340B Drug Pricing Program Database


CHC26625-10 SANTA BARBARA NEIGHBORHOOD CLINICS (Approved) - information as of 5/15/2025 2:04:45 AM

Main Details
SANTA BARBARA NEIGHBORHOOD CLINICS
SBNC Bridge Clinic
HRSA-Funded Health Center
BPS-H80-038537
CHC26625-10
H80CS26625


Additional Details
Approved
4/7/2025
7/1/2025
5/6/2025

Contacts

Santa Barbara Neighborhood Clinics
Mahdi Ashrafian, Chief Executive Officer
(805) 324-8319

Santa Barbara Neighborhood Clinics
Torey Lam, 340B Program Manager
(808) 499-5491

Addresses

2320 Bath St, Ste 201
Santa Barbara, CA 93105-4344

Santa Barbara Neighborhood Clinics
414 E Cota Street
FL 1
Santa Barbara, CA 93101


  • 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
CA16799978521679997852
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC26625-00ActiveBPS-H80-015278SANTA BARBARA NEIGHBORHOOD CLINICSGoleta Neighborhood Clinic5580 Calle Real GoletaCA
CHC26625-01ActiveBPS-H80-014848SANTA BARBARA NEIGHBORHOOD CLINICSGoleta Neighborhood Dental Clinic164 Kinman Ave. GoletaCA
CHC26625-02ActiveBPS-H80-018407SANTA BARBARA NEIGHBORHOOD CLINICSIsla Vista Neighborhood Clinic970 Embarcadero Del Mar GoletaCA
CHC26625-03ActiveBPS-H80-018406SANTA BARBARA NEIGHBORHOOD CLINICSEastside Family Dental Clinic923 N. Milpas Santa BarbaraCA
CHC26625-04ActiveBPS-H80-018405SANTA BARBARA NEIGHBORHOOD CLINICSEastside Neighborhood Clinic915 N. Milpas Santa BarbaraCA
CHC26625-05ActiveBPS-H80-019323Santa Barbara Neighborhood ClinicsWestside Neighborhood Clinic628 W Micheltorena St Santa BarbaraCA
CHC26625-06TerminatedBPS-H80-020790Santa Barbara Neighborhood ClinicsSanctuary Center115 West Anapamu Street, #B151 Santa BarbaraCA
CHC26625-07ActiveBPS-H80-027316Santa Barbara Neighborhood ClinicsBridge Clinic2320 Bath St Ste 302 Santa BarbaraCA
CHC26625-08ApprovedBPS-H80-021134SANTA BARBARA NEIGHBORHOOD CLINICSLa Cumbre Junior High School2255 Modoc Road, Nurses Office Santa BarbaraCA
CHC26625-09ApprovedBPS-H80-038803SANTA BARBARA NEIGHBORHOOD CLINICSMobile Dental Van923 N Milpas St Santa BarbaraCA
CHC26625-10ApprovedBPS-H80-038537SANTA BARBARA NEIGHBORHOOD CLINICSSBNC Bridge Clinic2320 Bath St, Ste 201 Santa BarbaraCA
CHC26625-11ApprovedBPS-H80-038360SANTA BARBARA NEIGHBORHOOD CLINICSMedical-Behavioral Health Mobile Unit150 N Kellogg Ave Santa BarbaraCA
CHC26625-12ApprovedBPS-H80-039555SANTA BARBARA NEIGHBORHOOD CLINICSGoleta Neighborhood Dental Clinic - Intermittent164 Kinman Ave GoletaCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC26625-00ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884907/01/2024  
CHC26625-00ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201007/01/2024  
CHC26625-00ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750207/01/2024  
CHC26625-00ACCREDO HEALTH GROUP INC2410 WARDLOW RD STE 101
CORONACA9287807/01/2024  
CHC26625-00ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282207/01/2024  
CHC26625-00ACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607507/01/2024  
CHC26625-00ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349207/01/2024  
CHC26625-04ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280907/01/2024  
CHC26625-03ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280907/01/2024  
CHC26625-02ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280907/01/2024  
CHC26625-05ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280907/01/2024  
CHC26625-00ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280907/01/2024  
CHC26625-07ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280907/01/2024  
CHC26625-01ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280907/01/2024  
CHC26625-01CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2023  
CHC26625-02CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2023  
CHC26625-03CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2023  
CHC26625-04CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2023  
CHC26625-00CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2023  
CHC26625-01CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2023  
CHC26625-02CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2023  
CHC26625-03CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2023  
CHC26625-04CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2023  
CHC26625-00CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/01/2023  
CHC26625-01CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/01/2023  
CHC26625-02CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/01/2023  
CHC26625-03CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/01/2023  
CHC26625-04CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/01/2023  
CHC26625-00CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2023  
CHC26625-01CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2023  
CHC26625-02CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2023  
CHC26625-03CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2023  
CHC26625-04CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2023  
CHC26625-00CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2023  
CHC26625-01CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2023  
CHC26625-02CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2023  
CHC26625-03CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2023  
CHC26625-04CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2023  
CHC26625-00CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2023  
CHC26625-01CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2023  
CHC26625-02CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2023  
CHC26625-03CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2023  
CHC26625-04CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2023  
CHC26625-00CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2023  
CHC26625-01CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2023  
CHC26625-02CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2023  
CHC26625-03CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2023  
CHC26625-04CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2023  
CHC26625-00CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813301/01/2023  
CHC26625-01CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813301/01/2023  
CHC26625-02CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813301/01/2023  
CHC26625-03CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813301/01/2023  
CHC26625-04CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813301/01/2023  
CHC26625-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237401/01/2023  
CHC26625-01CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237401/01/2023  
CHC26625-02CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237401/01/2023  
CHC26625-03CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237401/01/2023  
CHC26625-04CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237401/01/2023  
CHC26625-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/01/2023  
CHC26625-01CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/01/2023  
CHC26625-02CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/01/2023  
CHC26625-03CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/01/2023  
CHC26625-04CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/01/2023  
CHC26625-00CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/01/2023  
CHC26625-01CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/01/2023  
CHC26625-02CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/01/2023  
CHC26625-03CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/01/2023  
CHC26625-04CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/01/2023  
CHC26625-05CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/01/2023  
CHC26625-06CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/01/2023 07/01/2024
CHC26625-07CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/01/2023  
CHC26625-00CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/01/2023  
CHC26625-01CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/01/2023  
CHC26625-02CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/01/2023  
CHC26625-03CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/01/2023  
CHC26625-04CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/01/2023  
CHC26625-05CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/01/2023  
CHC26625-06CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/01/2023 07/01/2024
CHC26625-07CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/01/2023  
CHC26625-00CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2023  
CHC26625-01CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2023  
CHC26625-02CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2023  
CHC26625-03CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2023  
CHC26625-04CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2023  
CHC26625-00ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111207/01/2024  
CHC26625-00EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313407/01/2024  
CHC26625-00EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801607/01/2024  
CHC26625-00EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607507/01/2024  
CHC26625-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09737 189 SOUTH TURNPIKE ROAD
GOLETACA9311101/01/2023  
CHC26625-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09860 222 W. CARRILLO ST.
SANTA BARBARACA9310101/01/2023  
CHC26625-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10913 336 N. MILPAS ST
SANTA BARBARACA9310301/01/2023  
CHC26625-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #11216 7030 HOLLISTER AVENUE
GOLETACA9311701/01/2023  
CHC26625-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #17751 6865 HOLLISTER AVENUE
GOLETACA9311701/01/2023  
CHC26625-01GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09737 189 SOUTH TURNPIKE ROAD
GOLETACA9311101/01/2023  
CHC26625-01GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09860 222 W. CARRILLO ST.
SANTA BARBARACA9310101/01/2023  
CHC26625-01GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10913 336 N. MILPAS ST
SANTA BARBARACA9310301/01/2023  
CHC26625-01GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #11216 7030 HOLLISTER AVENUE
GOLETACA9311701/01/2023  
CHC26625-01GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #17751 6865 HOLLISTER AVENUE
GOLETACA9311701/01/2023  
CHC26625-02GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09737 189 SOUTH TURNPIKE ROAD
GOLETACA9311101/01/2023  
CHC26625-02GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09860 222 W. CARRILLO ST.
SANTA BARBARACA9310101/01/2023  
CHC26625-02GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10913 336 N. MILPAS ST
SANTA BARBARACA9310301/01/2023  
CHC26625-02GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #11216 7030 HOLLISTER AVENUE
GOLETACA9311701/01/2023  
CHC26625-02GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #17751 6865 HOLLISTER AVENUE
GOLETACA9311701/01/2023  
CHC26625-03GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09737 189 SOUTH TURNPIKE ROAD
GOLETACA9311101/01/2023  
CHC26625-03GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09860 222 W. CARRILLO ST.
SANTA BARBARACA9310101/01/2023  
CHC26625-03GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10913 336 N. MILPAS ST
SANTA BARBARACA9310301/01/2023  
CHC26625-03GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #11216 7030 HOLLISTER AVENUE
GOLETACA9311701/01/2023  
CHC26625-03GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #17751 6865 HOLLISTER AVENUE
GOLETACA9311701/01/2023  
CHC26625-04GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09737 189 SOUTH TURNPIKE ROAD
GOLETACA9311101/01/2023  
CHC26625-04GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09860 222 W. CARRILLO ST.
SANTA BARBARACA9310101/01/2023  
CHC26625-04GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10913 336 N. MILPAS ST
SANTA BARBARACA9310301/01/2023  
CHC26625-04GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #11216 7030 HOLLISTER AVENUE
GOLETACA9311701/01/2023  
CHC26625-04GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #17751 6865 HOLLISTER AVENUE
GOLETACA9311701/01/2023  
CHC26625-03GENOA HEALTHCARE LLC4444 CALLE REAL STE P1
SANTA BARBARACA9311007/01/2024  
CHC26625-02GENOA HEALTHCARE LLC17782 COWAN ST STE G
IRVINECA9261407/01/2024  
CHC26625-03GENOA HEALTHCARE LLC17782 COWAN ST STE G
IRVINECA9261407/01/2024  
CHC26625-07GENOA HEALTHCARE LLC17782 COWAN ST STE G
IRVINECA9261407/01/2024  
CHC26625-02GENOA HEALTHCARE LLC4444 CALLE REAL STE P1
SANTA BARBARACA9311007/01/2024  
CHC26625-00GENOA HEALTHCARE LLC17782 COWAN ST STE G
IRVINECA9261407/01/2024  
CHC26625-07GENOA HEALTHCARE LLC2677 NORTH MAIN STREET, SUITE 110, ROOM
SANTA ANACA9270507/01/2024  
CHC26625-00GENOA HEALTHCARE LLC2677 NORTH MAIN STREET, SUITE 110, ROOM
SANTA ANACA9270507/01/2024  
CHC26625-01GENOA HEALTHCARE LLC4444 CALLE REAL STE P1
SANTA BARBARACA9311007/01/2024  
CHC26625-05GENOA HEALTHCARE LLC2677 NORTH MAIN STREET, SUITE 110, ROOM
SANTA ANACA9270507/01/2024  
CHC26625-04GENOA HEALTHCARE LLC4444 CALLE REAL STE P1
SANTA BARBARACA9311007/01/2024  
CHC26625-03GENOA HEALTHCARE LLC2677 NORTH MAIN STREET, SUITE 110, ROOM
SANTA ANACA9270507/01/2024  
CHC26625-02GENOA HEALTHCARE LLC2677 NORTH MAIN STREET, SUITE 110, ROOM
SANTA ANACA9270507/01/2024  
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CHC26625-01THRIFTY PAYLESS, INC.RITE AID #5788 35 SOUTH MILPAS STREET
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CHC26625-01THRIFTY PAYLESS, INC.RITE AID #5791 199 NORTH FAIRVIEW AVENUE
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CHC26625-02THRIFTY PAYLESS, INC.RITE AID #5788 35 SOUTH MILPAS STREET
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CHC26625-02THRIFTY PAYLESS, INC.RITE AID #5791 199 NORTH FAIRVIEW AVENUE
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CHC26625-03THRIFTY PAYLESS, INC.RITE AID #5788 35 SOUTH MILPAS STREET
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CHC26625-03THRIFTY PAYLESS, INC.RITE AID #5791 199 NORTH FAIRVIEW AVENUE
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CHC26625-04THRIFTY PAYLESS, INC.RITE AID #5788 35 SOUTH MILPAS STREET
SANTA BARBARACA9310301/01/2023  
CHC26625-04THRIFTY PAYLESS, INC.RITE AID #5591 18993 COLIMA ROAD
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CHC26625-07THRIFTY PAYLESS, INC.RITE AID #5791 199 NORTH FAIRVIEW AVENUE
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CHC26625-07THRIFTY PAYLESS, INC.RITE AID #5788 35 SOUTH MILPAS STREET
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CHC26625-07THRIFTY PAYLESS, INC.RITE AID #5591 18993 COLIMA ROAD
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CHC26625-06THRIFTY PAYLESS, INC.RITE AID #5791 199 NORTH FAIRVIEW AVENUE
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CHC26625-06THRIFTY PAYLESS, INC.RITE AID #5788 35 SOUTH MILPAS STREET
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CHC26625-06THRIFTY PAYLESS, INC.RITE AID #5591 18993 COLIMA ROAD
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CHC26625-05THRIFTY PAYLESS, INC.RITE AID #5788 35 SOUTH MILPAS STREET
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CHC26625-05THRIFTY PAYLESS, INC.RITE AID #5591 18993 COLIMA ROAD
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CHC26625-00THRIFTY PAYLESS, INC.RITE AID #5705 14629 7TH STREET
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CHC26625-00THRIFTY PAYLESS, INC.RITE AID #5790 1976 CLIFF DRIVE
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CHC26625-00WALGREEN CO.DBA: WALGREENS # 06289 5900 CALLE REAL
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CHC26625-00WEST COAST RX PHARMACY SANTA BARBARASANTA BARBARA PHARM INC 5726 CALLE REAL
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CHC26625-04WEST COAST RX PHARMACY SANTA BARBARASANTA BARBARA PHARM INC 5726 CALLE REAL
GOLETACA9311707/01/2025  
CHC26625-05WEST COAST RX PHARMACY SANTA BARBARASANTA BARBARA PHARM INC 5726 CALLE REAL
GOLETACA9311707/01/2025  
CHC26625-01WEST COAST RX PHARMACY SANTA BARBARASANTA BARBARA PHARM INC 5726 CALLE REAL
GOLETACA9311707/01/2025  
CHC26625-03WEST COAST RX PHARMACY SANTA BARBARASANTA BARBARA PHARM INC 5726 CALLE REAL
GOLETACA9311707/01/2025  
CHC26625-07WEST COAST RX PHARMACY SANTA BARBARASANTA BARBARA PHARM INC 5726 CALLE REAL
GOLETACA9311707/01/2025  
CHC26625-02WEST COAST RX PHARMACY SANTA BARBARASANTA BARBARA PHARM INC 5726 CALLE REAL
GOLETACA9311707/01/2025  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsSigned ByInsertNew Registration Ashrafian, Mahdi Chief Executive Officer Santa Barbara Neighborhood Clinics 80532483195/6/2025 2:03 PM
Details340B IDUpdateNew Registration CHC26625-105/6/2025 2:03 PM
DatesParticipating Approval DateUpdateNew Registration 5/6/2025 2:03:07 PM5/6/2025 2:03 PM
DetailsStateUpdateNew RegistrationPendingApproved5/6/2025 2:03 PM
DatesSigned By DateUpdateNew Registration 4/9/2025 2:40:11 PM5/6/2025 2:03 PM
DatesStart DateUpdateNew Registration 7/1/2025 12:00:00 AM5/6/2025 2:03 PM
AddressesMain AddressInsertNew Registration  2320 Bath St, Ste 201 Santa Barbara, CA 93105-43444/7/2025 11:01 PM
AddressesBilling AddressInsertNew Registration Santa Barbara Neighborhood Clinics 414 E Cota Street FL 1 Santa Barbara, CA 931014/7/2025 11:01 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False4/7/2025 11:01 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 16799978524/7/2025 11:01 PM
Medicaid BillingMedicaid: StateInsertNew Registration CA4/7/2025 11:01 PM
Medicaid BillingNPI: NumberInsertNew Registration 16799978524/7/2025 11:01 PM
Medicaid BillingNPI: StateInsertNew Registration CA4/7/2025 11:01 PM
ContactsAuthorizing OfficialInsertNew Registration Ashrafian, Mahdi Chief Executive Officer Santa Barbara Neighborhood Clinics 80532483194/7/2025 11:01 PM
ContactsPrimary ContactInsertNew Registration Lam, Torey 340B Program Manager Santa Barbara Neighborhood Clinics 80849954914/7/2025 11:01 PM
DetailsAssistance Received From DateInsertNew Registration  4/7/2025 11:01 PM
DetailsAssistance Received To DateInsertNew Registration  4/7/2025 11:01 PM
DetailsLast Recertification DateInsertNew Registration  4/7/2025 11:01 PM
DetailsGrant NumberInsertNew Registration H80CS266254/7/2025 11:01 PM
Details340B IDInsertNew Registration  4/7/2025 11:01 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  4/7/2025 11:01 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  4/7/2025 11:01 PM
DetailsMedicare Provider NumberInsertNew Registration  4/7/2025 11:01 PM
DetailsEntity NameInsertNew Registration SANTA BARBARA NEIGHBORHOOD CLINICS4/7/2025 11:01 PM
DetailsNOFO NumberInsertNew Registration  4/7/2025 11:01 PM
DetailsProgram CodeInsertNew Registration CH4/7/2025 11:01 PM
DetailsEntity SubnameInsertNew Registration SBNC Bridge Clinic4/7/2025 11:01 PM
DatesParticipating Approval DateInsertNew Registration  4/7/2025 11:01 PM
DetailsStateInsertNew Registration Pending4/7/2025 11:01 PM
DatesRegistration DateInsertNew Registration 4/7/2025 11:01:10 PM4/7/2025 11:01 PM
DatesSigned By DateInsertNew Registration  4/7/2025 11:01 PM
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