340B Drug Pricing Program Database


CH03377D GREATER BADEN MEDICAL SERVICE INC (Active) - information as of 4/26/2025 11:41:18 PM

Main Details
GREATER BADEN MEDICAL SERVICE INC
Greater Baden Medical Services at Capital Heights
HRSA-Funded Health Center
BPS-H80-004642
CH03377D
H80CS00549


Additional Details
Active
4/1/2004
4/1/2004
3/10/2004
2/10/2025

Contacts

Greater Baden Medical Services, Inc.
Christopher A DeMarco, Chief Executive Officer
(301) 888-2233 Ext: 3306

Greater Baden Medical Services
Wyndy Webb, Chief Pharmacy Officer
(443) 255-4544

Addresses

1458 Addison Rd S
Capitol Heights, MD 20743-4413

GREATER BADEN MEDICAL SERVICES, INC.
7450 Albert Road
Brandywine, MD 20613


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
NEW SITE 04/01/200408/11/2005
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
MD2290481001922673482
Shipping Addresses

Greater Baden Medical Services
7450 Albert Road
104
Brandywine, MD 20613
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailWALGREEN CO.WALGREENS #17859 5741 SILVER HILL RD
DISTRICT HEIGHTSMD2074707/14/202010/01/2020  10/01/2020
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH033770ActiveBPS-H80-010320GREATER BADEN MEDICAL SERVICE INCGreater Baden Medical Services at Brandywine7450 Albert Road BrandywineMD
CH03377AActiveBPS-H80-012054GREATER BADEN MEDICAL SERVICE INCGreater Baden Medical Services at La Plata6 Garrett Avenue La PlataMD
CH03377BActiveBPS-H80-007098GREATER BADEN MEDICAL SERVICE INCGreater Baden Medical Services at Leonardtown23140 Moakley St STE 4 LeonardtownMD
CH03377DActiveBPS-H80-004642GREATER BADEN MEDICAL SERVICE INCGreater Baden Medical Services at Capital Heights1458 Addison Rd S Capitol HeightsMD
CH03377GTerminatedBPS-H80-006545GREATER BADEN MEDICAL SERVICE INCGreater Baden Medical Services at Oxon Hill6188 Oxon Hill Rd Oxon HillMD
CH03377HTerminatedBPS-H80-004959GREATER BADEN MEDICAL SERVICE INCGreater Baden Medical Services at Beltsville4320 Ammendale Rd BeltsvilleMD
CH03377JActiveBPS-H80-012477GREATER BADEN MEDICAL SERVICE INCGreater Baden Medical Services at Capitol Heights II1442 Addison Rd S Capitol HeightsMD
CH03377KActiveBPS-H80-019066GREATER BADEN MEDICAL SERVICE INCGreater Baden Medical Services at Oxon Hill6196 Oxon Hill Road, Ste. 540 Oxon HillMD
CH03377LActiveBPS-H80-033744GREATER BADEN MEDICAL SERVICE INCGreater Baden Medical Services at Brandywine7450 Albert Drive BrandywineMD
CH03377MActiveBPS-H80-036000GREATER BADEN MEDICAL SERVICE INCGreater Baden Medical Services at Bryan's Road8030 Matthews Road UNIT 105-107 Bryans RoadMD
CH03377NActiveBPS-H80-035995GREATER BADEN MEDICAL SERVICE INCGreater Baden Medical Services Lexington Pk Great Mills Rd21625 Great Mills Rd Lexington ParkMD
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH033770ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201001/20/2022  
CH033770ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750201/20/2022  
CH033770ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884901/20/2022  
CH033770ACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624101/20/2022  
CH033770ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349201/20/2022  
CH033770ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282201/20/2022  
CH033770ACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607501/20/2022  
CH033770AHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271210/01/2019  
CH03377AAHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271210/01/2019  
CH03377BAHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271210/01/2019  
CH033770AMAZON PHARMACY #0014500 S PLEASANT VALLEY RD STE 201
AUSTINTX78744-291110/01/2019  
CH03377AAMAZON PHARMACY #0014500 S PLEASANT VALLEY RD STE 201
AUSTINTX78744-291110/01/2019  
CH03377BAMAZON PHARMACY #0014500 S PLEASANT VALLEY RD STE 201
AUSTINTX78744-291110/01/2019  
CH033770AZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503410/01/2019  
CH03377AAZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503410/01/2019  
CH03377BAZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503410/01/2019  
CH033770CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361404/22/2022  
CH033770CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005604/22/2022  
CH033770CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621904/22/2022  
CH033770CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175704/22/2022  
CH033770CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808304/22/2022  
CH033770CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700404/22/2022  
CH033770CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761704/22/2022  
CH033770CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813304/22/2022  
CH033770CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237404/22/2022  
CH033770CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911904/22/2022  
CH033770CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502804/22/2022  
CH033770CYREENE LLC DBA CYREENE PHARMACY25805 POINT LOOKOUT RD STE C
LEONARDTOWNMD20650-203807/01/2023  
CH033770DISTRICT OF COLUMBIA CVS PHARMACY, L.L.CDBA: CVS/PHARMACY # 01347 6-7 DUPONT CIRCLE NW
WASHINGTONDC2003601/20/2022  
CH033770ECKERD CORPORATIONRITE AID #11201 5741 SILVER HILL ROAD
DISTRICT HEIGHTSMD2074707/01/2015 01/12/2016
CH033770ECKERD CORPORATIONRITE AID #11201 5741 SILVER HILL ROAD
DISTRICT HEIGHTSMD2074710/01/2020  
CH033770ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111201/20/2022  
CH033770EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313404/01/2022  
CH033770EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801601/20/2022  
CH033770EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607501/20/2022  
CH033770GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 04768 510 C STREET
SAN DIEGOCA9210101/20/2022  
CH033770KENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08905 925 S. MAIN ST.,
FRANKLINKY4213401/20/2022  
CH033770M.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312610/01/2019  
CH03377AM.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312610/01/2019  
CH03377BM.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312610/01/2019  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01796 4200 ALTAMONT PL.
WHITE PLAINSMD2069507/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01800 7041 MARTIN LUTHER KING JR HWY
HYATTSVILLEMD2078507/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01621 3855 LEONARDTOWN RD.
WALDORFMD2060107/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01491 8859 BRANCH AVENUE
CLINTONMD2073507/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01511 6221 OXON HILL ROAD
OXON HILLMD2074507/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02005 5870 SILVER HILL RD
SILVER HILL PLAZA 		DISTRICT HEIGHTSMD2074707/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01506 6200 CENTRAL AVENUE
SEAT PLEASANTMD2074307/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01489 6516 LANDOVER ROAD
LANDOVERMD2078507/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03789 4840 MARLBORO PIKE
CAPITOL HEIGHTSMD2074307/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01795 5100 BROWN STATION ROAD
UPPER MARLBOROMD2077207/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01838 7035 INDIAN HEAD HIGHWAY
BRYANS ROADMD2061607/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01496 7050 ALLENTOWN ROAD
CAMP SPRINGSMD2074807/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01472 3714 BRANCH AVE.
TEMPLE HILLSMD2074807/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01488 6260 CRAIN HWY.
LA PLATAMD2064607/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01476 7012 MARLBORO PIKE
FORESTVILLEMD2074707/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.CVS PHARMACY # 17017 3101 DONNELL DR
DISTRICT HEIGHTSMD2074707/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01515 26020 POINT LOOKOUT RD.
LEONARDTOWNMD2065007/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01471 129 ST CHARLES PKWY
SMALLWOOD VLG CTR 		WALDORFMD2060207/07/2021 06/15/2023
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01522 22565 THREE NOTCH RD.
CALIFORNIAMD2061907/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01433 5922 MARTIN LUTHER KING JR. HGWY.
SEAT PLEASANTMD2074307/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01470 7600 SE CRAIN HIGHWAY
UPPER MARLBOROMD2077207/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.CVS PHARMACY # 16395 10500 CAMPUS WAY S
UPPER MARLBOROMD2077407/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.CVS PHARMACY # 17457 15922 CRAIN HWY UNIT A
BRANDYWINEMD2061307/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01469 4901 INDIAN HEAD HIGHWAY
OXON HILLMD2074507/07/2021 08/08/2023
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01457 11906 LIVINGSTON RD.
FORT WASHINGTONMD2074407/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01481 3061 TECHNOLOGY PLACE
WALDORFMD2060107/07/2021  
CH033770MARYLAND CVS PHARMACY, L.L.C.CVS PHARMACY # 16393 4600 MITCHELLVILLE RD
BOWIEMD2071601/20/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.CVS PHARMACY # 17010 3500 EAST WEST HWY STE 1200
HYATTSVILLEMD2078201/20/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.CVS PHARMACY # 17216 60 SHINING WILLOW WAY
LA PLATAMD2064601/20/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01514 3611 BLADENSBURG ROAD
COLMAR MANORMD2072201/20/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01497 21676 GREAT MILLS ROAD
LEXINGTON PARKMD2065301/20/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01505 28 WATKINS PARK DRIVE
UPPER MARLBOROMD2077401/20/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01486 5621 SARGENT ROAD
HYATTSVILLEMD2078201/20/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01516 9420 LANHAM-SEVERN ROAD
SEABROOKMD2070601/20/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00452 7607 GREENBELT ROAD
GREENBELTMD2077001/20/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #3047 8601 MARTIN LUTHER KING JR HIGHWAY
LANHAMMD2070601/20/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01456 10692 CAMPUS WAY S
KETTERING S/C 		UPPER MARLBOROMD2077401/20/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02016 5910 GREENBELT ROAD
GREENBELTMD2077001/20/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01451 6920 LAUREL-BOWIE ROAD
BOWIEMD2071501/20/2022 10/17/2024
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01454 1910 CRAIN HIGHWAY
BOWIEMD2071601/20/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01495 11729 BELTSVILLE DR
CALVERTON S/C 		BELTSVILLEMD2070501/20/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01498 13320 LAUREL-BOWIE ROAD
LAURELMD2070804/22/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01448 8201 ANNAPOLIS RD.
NEW CARROLLTONMD2078404/22/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01790 15100 BALTIMORE AVE.
LAURELMD2070704/22/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01453 5707 RIVERDALE ROAD
RIVERDALEMD2073704/22/2022  
CH033770MARYLAND CVS PHARMACY, L.L.C.CVS PHARMACY # 16606 45155 FIRST COLONY WAY
CALIFORNIAMD2061904/01/2025  
CH033770NEW ERA PHARMACY/VARIETY OUTL1436 ADDISON ROAD,SOUTH
CAPITOL HEIGHTSMD2074307/01/2023  
CH033770NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07051 245 ROOSEVELT AVE., EAST
WAKE FORESTNC2758701/20/2022  
CH033770PILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310110/01/2019  
CH03377APILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310110/01/2019  
CH03377BPILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310110/01/2019  
CH033770PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514604/22/2022  
CH033770PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523304/22/2022  
CH033770PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920304/22/2022  
CH033770PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY# 11235 9555 KINGS CHARTER DR., SUITE D
ASHLANDVA2300504/22/2022 05/15/2023
CH033770PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681304/22/2022  
CH033770VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02004 3117 LOCKHEED BLVD
ALEXANDRIAVA2230601/20/2022  
CH033770VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01408 4606 KENMORE AVENUE
ALEXANDRIAVA2230401/20/2022  
CH033770WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2025  
CH033770WAL-MART PHARMACY 10-171711930 ACTON LANE
WALDORFMD2060101/01/2025  
CH033770WAL-MART PHARMACY 10-18933300 NW CRAIN HWY
BOWIEMD2071601/01/2025  
CH033770WAL-MART PHARMACY 10-198145485 MIRAMAR WAY
CALIFORNIAMD2061901/01/2025  
CH033770WAL-MART PHARMACY 10-27998745 BRANCH AVENUE
CLINTONMD2073504/01/2015  
CH033770WAL-MART PHARMACY 10-285340 DRURY DRIVE
LA PLATAMD2064601/01/2025  
CH033770WAL-MART PHARMACY 10-51296210 ANNAPOLIS RD
LANDOVER HILLSMD2078401/01/2025  
CH033770WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2025  
CH033770WAL-MART PHARMACY WHSE #452250 NORTH 8TH STREET SUITE 102-A
ROGERSAR7275601/01/2025  
CH033770WALGREEN CODBA: WALGREENS #10063 6300 CRAIN HWY
LA PLATAMD20646-425910/22/2012  
CH033770WALGREEN CODBA: WALGREENS #10402 11745 ROUSBY HALL ROAD
LUSBYMD2065710/22/2012  
CH033770WALGREEN CODBA: WALGREENS #09632 2970 SHASHO PLACE
WALDORFMD2060310/22/2012  
CH033770WALGREEN CO.DBA: WALGREENS #10976 9001 WOODY TER STE C
CLINTONMD2073510/22/2012  
CH033770WALGREEN CO.DBA: WALGREENS # 09032 25 HIGH STREET
WALDORFMD20602-184710/22/2012  
CH033770WALGREEN CO.DBA: WALGREENS #12472 7008 MARLBORO PIKE
FORESTVILLEMD2074710/22/2012  
CH033770WALGREEN CO.COMMUNITY, A WALGREENS PHARMACY #16419 1117 GOOD HOPE RD. SE
WASHINGTONDC2002001/01/2017 01/04/2023
CH03377KWALGREEN CO.WALGREENS #17859 5741 SILVER HILL RD
DISTRICT HEIGHTSMD2074710/01/2020  
CH03377JWALGREEN CO.WALGREENS #17859 5741 SILVER HILL RD
DISTRICT HEIGHTSMD2074710/01/2020  
CH03377DWALGREEN CO.WALGREENS #17859 5741 SILVER HILL RD
DISTRICT HEIGHTSMD2074710/01/2020  
CH03377AWALGREEN CO.WALGREENS #17859 5741 SILVER HILL RD
DISTRICT HEIGHTSMD2074710/01/2020  
CH03377BWALGREEN CO.WALGREENS #17859 5741 SILVER HILL RD
DISTRICT HEIGHTSMD2074710/01/2020  
CH033770WALGREEN CO.WALGREENS #19312 6130 BALTIMORE AVE
RIVERDALEMD2073710/14/2021  
CH033770WALGREEN CO.WALGREENS #17672 30283 TRIANGLE DR
CHARLOTTE HALLMD2062210/14/2021  
CH033770WALGREEN CO.WALGREENS #19336 9810 APOLLO DR
LARGOMD2077410/14/2021  
CH033770WALGREEN CO.DBA: WALGREENS #11500 15990 ANNAPOLIS RD.
BOWIEMD2071510/14/2021  
CH033770Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2025  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/6/2024 11:43:41 AM2/10/2025 11:19:57 AM2/10/2025 11:19 AM
DetailsLast Recertification DateUpdateRecertification2/3/2023 9:13:22 PM2/6/2024 11:43:41 AM2/6/2024 11:43 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestDeMarco, Christopher A CAO Greater Baden Medical Services, Inc. 3018882233-3331DeMarco, Christopher A Chief Executive Officer Greater Baden Medical Services, Inc. 3018882233-33062/6/2023 7:14 AM
DetailsLast Recertification DateUpdateRecertification2/3/2022 12:57:23 PM2/3/2023 9:13:22 PM2/3/2023 9:13 PM
ContactsPrimary ContactUpdateProfile Change RequestWebb, Wyndy Chief Operating Officer Greater Baden Medical Services 4432554544Webb, Wyndy Chief Pharmacy Officer Greater Baden Medical Services 44325545442/1/2023 12:26 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False3/16/2022 4:05 PM
Medicaid BillingMedicaid: NumberInsertChange Request 2290481003/16/2022 4:05 PM
Medicaid BillingMedicaid: StateInsertChange Request MD3/16/2022 4:05 PM
Medicaid BillingNPI: NumberInsertChange Request 19226734823/16/2022 4:05 PM
Medicaid BillingNPI: StateInsertChange Request MD3/16/2022 4:05 PM
DetailsLast Recertification DateUpdateRecertification2/5/2021 4:49:31 PM2/3/2022 12:57:23 PM2/3/2022 12:57 PM
AddressesShipping AddressInsertChange Request Greater Baden Medical Services 7450 Albert Road 104 Brandywine, MD 206133/24/2021 3:12 PM
DetailsLast Recertification DateUpdateRecertification2/10/2020 10:41:10 AM2/5/2021 4:49:31 PM2/5/2021 4:49 PM
ContactsPrimary ContactUpdateChange RequestHouston, David Pharmacist Greater Baden Medical Services, Inc. 3018882233-3220Webb, Wyndy Chief Operating Officer Greater Baden Medical Services 44325545441/29/2021 9:37 AM
ContactsPrimary ContactUpdateRecertificationApperson, Debra Quality Director Greater Baden Medical Services 3018882233-3308Houston, David Pharmacist Greater Baden Medical Services, Inc. 3018882233-32202/10/2020 10:41 AM
DetailsLast Recertification DateUpdateRecertification2/12/2019 12:15:21 PM2/10/2020 10:41:10 AM2/10/2020 10:41 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestDeMarco, Christopher A Interim CEO Greater Baden Medical Services, Inc. 3018882233-3331DeMarco, Christopher A CAO Greater Baden Medical Services, Inc. 3018882233-33311/23/2020 3:10 PM
ContactsPrimary ContactUpdateRecertificationLeonhard, Sarah Consultant Greater Baden Medical Services, Inc. 3015182349Apperson, Debra Quality Director Greater Baden Medical Services 3018882233-33082/12/2019 12:15 PM
DetailsLast Recertification DateUpdateRecertification2/9/2018 4:26:20 PM2/12/2019 12:15:21 PM2/12/2019 12:15 PM
ContactsAuthorizing OfficialUpdateAO Change Requestmalloy, colenthia chief executive officer Greater Baden Medical Services, Inc. 3018369652DeMarco, Christopher A Interim CEO Greater Baden Medical Services, Inc. 3018882233-33312/6/2019 2:32 PM
DetailsLast Recertification DateUpdateRecertification2/9/2017 12:00:00 AM2/9/2018 4:26:20 PM2/9/2018 4:26 PM
ContactsAuthorizing OfficialUpdate malloy, colenthia chief executive officer 3018369652malloy, colenthia chief executive officer Greater Baden Medical Services, Inc. 30183696521/15/2018 1:13 PM
ContactsPrimary ContactUpdate Leonhard, Sarah Consultant 3015182349Leonhard, Sarah Consultant Greater Baden Medical Services, Inc. 30151823491/13/2018 9:18 PM
ContactsAuthorizing OfficialInsert  malloy, colenthia chief executive officer 30183696525/10/2017 5:53 PM
ContactsPrimary ContactInsert  Leonhard, Sarah Consultant 30151823492/13/2017 6:48 AM
AddressesMain AddressInsert   1458 Addison Rd S Capitol Heights, MD 20743-44132/9/2017 7:13 PM
DetailsLast Recertification DateUpdate 2/26/2016 12:00:00 AM2/9/2017 12:00:00 AM2/9/2017 7:13 PM
DetailsLast Recertification DateUpdate 2/10/2015 12:00:00 AM2/26/2016 12:00:00 AM2/26/2016 9:55 PM
DetailsLast Recertification DateUpdate 3/19/2014 12:00:00 AM2/10/2015 12:00:00 AM2/10/2015 1:57 PM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM3/19/2014 12:00:00 AM3/19/2014 2:54 PM
DetailsEntity NameUpdate GREATER BADEN MEDICAL SERVICES, INC.GREATER BADEN MEDICAL SERVICE INC3/19/2014 2:54 PM
DetailsEntity SubnameUpdate Greater Baden at Capitol HeightsGreater Baden Medical Services at Capital Heights3/19/2014 2:54 PM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM3/15/2013 8:34 AM
AddressesBilling AddressInsert  GREATER BADEN MEDICAL SERVICES, INC. 7450 Albert Road Brandywine, MD 206131/2/2013 2:25 PM
DetailsEntity SubnameUpdate WALKER MILL HEALTH CENTERGreater Baden at Capitol Heights12/27/2012 4:04 PM
DetailsLast Recertification DateInsert   8/11/2005 2:14 PM
DetailsGrant NumberInsert  H80CS005498/11/2005 2:14 PM
Details340B IDInsert  CH03377D8/11/2005 2:14 PM
DetailsIs Authorizing Official EHB DataInsert   8/11/2005 2:14 PM
DatesLast Date That 340B Drugs PurchasedInsert   8/11/2005 2:14 PM
DetailsMedicare Provider NumberInsert   8/11/2005 2:14 PM
DetailsEntity NameInsert  GREATER BADEN MEDICAL SERVICES, INC.8/11/2005 2:14 PM
DetailsProgram CodeInsert  CH8/11/2005 2:14 PM
DetailsEntity SubnameInsert  WALKER MILL HEALTH CENTER8/11/2005 2:14 PM
DatesParticipating Approval DateInsert  3/10/2004 12:00:00 AM8/11/2005 2:14 PM
DetailsStateInsert  Active8/11/2005 2:14 PM
DatesRegistration DateInsert  4/1/2004 12:00:00 AM8/11/2005 2:14 PM
DatesSigned By DateInsert   8/11/2005 2:14 PM
DatesStart DateInsert  4/1/2004 12:00:00 AM8/11/2005 2:14 PM
TerminationsTermination CommentsInsert   8/11/2005 2:14 PM
TerminationsTermination DateInsert   8/11/2005 2:14 PM
TerminationsTermination Effective DateInsert   8/11/2005 2:14 PM
TerminationsTermination ReasonInsert   8/11/2005 2:14 PM
DetailsComments PublicInsert  NEW SITE 04/01/20048/11/2005 2:14 PM