO BOX 600	KERMIT	WV	25674	04/01/2018	08/12/2022
CH030880	MEDICINE CABINET PHARMACY	50 LINCOLN STREET	PO BOX 600	KERMIT	WV	25674	08/12/2022
CH030880	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03403	219 THIRD AVENUE	CHESAPEAKE	OH	45619	10/01/2017
CH030880	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03474	320 JEFFERSON STREET	IRONTON	OH	45638	10/01/2017
CH030880	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 04400	3066 STATE RT. 160	GALLIPOLIS	OH	45631	01/01/2020
CH030880	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03498	4207 GALLIA ST.	NEW BOSTON	OH	45662	01/01/2020
CH030880	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 06349	1109 IRONTON HILLS DR.	IRONTON	OH	45638	01/01/2020
CH030880	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	07/01/2021	10/01/2022
CH030880	RITE AID OF KENTUCKY, INC.	RITE AID #295	4311 HIGHWAY 2565	LOUISA	KY	41230	09/07/2012	01/26/2018
CH030880	RITE AID OF KENTUCKY, INC.	RITE AID #2430	9145 BEAUTY ROAD PO BOX 377	WARFIELD	KY	41267	09/07/2012	01/26/2018
CH030880	RITE AID OF WEST VIRGINIA, INC.	RITE AID #950	1138 HAL GREER BOULEVARD	HUNTINGTON	WV	25701	09/07/2012	02/16/2018
CH030880	RITE AID OF WEST VIRGINIA, INC.	RITE AID #968	6401 US ROUTE 60 EAST	BARBOURSVILLE	WV	25504	09/07/2012	02/16/2018
CH030880	RITE AID OF WEST VIRGINIA, INC.	RITE AID #1013	2100 EAST DUPONT AVE	BELLE	WV	25015	09/07/2012	02/16/2018
CH030880	RITE AID OF WEST VIRGINIA, INC.	RITE AID #1688	2418 JACKSON AVENUE	PT PLEASANT	WV	25550	09/07/2012	02/09/2018
CH030880	RITE AID OF WEST VIRGINIA, INC.	RITE AID #2431	10295 ROUTE 152	WAYNE	WV	25570	09/07/2012	03/16/2018
CH030880	RITE AID OF WEST VIRGINIA, INC.	RITE AID #3311	1010 SOUTH MAIN STREET	MILTON	WV	25541	09/07/2012	02/09/2018
CH030880	RITE AID OF WEST VIRGINIA, INC.	RITE AID #3423	527 31ST STREET	HUNTINGTON	WV	25702	09/07/2012	02/16/2018
CH030880	RITE AID OF WEST VIRGINIA, INC.	RITE AID #4731	3114 TEAYS VALLEY ROAD	HURRICANE	WV	25526	04/01/2014	02/09/2018
CH030880	RITE AID OF WEST VIRGINIA, INC.	RITE AID #3462	4749 U.S. ROUTE 152	LAVALETTE	WV	25535	04/01/2014	02/16/2018
CH030880	RITE AID OF WEST VIRGINIA, INC.	RITE AID #2460	901 MAIN STREET P.O. BOX 4547	CHAPMANVILLE	WV	25508	04/01/2014	02/16/2018
CH030880	RITE AID OF WEST VIRGINIA, INC.	RITE AID #1655	5798 MCCLELLAN HIGHWAY	BRANCHLAND	WV	25506	04/01/2014	02/16/2018
CH030880	RITE AID OF WEST VIRGINIA, INC.	RITE AID #966	215 STATE ROUTE 34	HURRICANE	WV	25526	04/01/2014	02/09/2018
CH030880	S & F PHARMACY	FRUTH PHARMACY #2	DBA FRUTH PHARMACY #2 125 SEVENTH AVENUE	HUNTINGTON	WV	25701	10/11/2011
CH030880	S & F PHARMACY	FRUTH PHARMACY # 12	DBA FRUTH PHCY STORE #12 1419-US RT 60 EAST	HUNTINGTON	WV	25705	10/11/2011	12/18/2023
CH030880	T AND J ENTERPRISES INC	DBA THE MEDICINE SHOPPE	2402 ADAMS AVE	HUNTINGTON	WV	25704-1322	06/29/2011
CH030880	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2019
CH030880	WAL-MART PHARMACY 10-1478	354 PRIVATE DRIVE 288		SOUTH POINT	OH	45680	01/01/2019
CH030880	WAL-MART PHARMACY 10-2244	3333 US ROUTE 60		HUNTINGTON	WV	25705	09/21/2012
CH030880	WAL-MART PHARMACY 10-2548	28402 U.S. HWY 119 NO.		SO WILLIAMSON	KY	41503	10/01/2020
CH030880	WAL-MART PHARMACY 10-2576	100 NITRO MARKETPLACE		CROSS LANES	WV	25313	10/01/2020	03/15/2022
CH030880	WAL-MART PHARMACY 10-2792	100 MCGINNIS DRIVE		WAYNE	WV	25570	09/21/2012
CH030880	WAL-MART PHARMACY 10-4277	167 PROGRESS WAY		HURRICANE	WV	25526	10/01/2020
CH030880	WAL-MART PHARMACY 10-4461	275 WALTON DRIVE		LOUISA	KY	41230	01/01/2019
CH030880	WAL-MART PHARMACY 10-5296	25 NICHOLS DRIVE		BARBOURSVILLE	WV	25504	09/21/2012
CH030880	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2019
CH030880	WALGREEN CO.	DBA: WALGREENS #11980	111 4TH AVE.	HUNTINGTON	WV	25701	10/11/2012	11/14/2023
CH030880	WALGREEN CO.	DBA: WALGREENS #11977	6414 US RTE 60 E	BARBOURSVILLE	WV	25504	10/11/2012
CH030880	WALGREEN CO.	DBA: WALGREENS #12678	3000 TEAYS VALLEY RD.	HURRICANE	WV	25526	04/01/2015
CH030880	WALGREEN CO.	WALGREENS #17781	2100 E DUPONT AVE	BELLE	WV	25015-1348	04/01/2018	11/06/2023
CH030880	WALGREEN CO.	RITE AID #04731	3114 TEAYS VALLEY RD	HURRICANE	WV	25526	04/01/2018	07/09/2018
CH030880	WALGREEN CO.	WALGREENS #17704	10295 ROUTE 152	WAYNE	WV	25570-5810	04/01/2018	02/18/2025
CH030880	WALGREEN CO.	WALGREENS #17178	9145 BEAUTY ROAD PO BOX 377	WARFIELD	KY	41267	04/01/2018
CH030880	WALGREEN CO.	WALGREENS #17409	215 STATE ROUTE 34	HURRICANE	WV	25526-7003	04/01/2018
CH030880	WALGREEN CO.	WALGREENS #17442	4311 HIGHWAY 2565	LOUISA	KY	41230	04/01/2018	02/21/2024
CH030880	WALGREEN CO.	WALGREENS #17117	1138 HAL GREER BLVD	HUNTINGTON	WV	25701	04/01/2018
CH030880	WALGREEN CO.	WALGREENS #19510	1010 S MAIN ST.	MILTON	WV	25541-1220	04/01/2018	10/11/2023
CH030880	WALGREEN CO.	WALGREENS #18006	2418 JACKSON AVE	POINT PLEASANT	WV	25550-2008	04/01/2018
CH030880	WALGREEN CO.	RITE AID #03462	4749 ROUTE 152	LAVALETTE	WV	25535	04/01/2018	05/22/2019
CH030880	WALGREEN CO.	WALGREENS #17792	901 MAIN ST	CHAPMANVILLE	WV	25508-4547	04/01/2018
CH030880	WALGREEN CO.	RITE AID #00968	6401 US ROUTE 60 E	BARBOURSVILLE	WV	25504	04/01/2018	09/10/2018
CH030880	WALGREEN CO.	WALGREENS #18324	527 31ST ST	HUNTINGTON	WV	25702	04/01/2018	06/08/2020
CH030880	WALGREEN CO.	WALGREENS #17534	5798 MCCLELLAN HWY	BRANCHLAND	WV	25506-8700	04/01/2018
CH030880	Walgreens #21423	Walgreens Central Fill #21423	6275 Winchester Blvd	Canal WInchester	OH	43110-6537	04/01/2024
CH030880	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	07/01/2021
CH030880	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	07/01/2021
CH030880	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	07/01/2021
CH030880	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CH030880	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH030880	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04425	447 W WASHINGTON AVE	HUNTINGTON	WV	25701	10/01/2017
CH030880	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03391	2901 FIFTH AVE	HUNTINGTON	WV	25702	10/01/2017
CH030880	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06350	1405 OAK STREET	KENOVA	WV	25530	10/01/2017
CH030880	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04419	505 TWENTIETH STREET	HUNTINGTON	WV	25703	10/01/2017
CH030880	WEST VIRGINIA CVS PHARMACY, L.L.C.	CVS/PHARMACY #10566	278 E MAIN STREET	MILTON	WV	25541	10/01/2017
CH030880	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03480	5179 US ROUTE 60 EAST	HUNTINGTON	WV	25705	10/01/2017
CH030880	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07124	3901 TEAYS VALLEY RD.	HURRICANE	WV	25526	10/01/2017
CH030880	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04244	121 10TH ST.	DUNBAR	WV	25064	01/01/2020
CH030880	WEST VIRGINIA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16810	2070 THUNDERING HERD RD	BARBOURSVILLE	WV	25504	01/01/2020
CH030880	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06306	201 MACCORKLE AVE.	SAINT ALBANS	WV	25177	01/01/2020

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Signed By	Insert	New Registration		BRUBECK, MARYBETH EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER VALLEY HEALTH SYSTEMS 3045253334-5110	4/7/2025 6:17 AM
Details	340B ID	Update	New Registration		CH03088BQ	4/7/2025 6:17 AM
Dates	Participating Approval Date	Update	New Registration		4/7/2025 6:17:55 AM	4/7/2025 6:17 AM
Details	State	Update	New Registration	Pending	Approved	4/7/2025 6:17 AM
Dates	Signed By Date	Update	New Registration		4/4/2025 10:12:05 AM	4/7/2025 6:17 AM
Dates	Start Date	Update	New Registration		7/1/2025 12:00:00 AM	4/7/2025 6:17 AM
Addresses	Main Address	Insert	New Registration		627 4th Ave Huntington, WV 25701-1320	4/2/2025 3:43 PM
Addresses	Billing Address	Insert	New Registration		Valley Health Systems, Inc 4290 US Route 60 Huntington, WV 25705	4/2/2025 3:43 PM
Contacts	Authorizing Official	Insert	New Registration		BRUBECK, MARYBETH EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER VALLEY HEALTH SYSTEMS 3045253334-5110	4/2/2025 3:43 PM
Contacts	Primary Contact	Insert	New Registration		Houvouras, Ashley Chief Pharmacy Officer Valley Health Systems, Inc 3043993338	4/2/2025 3:43 PM
Details	Assistance Received From Date	Insert	New Registration			4/2/2025 3:43 PM
Details	Assistance Received To Date	Insert	New Registration			4/2/2025 3:43 PM
Details	Last Recertification Date	Insert	New Registration			4/2/2025 3:43 PM
Details	Grant Number	Insert	New Registration		H80CS00614	4/2/2025 3:43 PM
Details	340B ID	Insert	New Registration			4/2/2025 3:43 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/2/2025 3:43 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/2/2025 3:43 PM
Details	Medicare Provider Number	Insert	New Registration			4/2/2025 3:43 PM
Details	Entity Name	Insert	New Registration		VALLEY HEALTH SYSTEMS INC	4/2/2025 3:43 PM
Details	NOFO Number	Insert	New Registration			4/2/2025 3:43 PM
Details	Program Code	Insert	New Registration		CH	4/2/2025 3:43 PM
Details	Entity Subname	Insert	New Registration		VALLEY HEALTH - HARMONY HOUSE	4/2/2025 3:43 PM
Dates	Participating Approval Date	Insert	New Registration			4/2/2025 3:43 PM
Details	State	Insert	New Registration		Pending	4/2/2025 3:43 PM
Dates	Registration Date	Insert	New Registration		4/2/2025 3:43:23 PM	4/2/2025 3:43 PM
Dates	Signed By Date	Insert	New Registration			4/2/2025 3:43 PM
Dates	Start Date	Insert	New Registration			4/2/2025 3:43 PM
Terminations	Termination Comments	Insert	New Registration			4/2/2025 3:43 PM
Terminations	Termination Date	Insert	New Registration			4/2/2025 3:43 PM
Terminations	Termination Effective Date	Insert	New Registration			4/2/2025 3:43 PM
Terminations	Termination Reason	Insert	New Registration			4/2/2025 3:43 PM

340B Drug Pricing Program Database