340B Drug Pricing Program Database


CHC24172-04 CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC (Approved) - information as of 6/9/2025 11:01:38 PM

Main Details
CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC
Christ Community Health: Olde Town CHC Dental
HRSA-Funded Health Center
BPS-H80-039729
CHC24172-04
H80CS24172


Additional Details
Approved
5/30/2025
7/1/2025
5/30/2025

Contacts

Christ Community Health Services, Augusta, Inc.
Robert Allan Campbell, CMO
(706) 799-5708

Christ Community Health
Purnank Gandhi, Contract Pharmacy Program Manager
(706) 572-1907

Addresses

127 Telfair St STE D
Augusta, GA 30901-2590

Christ Community Health
PO Box 2344
Augusta, GA 30903-2344


  • 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
GA 1104630748
SC 1104630748
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC24172-00ActiveBPS-H80-011667CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC.Christ Community Health: Medical District CHC1226 Dantignac St AugustaGA
CHC24172-01ActiveBPS-H80-011672CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC.Christ Community Health: Olde Town CHC127 Telfair Street AugustaGA
CHC24172-02ActiveBPS-H80-032109CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC.Christ Community Health: Peach Orchard Road CHC2604 Peach Orchard Rd AugustaGA
CHC24172-03ActiveBPS-H80-034378CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC.Christ Community Health: Medical District CHC (Pediatrics)1238 D'Antignac AugustaGA
CHC24172-04ApprovedBPS-H80-039729CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INCChrist Community Health: Olde Town CHC Dental127 Telfair St STE D AugustaGA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC24172-00BARNEY'S PHARMACY2604 PEACH ORCHARD RD
AUGUSTAGA3090610/01/2015  
CHC24172-00BARNEY'S PHARMACY AT SERENITY3421 MIKE PADGETT HWY BLDG A BUILDING A
AUGUSTAGA30906-381510/01/2015 12/14/2017
CHC24172-00BARNEY'S PHARMACY GROVETOWN LLC5135 WRIGHTSBORO RD
GROVETOWNGA3081310/01/2015 12/14/2017
CHC24172-00BRYANT AND HUDSON LLCBARNEY'S PHARMACY 106 S MAIN ST
WRENSGA30833-132910/01/2015 12/14/2017
CHC24172-00CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005604/01/2023  
CHC24172-00CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2022  
CHC24172-00CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2022  
CHC24172-00CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813301/01/2022  
CHC24172-00CENTERWELL PHARMACY, INC.10737 MARKS WAY
MIRAMARFL3302504/01/2022  
CHC24172-00CENTERWELL PHARMACY, INC.9843 WINDISCH RD
WEST CHESTEROH4506904/01/2022  
CHC24172-00CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870604/01/2021  
CHC24172-00CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005604/01/2021  
CHC24172-00CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2022  
CHC24172-00CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503310/01/2020  
CHC24172-00ECKERD CORPORATIONRITE AID #11832 1505 WALTON WAY
AUGUSTAGA3090407/01/2017 03/07/2018
CHC24172-00GEORGIA CVS PHARMACY, L.L.C.CVS PHARMACY # 16468 235 ROBERT C DANIEL JR PKWY
AUGUSTAGA3090904/01/2021  
CHC24172-00GEORGIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04119 2902 PEACH ORCHARD ROAD
AUGUSTAGA3090604/01/2021  
CHC24172-00GEORGIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03378 1520 WALTON WAY
AUGUSTAGA3090404/01/2021  
CHC24172-00GEORGIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04209 3231 WRIGHTSBORO ROAD
AUGUSTAGA3090904/01/2021 09/15/2022
CHC24172-00GEORGIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05699 4476 COLUMBIA RD
MARTINEZGA3090704/01/2021 06/19/2023
CHC24172-00GEORGIA CVS PHARMACY, L.L.C.CVS PHARMACY # 17120 4223 WASHINGTON RD
EVANSGA3080904/01/2021  
CHC24172-00GEORGIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04583 2703 WASHINGTON RD.
AUGUSTAGA3090904/01/2021  
CHC24172-00GEORGIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07746 2559 WINDSOR SPRING ROAD
AUGUSTAGA3090604/01/2021  
CHC24172-00GEORGIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02407 4385 HEREFORD FARM ROAD
EVANSGA3080904/01/2021  
CHC24172-00GEORGIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02359 3527 RIVER WATCH PKWY
MARTINEZGA3090704/01/2021  
CHC24172-00GEORGIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04556 109 WEST HILL STREET
THOMSONGA3082401/01/2022  
CHC24172-00GEORGIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04589 869 HORIZON SOUTH PARKWAY
GROVETOWNGA3081301/01/2022  
CHC24172-02GEORGIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03378 1520 WALTON WAY
AUGUSTAGA3090404/01/2024  
CHC24172-00HPB INC.BARNEY'S PHARMACY 2604 PEACH ORCHARD RD
AUGUSTAGA3090610/01/2015  
CHC24172-00KROGER DRUGSTORE #237  3128 DEANS BRIDGE ROAD
AUGUSTAGA3090601/01/2014 07/07/2017
CHC24172-00KROGER DRUGSTORE #2453435 WRIGHTSBORO ROAD
AUGUSTAGA3090901/01/2014 08/19/2019
CHC24172-00KROGER PHARMACY #6401284 KNOX AVENUE
NORTH AUGUSTASC2984101/01/2014  
CHC24172-01KROGER PHARMACY #6401284 KNOX AVENUE
NORTH AUGUSTASC2984104/01/2024  
CHC24172-00KROGER PHARMACY #6762801 WASHINGTON RAOD
AUGUSTAGA3090901/01/2014  
CHC24172-00PRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999210/01/2020 10/01/2022
CHC24172-00PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/01/2022  
CHC24172-00SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05575 101 EDGEFIELD RD.
NORTH AUGUSTASC2984104/01/2021  
CHC24172-00SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04388 4295 JEFFERSON DAVIS HWY.
BEECH ISLANDSC2984204/01/2021  
CHC24172-00SUMMERVILLE PHARMACY  2839 CENTRAL AVENUE
AUGUSTAGA3090907/01/2015 05/15/2017
CHC24172-01SUMMERVILLE PHARMACY  2839 CENTRAL AVENUE
AUGUSTAGA3090907/01/2015 04/18/2017
CHC24172-00THE KROGER DRUGSTORE #2944115 COLUMBIA ROAD
MARTINEZGA3090701/01/2014  
CHC24172-00THE KROGER DRUGSTORE #307  501 15TH STREET
AUGUSTAGA3090401/01/2014 05/15/2017
CHC24172-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2017  
CHC24172-00WAL-MART PHARMACY #10-41443338 WRIGHTSBORO ROAD
AUGUSTAGA3090907/01/2017  
CHC24172-00WAL-MART PHARMACY 10-12701201 KNOX AVE
NORTH AUGUSTASC2984107/01/2017  
CHC24172-00WAL-MART PHARMACY 10-12933209 DEANS BRIDGE RD
AUGUSTAGA3090607/01/2017  
CHC24172-03WAL-MART PHARMACY 10-12933209 DEANS BRIDGE RD
AUGUSTAGA3090604/01/2024  
CHC24172-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2017  
CHC24172-00WALGREEN CODBA: WALGREENS #11827 2744 WASHINGTON RD
AUGUSTAGA3090907/01/2013  
CHC24172-00WALGREEN CODBA: WALGREENS #11995 668 MAIN ST
THOMSONGA3082410/01/2019  
CHC24172-00WALGREEN CODBA; WALGREENS #12107 400 S LIBERTY ST
WAYNESBOROGA3083010/01/2019  
CHC24172-00WALGREEN CO.DBA: WALGREENS # 06395 4470 COLUMBIA RD
MARTINEZGA3090707/01/2013  
CHC24172-00WALGREEN CO.DBA: WALGREENS # 06394 3900 WASHINGTON RD
MARTINEZGA30907-232207/01/2013 02/20/2025
CHC24172-00WALGREEN CO.DBA: WALGREENS # 06632 3204 PEACH ORCHARD ROAD
AUGUSTAGA30906-486207/01/2013  
CHC24172-00WALGREEN CO.DBA: WALGREENS # 07772 672 FURYS FERRY ROAD
MARTINEZGA30907-894507/01/2013  
CHC24172-00WALGREEN CO.DBA: WALGREENS # 09789 3228 WRIGHTSBORO RD
AUGUSTAGA3090907/01/2013 03/06/2025
CHC24172-00WALGREEN CO.DBA: WALGREENS #10581 1228 KNOX AVE.
NORTH AUGUSTASC29841-405507/01/2013  
CHC24172-00WALGREEN CO.DBA: WALGREENS #11432 4380 JEFFERSON DAVIS HWY.
BEECH ISLANDSC2984207/01/2013  
CHC24172-00WALGREEN CO.DBA: WALGREENS #11849 2191 WHISKEY RD.
AIKENSC2980307/01/2013  
CHC24172-00WALGREEN CO.DBA; WALGREENS #10602 4310 WASHINGTON RD
EVANSGA3080907/01/2013  
CHC24172-00WALGREEN CO.DBA: WALGREENS #12795 3510 RICHLAND AVE. W
AIKENSC2980107/01/2013 11/13/2019
CHC24172-00WALGREEN CO.DBA WALGREENS #15333 2493 TOBACCO RD
HEPHZIBAHGA3081501/01/2015  
CHC24172-00WALGREEN CO.WALGREENS #15592 898 HORIZON SOUTH PKWY
GROVETOWNGA3081301/01/2015  
CHC24172-00WALGREEN CO.WALGREENS #19024 1505 WALTON WAY
AUGUSTAGA3090403/13/2018 10/14/2021
CHC24172-00WALGREEN CO.WALGREENS SPECIALTY PHARMACY #21163 1022 WALTON WAY SPC C
AUGUSTAGA3090101/01/2019  
CHC24172-00WALGREEN CO.DBA: WALGREENS #19793 2803 WRIGHTSBORO RD
STE 17 		AUGUSTAGA3090907/01/2019  
CHC24172-00WALGREEN CO.COMMUNITY A WALGREENS PHARMACY #15304 1874 PIEDMONT AVE NE STE 100A
ATLANTAGA3032404/01/2024  
CHC24172-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527510/01/2020  
CHC24172-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503310/01/2020  
CHC24172-00WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700810/01/2020 10/01/2021
CHC24172-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818810/01/2020  
CHC24172-00WALMART PHARMACY 10-24653697 WINDSOR SPRING ROAD
HEPHZIBAHGA3081507/01/2020  
CHC24172-00WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275607/01/2023  
CHC24172-00WALMART PHARMACY 10-65761041 EDGEFIELD ROAD
NORTH AUGUSTASC2986007/01/2020  
CHC24172-00Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsSigned ByInsertNew Registration Campbell, Robert Allan CMO Christ Community Health Services, Augusta, Inc. 70679957085/30/2025 1:55 PM
Details340B IDUpdateNew Registration CHC24172-045/30/2025 1:55 PM
DatesParticipating Approval DateUpdateNew Registration 5/30/2025 1:55:49 PM5/30/2025 1:55 PM
DetailsStateUpdateNew RegistrationPendingApproved5/30/2025 1:55 PM
DatesSigned By DateUpdateNew Registration 5/30/2025 12:37:28 PM5/30/2025 1:55 PM
DatesStart DateUpdateNew Registration 7/1/2025 12:00:00 AM5/30/2025 1:55 PM
AddressesMain AddressInsertNew Registration  127 Telfair St STE D Augusta, GA 30901-25905/30/2025 12:28 PM
AddressesBilling AddressInsertNew Registration Christ Community Health PO Box 2344 Augusta, GA 30903-23445/30/2025 12:28 PM
Medicaid BillingNPI: NumberInsertNew Registration 11046307485/30/2025 12:28 PM
Medicaid BillingNPI: StateInsertNew Registration GA5/30/2025 12:28 PM
Medicaid BillingNPI: NumberInsertNew Registration 11046307485/30/2025 12:28 PM
Medicaid BillingNPI: StateInsertNew Registration SC5/30/2025 12:28 PM
ContactsPrimary ContactInsertNew Registration Gandhi, Purnank Contract Pharmacy Program Manager Christ Community Health 70657219075/30/2025 12:28 PM
ContactsAuthorizing OfficialInsertNew Registration Campbell, Robert Allan CMO Christ Community Health Services, Augusta, Inc. 70679957085/30/2025 12:28 PM
DetailsAssistance Received From DateInsertNew Registration  5/30/2025 12:28 PM
DetailsAssistance Received To DateInsertNew Registration  5/30/2025 12:28 PM
DetailsLast Recertification DateInsertNew Registration  5/30/2025 12:28 PM
DetailsGrant NumberInsertNew Registration H80CS241725/30/2025 12:28 PM
Details340B IDInsertNew Registration  5/30/2025 12:28 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  5/30/2025 12:28 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  5/30/2025 12:28 PM
DetailsMedicare Provider NumberInsertNew Registration  5/30/2025 12:28 PM
DetailsEntity NameInsertNew Registration CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC5/30/2025 12:28 PM
DetailsNOFO NumberInsertNew Registration  5/30/2025 12:28 PM
DetailsProgram CodeInsertNew Registration CH5/30/2025 12:28 PM
DetailsEntity SubnameInsertNew Registration Christ Community Health: Olde Town CHC Dental5/30/2025 12:28 PM
DatesParticipating Approval DateInsertNew Registration  5/30/2025 12:28 PM
DetailsStateInsertNew Registration Pending5/30/2025 12:28 PM
DatesRegistration DateInsertNew Registration 5/30/2025 12:28:43 PM5/30/2025 12:28 PM
DatesSigned By DateInsertNew Registration  5/30/2025 12:28 PM
DatesStart DateInsertNew Registration  5/30/2025 12:28 PM
TerminationsTermination CommentsInsertNew Registration  5/30/2025 12:28 PM
TerminationsTermination DateInsertNew Registration  5/30/2025 12:28 PM
TerminationsTermination Effective DateInsertNew Registration  5/30/2025 12:28 PM
TerminationsTermination ReasonInsertNew Registration  5/30/2025 12:28 PM