Covered Entity Details

CH02049U WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC (Approved) - information as of 6/3/2025 12:04:06 PM

Main Details

Name

WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC

Subdivision Name

Ryan Health | Midtown Emotional Wellness Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-038176

340B ID

CH02049U

Grant Number

H80CS00061

Additional Details

Current Program Status

Approved

Registration Date

4/14/2025

Participating Start Date

7/1/2025

Participating Approval Date

5/7/2025

Last Recertification Date

Contacts

Authorizing Official

Ryan Health
Jose J. Virella, Chief Financial Officer
(917) 842-3011

Primary Contact

Ryan Health
Anima Patel, Director, 340B Program
(212) 749-1820

Addresses

Street Address

64 W 35th Street
New York, NY 10001-2201

Billing Address

William F. Ryan Community Health Center
110 W 97th St
New York, NY 10025

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
CH020490	Active	BPS-H80-004739	William F. Ryan Community Health Center, Inc.	Ryan Health \| West 97th Street	110 W 97th St	NEW YORK	NY
CH02049A	Active	BPS-H80-001641	William F. Ryan Community Health Center, Inc.	Ryan Health \| NENA	279 E 3rd St	New York	NY
CH02049D	Active	BPS-H80-004173	William F. Ryan Community Health Center, Inc.	Ryan Chelsea-Clinton Community Health Center	645 10th Ave	New York	NY
CH02049E	Active	BPS-H80-008551	William F. Ryan Community Health Center, Inc.	Ryan Health \| Adair	565 Manhattan Ave	New York	NY
CH02049F	Active	BPS-H80-009558	William F. Ryan Community Health Center, Inc.	Ryan Health \| Women and Children's	801 Amsterdam Ave	New York	NY
CH02049G	Active	BPS-H80-016858	William F. Ryan Community Health Center, Inc.	Ryan Health \| Frederick Douglass	2381 Frederick Douglas Blvd.	New York City	NY
CH02049H	Active	BPS-H80-031335	William F. Ryan Community Health Center, Inc.	Ryan Health \| Wadsworth	154 Wadsworth Ave	New York	NY
CH02049J	Active	BPS-H80-027525	William F. Ryan Community Health Center, Inc.	Ryan Health Mobile Health Center	1480 Sheridan Expy	Bronx	NY
CH02049K	Terminated	BPS-H80-002973	William F. Ryan Community Health Center, Inc.	PS11: The William T Harris School	320 W 21st St	New York	NY
CH02049L	Terminated	BPS-H80-003895	William F. Ryan Community Health Center, Inc.	PS 64: The Earth School	600 E 6th St	New York	NY
CH02049M	Active	BPS-H80-006017	William F. Ryan Community Health Center, Inc.	The Bridge	248 W 108th St	New York	NY
CH02049N	Active	BPS-H80-002898	William F. Ryan Community Health Center, Inc.	PS 188: The Island School	442 E Houston St	New York	NY
CH02049P	Active	BPS-H80-021386	William F. Ryan Community Health Center, Inc.	Park West Educational Campus	525 W 50th St	New York	NY
CH02049Q	Terminated	BPS-H80-000371	William F. Ryan Community Health Center, Inc.	MS 54: Booker T. Washington	103 W 107th St	New York	NY
CH02049R	Terminated	BPS-H80-011603	William F. Ryan Community Health Center, Inc.	PS/IS 180: Hugo Newman College Preparatory School	370 W 120th St	New York	NY
CH02049S	Active	BPS-H80-002193	William F. Ryan Community Health Center, Inc.	Young Women's Leadership School	140 W 102nd St	New York	NY
CH02049T	Active	BPS-H80-017747	William F. Ryan Community Health Center, Inc.	West Harlem	138 W 143rd St	New York	NY
CH02049U	Approved	BPS-H80-038176	WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC	Ryan Health \| Midtown Emotional Wellness Center	64 W 35th Street	New York	NY

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH020490	909 COLUMBUS RX NY LLC	D/B/A QUICKRX	909 COLUMBUS AVE	NEW YORK	NY	10025	07/01/2019
CH02049A	909 COLUMBUS RX NY LLC	D/B/A QUICKRX	909 COLUMBUS AVE	NEW YORK	NY	10025	07/01/2019
CH02049E	909 COLUMBUS RX NY LLC	D/B/A QUICKRX	909 COLUMBUS AVE	NEW YORK	NY	10025	07/01/2019
CH02049F	909 COLUMBUS RX NY LLC	D/B/A QUICKRX	909 COLUMBUS AVE	NEW YORK	NY	10025	07/01/2019
CH02049G	909 COLUMBUS RX NY LLC	D/B/A QUICKRX	909 COLUMBUS AVE	NEW YORK	NY	10025	07/01/2019
CH02049D	909 COLUMBUS RX NY LLC	D/B/A QUICKRX	909 COLUMBUS AVE	NEW YORK	NY	10025	07/01/2019	07/01/2019
CH02049D	909 COLUMBUS RX NY LLC	D/B/A QUICKRX	909 COLUMBUS AVE	NEW YORK	NY	10025	07/01/2019	07/01/2019
CH02049D	909 COLUMBUS RX NY LLC	D/B/A QUICKRX	909 COLUMBUS AVE	NEW YORK	NY	10025	07/01/2019
CH020490	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2021
CH020490	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2021
CH020490	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2021
CH020490	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2021
CH020490	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2021
CH020490	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2021
CH020490	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2024
CH020490	ARROW APOTHECARY CORP	ARROW APOTHECARY	883 9TH AVE	NEW YORK	NY	10019	01/01/2024
CH02049Q	ARROW APOTHECARY CORP	ARROW APOTHECARY	883 9TH AVE	NEW YORK	NY	10019	07/01/2024	01/01/2025
CH020490	ARROW PHARMACY INC	883 NINTH AVE		NEW YORK	NY	10019-1704	07/01/2021	12/31/2023
CH020490	AVALON PHARMACY INC.	D/B/A AVALON CHEMISTS	7 SECOND AVENUE	NEW YORK	NY	10003	04/01/2022
CH02049D	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	13925 YALE AVE STE 145		IRVINE	CA	92620-2670	01/01/2023
CH02049D	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	01/01/2023
CH02049D	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	01/01/2023
CH02049D	BLISS SPECIALTY PHARMACY INC	DBA-VENUS PHARMACY AND BEAUTY SUPPLY	972 AMSTERDAM AVE	NEW YORK	NY	10025-3002	01/01/2023	10/28/2024
CH02049N	BLONDELL RX CORP.	1047 SURF AVENUE	2ND FLOOR	BROOKLYN	NY	11224	07/01/2024
CH020490	BLONDELL RX NY LLC	DBA: QUICK RX	1047 SURF AVE 2ND FL	BROOKLYN	NY	11224-2810	10/01/2020
CH020490	BOWEN PHARMACY INC	826 TENTH AVE		NEW YORK	NY	10019	04/01/2020
CH02049P	BOWEN PHARMACY INC	826 TENTH AVE		NEW YORK	NY	10019	07/01/2024
CH020490	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	10/01/2020
CH020490	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	10/01/2020
CH020490	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	10/01/2020
CH020490	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	10/01/2020
CH020490	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	10/01/2020
CH020490	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	10/01/2020
CH020490	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	10/01/2020
CH020490	CAREMARK PUERTO RICO SPECIALTY PHARMACY,	CAREMARK PUERTO RICO SPECIALTY PHARMACY	6020 AVE ROBERTO SANCHEZ VILELLA	CAROLINA	PR	00982	10/01/2020	10/01/2020
CH020490	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	10/01/2020
CH020490	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	10/01/2020
CH020490	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	10/01/2020
CH020490	CHEM RX PHARMACY SERVICES LLC	TRADE NAME: PHARMERICA	51 CHARLES LINDBERGH BLVD	UNIONDALE	NY	11553-3658	01/01/2020	05/31/2024
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02168	1 COLUMBUS PLACE	NEW YORK	NY	10019	01/01/2020
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02360	743 AMSTERDAM AVENUE	NEW YORK	NY	10025	01/01/2020
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02445	540 AMSTERDAM AVENUE	NEW YORK	NY	10024	01/01/2020
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02557	253 FIRST AVENUE	NEW YORK	NY	10003	01/01/2020
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02737	115 W. 125TH STREET	NEW YORK	NY	10027	01/01/2020
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02940	500 W. 42ND ST.	NEW YORK	NY	10036	01/01/2020
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 03224	130 LENOX AVE.	NEW YORK	NY	10026	01/01/2020
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 06066	2495 BROADWAY	NEW YORK	NY	10025	01/01/2020	02/21/2024
CH020490	CVS ALBANY, L.L.C.	CVS/PHARMACY # 10112	288 ST. NICHOLAS AVE.	NEW YORK	NY	10027	01/01/2020
CH020490	CVS ALBANY, L.L.C.	CVS/PHARMACY # 10235	800 10TH AVE.	NEW YORK	NY	10019	01/01/2020
CH020490	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 10298	241 WEST 57TH STREET	NEW YORK	NY	10019	01/01/2020
CH020490	CVS ALBANY, L.L.C.	CVS/PHARMACY # 10827	3536 BROADWAY	NEW YORK	NY	10031	01/01/2020
CH020490	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 8969	50-56 EAST 167TH ST.	BRONX	NY	10452	10/01/2020
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 00601	272 8TH AVENUE	NEW YORK	NY	10011	10/01/2020	01/10/2022
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02437	732 ALLERTON AVENUE	BRONX	NY	10467	10/01/2020
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02773	130 DYCKMAN STREET	NEW YORK	NY	10040	10/01/2020
CH020490	CVS ALBANY, L.L.C.	CVS/PHARMACY # 11075	2833 BROADWAY	NEW YORK	NY	10025	07/01/2021
CH020490	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY #8940	1688 WESTCHESTER AVE	BRONX	NY	10472	07/01/2021
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY #07576	3101 DITMARS BLVD.	ASTORIA	NY	11105	07/01/2021
CH020490	CVS ALBANY, L.L.C.	CVS PHARMACY # 16683	8801 QUEENS BLVD	ELMHURST	NY	11373	07/01/2021
CH020490	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 10086	30 FLATBUSH AVE.	BROOKLYN	NY	11217	07/01/2021
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 01791	156 HENRY STREET	BROOKLYN	NY	11201	07/01/2021
CH020490	CVS ALBANY, L.L.C.	CVS/PHARMACY # 17681	445 GOLD ST	BROOKLYN	NY	11201	07/01/2021
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05772	1500 LEXINGTON AVE.	NEW YORK	NY	10029	07/01/2021
CH020490	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 1618	81 EIGHTH AVE.	NEW YORK	NY	10011	07/01/2021
CH020490	CVS ALBANY, L.L.C.	CVS PHARMACY # 16740	519 GATEWAY DR	BROOKLYN	NY	11239	07/01/2021
CH020490	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY #11132	196 ORCHARD STREET	NEW YORK	NY	10002	07/01/2021
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02427	215 PARK AVENUE SOUTH	NEW YORK	NY	10003	07/01/2021
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02699	411 DITMAS AVENUE	BROOKLYN	NY	11218	07/01/2021
CH020490	CVS ALBANY, L.L.C.	CVS/PHARMACY # 17797	602 W. 181ST STREET	NEW YORK	NY	10033	04/01/2022
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 06050	1654 RICHMOND AVE	STATEN ISLAND	NY	10314	01/01/2024	06/19/2024
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05773	69-80 GRAND AVE.	MASPETH	NY	11378	01/01/2024
CH020490	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 10041	500 WEST 23RD ST.	NEW YORK	NY	10011	01/01/2024
CH020490	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 10613	5 PENN PLAZA	NEW YORK	NY	10001	01/01/2024
CH020490	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY #11059	1619 BROADWAY	NEW YORK	NY	10019	01/01/2024
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 06062	200 WEST END AVENUE	MANHATTAN	NY	10023	04/01/2024
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02939	500 GRAND ST.	NEW YORK	NY	10002	04/01/2024
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 03752	630 LEXINGTON AVENUE	NEW YORK	NY	10022	04/01/2024
CH02049K	CVS ALBANY, L.L.C.	CVS/PHARMACY # 10235	800 10TH AVE.	NEW YORK	NY	10019	07/01/2024	01/01/2025
CH02049S	CVS ALBANY, L.L.C.	CVS/PHARMACY # 10827	3536 BROADWAY	NEW YORK	NY	10031	07/01/2024
CH02049M	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02940	500 W. 42ND ST.	NEW YORK	NY	10036	07/01/2024
CH02049T	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02445	540 AMSTERDAM AVENUE	NEW YORK	NY	10024	07/01/2024
CH02049R	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02737	115 W. 125TH STREET	NEW YORK	NY	10027	07/01/2024	01/01/2025
CH02049L	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02360	743 AMSTERDAM AVENUE	NEW YORK	NY	10025	07/01/2024	01/01/2025
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 06054	2465 RICHMOND AVE.	STATEN ISLAND	NY	10314	10/01/2024
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 01058	41-08 QUEENS BLVD.	SUNNYSIDE	NY	11104	01/01/2025
CH020490	CVS ALBANY, L.L.C.	CVS/PHARMACY # 10970	305 EAST 86TH ST.	NEW YORK	NY	10028	01/01/2025
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02671	750 AVENUE OF AMERICAS	NEW YORK	NY	10010	01/01/2025
CH020490	CVS ALBANY, L.L.C.	CVS/PHARMACY # 10826	1440 BROADWAY	NEW YORK	NY	10018	07/01/2025
CH020490	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02027	251-21 JAMAICA AVE.	BELLEROSE	NY	11426	07/01/2025
CH020490	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/01/2023
CH020490	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/01/2023
CH020490	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	10/01/2020
CH02049D	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	07/01/2023
CH020490	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	07/01/2023
CH02049A	DJ DRUGS & SURGICALS INC	AHMA RX	2381 FREDERICK DOUGLASS BLVD	NEW YORK	NY	10027	01/01/2016
CH020490	DJ DRUGS & SURGICALS INC	AHMA RX	2381 FREDERICK DOUGLASS BLVD	NEW YORK	NY	10027	01/01/2016
CH02049D	DJ DRUGS & SURGICALS INC	AHMA RX	2381 FREDERICK DOUGLASS BLVD	NEW YORK	NY	10027	01/01/2016
CH02049E	DJ DRUGS & SURGICALS INC	AHMA RX	2381 FREDERICK DOUGLASS BLVD	NEW YORK	NY	10027	01/01/2016
CH02049F	DJ DRUGS & SURGICALS INC	AHMA RX	2381 FREDERICK DOUGLASS BLVD	NEW YORK	NY	10027	01/01/2016
CH02049D	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	01/01/2023
CH02049A	DUANE READE	721 9TH AVE		NEW YORK	NY	10019	04/01/2004
CH02049A	DUANE READE	194 EAST 2ND STREET		NEW YORK	NY	10009	04/01/2004
CH02049A	DUANE READE	609 COLUMBUS AVENUE		NEW YORK	NY	10024	04/01/2004
CH02049A	DUANE READE	2683 BROADWAY # 7		NEW YORK	NY	10025	04/01/2004
CH02049A	DUANE READE	619 9TH AVE		NEW YORK	NY	10036	09/06/2007	12/01/2021
CH020490	DUANE READE	194 EAST 2ND STREET		NEW YORK	NY	10009	04/01/2004
CH020490	DUANE READE	609 COLUMBUS AVENUE		NEW YORK	NY	10024	04/01/2004
CH020490	DUANE READE	2683 BROADWAY # 7		NEW YORK	NY	10025	04/01/2004
CH020490	DUANE READE	619 9TH AVE		NEW YORK	NY	10036	09/06/2007	12/01/2021
CH020490	DUANE READE	721 9TH AVE		NEW YORK	NY	10019	04/01/2004
CH020490	DUANE READE	775 COLUMBUS AVENUE		NEW YORK	NY	10025	01/09/2012	10/14/2019
CH020490	DUANE READE	2522 BROADWAY		NEW YORK	NY	10025-6946	07/01/2015
CH020490	DUANE READE	279 W 125TH STREET		NEW YORK	NY	10027-4408	07/01/2015	06/04/2018
CH020490	DUANE READE		976-980 AMSTERDAM AVE	NEW YORK	NY	10025	07/01/2015	02/21/2017
CH020490	DUANE READE	2409 BROADWAY		NEW YORK	NY	10024-1711	07/01/2015	06/10/2020
CH020490	DUANE READE	568 W 125TH ST		NEW YORK	NY	10027	07/01/2015
CH02049D	DUANE READE	619 9TH AVE		NEW YORK	NY	10036	09/06/2007	12/01/2021
CH02049D	DUANE READE	2683 BROADWAY # 7		NEW YORK	NY	10025	04/01/2004
CH02049D	DUANE READE	194 EAST 2ND STREET		NEW YORK	NY	10009	04/01/2004
CH02049D	DUANE READE	721 9TH AVE		NEW YORK	NY	10019	04/01/2004
CH02049D	DUANE READE	609 COLUMBUS AVENUE		NEW YORK	NY	10024	04/01/2004
CH02049D	DUANE READE	DUANE READE	700 8TH AVE STE G4	NEW YORK	NY	10036	07/01/2015	11/17/2022
CH020490	DUANE READE	771 8TH AVE		NEW YORK	NY	10036-7011	10/01/2019	05/29/2020
CH020490	DUANE READE	455 WEST 37TH ST		NEW YORK	NY	10018	10/01/2019
CH020490	DUANE READE	625 8TH AVENUE		NEW YORK	NY	10018	10/01/2019
CH020490	DUANE READE	4 AMSTERDAM AVENUE		NEW YORK	NY	10023	10/01/2019
CH020490	DUANE READE	4 COLUMBUS CIRCLE		NEW YORK	NY	10019-1100	10/01/2019
CH020490	DUANE READE	460 8TH AVE		NEW YORK	NY	10001-1802	10/01/2019	03/23/2023
CH020490	DUANE READE	2069 BROADWAY		NEW YORK	NY	10023	10/01/2019
CH020490	DUANE READE	60 SPRING STREET		NEW YORK	NY	10012	10/01/2019
CH020490	DUANE READE	2760-62 BROADWAY		NEW YORK	NY	10025	10/01/2019	02/16/2022
CH020490	DUANE READE	250 BROADWAY		NEW YORK	NY	10007	10/01/2019
CH020490	DUANE READE	DUANE READE	700 8TH AVE STE G4	NEW YORK	NY	10036	10/01/2019
CH020490	DUANE READE	320 W 145TH STREET		NEW YORK	NY	10039	10/01/2019
CH020490	DUANE READE	300 WEST 135TH ST.		NEW YORK	NY	10030	10/01/2019
CH020490	DUANE READE	DBA: DUANE READE	3387 BROADWAY	NEW YORK	NY	10031	10/01/2019
CH02049D	DUANE READE	700 COLUMBUS AVE.		NEW YORK	NY	10025	04/01/2023
CH020490	DUANE READE	2864 BROADWAY		NEW YORK	NY	10025	04/01/2023
CH020490	DUANE READE	700 COLUMBUS AVE.		NEW YORK	NY	10025	04/01/2023
CH02049D	DUANE READE	2864 BROADWAY		NEW YORK	NY	10025	04/01/2023
CH020490	DUANE READE, INC.	DBA: DUANE READE	310 E 2ND ST	NEW YORK	NY	10009	10/01/2019	11/06/2019
CH02049A	ESCO DRUG CO INC	687 9TH AVE		NEW YORK	NY	10036	04/01/2004
CH020490	ESCO DRUG CO INC	687 9TH AVE		NEW YORK	NY	10036	04/01/2004
CH02049D	ESCO DRUG CO INC	687 9TH AVE		NEW YORK	NY	10036	04/01/2004
CH02049G	ESCO DRUG CO INC	687 9TH AVE		NEW YORK	NY	10036	07/01/2024
CH020490	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2021
CH02049D	EXACT CARE PHARMACY	DDCRX, LLC	2701 HIGHPOINT OAKS DR STE 100	LEWISVILLE	TX	75067-3896	01/01/2023
CH02049D	EXACT CARE PHARMACY, LLC	8333 ROCKSIDE RD		CLEVELAND	OH	44125	01/01/2023
CH020490	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2021
CH020490	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2021
CH020490	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2021
CH020490	GENOA HEALTHCARE LLC	2020 CONEY ISLAND AVE STE P		BROOKLYN	NY	11223	07/01/2021
CH020490	GENOA HEALTHCARE LLC	17 E GENESEE ST STE 208		AUBURN	NY	13021	07/01/2021	04/01/2023
CH020490	GENOA HEALTHCARE LLC	9114 37TH AVE STE E		JACKSON HEIGHTS	NY	11372	07/01/2021
CH020490	GENOA HEALTHCARE LLC	55 HORIZON DR STE P		HUNTINGTON	NY	11743	07/01/2021
CH020490	GENOA HEALTHCARE LLC	2431 6TH AVE STE P		TROY	NY	12180	07/01/2021
CH020490	GENOA HEALTHCARE LLC	140 ROUTE 303 STE C		VALLEY COTTAGE	NY	10989	07/01/2021
CH020490	GENOA HEALTHCARE LLC	329 N SALINA ST	SUITE P	SYRACUSE	NY	13203	01/01/2024
CH020490	HEIGHTS PHARMACY INC	CITYDRUG & SURGICAL	719 W 181ST ST	NEW YORK	NY	10033-4731	07/01/2020
CH02049H	HEIGHTS PHARMACY INC	CITYDRUG & SURGICAL	719 W 181ST ST	NEW YORK	NY	10033-4731	07/01/2024
CH020490	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05174	1150 NE 26TH ST	WILTON MANORS	FL	33305	07/01/2021
CH02049A	J & J COLUMBUS DRUG CO. INC	DBA: TOWN DRUG & SURGICAL	1009 COLUMBUS AVE	NEW YORK	NY	10025-2596	01/01/2015
CH020490	J & J COLUMBUS DRUG CO. INC	DBA: TOWN DRUG & SURGICAL	1009 COLUMBUS AVE	NEW YORK	NY	10025-2596	01/01/2015
CH02049D	J & J COLUMBUS DRUG CO. INC	DBA: TOWN DRUG & SURGICAL	1009 COLUMBUS AVE	NEW YORK	NY	10025-2596	01/01/2015
CH02049E	J & J COLUMBUS DRUG CO. INC	DBA: TOWN DRUG & SURGICAL	1009 COLUMBUS AVE	NEW YORK	NY	10025-2596	01/01/2015
CH02049F	J & J COLUMBUS DRUG CO. INC	DBA: TOWN DRUG & SURGICAL	1009 COLUMBUS AVE	NEW YORK	NY	10025-2596	01/01/2015
CH020490	KRUPA RX INC	VENUS PHARMACY	972 AMSTERDAM AVE	NEW YORK	NY	10025	07/01/2025
CH02049A	LOISAIDA RX INC	D/B/A LOISAIDA DRUGS & SURGICAL	273 E 3RD ST	NEW YORK	NY	10009	04/01/2004
CH020490	LOISAIDA RX INC	D/B/A LOISAIDA DRUGS & SURGICAL	273 E 3RD ST	NEW YORK	NY	10009	04/01/2004
CH02049D	LOISAIDA RX INC	D/B/A LOISAIDA DRUGS & SURGICAL	273 E 3RD ST	NEW YORK	NY	10009	04/01/2004
CH02049E	LOISAIDA RX INC	D/B/A LOISAIDA DRUGS & SURGICAL	273 E 3RD ST	NEW YORK	NY	10009	05/10/2010
CH02049A	MANHATTAN PLAZA PHARMACY	619 NINTH AVENUE		NEW YORK	NY	10036	04/01/2004	05/23/2023
CH020490	MANHATTAN PLAZA PHARMACY	619 NINTH AVENUE		NEW YORK	NY	10036	04/01/2004	05/23/2023
CH02049D	MANHATTAN PLAZA PHARMACY	619 NINTH AVENUE		NEW YORK	NY	10036	04/01/2004	05/23/2023
CH02049A	NEW AMSTERDAM DRUG MART INC	C/O PHARMACY	698 AMSTERDAM AVE	NEW YORK	NY	10025	04/01/2004
CH020490	NEW AMSTERDAM DRUG MART INC	C/O PHARMACY	698 AMSTERDAM AVE	NEW YORK	NY	10025	04/01/2004
CH02049D	NEW AMSTERDAM DRUG MART INC	C/O PHARMACY	698 AMSTERDAM AVE	NEW YORK	NY	10025	04/01/2004
CH02049E	NEW AMSTERDAM DRUG MART INC	C/O PHARMACY	698 AMSTERDAM AVE	NEW YORK	NY	10025	04/29/2010
CH020490	OPTUM PHARMACY 700, LLC	19 CHAPIN RD BLDG D, STE D8		PINE BROOK	NJ	07058	07/01/2021
CH020490	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	07/01/2021
CH020490	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	07/01/2021
CH020490	OPTUM PHARMACY 706, INC.	30-30 47TH AVENUE	SUITE 410	LONG ISLAND CITY	NY	11101	07/01/2021
CH020490	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #342	3016 ROUTE 940 P. O. BOX 2320	POCONO SUMMIT	PA	18346	01/01/2025
CH020490	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	10/01/2020
CH020490	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 2919	126 EIGHTH AVE.	NEW YORK	NY	10011	10/01/2020
CH020490	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	10/01/2020
CH020490	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	10/01/2020
CH020490	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	10/01/2020
CH02049D	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	01/01/2023
CH020490	RITE AID DRUG PALACE, INC.	RITE AID #1711	408 GRAND STREET	NEW YORK	NY	10002	01/01/2020	05/18/2022
CH020490	RITE AID OF NEW YORK, INC.	RITE AID #3110	301 WEST 50TH STREET	NEW YORK	NY	10019	01/01/2020	02/08/2022
CH020490	RITE AID OF NEW YORK, INC.	RITE AID #3771	85 AVENUE D	NEW YORK	NY	10009	01/01/2020	05/18/2022
CH020490	RITE AID OF NEW YORK, INC.	RITE AID #4189	741 COLUMBUS AVENUE	NEW YORK	NY	10025	01/01/2020	01/31/2023
CH020490	RITE AID OF NEW YORK, INC.	RITE AID #4945	35-45 WEST 125TH STREET	NEW YORK	NY	10027	01/01/2020	03/08/2022
CH020490	RITE AID OF NEW YORK, INC.	RITE AID #7760	2170 FREDERICK DOUGLASS BLVD	NEW YORK	NY	10026	01/01/2020
CH020490	RITE AID OF NEW YORK, INC.	RITE AID #3844	950-960 SOUTHERN BOULEVARD	BRONX	NY	10459	07/01/2024
CH020490	RITE AID OF NEW YORK, INC.	RITE AID #4205	81 1ST AVENUE	NEW YORK	NY	10003	07/01/2024
CH020490	RITE AID OF NEW YORK, INC.	RITE AID #2010	4046 BROADWAY	NEW YORK	NY	10032	07/01/2024
CH02049D	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	01/01/2023
CH02049A	RYAN DRUGS LLC	801 AMSTERDAM AVE		NEW YORK	NY	10025-5752	04/29/2010
CH020490	RYAN DRUGS LLC	801 AMSTERDAM AVE		NEW YORK	NY	10025-5752	04/29/2010
CH02049D	RYAN DRUGS LLC	801 AMSTERDAM AVE		NEW YORK	NY	10025-5752	04/29/2010
CH02049E	RYAN DRUGS LLC	801 AMSTERDAM AVE		NEW YORK	NY	10025-5752	04/29/2010
CH02049J	RYAN DRUGS LLC	801 AMSTERDAM AVE		NEW YORK	NY	10025-5752	07/01/2024
CH02049A	THRIFTWAY 10TH AVE. DRUG CORP.	THRIFTWAY PHARMACY	646 TENTH AVENUE	NEW YORK	NY	10036	04/23/2009
CH020490	THRIFTWAY 10TH AVE. DRUG CORP.	THRIFTWAY PHARMACY	646 TENTH AVENUE	NEW YORK	NY	10036	04/23/2009
CH02049D	THRIFTWAY 10TH AVE. DRUG CORP.	THRIFTWAY PHARMACY	646 TENTH AVENUE	NEW YORK	NY	10036	04/23/2009
CH02049A	TRIGUN PHARMACY INC		DBA AVENUE C PHARMACY 178 AVENUE C	NEW YORK	NY	10009-4235	04/01/2004	05/23/2023
CH020490	TRIGUN PHARMACY INC		DBA AVENUE C PHARMACY 178 AVENUE C	NEW YORK	NY	10009-4235	04/01/2004	05/23/2023
CH02049D	TRIGUN PHARMACY INC		DBA AVENUE C PHARMACY 178 AVENUE C	NEW YORK	NY	10009-4235	04/01/2004	05/23/2023
CH02049E	TRIGUN PHARMACY INC		DBA AVENUE C PHARMACY 178 AVENUE C	NEW YORK	NY	10009-4235	04/30/2010	05/23/2023
CH020490	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10912	2575 BROADWAY	NEW YORK	NY	10025	07/27/2011	06/03/2019
CH02049D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10912	2575 BROADWAY	NEW YORK	NY	10025	10/05/2011	06/03/2019
CH020490	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11962	1471 BROADWAY	NEW YORK	NY	10036-6560	10/01/2019	04/30/2020
CH020490	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #16260	36 HILLSIDE AVENUE	HILLSIDE	NJ	07205	10/01/2019
CH020490	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #16463	29 W. 116TH ST.	NEW YORK	NY	10026	10/01/2019
CH020490	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #16078	205 8TH AVENUE	NEW YORK	NY	10011	10/01/2019
CH02049D	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #16078	205 8TH AVENUE	NEW YORK	NY	10011	01/01/2023
CH02049D	WALGREEN EASTERN CO., INC.	WALGREENS	525 EAST 68TH ST. SUITE F	NEW YORK	NY	10065	04/01/2023	01/25/2023
CH020490	WALGREEN EASTERN CO., INC.	WALGREENS	525 EAST 68TH ST. SUITE F	NEW YORK	NY	10065	04/01/2023	01/25/2023
CH020490	WALGREEN EASTERN CO., INC.	WALGREENS SPECIALTY PHARMACY #21248	100 WOODS RD STE A1-105	VALHALLA	NY	10595	04/01/2023
CH02049D	WALGREEN EASTERN CO., INC.	WALGREENS SPECIALTY PHARMACY #21248	100 WOODS RD STE A1-105	VALHALLA	NY	10595	04/01/2023
CH02049D	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	07/01/2023
CH02049D	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	07/01/2023
CH020490	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	07/01/2023
CH02049D	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	07/01/2023
CH020490	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	07/01/2023
CH020490	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	07/01/2023
CH020490	WARM SPRINGS ROAD CVS, L.L.C.	DBA: CVS/PHARMACY # 06867	4490 PARADISE RD.	LAS VEGAS	NV	89169	07/01/2021

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Signed By	Insert	New Registration		Virella, Jose J. Chief Financial Officer Ryan Health 9178423011	5/7/2025 10:01 AM
Details	340B ID	Update	New Registration		CH02049U	5/7/2025 10:01 AM
Dates	Participating Approval Date	Update	New Registration		5/7/2025 10:01:42 AM	5/7/2025 10:01 AM
Details	State	Update	New Registration	Pending	Approved	5/7/2025 10:01 AM
Dates	Signed By Date	Update	New Registration		4/15/2025 9:30:48 AM	5/7/2025 10:01 AM
Dates	Start Date	Update	New Registration		7/1/2025 12:00:00 AM	5/7/2025 10:01 AM
Addresses	Main Address	Insert	New Registration		64 W 35th Street New York, NY 10001-2201	4/14/2025 3:27 PM
Addresses	Billing Address	Insert	New Registration		William F. Ryan Community Health Center 110 W 97th St New York, NY 10025	4/14/2025 3:27 PM
Contacts	Primary Contact	Insert	New Registration		Patel, Anima Director, 340B Program Ryan Health 2127491820	4/14/2025 3:27 PM
Contacts	Authorizing Official	Insert	New Registration		Virella, Jose J. Chief Financial Officer Ryan Health 9178423011	4/14/2025 3:27 PM
Details	Assistance Received From Date	Insert	New Registration			4/14/2025 3:27 PM
Details	Assistance Received To Date	Insert	New Registration			4/14/2025 3:27 PM
Details	Last Recertification Date	Insert	New Registration			4/14/2025 3:27 PM
Details	Grant Number	Insert	New Registration		H80CS00061	4/14/2025 3:27 PM
Details	340B ID	Insert	New Registration			4/14/2025 3:27 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/14/2025 3:27 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/14/2025 3:27 PM
Details	Medicare Provider Number	Insert	New Registration			4/14/2025 3:27 PM
Details	Entity Name	Insert	New Registration		WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC	4/14/2025 3:27 PM
Details	NOFO Number	Insert	New Registration			4/14/2025 3:27 PM
Details	Program Code	Insert	New Registration		CH	4/14/2025 3:27 PM
Details	Entity Subname	Insert	New Registration		Ryan Health \| Midtown Emotional Wellness Center	4/14/2025 3:27 PM
Dates	Participating Approval Date	Insert	New Registration			4/14/2025 3:27 PM
Details	State	Insert	New Registration		Pending	4/14/2025 3:27 PM
Dates	Registration Date	Insert	New Registration		4/14/2025 3:27:04 PM	4/14/2025 3:27 PM
Dates	Signed By Date	Insert	New Registration			4/14/2025 3:27 PM
Dates	Start Date	Insert	New Registration			4/14/2025 3:27 PM
Terminations	Termination Comments	Insert	New Registration			4/14/2025 3:27 PM
Terminations	Termination Date	Insert	New Registration			4/14/2025 3:27 PM
Terminations	Termination Effective Date	Insert	New Registration			4/14/2025 3:27 PM
Terminations	Termination Reason	Insert	New Registration			4/14/2025 3:27 PM

340B Drug Pricing Program Database