340B Drug Pricing Program Database


CH04100T ADVANCE COMMUNITY HEALTH INC (Approved) - information as of 5/5/2025 11:54:52 PM

Main Details
ADVANCE COMMUNITY HEALTH INC
Advance Axcess
HRSA-Funded Health Center
BPS-H80-039720
CH04100T
H80CS00087


Additional Details
Approved
4/23/2025
7/1/2025
4/24/2025

Contacts

Advance Community Health
Scot N. McCray, Chief Executive Officer
(919) 250-2923

Wake Health Services d/b/a Advance Community Health
Paul McCaskill, PharmD
(919) 573-4706

Addresses

3509 Capital Blvd
Raleigh, NC 27604-4539

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH041000ActiveBPS-H80-017158 Advance Community Health, Inc.Southeast Raleigh - South1011 Rock Quarry Rd RaleighNC
CH04100ATerminatedBPS-H80-003413WAKE HEALTH SERVICES, INC.Southeast Raleigh - South1011 Rock Quarry Rd RaleighNC
CH04100EActiveBPS-H80-008187Advance Community Health, Inc.Louisburg111 S Church St LouisburgNC
CH04100FTerminatedBPS-H80-006858WAKE HEALTH SERVICES, INC. d/b/a Advance Community HealthHorizon at South Wilmington1420 S Wilmington St RaleighNC
CH04100GActiveBPS-H80-001642Advance Community Health, Inc.APEX 212 S Salem St ApexNC
CH04100HActiveBPS-H80-002772Advance Community Health, Inc.Fuquay-Varina130 N. JUDD PKWY NE FUQUAY VARINANC
CH04100JTerminatedBPS-H80-018687Advance Community Health, Inc.Horizon at Women's Center112 Cox Avenue RaleighNC
CH04100KActiveBPS-H80-018727Advance Community Health, Inc.CARY at DORCAS PLAZA173 High House Road CaryNC
CH04100LActiveBPS-H80-027568Advance Community Health, Inc.Horizon at Oak City Cares1430 S Wilmington St RaleighNC
CH04100MActiveBPS-H80-031445Advance Community Health, Inc.Advance Community Health - Mobile Services187 High House Rd CaryNC
CH04100NActiveBPS-H80-035743Advance Community Health, Inc.St. Augustine University CarePlex1315 Oakwood Avenue RaleighNC
CH04100PActiveBPS-H80-038601ADVANCE COMMUNITY HEALTH INCCarePlex at Beacon Point1425 Promise Beacon Circle RaleighNC
CH04100QActiveBPS-H80-039014ADVANCE COMMUNITY HEALTH INCStarlight Pediatrics500 Holly Springs Road Holly SpringsNC
CH04100RActiveBPS-H80-038897ADVANCE COMMUNITY HEALTH INCAdvance CarePlex - Wake Forest110 Capcom Ave STE 103 Wake ForestNC
CH04100SActiveBPS-H80-038817ADVANCE COMMUNITY HEALTH INCAdvance Community Health-Franklin County CarePlex205 Sandalwood Ave LouisburgNC
CH04100TApprovedBPS-H80-039720ADVANCE COMMUNITY HEALTH INCAdvance Axcess3509 Capital Blvd RaleighNC
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH041000ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280910/01/2024  
CH041000CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361410/01/2024  
CH041000CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005610/01/2024  
CH041000CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621910/01/2024  
CH041000CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175710/01/2024  
CH041000CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808310/01/2024  
CH041000CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700410/01/2024  
CH041000CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761704/01/2020  
CH041000CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813310/01/2024  
CH041000CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237410/01/2024  
CH041000CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911910/01/2024  
CH041000CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/01/2022  
CH041000CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/01/2022  
CH041000CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502810/01/2024  
CH041000ECKERD CORPORATIONRITE AID #11401 7505 LOUISBURG ROAD.
RALEIGHNC2761607/01/2019 04/20/2019
CH041000FAMILY PHARMACY OF LOUISBURGSOUTHALL 339 S BICKETT BLVD
LOUISBURGNC27549-275410/01/2018  
CH04100EFAMILY PHARMACY OF LOUISBURGSOUTHALL 339 S BICKETT BLVD
LOUISBURGNC27549-275401/01/2024  
CH041000FUQUAY PHARMACY LLCDBA FUQUAY PHARMACY 305 N JUDD PKWY NE
FUQUAY VARINANC2752610/01/2023  
CH041000GENOA HEALTHCARE LLC835 JOHNS HOPKINS DR STE D
GREENVILLENC2783401/01/2025  
CH041000JOSEFS PHARMACY LLCJOSEFS PHARMACY 2100 NEW BERN AVE
RALEIGHNC27610-276101/01/2020  
CH04100HJOSEFS PHARMACY LLCJOSEFS PHARMACY 2100 NEW BERN AVE
RALEIGHNC27610-276101/01/2024  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00317 5859 TRYON ROAD
CARYNC2751801/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00427 13440 NC 210 HIGHWAY
BENSONNC2750401/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02754 10170 GREEN LEVEL CHURCH RD.
CARYNC2751901/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00681 2103 T.W. ALEXANDER DR.
MORRISVILLENC2756001/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02306 2797 HWY 55
CARYNC2751901/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02313 2340 SPRING FOREST ROAD
RALEIGHNC2761501/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02356 790 TIMBER DRIVE
GARNERNC2752901/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02471 6840 GLENWOOD AVE
RALEIGHNC2761201/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02714 3500 WAKE FOREST RD.
RALEIGHNC2760901/01/2020 08/13/2024
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02771 11911 US 70 BUS HWY WEST
CLAYTONNC2752001/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03214 5680 NC HIGHWAY 42 WEST
GARNERNC2752901/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03589 6131 SIX FORKS RD.
RALEIGHNC2760901/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03918 402 SOUTH MAIN ST
ROLESVILLENC2757101/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04056 200 FAYETTEVILLE ST
RALEIGHNC2760101/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04198 3914 CAPITAL BLVD
RALEIGHNC2760401/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05042 1990 NW CARY PKWY.
MORRISVILLENC2756001/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05313 13304 LEESVILLE CHURCH ROAD
RALEIGHNC2761701/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07548 605 N. MAIN STREET
FUQUAY VARINANC2752601/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07051 245 ROOSEVELT AVE., EAST
WAKE FORESTNC2758701/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #8935 6216 BATTLE BRIDGE ROAD
RALEIGHNC2761001/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16917 8651 BRIER CREEK PKWY
RALEIGHNC2761701/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05886 5153 SUNSET LAKE RD.
APEXNC2753901/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 17635 7129 O'KELLY CHAPEL ROAD
CARYNC2751901/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08959 1190 US 1 HWY
YOUNGSVILLENC2759601/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16947 7900 OLD WAKE FOREST RD
RALEIGHNC2761601/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #10481 32 VILLAGE CENTER DR.
CLAYTONNC2752701/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16945 1040 TIMBER DR E
GARNERNC2752901/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #10682 3001 HILLSBOROUGH ST., SUITE 100
RALEIGHNC2760701/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16834 12000 RETAIL DR
WAKE FORESTNC2758701/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06988 11000 CREEDMOOR RD.
RALEIGHNC2761401/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07311 1123 KILDAIRE FARM RD.
CARYNC2751101/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08417 3581 DAVIS DR.
CARYNC2751901/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 17050 1201 BEAVER CREEK COMMONS DR
APEXNC2750201/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 17196 1000 SHOPPES AT MIDWAY DR
KNIGHTDALENC2754501/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 17605 3001 MARKET CENTER DR
MORRISVILLENC2756001/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08911 151 VILLAGE WALK DR.
HOLLY SPRINGSNC2754001/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05556 7025 WINSTON HILL DR.
CARYNC2751301/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY #07513 4309 NEW BERN AVE (NWC)
RALEIGHNC2761001/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07555 2902 FORESTVILLE RD.
RALEIGHNC2761601/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07018 3051 NEW BERN AVE.
RALEIGHNC2761001/01/2020 03/24/2025
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07039 2994 KILDAIRE FARM RD
CARYNC2751801/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #10863 2411 LANDMARK DR.
RALEIGHNC2760701/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 17012 4191 THE CIRCLE AT NORTH HILLS ST
RALEIGHNC2760901/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 17636 100 GRAND HILL PLACE
HOLLY SPRINGSNC2754001/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16478 2700 TIMBER DR
GARNERNC2752901/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07529 7201 KNIGHTDALE BLVD.,
KNIGHTDALENC2754501/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07042 2010 SEDWICK RD.
DURHAMNC2771301/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16460 4841 GROVE BARTON RD
RALEIGHNC2761301/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16370 2021 WALNUT ST
CARYNC2751801/01/2020  
CH041000NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03831 102 N. BICKETT BLVD.
LOUISBURGNC2754904/01/2022  
CH04100NNORTH CAROLINA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #10682 3001 HILLSBOROUGH ST., SUITE 100
RALEIGHNC2760701/01/2024  
CH041000OPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520401/01/2025  
CH041000OPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302501/01/2025  
CH041000OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713001/01/2025  
CH041000OPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983801/01/2025  
CH04100APERSON STREET PHARMACY OF RALEIGH INC  702 NORTH PERSON STREET
RALEIGHNC2760404/01/2013 07/01/2016
CH041000PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514610/01/2024  
CH041000PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920310/01/2024  
CH041000PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523310/01/2024  
CH041000PROCARE PHARMACY, LLCDBA CVS/PHARMACY#2980 601 S. KINGS DR.
CHARLOTTENC2820410/01/2024  
CH041000VEDIC PHARMACY LLCHOLLY PARK PHARMACY 1620 MARTIN LUTHER KING JR BLVD STE 104
RALEIGHNC2761007/01/2023  
CH041000WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738607/01/2019  
CH041000WAL-MART PHARMACY #10-4499841 E. GANNON AVE.
ZEBULONNC2759707/01/2019  
CH041000WAL-MART PHARMACY 10-13724500 FAYETTEVILLE RD
RALIEGHNC2760307/01/2019  
CH041000WAL-MART PHARMACY 10-18167106 KNIGHTDALE BLVD
KNIGHTDALENC2754510/01/2023  
CH041000WAL-MART PHARMACY 10-1953705 RETAIL WAY
LOUISBURGNC2754907/01/2019  
CH041000WAL-MART PHARMACY 10-20581725 NEW HOPE CHURCH RD
RALEIGHNC2760907/01/2019  
CH041000WAL-MART PHARMACY 10-22472010 KILDAIRE FARM RD
CARYNC2751807/01/2019  
CH041000WAL-MART PHARMACY 10-2414973 N HARRISON AVE
CARYNC2751310/01/2022  
CH041000WAL-MART PHARMACY 10-28361051 EAST BROAD STREET
FUQUAY-VARINANC2752607/01/2019  
CH041000WAL-MART PHARMACY 10-38893151 APEX PEAKWAY
APEXNC2750207/01/2019  
CH041000WAL-MART PHARMACY 10-44587016 GB ALFORD HWY
HOLLY SPRINGSNC2754010/01/2023  
CH041000WAL-MART PHARMACY 10-44848000 TOWN DR
RALEIGHNC2761610/01/2022  
CH041000WAL-MART PHARMACY 10-5046805 TOWNE CENTER BLVD.
CLAYTONNC2752010/01/2022  
CH041000WAL-MART PHARMACY 10-52542114 SOUTH MAIN ST
WAKE FORESTNC2758707/01/2019  
CH041000WAL-MART PHARMACY 10-52924431 NEW BERN AVE
RALEIGH(E)NC2761007/01/2019  
CH041000WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283707/01/2019  
CH041000WALGREEN CO.DBA: WALGREENS # 07168 3441 KILDAIRE FARM ROAD
CARYNC27518-154507/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS # 07170 1401 N MAIN STREET
FUQUAY VARINANC27526-902407/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS # 07505 301 N MAIN STREET
HOLLY SPRINGSNC27540-919607/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS # 07549 4408 NEW BERN AVE
RALEIGHNC27610-144407/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS # 07801 11306 CLAYTON BOULEVARD
CLAYTONNC2752007/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS # 07341 2323 NW MAYNARD RD
CARYNC2751307/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS # 01611 4309 WAKE FOREST RD
RALEIGHNC27609-627607/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS # 09555 7143 KNIGHTDALE BLVD
KNIGHTDALENC2754507/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS # 07365 511 W WILLIAMS ST
APEXNC27502-188107/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS # 07169 600 STONE COVE LANE
CARYNC2751907/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS #10541 1210 KILDAIRE FARM RD.
CARYNC27511-531607/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS #09635 3101 NEW BERN AVE.
RALEIGHNC27610-121607/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS #10085 825 TIMBER DR.
GARNERNC2752907/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS #09757 8010 TRYON WOODS DR.
CARYNC27518-715707/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS #10087 3911 CAPITAL BLVD.
RALEIGHNC27604-341107/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS #09634 6901 GLENWOOD AVE.
RALEIGHNC27612-714207/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS #11838 25 BURKE BLVD.
LOUISBURGNC2754907/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS #11713 12530 CLEVELAND RD.
GARNERNC2752907/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS #11312 9801 HOLLY SPRINGS RD.
HOLLY SPRINGSNC2754007/01/2013 01/06/2016
CH041000WALGREEN CO.DBA: WALGREENS #11693 200 N. BRAGG BLVD.
SPRING LAKENC2839007/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS #12063 101 W. GANNON AVE.
ZEBULONNC27597-262307/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS #11504 6821 OLD JENKS RD.
APEXNC2752307/01/2013  
CH041000WALGREEN CO.DBA: WALGREENS # 09156 941 DURHAM RD
WAKE FORESTNC2758701/01/2014  
CH041000WALGREEN CO.DBA: WALGREENS # 09987 3601 ROGERS RD
WAKE FORESTNC2758701/01/2014  
CH041000WALGREEN CO.DBA: WALGREENS #10276 3601 DAVIS DR.
MORRISVILLENC27560-884501/01/2014  
CH041000WALGREEN CO.DBA: WALGREENS #12730 11201 DURANT RD.
RALEIGHNC2761401/01/2014  
CH041000WALGREEN CO.DBA: WALGREENS #15019 2201 W. MILLBROOK RD.
RALEIGHNC27612-229701/01/2014  
CH041000WALGREEN CO.DBA: WALGREENS #15487 3205 AVENT FERRY RD
RALEIGHNC2760607/01/2016  
CH041000WALGREEN CO.WALGREENS #19935 1601 CROSS LINK RD STE 51
RALEIGHNC27610-418604/01/2019  
CH041000WALGREEN CO.DBA: WALGREENS #17919 1900 CAMERON ST
RALEIGHNC2760504/01/2019  
CH041000WALGREEN CO.WALGREENS #18038 7505 LOUISBURG RD
RALEIGHNC2761610/15/2019  
CH041000WALGREEN CO.DBA WALGREENS #15552 1116 US HWY 70 WEST
GARNERNC2752904/01/2021  
CH041000WALGREEN CO.DBA: WALGREENS #15152 7950 FAYETTEVILLE RD.
RALEIGHNC2760304/01/2022  
CH041000WALGREEN CO.WALGREENS #17798 3520 WADE AVE
RALEIGHNC2760704/01/2022  
CH041000WALGREEN CO.WALGREENS #16147 4441 SIX FORKS RD SUITE 110
RALEIGHNC2760904/01/2022  
CH041000WALGREEN CO.WALGREENS #16153 2901 WAKEFIELD PINES DR
RALEIGHNC2761404/01/2022  
CH04100KWALGREEN CO.WALGREENS #19935 1601 CROSS LINK RD STE 51
RALEIGHNC27610-418601/01/2024  
CH04100MWALGREEN CO.DBA: WALGREENS #09635 3101 NEW BERN AVE.
RALEIGHNC27610-121601/01/2024  
CH04100LWALGREEN CO.DBA: WALGREENS #11838 25 BURKE BLVD.
LOUISBURGNC2754901/01/2024  
CH041000WALGREEN CO.DBA: WALGREENS #21413 3410 US 1 HWY
FRANKLINTONNC2752502/01/2024  
CH041000Walgreens #21420Walgreens Central Fill #21420 8440 Times Dispatch Blvd
Ste. 400 		MechanicsvilleVA2311610/01/2023  
CH041000WALGREENS MAIL SERVICE, INC.  8337 S PARK CIRCLE
ORLANDOFL32819-904907/01/2013 06/23/2015
CH041000WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528401/01/2014 06/23/2015
CH041000WALGREENS OF NORTH CAROLINA INC.DBA: WALGREENS #16141 816 N MAIN STREET
FUQUAY VARINANC2752604/01/2015 03/09/2020
CH041000WALGREENS OF NORTH CAROLINA INC.DBA: WALGREENS #16140 3422 US 1 HWY
FRANKLINTONNC2752507/01/2016 08/17/2023
CH041000WALGREENS OF NORTH CAROLINA INC.COMMUNITY, A WALGREENS PHARMACY #16313 2816 ERWIN ROAD
SUITE 105 		DURHAMNC2770504/01/2021  
CH041000WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527501/01/2024  
CH041000WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503301/01/2024  
CH041000WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818801/01/2024  
CH041000WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275610/01/2023  
CH041000Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsSigned ByInsertNew Registration McCray, Scot N. Chief Executive Officer Advance Community Health 91925029234/24/2025 7:24 AM
Details340B IDUpdateNew Registration CH04100T4/24/2025 7:24 AM
DatesParticipating Approval DateUpdateNew Registration 4/24/2025 7:24:05 AM4/24/2025 7:24 AM
DetailsStateUpdateNew RegistrationPendingApproved4/24/2025 7:24 AM
DatesSigned By DateUpdateNew Registration 4/23/2025 8:51:25 AM4/24/2025 7:24 AM
DatesStart DateUpdateNew Registration 7/1/2025 12:00:00 AM4/24/2025 7:24 AM
AddressesMain AddressInsertNew Registration  3509 Capital Blvd Raleigh, NC 27604-45394/23/2025 8:51 AM
ContactsPrimary ContactInsertNew Registration McCaskill, Paul PharmD Wake Health Services d/b/a Advance Community Health 91957347064/23/2025 8:51 AM
ContactsAuthorizing OfficialInsertNew Registration McCray, Scot N. Chief Executive Officer Advance Community Health 91925029234/23/2025 8:51 AM
DetailsAssistance Received From DateInsertNew Registration  4/23/2025 8:51 AM
DetailsAssistance Received To DateInsertNew Registration  4/23/2025 8:51 AM
DetailsLast Recertification DateInsertNew Registration  4/23/2025 8:51 AM
DetailsGrant NumberInsertNew Registration H80CS000874/23/2025 8:51 AM
Details340B IDInsertNew Registration  4/23/2025 8:51 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  4/23/2025 8:51 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  4/23/2025 8:51 AM
DetailsMedicare Provider NumberInsertNew Registration  4/23/2025 8:51 AM
DetailsEntity NameInsertNew Registration ADVANCE COMMUNITY HEALTH INC4/23/2025 8:51 AM
DetailsNOFO NumberInsertNew Registration  4/23/2025 8:51 AM
DetailsProgram CodeInsertNew Registration CH4/23/2025 8:51 AM
DetailsEntity SubnameInsertNew Registration Advance Axcess4/23/2025 8:51 AM
DatesParticipating Approval DateInsertNew Registration  4/23/2025 8:51 AM
DetailsStateInsertNew Registration Pending4/23/2025 8:51 AM
DatesRegistration DateInsertNew Registration 4/23/2025 8:51:25 AM4/23/2025 8:51 AM
DatesSigned By DateInsertNew Registration  4/23/2025 8:51 AM
DatesStart DateInsertNew Registration  4/23/2025 8:51 AM
TerminationsTermination CommentsInsertNew Registration  4/23/2025 8:51 AM
TerminationsTermination DateInsertNew Registration  4/23/2025 8:51 AM
TerminationsTermination Effective DateInsertNew Registration  4/23/2025 8:51 AM
TerminationsTermination ReasonInsertNew Registration  4/23/2025 8:51 AM