Covered Entity Details

CH02150C MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC. (Active) - information as of 4/28/2025 12:40:35 AM

Main Details

Name

MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.

Subdivision Name

WILLIAMS ELEM SCHOOL-SCH BASED

Type

HRSA-Funded Health Center

Site ID

BPS-H80-001757

340B ID

CH02150C

Grant Number

H80CS00161

Additional Details

Current Program Status

Active

Registration Date

8/18/2005

Participating Start Date

9/9/2005

Participating Approval Date

8/22/2005

Last Recertification Date

2/25/2025

Contacts

Authorizing Official

Ms.
Judith Watson, CEO
(914) 699-7200

Primary Contact

MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.
Benjamin Montgomery, CFO
(914) 699-7200 Ext: 620

Addresses

Street Address

9 UNION LN
MOUNT VERNON, NY 10553-1728

Billing Address

MOUNT VERNON NEIGHBORHOOD HEALTH CENTER
107 WEST 4TH STREET
MOUNT VERNON, NY 10550

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
4/25/07-REMOVED MEDICAID NUMBER (WAS 01691550) 11/25/08 - NEW CONTACT ADDED	11/25/2008
4/25/07-REMOVED MEDICAID NUMBER (WAS 01691550) 11/25/08 - NEW CONTACT ADDED	11/25/2008

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Shipping Address 1

MOUNT VERNON NEIGHBORHOOD HEALTH CENTER
107 WEST 4TH STREET
MOUNT VERNON, NY 10550

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	Address Cont.	City	State
CH021500	Active	BPS-H80-000409	MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.	MOUNT VERNON NEIGHBORHOOD HEALTH CENTER	107 W 4th St		Mount Vernon	NY
CH02150A	Active	BPS-H80-003562	MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.	YONKERS COMMUNITY HEALTH CENTER	30 S Broadway		Yonkers	NY
CH02150C	Active	BPS-H80-001757	MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.	WILLIAMS ELEM SCHOOL-SCH BASED	9 UNION LN		MOUNT VERNON	NY
CH02150F	Active	BPS-H80-010077	MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.	GREENBURGH HEALTH CENTER	295 Knollwood Rd		White Plains	NY
CH02150I	Active	BPS-H80-004028	MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.	THE COACHMAN FAMILY CENTER	123 E Post Rd		White Plains	NY
CH02150J	Active	BPS-H80-004591	MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.	THE GRASSLANDS HOMELESS SHELTER	25 Operations Dr		Valhalla	NY
CH02150K	Active	BPS-H80-003858	Mount Vernon Neighborhood Health Center, Inc.	HOMELESS MOBILE VAN	107 WEST 4TH STREET		Mount Vernon	NY
CH02150L	Active	BPS-H80-027288	Mount Vernon Neighborhood Health Center, Inc.	Womens Premier Obstetrics	Women's Premier Obstetrics	Domestic Violence Setting	White Plains	NY
CH02150M	Active	BPS-H80-013871	Mount Vernon Neighborhood Health Center, Inc.	School Based Health Center At Mount Vernon High School	100 California Rd		Mount Vernon	NY

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH021500	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02579	7-11 EAST MAIN STREET	ELMSFORD	NY	10523	01/02/2020
CH021500	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 04745	26-32 MAMARONECK ST.	WHITE PLAINS	NY	10601	01/02/2020
CH021500	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 4539	25-43 PROSPECT ST.	YONKERS	NY	10701	01/01/2020
CH021500	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02164	211 EAST SANDFORD BLVD.	MOUNT VERNON	NY	10550	01/02/2020
CH021500	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05861	24 WEST GRAND STREET	MOUNT VERNON	NY	10552	01/02/2020
CH021500	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 01770	325 MAMARONECK AVE.	WHITE PLAINS	NY	10605	01/02/2020
CH021500	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 10503	20 TARRYTOWN ROAD	WHITE PLAINS	NY	10607-1606	01/02/2020	04/30/2022
CH021500	CVS ALBANY, L.L.C.	CVS/PHARMACY # 17007	500 EAST SANDFORD BLVD	MOUNT VERNON	NY	10550	01/02/2020
CH021500	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 00366	51 NORTH BROADWAY	TARRYTOWN	NY	10591	10/01/2020
CH02150A	ESTHER PHARMACY INC	71 SOUTH BROADWAY		YONKERS	NY	10701	10/27/2012	11/01/2022
CH021500	ESTHER PHARMACY INC	71 SOUTH BROADWAY		YONKERS	NY	10701	10/01/2019	11/01/2022
CH021500	GENOVESE DRUG STORES, INC.	RITE AID #10548	47 EAST PROSPECT AVENUE	MT VERNON	NY	10550	10/01/2019	01/17/2024
CH021500	MEDLY PHARMACY INC.	DBA MEDLY PHARMACY	31 DEBEVOISE ST	BROOKLYN	NY	11206-4196	01/02/2020	11/07/2022
CH02150F	MIDRAG NINE PHARMACY INC.	DBA: VALUABLE DRUGS	417 TARRYTOWN RD	WHITE PLAINS	NY	10607-1313	09/21/2009
CH021500	PREMIER PHARMACY SERVICES	410 CLOVERLEAF DR		BALDWIN PARK	CA	91706	10/01/2019	09/27/2022
CH021500	RITE AID OF NEW YORK, INC.	RITE AID #2541	420 SOUTH BROADWAY	YONKERS	NY	10705	10/01/2019	09/20/2023
CH021500	RL MT. VERNON PHARMACY INC	107 WEST 4TH STREET		MT VERNON	NY	10550	10/27/2012
CH02150A	SCRIPTX INC	DBA: SCRXIPTX PHARMACY	14 N BROADWAY	YONKERS	NY	10701-2793	07/07/2009	02/01/2024
CH021500	SIGNIO SPECIALTY PHARMACY	711 ANDERSON AVE		CLIFFSIDE PARK	NJ	07010	10/01/2019	09/27/2022
CH021500	ST. JOSEPH RX CORP.	D/B/A ESTHER PHARMACY	71 S BROADWAY	YONKERS	NY	10701	11/01/2022
CH021500	STANLEY PHARMA LLC	DBA-STANLEY PHARMACY	2 SOUTH BROADWAY	YONKERS	NY	10701-3702	10/01/2019	08/22/2023
CH021500	SUNNY PHARMACY	HANKWON DBA SUNNY PHARMACY	711 ANDERSON AVE	CLIFFSIDE PARK	NJ	07010-0701	10/01/2019	07/11/2019
CH021500	WALGREEN EASTERN CO INC	DBA: WALGREENS # 02122	1230 NEPPERHAN AVE	YONKERS	NY	10703	10/01/2022
CH021500	WALGREEN EASTERN CO INC	DBA: WALGREENS #09866	370 WHITE PLAINS RD.	EASTCHESTER	NY	10709-2804	10/01/2022
CH021500	WALGREEN EASTERN CO., INC.	WALGREENS # 18988	2750 BOSTON RD	BRONX	NY	10469	10/01/2022
CH021500	WALGREEN EASTERN CO., INC.	WALGREENS #17926	4232 BAYCHESTER AVE	BRONX	NY	10466	10/01/2022
CH021500	WALGREEN EASTERN CO., INC.	WALGREENS #17499	691 CO-OP CITY BLVD UNIT L	BRONX	NY	10475-1673	10/01/2022
CH021500	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04029	209 ROUTE 59	SUFFERN	NY	10901	10/01/2022
CH021500	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #07485	107 N. MAIN ST.	PORT CHESTER	NY	10573-4210	10/01/2022
CH021500	WALGREEN EASTERN CO., INC.	DBA: COMMUNITY, A WALGREENS PHARMACY #2	66 E. POST RD 1ST FLOOR	WHITE PLAINS	NY	10601	10/01/2022
CH021500	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02758	162 WILDEY ST	TARRYTOWN	NY	10591-2902	10/01/2022
CH021500	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11172	1371 METROPOLITAN AVE.	BRONX	NY	10462-7403	10/01/2022
CH021500	WALGREEN EASTERN CO., INC.	WALGREENS #17828	3901 WHITE PLAINS ROAD	BRONX	NY	10466	10/01/2022	11/17/2022
CH021500	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07627	3575 BOSTON RD	BRONX	NY	10469-2518	10/01/2022
CH021500	WALGREEN EASTERN CO., INC.	WALGREENS #19196	3040-44 EASTCHESTER RD	BRONX	NY	10469	10/01/2022
CH021500	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	6 MCLEAN AVE	YONKERS	NY	10705-2356	10/01/2022

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/21/2024 7:10:52 AM	2/25/2025 7:07:36 AM	2/25/2025 7:07 AM
Details	Last Recertification Date	Update	Recertification	2/7/2023 8:19:16 AM	2/21/2024 7:10:52 AM	2/21/2024 7:10 AM
Details	Last Recertification Date	Update	Recertification	2/7/2022 1:10:45 PM	2/7/2023 8:19:16 AM	2/7/2023 8:19 AM
Details	Last Recertification Date	Update	Recertification	2/11/2021 8:10:17 AM	2/7/2022 1:10:45 PM	2/7/2022 1:10 PM
Contacts	Authorizing Official	Update	Profile Change Request	Watson, Judith COO/Interim CEO Ms. 9146997200	Watson, Judith CEO Ms. 9146997200	2/11/2021 9:11 AM
Details	Last Recertification Date	Update	Recertification	1/30/2020 7:07:49 AM	2/11/2021 8:10:17 AM	2/11/2021 8:10 AM
Details	Last Recertification Date	Update	Recertification	2/8/2019 12:04:40 PM	1/30/2020 7:07:49 AM	1/30/2020 7:07 AM
Contacts	Authorizing Official	Update	AO Change Request	Dunstan, Opal CHIEF EXECUTIVE OFFICER MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC. 9146997200-601	Watson, Judith COO/Interim CEO Ms. 9146997200	11/26/2019 1:56 PM
Details	Last Recertification Date	Update	Recertification	2/27/2018 4:01:20 PM	2/8/2019 12:04:40 PM	2/8/2019 12:04 PM
Contacts	Primary Contact	Update	Recertification	Dunstan, Opal CHIEF EXECUTIVE OFFICER MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC. 9146997200-601	Montgomery, Benjamin CFO MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC. 9146997200-620	2/27/2018 4:01 PM
Details	Last Recertification Date	Update	Recertification	2/22/2017 12:00:00 AM	2/27/2018 4:01:20 PM	2/27/2018 4:01 PM
Contacts	Authorizing Official	Update		Dunstan, Opal CHIEF EXECUTIVE OFFICER 9146997200-601	Dunstan, Opal CHIEF EXECUTIVE OFFICER MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC. 9146997200-601	2/27/2018 3:38 PM
Contacts	Primary Contact	Update		Dunstan, Opal CHIEF EXECUTIVE OFFICER 9146997200-601	Dunstan, Opal CHIEF EXECUTIVE OFFICER MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC. 9146997200-601	2/27/2018 3:38 PM
Contacts	Authorizing Official	Insert			Dunstan, Opal CHIEF EXECUTIVE OFFICER 9146997200-601	6/29/2017 2:19 PM
Contacts	Primary Contact	Update		Dunstan, Opal Chief Operating Officer 9146997200-601	Dunstan, Opal CHIEF EXECUTIVE OFFICER 9146997200-601	6/29/2017 2:19 PM
Addresses	Main Address	Insert			9 UNION LN MOUNT VERNON, NY 10553-1728	2/22/2017 3:10 PM
Details	Last Recertification Date	Update		3/7/2016 12:00:00 AM	2/22/2017 12:00:00 AM	2/22/2017 3:10 PM
Contacts	Primary Contact	Update		LEVINE, STEVEN CHIEF MEDICAL OFFICER 9146997200-604	Dunstan, Opal Chief Operating Officer 9146997200-601	3/7/2016 4:49 PM
Details	Last Recertification Date	Update		3/3/2015 12:00:00 AM	3/7/2016 12:00:00 AM	3/7/2016 4:49 PM
Details	Last Recertification Date	Update		3/16/2014 12:00:00 AM	3/3/2015 12:00:00 AM	3/3/2015 8:14 AM
Contacts	Primary Contact	Insert			LEVINE, STEVEN CHIEF MEDICAL OFFICER 9146997200-604	4/30/2014 10:39 AM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	3/16/2014 12:00:00 AM	3/16/2014 9:52 AM
Details	Entity Name	Update		MOUNT VERNON NEIGHBORHOOD HEALTH CENTER	MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.	3/16/2014 9:52 AM
Details	Entity Subname	Update		SCHOOL BASED HEALTH CENTER AT WILLIAMS SCHOOL	WILLIAMS ELEM SCHOOL-SCH BASED	3/16/2014 9:52 AM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	2/13/2013 2:29 PM
Addresses	Billing Address	Insert			MOUNT VERNON NEIGHBORHOOD HEALTH CENTER 107 WEST 4TH STREET MOUNT VERNON, NY 10550	11/25/2008 2:41 PM
Addresses	Shipping Address	Insert			MOUNT VERNON NEIGHBORHOOD HEALTH CENTER 107 WEST 4TH STREET MOUNT VERNON, NY 10550	11/25/2008 2:41 PM
Details	Last Recertification Date	Insert				11/25/2008 2:41 PM
Details	Grant Number	Insert			H80CS00161	11/25/2008 2:41 PM
Details	340B ID	Insert			CH02150C	11/25/2008 2:41 PM
Details	Is Authorizing Official EHB Data	Insert				11/25/2008 2:41 PM
Dates	Last Date That 340B Drugs Purchased	Insert				11/25/2008 2:41 PM
Details	Medicare Provider Number	Insert				11/25/2008 2:41 PM
Details	Entity Name	Insert			MOUNT VERNON NEIGHBORHOOD HEALTH CENTER	11/25/2008 2:41 PM
Details	Program Code	Insert			CH	11/25/2008 2:41 PM
Details	Entity Subname	Insert			SCHOOL BASED HEALTH CENTER AT WILLIAMS SCHOOL	11/25/2008 2:41 PM
Dates	Participating Approval Date	Insert			8/22/2005 12:00:00 AM	11/25/2008 2:41 PM
Details	State	Insert			Active	11/25/2008 2:41 PM
Dates	Registration Date	Insert			8/18/2005 12:00:00 AM	11/25/2008 2:41 PM
Dates	Signed By Date	Insert			8/11/2005 12:00:00 AM	11/25/2008 2:41 PM
Dates	Start Date	Insert			9/9/2005 12:00:00 AM	11/25/2008 2:41 PM
Terminations	Termination Comments	Insert				11/25/2008 2:41 PM
Terminations	Termination Date	Insert				11/25/2008 2:41 PM
Terminations	Termination Effective Date	Insert				11/25/2008 2:41 PM
Terminations	Termination Reason	Insert				11/25/2008 2:41 PM
Details	Comments Public	Insert			4/25/07-REMOVED MEDICAID NUMBER (WAS 01691550) 11/25/08 - NEW CONTACT ADDED	11/25/2008 2:41 PM
Details	Comments Public	Insert			4/25/07-REMOVED MEDICAID NUMBER (WAS 01691550) 11/25/08 - NEW CONTACT ADDED	11/25/2008 2:41 PM

340B Drug Pricing Program Database