Covered Entity Details

CH01084E CARING HEALTH CENTER, INC. (Approved) - information as of 5/3/2025 11:32:02 PM

Main Details

Name

CARING HEALTH CENTER, INC.

Subdivision Name

1235 Boston Road Facility

Type

HRSA-Funded Health Center

Site ID

BPS-H80-039598

340B ID

CH01084E

Grant Number

H80CS00585

Additional Details

Current Program Status

Approved

Registration Date

4/3/2025

Participating Start Date

7/1/2025

Participating Approval Date

4/4/2025

Last Recertification Date

Contacts

Authorizing Official

Caring Health Center, Inc.
Tania Barber, President/CEO
(413) 693-1007

Primary Contact

Caring health Center
Chetan Gohil, Chief Pharmacy Officer
(413) 693-1005

Addresses

Street Address

1235 Boston Rd
Springfield, MA 01119-1328

Billing Address

Caring Health Center, Inc
1049 Main Street
Springfield, MA 01103

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?
Yes

State	Medicaid Number	NPI Number
MA		1407651862,1942925896

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
CH010840	Terminated	BPS-H80-005101	CARING HEALTH CENTER, INC.	CARING HEALTH CENTER, INC.	1038-1050 MAIN STREET	SPRINGFIELD	MA
CH01084A	Active	BPS-H80-005199	CARING HEALTH CENTER, INC.	CARING HEALTH CENTER, INC-FOREST PARK	532 Sumner Ave	Springfield	MA
CH01084B	Active	BPS-H80-032116	CARING HEALTH CENTER, INC.	Caring Health Center Main Street Clinic	1049 Main St	Springfield	MA
CH01084C	Active	BPS-H80-014129	CARING HEALTH CENTER, INC.	CARING HEALTH CENTER, BOSTON RD	860 Boston Rd	Springfield	MA
CH01084D	Active	BPS-H80-033811	CARING HEALTH CENTER, INC.	Caring Health Center	473 Sumner Ave	Springfield	MA
CH01084E	Approved	BPS-H80-039598	CARING HEALTH CENTER, INC.	1235 Boston Road Facility	1235 Boston Rd	Springfield	MA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH01084B	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	01/01/2025
CH01084A	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	10/01/2017
CH01084B	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	10/01/2017
CH01084C	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	10/01/2017
CH01084B	AMAZON PHARMACY #001	4500 S PLEASANT VALLEY RD STE 201		AUSTIN	TX	78744-2911	07/01/2018
CH01084B	AMAZON PHARMACY #006	3620 PLAINFIELD RD		INDIANAPOLIS	IN	46231-7003	04/01/2025
CH01084B	AVELLA OF COLUMBUS	4830 KNIGHTSBRIDGE BLVD STE C		COLUMBUS	OH	43214-2300	10/01/2018	01/01/2021
CH01084B	AVELLA OF DEER VALLEY, INC. #38	DBA AVELLA SPECIALTY PHARMACY	24416 N. 19TH AVE	PHOENIX	AZ	85085	10/01/2018	01/01/2021
CH01084B	AZ PHARMACY, LLC	DBA AMAZON PHARMACY #002	3809 E WATKINS ST	PHOENIX	AZ	85034	04/01/2019
CH01084B	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	10/01/2020
CH01084B	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	10/01/2020	09/30/2024
CH01084B	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	10/01/2021
CH01084B	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	10/01/2021
CH01084B	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	10/01/2021
CH01084B	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	10/01/2021
CH01084B	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	10/01/2021
CH01084B	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	10/01/2021
CH01084B	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	10/01/2021
CH01084B	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	10/01/2021
CH01084B	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	10/01/2021
CH01084B	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	10/01/2021
CH01084B	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	01/01/2025
CH01084B	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	01/01/2025
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00993	239-B MEMORIAL AVE CENTURY PLAZA	WEST SPRINGFIELD	MA	01089	07/01/2018	11/19/2021
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01291	770 BOSTON RD.	SPRINGFIELD	MA	01119	07/01/2018
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 04471	600 STATE ST	SPRINGFIELD	MA	01109	07/01/2018
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01026	991 MAIN STREET	SPRINGFIELD	MA	01103	07/01/2018
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01234	208 ELM ST.	WESTFIELD	MA	01085	07/01/2018
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01130	615-621 BELMONT AVENUE	SPRINGFIELD	MA	01108	07/01/2018
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01972	152 ELM STREET	WEST SPRINGFIELD	MA	01089	07/01/2018
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00488	970 ST. JAMES AVE.	SPRINGFIELD	MA	01104	07/01/2018
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00517	746 BLISS RD.	LONGMEADOW	MA	01106	01/01/2019
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00843	235 CENTER ST.	CHICOPEE	MA	01013	01/01/2019
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 02071	400 BEECH ST.	HOLYOKE	MA	01040	01/01/2019
CH01084B	CVS PHARMACY, INC.	DBA CVS/PHARMACY # 957	928 RIVERDALE STREET	WEST SPRINGFIELD	MA	01089	07/01/2019
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00838	427 EAST MAIN ST. WESTFIELD SHOPS	WESTFIELD	MA	01085	07/01/2019
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00769	217 NORTH MAIN STREET	EAST LONGMEADOW	MA	01028	07/01/2019
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00950	410 LONGMEADOW STREET	LONGMEADOW	MA	01106	07/01/2019
CH01084B	CVS PHARMACY, INC.	DBA CVS/PHARMACY # 1157	1242 PARKER ST	SPRINGFIELD	MA	01129	07/01/2019
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00859	287 SPRINGFIELD STREET	AGAWAM	MA	01001	07/01/2019
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 02476	163 SILVER STREET	AGAWAM	MA	01001	07/01/2019
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00084	215 COLLEGE HWY.	SOUTHWICK	MA	01077	07/01/2020
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 02025	118 NORTHAMPTON ST	EASTHAMPTON	MA	01027	07/01/2020
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00693	1616 MEMORIAL DR.	CHICOPEE	MA	01020	07/01/2020
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00969	1001 THORNDIKE ST	PALMER	MA	01069	07/01/2020
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 02566	1990 BOSTON RD.	WILBRAHAM	MA	01095	07/01/2020
CH01084B	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00315	451 CENTER STREET	LUDLOW	MA	01056	10/01/2021
CH01084B	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	10/01/2021
CH01084B	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	04/01/2022
CH01084A	DELIVERCARERX PHARMACY LLC	DELIVERCARERX PHARMACY LLC	1471 E BUSINESS CENTER DR STE 200	MT PROSPECT	IL	60056	04/01/2017	03/06/2019
CH01084B	DELIVERCARERX PHARMACY LLC	DELIVERCARERX PHARMACY LLC	1471 E BUSINESS CENTER DR STE 200	MT PROSPECT	IL	60056	04/01/2017	03/06/2019
CH01084C	DELIVERCARERX PHARMACY LLC	DELIVERCARERX PHARMACY LLC	1471 E BUSINESS CENTER DR STE 200	MT PROSPECT	IL	60056	04/01/2017	03/06/2019
CH01084B	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	10/01/2020
CH01084B	M.N. PHARMACY LLC	DBA AMAZON PHARMACY #003	6701 NW 7TH ST., STE. #199	MIAMI	FL	33126	07/01/2018
CH01084B	PILLPACK LLC	DBA PILLPACK BY AMAZON PHARMACY	250 COMMERCIAL ST STE 2012	MANCHESTER	NH	03101	07/01/2018
CH01084B	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	04/01/2022	10/01/2022
CH01084B	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	10/01/2021
CH01084B	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	10/01/2021
CH01084B	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	10/01/2021
CH01084B	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	10/01/2021
CH01084B	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 2516	35 KNEELAND STREET	BOSTON	MA	02111	01/01/2025
CH01084B	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	10/01/2020
CH01084B	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	10/01/2020
CH01084B	SPRINGFIELD PHARMACY LLC	2547 MAIN ST STE 105		SPRINGFIELD	MA	01107-1935	10/01/2022
CH01084B	VIETAZ INC.	D/B/A CARING PHARMACY	377 BELMONT AVE	SPRINGFIELD	MA	01108	10/01/2017
CH01084B	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2022
CH01084B	WAL-MART PHARMACY 10-1967	1105 BOSTON ROAD		SPRINGFIELD	MA	01119	10/01/2022
CH01084B	WAL-MART PHARMACY 10-2174	141 SPRINGFIELD ROAD		WESTFIELD	MA	01085	10/01/2022
CH01084B	WAL-MART PHARMACY 10-5278	591 MEMORIAL DRIVE		CHICOPEE	MA	01020	10/01/2022
CH01084B	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2022
CH010840	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02268	50 ST JAMES BLVD	SPRINGFIELD	MA	01104	04/01/2013	04/01/2016
CH010840	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02311	1919 WILBRAHAM ROAD	SPRINGFIELD	MA	01129	04/01/2013	04/01/2016
CH010840	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02699	54 EAST STREET	LUDLOW	MA	01056	04/01/2013	01/01/2016
CH010840	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02710	78 MAIN ST	WESTFIELD	MA	01085	04/01/2013	04/01/2016
CH010840	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03625	707 STATE ST.	SPRINGFIELD	MA	01109	04/01/2013	04/01/2016
CH010840	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03736	501 SUMNER AVENUE	SPRINGFIELD	MA	01108-2306	04/01/2013	04/01/2016
CH010840	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04358	60 SPRINGFIELD ST.	AGAWAM	MA	01001	04/01/2013	01/01/2016
CH010840	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04967	1588 NORTHAMPTON ST	HOLYOKE	MA	01040	04/01/2013	04/01/2016
CH010840	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05445	1440 BOSTON ROAD	SPRINGFIELD	MA	01129	04/01/2013	04/01/2016
CH010840	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07703	54 CENTER SQUARE	EAST LONGMEADOW	MA	01028-2746	04/01/2013	01/01/2016
CH010840	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 10127	625 CAREW ST	SPRINGFIELD	MA	01104-1961	04/01/2013	04/01/2016
CH010840	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11688	1195 GRANBY RD	CHICOPEE	MA	01020	04/01/2013	01/01/2016
CH01084B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03736	501 SUMNER AVENUE	SPRINGFIELD	MA	01108-2306	03/02/2016
CH01084B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02268	50 ST JAMES BLVD	SPRINGFIELD	MA	01104	03/02/2016	12/20/2021
CH01084B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02311	1919 WILBRAHAM ROAD	SPRINGFIELD	MA	01129	03/02/2016
CH01084B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05445	1440 BOSTON ROAD	SPRINGFIELD	MA	01129	03/02/2016
CH01084B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 10127	625 CAREW ST	SPRINGFIELD	MA	01104-1961	03/02/2016
CH01084B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02710	78 MAIN ST	WESTFIELD	MA	01085	03/02/2016	02/26/2024
CH01084B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03625	707 STATE ST.	SPRINGFIELD	MA	01109	03/02/2016	01/21/2025
CH01084B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04967	1588 NORTHAMPTON ST	HOLYOKE	MA	01040	03/02/2016
CH01084B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02699	54 EAST STREET	LUDLOW	MA	01056	03/02/2016
CH01084B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11688	1195 GRANBY RD	CHICOPEE	MA	01020	03/02/2016	11/09/2022
CH01084B	WALGREEN EASTERN CO., INC.	WALGREENS SPECIALTY PHARMACY #16537	619 CHESTNUT ST.	SPRINGFIELD	MA	01107	07/01/2018
CH01084B	WALGREEN EASTERN CO., INC.	WALGREENS #17584	126 ISLAND POND RD	SPRINGFIELD	MA	01118	07/01/2018	04/21/2022
CH01084B	WALGREEN EASTERN CO., INC.	RITE AID #10050	17 SPRINGFIELD ST	AGAWAM	MA	01001	07/01/2018	08/10/2018
CH01084B	WALGREEN EASTERN CO., INC.	WALGREENS #17540	99 WESTFIELD ST	WEST SPRINGFIELD	MA	01089	07/01/2018	03/20/2025
CH01084B	WALGREEN EASTERN CO., INC.	WALGREENS #17542	1 SAINT JAMES AVE	CHICOPEE	MA	01020	07/01/2018
CH01084B	WALGREEN EASTERN CO., INC.	WALGREENS #17787	381 COOLEY ST	SPRINGFIELD	MA	01128	07/01/2018
CH01084B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04358	60 SPRINGFIELD ST.	AGAWAM	MA	01001	10/01/2018
CH01084B	WALGREEN EASTERN CO., INC.	WALGREENS #17644	74 BRIDGE ST.	EAST WINDSOR	CT	06088	10/01/2018	12/20/2021
CH01084B	WALGREEN EASTERN CO., INC.	WALGREENS #18949	7 E SILVER ST	WESTFIELD	MA	01085-4407	10/01/2018
CH01084B	WALGREEN EASTERN CO., INC.	WALGREENS #19421	117 MAIN ST	MONSON	MA	01057	10/01/2018
CH01084B	WALGREEN EASTERN CO., INC.	WALGREENS #17650	592 COLLEGE HWY	SOUTHWICK	MA	01077	10/01/2018
CH01084B	WALGREEN EASTERN CO., INC.	WALGREENS #19944	71 PALOMBA DR	ENFIELD	CT	06082-3801	10/01/2018
CH01084B	WALGREEN EASTERN CO., INC.	WALGREENS #17673	577 MEADOW ST	CHICOPEE	MA	01013	10/01/2018
CH01084B	WALGREEN EASTERN CO., INC.	WALGREENS #17302	1047 THORNDIKE ST	PALMER	MA	01069	10/01/2018
CH01084B	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	04/01/2022
CH01084B	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	04/01/2022
CH01084B	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	04/01/2022
CH01084B	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CH01084B	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Signed By	Insert	New Registration		Barber, Tania President/CEO Caring Health Center, Inc. 4136931007	4/4/2025 9:04 AM
Details	340B ID	Update	New Registration		CH01084E	4/4/2025 9:04 AM
Dates	Participating Approval Date	Update	New Registration		4/4/2025 9:04:33 AM	4/4/2025 9:04 AM
Details	State	Update	New Registration	Pending	Approved	4/4/2025 9:04 AM
Dates	Signed By Date	Update	New Registration		4/3/2025 3:06:00 PM	4/4/2025 9:04 AM
Dates	Start Date	Update	New Registration		7/1/2025 12:00:00 AM	4/4/2025 9:04 AM
Addresses	Main Address	Insert	New Registration		1235 Boston Rd Springfield, MA 01119-1328	4/3/2025 9:16 AM
Addresses	Billing Address	Insert	New Registration		Caring Health Center, Inc 1049 Main Street Springfield, MA 01103	4/3/2025 9:16 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1407651862	4/3/2025 9:16 AM
Medicaid Billing	NPI: State	Insert	New Registration		MA	4/3/2025 9:16 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1942925896	4/3/2025 9:16 AM
Medicaid Billing	NPI: State	Insert	New Registration		MA	4/3/2025 9:16 AM
Contacts	Authorizing Official	Insert	New Registration		Barber, Tania President/CEO Caring Health Center, Inc. 4136931007	4/3/2025 9:16 AM
Contacts	Primary Contact	Insert	New Registration		Gohil, Chetan Chief Pharmacy Officer Caring health Center 4136931005	4/3/2025 9:16 AM
Details	Assistance Received From Date	Insert	New Registration			4/3/2025 9:16 AM
Details	Assistance Received To Date	Insert	New Registration			4/3/2025 9:16 AM
Details	Last Recertification Date	Insert	New Registration			4/3/2025 9:16 AM
Details	Grant Number	Insert	New Registration		H80CS00585	4/3/2025 9:16 AM
Details	340B ID	Insert	New Registration			4/3/2025 9:16 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/3/2025 9:16 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/3/2025 9:16 AM
Details	Medicare Provider Number	Insert	New Registration			4/3/2025 9:16 AM
Details	Entity Name	Insert	New Registration		CARING HEALTH CENTER, INC.	4/3/2025 9:16 AM
Details	NOFO Number	Insert	New Registration			4/3/2025 9:16 AM
Details	Program Code	Insert	New Registration		CH	4/3/2025 9:16 AM
Details	Entity Subname	Insert	New Registration		1235 Boston Road Facility	4/3/2025 9:16 AM
Dates	Participating Approval Date	Insert	New Registration			4/3/2025 9:16 AM
Details	State	Insert	New Registration		Pending	4/3/2025 9:16 AM
Dates	Registration Date	Insert	New Registration		4/3/2025 9:16:16 AM	4/3/2025 9:16 AM
Dates	Signed By Date	Insert	New Registration			4/3/2025 9:16 AM
Dates	Start Date	Insert	New Registration			4/3/2025 9:16 AM
Terminations	Termination Comments	Insert	New Registration			4/3/2025 9:16 AM
Terminations	Termination Date	Insert	New Registration			4/3/2025 9:16 AM
Terminations	Termination Effective Date	Insert	New Registration			4/3/2025 9:16 AM
Terminations	Termination Reason	Insert	New Registration			4/3/2025 9:16 AM

340B Drug Pricing Program Database