340B Drug Pricing Program Database


CH020560 Mosaic Health, Inc. (Active) - information as of 5/5/2025 11:58:44 PM

Main Details
Mosaic Health, Inc.
Mosaic Health Finger Lakes Administration
HRSA-Funded Health Center
BPS-H80-024770
CH020560
H80CS00167


Additional Details
Active
9/1/2005
9/9/2005
9/1/2005
2/14/2025

Contacts

Mosaic Health, Inc.
Michael Joseph Leary, President/CEO
(585) 325-2280 Ext: 7302

Mosaic Health
Jared Fulcher, Payroll & 340B Manager
(585) 943-5499

Addresses

1 S Washington Street
Suite 300
Rochester, NY 14614-1134

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
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02067 2580 EAST HENRIETTA ROAD
ROCHESTERNY1462310/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00753 185 NORTH WINTON ROAD
ROCHESTERNY1461010/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00586 525 SPENCERPORT RD
GATES SHOPPING PLZ
ROCHESTERNY1460610/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 01142 1900 EMPIRE BOULEVARD
WEBSTERNY1458010/15/201901/01/2020 02/22/202403/18/2024
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00466 685 PARK AVENUE
ROCHESTERNY1460710/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00575 259 WEST MAIN ST.,
BATAVIANY1402010/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 01286 1215 ROUTE 31
MACEDONNY1450210/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00831 935 RIDGE ROAD
WEBSTERNY1458010/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00545 2200 PENFIELD RD
PENN FAIR PLAZA
PENFIELDNY1452610/15/201901/01/2020 02/09/202302/14/2023
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02217 878 LONG POND RD
ROCHESTERNY1461210/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA CVS/PHARMACY # 10284 1304 FAIRPORT RD.
FAIRPORTNY14450-131010/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02218 3750 MOUNT READ BLVD.
ROCHESTERNY1461610/15/201901/01/2020 10/05/202211/09/2022
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02501 2709 CHILI AVENUE
ROCHESTERNY1462410/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 05076 84 SOUTH AVE
HILTONNY1446810/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.CVS PHARMACY # 17289 500 SKYVIEW CENTRE PKWY
ROCHESTERNY14622-246610/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 05078 34 W. MAIN ST.
SODUSNY1455110/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 05072 225 MAIN STREET
DANSVILLENY1443710/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.CVS/PHARMACY # 16519 2325 MARKETPLACE DR
ROCHESTERNY1462310/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 05009 226 LAKE ST.
PENN YANNY1452710/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00755 1900 SOUTH CLINTON AVENUE
ROCHESTERNY1461810/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00592 2100 MONROE AVENUE
ROCHESTERNY1461810/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00547 1431 MT HOPE AVE
ROCHESTERNY1462010/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.CVS/PHARMACY #16518 7500 COMMONS BLVD
VICTORNY1456410/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 01925 1259 ROUTE 332
FARMINGTONNY1442510/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00739 1455 LAKE AVE
CORN FLOWER CITY PARKWAY
ROCHESTERNY1461510/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA CVS/PHARMACY # 5123 6510 BROCKPORT-SPENCERPORT RD.
BROCKPORTNY1442010/15/201901/01/2020  01/01/2020
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00653 1370 NORTON ST
NORTH PARK PLAZA
ROCHESTERNY1462110/15/201901/01/2020 01/01/202001/13/2020
Contract DetailECKERD CORPORATIONRITE AID #10843 170 EASTERN BLVD.
CANANDAIGUANY1442411/09/201210/27/2012  08/30/2013
Contract DetailECKERD CORPORATIONRITE AID #10781 1503 GENESEE STREET
UTICANY1350111/09/201210/27/2012 02/13/201802/19/2018
Contract DetailECKERD CORPORATIONRITE AID #10782 1143 MOHAWK STREET
UTICANY1350111/09/201210/27/2012 02/13/201802/19/2018
Contract DetailECKERD CORPORATIONRITE AID #10859 1792 NORTH GOODMAN STREET
ROCHESTERNY1460911/09/201210/27/2012  03/28/2013
Contract DetailECKERD CORPORATIONRITE AID #10860 1490 LAKE AVENUE
ROCHESTERNY1461511/09/201210/27/2012 02/20/201802/21/2018
Contract DetailECKERD CORPORATIONRITE AID #10862 101 PATTONWOOD DRIVE
ROCHESTERNY1461711/09/201210/27/2012 02/13/201802/19/2018
Contract DetailECKERD CORPORATIONRITE AID #10864 689 RIDGE ROAD EAST
ROCHESTERNY1462111/09/201210/27/2012 02/13/201802/19/2018
Contract DetailECKERD CORPORATIONRITE AID #10842 539 NORTH MAIN STREET
CANANDAIGUANY1442411/09/201210/27/2012  03/28/2013
Contract DetailECKERD CORPORATIONRITE AID #10772 4 CENTRAL PLAZA
ILIONNY1335710/13/201501/01/2016 02/13/201802/19/2018
Contract DetailECKERD CORPORATIONRITE AID #10849 101 S. MAIN STREET
NEWARKNY1451304/17/201707/01/2017  04/17/2017
Contract DetailKPH HEALTHCARE SERVICES, INC.KINNEY DRUGS #27 40 FIRST STREET
ILIONNY1335704/14/201607/01/2016  04/14/2016
Contract DetailKPH HEALTHCARE SERVICES, INC.KINNEY DRUGS #66 20 FORGHAM ST
LYONSNY1448904/14/201707/01/2017  04/14/2017
Contract DetailKPH HEALTHCARE SERVICES, INC.DBA: KINNEY DRUGS CF 471 E MAIN ST
UNIT 5
GOUVERNEURNY1364210/02/202401/01/2025  01/01/2025
Contract DetailPARK RIDGE APOTHECARY1561 LONG POND RD STE 104
ROCHESTERNY14626-413607/16/201410/01/2014 09/01/201508/21/2015
Contract DetailPARK RIDGE APOTHECARY INCDBA: GENESEE CAMPUS APOTHECARY GENESEE CAMPUS APOTHECARY
89 GENESEE ST
ROCHESTERNY14611-320107/15/201410/01/2014 03/31/202004/21/2020
Contract DetailR. DRUGSETC INC222 ALEXANDER STREET SUITE 2700
ROCHESTERNY1460707/15/201610/01/2016 02/18/201806/20/2018
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #613 437 LYELL AVENUE
ROCHESTERNY1460611/09/201210/27/2012 02/20/201802/21/2018
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #639 1924 GENESEE STREET
UTICANY1350211/09/201210/27/2012 12/18/201512/15/2015
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #615 792 WEST MAIN STREET
ROCHESTERNY1461111/09/201210/27/2012 02/20/201802/21/2018
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #629 1000 NORTH CLINTON AVENUE
ROCHESTERNY1462111/09/201210/27/2012  03/28/2013
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #4894 605 TITUS AVENUE
ROCHESTERNY1461711/09/201210/27/2012  03/28/2013
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #617 1433 CULVER ROAD
ROCHESTERNY1460911/09/201210/27/2012 02/13/201802/19/2018
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #602 565 MONROE AVENUE
ROCHESTERNY1460711/09/201210/27/2012 02/13/201802/19/2018
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #442 138 ELM STREET
PENN YANNY1452711/09/201210/27/2012  03/28/2013
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #621 804 NORTH GOODMAN STREET
ROCHESTERNY1460911/09/201210/27/2012 02/13/201802/19/2018
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #1722 670 THURSTON ROAD
ROCHESTERNY1461911/09/201210/27/2012 02/20/201802/21/2018
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #2783 281-285 MAIN STREET
GENEVANY1445611/09/201210/27/2012 12/31/201701/11/2018
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #2464 1233 EAST RIDGE ROAD
ROCHESTERNY1462111/09/201210/27/2012 12/31/201701/11/2018
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #3597 535 PORTLAND AVENUE
ROCHESTERNY1462111/09/201210/27/2012  03/28/2013
Contract DetailRITE AID OF NEW YORK, INC.RITE AID #4967 5651 WHISKEY HILL ROAD
WOLCOTTNY1459004/17/201707/01/2017 02/13/201802/19/2018
Contract DetailROCHESTER GENERAL HOSPITALDBA: THE GENERAL APOTHECARY 1415 PORTLAND AVE STE 125
ROCHESTERNY14621-303907/16/201410/01/2014  07/16/2014
Contract DetailROCHESTER GENERAL HOSPITALDBA: RIEDMAN PHARMACY 1455 E RIDGE RD
ROCHESTERNY14621-200610/11/201801/01/2019  01/01/2019
Contract DetailROCHESTER GENERAL HOSPITALDBA: WILSON PHARMACY 1425 PORTLAND AVE BLDG 1
ROCHESTERNY14621-300101/03/201904/01/2019 10/01/201910/07/2019
Contract DetailROCHESTER GENERAL HOSPITALDBA: WILSON PHARMACY 1425 PORTLAND AVE BLDG 1
ROCHESTERNY14621-300107/15/202210/01/2022  10/01/2022
Contract DetailSCRIPTS PLUS INCD/B/A THE MEDICINE SHOPPE 10 CENTRAL AVE
ILIONNY13357-182210/15/201901/01/2020 06/15/202303/18/2024
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738607/17/201710/01/2017  10/01/2017
Contract DetailWAL-MART PHARMACY 10-28592150 CHILI AVENUE
ROCHESTERNY1462404/14/201607/01/2016  04/14/2016
Contract DetailWAL-MART PHARMACY 10-32801490 HUDSON AVENUE
ROCHESTERNY1462104/14/201607/01/2016  04/14/2016
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283707/17/201710/01/2017  10/01/2017
Contract DetailWALGREEN CODBA: WALGREENS 28727 OREGON ROAD
PERRYSBURGOH4355111/28/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO INC  DBA WALGREENS WAREHOUSE
125 N COMMERCE WAY
BETHLEHEMPA1801711/28/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INCWALGREENS #19448 565 MONROE AVE
ROCHESTERNY1460702/28/201802/28/2018 11/14/202411/18/2024
Contract DetailWALGREEN EASTERN CO., INCWALGREENS # 19919 609 E MAIN ST
PALMYRANY1452204/04/201907/01/2019  07/01/2019
Contract DetailWALGREEN EASTERN CO., INCWALGREENS #19548 6296 ONTARIO CENTER RD.
ONTARIONY14519-864304/04/201907/01/2019  07/01/2019
Contract DetailWALGREEN EASTERN CO., INCWALGREENS # 19495 635 PITTSFORD VICTOR RD
PITTSFORDNY1453410/15/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INCWALGREENS #17566 250 STATE ROUTE 104
OSWEGONY1312610/15/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INCWALGREENS # 19816 2172 PENFIELD RD
PENFIELDNY14526-173610/15/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #10159 201 S. JAMES ST.
ROMENY1344011/06/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #10218 226 LIBERTY ST.
PENN YANNY14527-164711/06/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #10380 18 EASTERN BLVD.
CANANDAIGUANY14424-221911/06/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 10511 2665 E HENRIETTA RD
HENRIETTANY1446711/06/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #10697 431 HAMILTON ST.
GENEVANY1445611/06/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #11716 321 W. WASHINGTON ST.
BATHNY14810-101711/06/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09798 4855 COMMERCIAL DR
NEW HARTFORDNY13413-621211/06/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09799 49 KELLOGG RD
NEW HARTFORDNY13413-284911/06/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09800 1750 GENESEE STREET
UTICANY13502-542911/06/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09939 709 W UNION ST
NEWARKNY14513-135711/06/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09992 1659 PENFIELD RD
ROCHESTERNY1462511/06/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09585 430 SPENCERPORT ROAD
ROCHESTERNY1460611/06/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 2558 WEST RIDGE RD.
ROCHESTERNY1462611/28/201210/27/2012 06/28/201606/28/2016
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #10512 720 E. RIDGE RD
ROCHESTERNY1462111/28/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 3535 MOUNT READ BLVD.
ROCHESTERNY14616-434711/28/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #11208 3127 CHILI AVENUE
ROCHESTERNY1462411/28/201210/27/2012 04/19/201704/21/2017
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 665 LONG POND RD.
ROCHESTERNY1461211/28/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.  80 INTERNATIONAL DR.
WINDSORCT06095-104411/28/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09758 2100 RIDGE RD E
IRONDEQUOITNY14622-264111/28/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09584 1650 ELMWOOD AVENUE
ROCHESTERNY14620-341811/28/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #09872 1125 RIDGE RD.
WEBSTERNY14580-290911/28/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #10382 4366 BUFFALO RD.
NORTH CHILINY1451411/28/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 6707 PITTSFORD PALMYRA RD.
FAIRPORTNY14450-344211/28/201210/27/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS 101 PATTONWOOD DR
ROCHESTERNY1461702/28/201802/28/2018 11/13/202411/18/2024
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS 1143 MOHAWK ST
UTICANY1350102/28/201802/28/2018 03/30/202305/08/2023
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS 1433 CULVER RD
ROCHESTERNY14609-423502/28/201802/28/2018  02/28/2018
Contract DetailWALGREEN EASTERN CO., INC.RITE AID #10781 1503 GENESEE ST
UTICANY13501-470902/28/201802/28/2018 09/18/201806/28/2019
Contract DetailWALGREEN EASTERN CO., INC.RITE AID #02783 127 CASTLE ST
GENEVANY14456-260902/28/201802/28/2018 06/17/201906/20/2019
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #17603 17 E STATE ST
ILIONNY1335702/28/201802/28/2018  02/28/2018
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19736 5651 WHISKEY HILL RD
WOLCOTTNY1459002/28/201802/28/2018  02/28/2018
Contract DetailWALGREEN EASTERN CO., INC.RITE AID #10864 689 E. RIDGE RD.
ROCHESTERNY1462102/28/201802/28/2018 09/10/201806/28/2019
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS 804 N GOODMAN ST
ROCHESTERNY1460902/28/201802/28/2018 02/08/202102/24/2021
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19725 1490 LAKE AVE
ROCHESTERNY1461503/02/201803/02/2018 11/19/202411/19/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #19354 437 LYELL AVE
ROCHESTERNY1460603/02/201803/02/2018  03/02/2018
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #19352 670 THURSTON RD
ROCHESTERNY1461903/02/201803/02/2018 11/07/202202/14/2023
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #19585 792 W MAIN ST
ROCHESTERNY1461103/02/201803/02/2018 11/12/202411/18/2024
Contract DetailWALGREEN EASTERN CO., INC.RITE AID #00614 2918 DEWEY AVE
ROCHESTERNY1461610/11/201801/01/2019 06/05/201906/05/2019
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19868 2950 W RIDGE RD
ROCHESTERNY1462610/11/201801/01/2019 08/06/202109/14/2021
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19717 2841 NICHOLS ST
SPENCERPORTNY1455910/11/201801/01/2019  01/01/2019
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #17260 3122 MONROE AVE
ROCHESTERNY14618-460610/11/201801/01/2019 11/06/202411/18/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #17396 21 E STATE ST
MOUNT MORRISNY1451010/11/201801/01/2019  01/01/2019
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS 208 HERKIMER RD
UTICANY13502-230810/11/201801/01/2019  01/01/2019
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19978 4433 DEWEY AVE
ROCHESTERNY1461610/11/201801/01/2019  01/01/2019
Contract DetailWALGREEN EASTERN CO., INC.RITE AID #03460 133 E MAIN ST
FRANKFORTNY1334010/11/201801/01/2019 02/10/202009/22/2022
Contract DetailWALGREEN EASTERN CO., INC.WLAGREENS # 18376 205 S CAROLINE ST
HERKIMERNY13350-224810/11/201801/01/2019  01/01/2019
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #17267 1829 CHILI AVE
ROCHESTERNY14624-323710/11/201801/01/2019  01/01/2019
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #18076 4061 ROUTE 104
WILLIAMSONNY1458904/04/201907/01/2019  07/01/2019
Contract DetailWALGREEN EASTERN CO., INC.COMMUNITY, A WALGREENS PHARMACY #21240 1575 MOUNT HOPE AVE.
ROCHESTERNY1462010/14/201901/01/2020  01/01/2020
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #18364 135 W MAIN ST
HONEOYE FALLSNY1447210/15/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #10749 2231 DOWNER ST.
BALDWINSVILLENY13027-670110/15/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19539 10 EAST AVE
ALBIONNY1441110/15/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 8 W. MAIN ST.
LEROYNY1448210/15/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #19739 128 N CENTER ST
PERRYNY1453010/15/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #17389 201 W BROADWAY
FULTONNY1306910/15/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19876 1929 US ROUTE 20
WATERLOONY1316510/15/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS # 18074 73 N MAIN ST
BROCKPORTNY1442010/15/202101/01/2022  01/01/2022
Contract DetailWEGMAN'S FOOD MARKETS, INC.300 HAMILTON STREET ATTN: PHARMACY
GENEVANY1445601/03/201904/01/2019  04/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC1955 EMPIRE BLVD ATTN: PHARMACY
WEBSTERNY1458010/01/201501/01/2016 07/20/201607/22/2016
Contract DetailWEGMANS FOOD MARKETS, INC2833 RIDGE RD WEST
ROCHESTERNY1462610/01/201501/01/2016 07/20/201607/22/2016
Contract DetailWEGMANS FOOD MARKETS, INC1955 EMPIRE BLVD ATTN: PHARMACY
WEBSTERNY1458001/03/201904/01/2019  04/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC2833 RIDGE RD WEST
ROCHESTERNY1462601/03/201904/01/2019  04/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.ATTN: PHARMACY 851 FAIRPORT RD
EAST ROCHESTERNY1444510/01/201501/01/2016 07/20/201607/22/2016
Contract DetailWEGMANS FOOD MARKETS, INC.C/O PHARMACY 800 W MILLER ST
NEWARKNY14513-135410/01/201501/01/2016 07/20/201607/22/2016
Contract DetailWEGMANS FOOD MARKETS, INC.345 EASTERN BOULEVARD
CANANDAIGUANY1442410/01/201501/01/2016 07/20/201607/22/2016
Contract DetailWEGMANS FOOD MARKETS, INC.2301 LYELL AVENUE ATTN: PHARMACY
ROCHESTERNY1460610/01/201501/01/2016  10/01/2015
Contract DetailWEGMANS FOOD MARKETS, INC.1750 EAST AVENUE ATTN: PHARMACY
ROCHESTERNY1461010/01/201501/01/2016 07/20/201607/22/2016
Contract DetailWEGMANS FOOD MARKETS, INC.2200 RIDGE ROAD EAST ATTN: PHARMACY
ROCHESTERNY1462210/01/201501/01/2016  10/01/2015
Contract DetailWEGMANS FOOD MARKETS, INC.3701 MT. READ BLVD. ATTN: PHARMACY
ROCHESTERNY1461610/01/201501/01/2016  10/01/2015
Contract DetailWEGMANS FOOD MARKETS, INC.745 CALKINS ROAD ATTN: PHARMACY
ROCHESTERNY1462310/01/201501/01/2016 07/20/201607/22/2016
Contract DetailWEGMANS FOOD MARKETS, INC.6600 PITTSFORD-PALMYRA RD ATTN: PHARMACY
FAIRPORTNY1445010/01/201501/01/2016 07/20/201607/22/2016
Contract DetailWEGMANS FOOD MARKETS, INC.3195 MONROE AVENUE ATTN: PHARMACY
ROCHESTERNY1461810/01/201501/01/2016 07/20/201607/22/2016
Contract DetailWEGMANS FOOD MARKETS, INC.650 HYLAN DRIVE ATTN: PHARMACY
ROCHESTERNY1462310/01/201501/01/2016 07/20/201607/22/2016
Contract DetailWEGMANS FOOD MARKETS, INC.2155 PENFIELD ROAD ATTN: PHARMACY
PENFIELDNY1452610/01/201501/01/2016 07/20/201607/22/2016
Contract DetailWEGMANS FOOD MARKETS, INC.3177 LATTA ROAD ATTN: PHARMACY
ROCHESTERNY1461210/01/201501/01/2016 07/20/201607/22/2016
Contract DetailWEGMANS FOOD MARKETS, INC.6660 4TH SECTION RD STE 2 ATTN: PHARMACY
BROCKPORTNY1442010/01/201501/01/2016 07/20/201607/22/2016
Contract DetailWEGMANS FOOD MARKETS, INC.900 HOLT ROAD ATTN: PHARMACY
WEBSTERNY1458010/01/201501/01/2016 07/20/201607/22/2016
Contract DetailWEGMANS FOOD MARKETS, INC.525 TITUS AVENUE ATTN: PHARMACY
ROCHESTERNY1461710/01/201501/01/2016  10/01/2015
Contract DetailWEGMANS FOOD MARKETS, INC.3175 CHILI AVE ATTN: PHARMACY
ROCHESTERNY1462410/01/201501/01/2016 07/20/201607/22/2016
Contract DetailWEGMANS FOOD MARKETS, INC.C/O PHARMACY 800 W MILLER ST
NEWARKNY14513-135401/12/201804/01/2018  01/12/2018
Contract DetailWEGMANS FOOD MARKETS, INC.1750 EAST AVENUE ATTN: PHARMACY
ROCHESTERNY1461001/12/201804/01/2018  01/12/2018
Contract DetailWEGMANS FOOD MARKETS, INC.2155 PENFIELD ROAD ATTN: PHARMACY
PENFIELDNY1452601/03/201904/01/2019  04/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.900 HOLT ROAD ATTN: PHARMACY
WEBSTERNY1458001/03/201904/01/2019 01/10/201901/10/2019
Contract DetailWEGMANS FOOD MARKETS, INC.745 CALKINS ROAD ATTN: PHARMACY
ROCHESTERNY1462301/03/201904/01/2019  04/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.3177 LATTA ROAD ATTN: PHARMACY
ROCHESTERNY1461201/03/201904/01/2019  04/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.6660 4TH SECTION RD STE 2 ATTN: PHARMACY
BROCKPORTNY1442001/03/201904/01/2019 01/10/201901/10/2019
Contract DetailWEGMANS FOOD MARKETS, INC.3175 CHILI AVE ATTN: PHARMACY
ROCHESTERNY1462401/03/201904/01/2019 01/10/201901/10/2019
Contract DetailWEGMANS FOOD MARKETS, INC.650 HYLAN DRIVE ATTN: PHARMACY
ROCHESTERNY1462301/03/201904/01/2019  04/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.900 HOLT ROAD ATTN: PHARMACY
WEBSTERNY1458001/03/201904/01/2019  04/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.3175 CHILI AVE ATTN: PHARMACY
ROCHESTERNY1462401/03/201904/01/2019  04/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.6660 4TH SECTION RD STE 2 ATTN: PHARMACY
BROCKPORTNY1442001/03/201904/01/2019  04/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.4287 GENESEE VALLEY PLAZA ATTN: PHARMACY
GENESEONY1445401/03/201904/01/2019  04/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.3195 MONROE AVENUE ATTN: PHARMACY
ROCHESTERNY1461801/03/201904/01/2019  04/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.6600 PITTSFORD-PALMYRA RD ATTN: PHARMACY
FAIRPORTNY1445001/03/201904/01/2019  04/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.345 EASTERN BOULEVARD
CANANDAIGUANY1442401/03/201904/01/2019  04/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.ATTN: PHARMACY 851 FAIRPORT RD
EAST ROCHESTERNY1444501/03/201904/01/2019  04/01/2019
Contract DetailWEGMANS FOOD MARKETS, INC.650 HYLAN DRIVE ATTN: PHARMACY
ROCHESTERNY1462301/03/201904/01/2019 01/10/201901/10/2019
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH020560ActiveBPS-H80-024770Mosaic Health, Inc.Mosaic Health Finger Lakes Administration1 S Washington Street RochesterNY
CH02056ABTerminatedBPS-H80-003017Mosaic Health, Inc.Martin Luther King Jr Health Center485 Clinton Ave N RochesterNY
CH02056ACTerminatedBPS-H80-004022Mosaic Health, Inc.Edison Tech Comm Health Center655 Colfax St RochesterNY
CH02056ADTerminatedBPS-H80-003159Mosaic Health, Inc.Freddie Thomas Health Center625 SCIO ST ROCHESTERNY
CH02056AETerminatedBPS-H80-003863Mosaic Health, Inc.John James Audubon Health Center500 Webster Ave RochesterNY
CH02056AFTerminatedBPS-H80-005604ROCHESTER PRIMARY CARE NETWORKJOHN MARSHALL HEALTH CENTER180 RIDGEWAY AVE ROCHESTERNY
CH02056AGTerminatedBPS-H80-012082Mosaic Health, Inc.The Women's Center at Rochester General1415 Portland Ave RochesterNY
CH02056AJTerminatedBPS-H80-003704Mosaic Health, Inc.Unity Dental Center at St. Mary's75 Genesee StreetFL 2ROCHESTERNY
CH02056AKTerminatedBPS-H80-002848Mosaic Health, Inc.The Women's Center at Clinton Family309 UPPER FALLS BLVD. ROCHESTERNY
CH02056ALTerminatedBPS-H80-016998Mosaic Health, Inc.Charlotte School Based Health Center4115 LAKE AVE ROCHESTERNY
CH02056AMActiveBPS-H80-017630Mosaic Health, Inc.Mosaic Health Ilion55 Central Plaza Suite B IlionNY
CH02056ANTerminatedBPS-H80-018845Mosaic Health, Inc.Newark Internal Medicine1208 Driving Park Ave NewarkNY
CH02056APTerminatedBPS-H80-018844Mosaic Health, Inc.Wolcott PC6254 Lawville Rd WolcottNY
CH02056AQActiveBPS-H80-028159Mosaic Health, Inc.Mosaic Health Utica Dental3 Parkside Court Building 1 UticaNY
CH02056ARActiveBPS-H80-039001Mosaic Health, Inc.Marcus Whitman Middle/High School4100 Baldwin Road RM 426-428 RushvilleNY
CH02056ASActiveBPS-H80-038599Mosaic Health, Inc.Mosaic Health Mobile Dental and Medical2 Rubin Dr RushvilleNY
CH02056BTerminatedBPS-H80-024606Mosaic Health, Inc.Riedman Health Center1455 E Ridge Rd ROCHESTERNY
CH02056CTerminatedBPS-H80-000623Mosaic Health, Inc.Genesee Health Services222 -224 Alexander Street RochesterNY
CH02056FTerminatedBPS-H80-012420Mosaic Health, Inc.Clinton Family Health Center293 Upper Falls Blvd RochesterNY
CH02056GTerminatedBPS-H80-000478Mosaic Health, Inc.Unity Family Medicine at Orchard Street158 Orchard St RochesterNY
CH02056MTerminatedBPS-H80-000369Mosaic Health, Inc.Unity Family Medicine at St. Mary's55 Genesee StBK Building, 3rd FloorROCHESTERNY
CH02056RActiveBPS-H80-002269Mosaic Health, Inc.Mosaic Health Rushville2 Rubin Dr RushvilleNY
CH02056SActiveBPS-H80-004135Mosaic Health, Inc.Mosaic Health Utica1651 Oneida St UticaNY
CH02056TTerminatedBPS-H80-007630Rochester Primary Care NetworkUnity Family Medicine at St. Bernard's2260 Lake Avenue STE 1000 RochesterNY
CH02056UTerminatedBPS-H80-007634Rochester Primary Care NetworkUnity OB/GYN at West Main819 West Main street RochesterNY
CH02056VTerminatedBPS-H80-007633Rochester Primary Care NetworkUnity Pediatrics819 West Main street RochesterNY
CH02056WTerminatedBPS-H80-010201Mosaic Health, Inc.Mosaic Health Lyons1519 Nye Road LyonsNY
CH02056XTerminatedBPS-H80-010609Mosaic Health, Inc.Mosaic Health Mount Morris1 Murray Hill Dr Mount MorrisNY
CH02056ZTerminatedBPS-H80-011262Mosaic Health, Inc.Unity Dental at Ridgeway2655 Ridgeway Ave RochesterNY
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02067 2580 EAST HENRIETTA ROAD
ROCHESTERNY1462301/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00753 185 NORTH WINTON ROAD
ROCHESTERNY1461001/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00586 525 SPENCERPORT RD
GATES SHOPPING PLZ
ROCHESTERNY1460601/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 01142 1900 EMPIRE BOULEVARD
WEBSTERNY1458001/01/2020 02/22/2024
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00466 685 PARK AVENUE
ROCHESTERNY1460701/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00575 259 WEST MAIN ST.,
BATAVIANY1402001/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 01286 1215 ROUTE 31
MACEDONNY1450201/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00831 935 RIDGE ROAD
WEBSTERNY1458001/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00545 2200 PENFIELD RD
PENN FAIR PLAZA
PENFIELDNY1452601/01/2020 02/09/2023
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02217 878 LONG POND RD
ROCHESTERNY1461201/01/2020  
CH020560CVS ALBANY, L.L.C.DBA CVS/PHARMACY # 10284 1304 FAIRPORT RD.
FAIRPORTNY14450-131001/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02218 3750 MOUNT READ BLVD.
ROCHESTERNY1461601/01/2020 10/05/2022
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02501 2709 CHILI AVENUE
ROCHESTERNY1462401/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 05076 84 SOUTH AVE
HILTONNY1446801/01/2020  
CH020560CVS ALBANY, L.L.C.CVS PHARMACY # 17289 500 SKYVIEW CENTRE PKWY
ROCHESTERNY14622-246601/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 05078 34 W. MAIN ST.
SODUSNY1455101/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 05072 225 MAIN STREET
DANSVILLENY1443701/01/2020  
CH020560CVS ALBANY, L.L.C.CVS/PHARMACY # 16519 2325 MARKETPLACE DR
ROCHESTERNY1462301/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 05009 226 LAKE ST.
PENN YANNY1452701/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00755 1900 SOUTH CLINTON AVENUE
ROCHESTERNY1461801/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00592 2100 MONROE AVENUE
ROCHESTERNY1461801/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00547 1431 MT HOPE AVE
ROCHESTERNY1462001/01/2020  
CH020560CVS ALBANY, L.L.C.CVS/PHARMACY #16518 7500 COMMONS BLVD
VICTORNY1456401/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 01925 1259 ROUTE 332
FARMINGTONNY1442501/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00739 1455 LAKE AVE
CORN FLOWER CITY PARKWAY
ROCHESTERNY1461501/01/2020  
CH020560CVS ALBANY, L.L.C.DBA CVS/PHARMACY # 5123 6510 BROCKPORT-SPENCERPORT RD.
BROCKPORTNY1442001/01/2020  
CH020560CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00653 1370 NORTON ST
NORTH PARK PLAZA
ROCHESTERNY1462101/01/2020 01/01/2020
CH020560ECKERD CORPORATIONRITE AID #10843 170 EASTERN BLVD.
CANANDAIGUANY1442410/27/2012  
CH020560ECKERD CORPORATIONRITE AID #10781 1503 GENESEE STREET
UTICANY1350110/27/2012 02/13/2018
CH020560ECKERD CORPORATIONRITE AID #10782 1143 MOHAWK STREET
UTICANY1350110/27/2012 02/13/2018
CH020560ECKERD CORPORATIONRITE AID #10859 1792 NORTH GOODMAN STREET
ROCHESTERNY1460910/27/2012  
CH020560ECKERD CORPORATIONRITE AID #10860 1490 LAKE AVENUE
ROCHESTERNY1461510/27/2012 02/20/2018
CH020560ECKERD CORPORATIONRITE AID #10862 101 PATTONWOOD DRIVE
ROCHESTERNY1461710/27/2012 02/13/2018
CH020560ECKERD CORPORATIONRITE AID #10864 689 RIDGE ROAD EAST
ROCHESTERNY1462110/27/2012 02/13/2018
CH020560ECKERD CORPORATIONRITE AID #10842 539 NORTH MAIN STREET
CANANDAIGUANY1442410/27/2012  
CH020560ECKERD CORPORATIONRITE AID #10772 4 CENTRAL PLAZA
ILIONNY1335701/01/2016 02/13/2018
CH020560ECKERD CORPORATIONRITE AID #10849 101 S. MAIN STREET
NEWARKNY1451307/01/2017  
CH020560KPH HEALTHCARE SERVICES, INC.KINNEY DRUGS #27 40 FIRST STREET
ILIONNY1335707/01/2016  
CH020560KPH HEALTHCARE SERVICES, INC.KINNEY DRUGS #66 20 FORGHAM ST
LYONSNY1448907/01/2017  
CH020560KPH HEALTHCARE SERVICES, INC.DBA: KINNEY DRUGS CF 471 E MAIN ST
UNIT 5
GOUVERNEURNY1364201/01/2025  
CH020560PARK RIDGE APOTHECARY1561 LONG POND RD STE 104
ROCHESTERNY14626-413610/01/2014 09/01/2015
CH020560PARK RIDGE APOTHECARY INCDBA: GENESEE CAMPUS APOTHECARY GENESEE CAMPUS APOTHECARY
89 GENESEE ST
ROCHESTERNY14611-320110/01/2014 03/31/2020
CH02056SPARKWAY DRUGS OF ONEIDACOUNTY SOUTH INC 485 FRENCH RD
UTICANY1350210/01/2010 07/20/2016
CH02056SPARKWAY DRUGS OF ONEIDA CO1256 ALBANY ST
UTICANY1350110/01/2010 12/15/2017
CH02056SPARKWAY DRUGS OF ONEIDA COUNTY NORTH, IN350 LELAND AVENUE
UTICANY1350210/01/2010 07/20/2016
CH020560R. DRUGSETC INC222 ALEXANDER STREET SUITE 2700
ROCHESTERNY1460710/01/2016 02/18/2018
CH020560RITE AID OF NEW YORK, INC.RITE AID #613 437 LYELL AVENUE
ROCHESTERNY1460610/27/2012 02/20/2018
CH020560RITE AID OF NEW YORK, INC.RITE AID #639 1924 GENESEE STREET
UTICANY1350210/27/2012 12/18/2015
CH020560RITE AID OF NEW YORK, INC.RITE AID #615 792 WEST MAIN STREET
ROCHESTERNY1461110/27/2012 02/20/2018
CH020560RITE AID OF NEW YORK, INC.RITE AID #629 1000 NORTH CLINTON AVENUE
ROCHESTERNY1462110/27/2012  
CH020560RITE AID OF NEW YORK, INC.RITE AID #4894 605 TITUS AVENUE
ROCHESTERNY1461710/27/2012  
CH020560RITE AID OF NEW YORK, INC.RITE AID #617 1433 CULVER ROAD
ROCHESTERNY1460910/27/2012 02/13/2018
CH020560RITE AID OF NEW YORK, INC.RITE AID #602 565 MONROE AVENUE
ROCHESTERNY1460710/27/2012 02/13/2018
CH020560RITE AID OF NEW YORK, INC.RITE AID #442 138 ELM STREET
PENN YANNY1452710/27/2012  
CH020560RITE AID OF NEW YORK, INC.RITE AID #621 804 NORTH GOODMAN STREET
ROCHESTERNY1460910/27/2012 02/13/2018
CH020560RITE AID OF NEW YORK, INC.RITE AID #1722 670 THURSTON ROAD
ROCHESTERNY1461910/27/2012 02/20/2018
CH020560RITE AID OF NEW YORK, INC.RITE AID #2783 281-285 MAIN STREET
GENEVANY1445610/27/2012 12/31/2017
CH020560RITE AID OF NEW YORK, INC.RITE AID #2464 1233 EAST RIDGE ROAD
ROCHESTERNY1462110/27/2012 12/31/2017
CH020560RITE AID OF NEW YORK, INC.RITE AID #3597 535 PORTLAND AVENUE
ROCHESTERNY1462110/27/2012  
CH020560RITE AID OF NEW YORK, INC.RITE AID #4967 5651 WHISKEY HILL ROAD
WOLCOTTNY1459007/01/2017 02/13/2018
CH020560ROCHESTER GENERAL HOSPITALDBA: THE GENERAL APOTHECARY 1415 PORTLAND AVE STE 125
ROCHESTERNY14621-303910/01/2014  
CH020560ROCHESTER GENERAL HOSPITALDBA: RIEDMAN PHARMACY 1455 E RIDGE RD
ROCHESTERNY14621-200601/01/2019  
CH020560ROCHESTER GENERAL HOSPITALDBA: WILSON PHARMACY 1425 PORTLAND AVE BLDG 1
ROCHESTERNY14621-300104/01/2019 10/01/2019
CH020560ROCHESTER GENERAL HOSPITALDBA: WILSON PHARMACY 1425 PORTLAND AVE BLDG 1
ROCHESTERNY14621-300110/01/2022  
CH020560SCRIPTS PLUS INCD/B/A THE MEDICINE SHOPPE 10 CENTRAL AVE
ILIONNY13357-182201/01/2020 06/15/2023
CH020560WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2017  
CH020560WAL-MART PHARMACY 10-28592150 CHILI AVENUE
ROCHESTERNY1462407/01/2016  
CH020560WAL-MART PHARMACY 10-32801490 HUDSON AVENUE
ROCHESTERNY1462107/01/2016  
CH020560WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2017  
CH020560WALGREEN CODBA: WALGREENS 28727 OREGON ROAD
PERRYSBURGOH4355110/27/2012  
CH020560WALGREEN EASTERN CO INC  DBA WALGREENS WAREHOUSE
125 N COMMERCE WAY
BETHLEHEMPA1801710/27/2012  
CH020560WALGREEN EASTERN CO., INCWALGREENS #19448 565 MONROE AVE
ROCHESTERNY1460702/28/2018 11/14/2024
CH020560WALGREEN EASTERN CO., INCWALGREENS # 19919 609 E MAIN ST
PALMYRANY1452207/01/2019  
CH020560WALGREEN EASTERN CO., INCWALGREENS #19548 6296 ONTARIO CENTER RD.
ONTARIONY14519-864307/01/2019  
CH020560WALGREEN EASTERN CO., INCWALGREENS # 19495 635 PITTSFORD VICTOR RD
PITTSFORDNY1453401/01/2022  
CH020560WALGREEN EASTERN CO., INCWALGREENS #17566 250 STATE ROUTE 104
OSWEGONY1312601/01/2022  
CH020560WALGREEN EASTERN CO., INCWALGREENS # 19816 2172 PENFIELD RD
PENFIELDNY14526-173601/01/2022  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #10159 201 S. JAMES ST.
ROMENY1344010/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #10218 226 LIBERTY ST.
PENN YANNY14527-164710/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #10380 18 EASTERN BLVD.
CANANDAIGUANY14424-221910/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS # 10511 2665 E HENRIETTA RD
HENRIETTANY1446710/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #10697 431 HAMILTON ST.
GENEVANY1445610/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #11716 321 W. WASHINGTON ST.
BATHNY14810-101710/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS # 09798 4855 COMMERCIAL DR
NEW HARTFORDNY13413-621210/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS # 09799 49 KELLOGG RD
NEW HARTFORDNY13413-284910/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS # 09800 1750 GENESEE STREET
UTICANY13502-542910/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS # 09939 709 W UNION ST
NEWARKNY14513-135710/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS # 09992 1659 PENFIELD RD
ROCHESTERNY1462510/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS # 09585 430 SPENCERPORT ROAD
ROCHESTERNY1460610/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS 2558 WEST RIDGE RD.
ROCHESTERNY1462610/27/2012 06/28/2016
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #10512 720 E. RIDGE RD
ROCHESTERNY1462110/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS 3535 MOUNT READ BLVD.
ROCHESTERNY14616-434710/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #11208 3127 CHILI AVENUE
ROCHESTERNY1462410/27/2012 04/19/2017
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS 665 LONG POND RD.
ROCHESTERNY1461210/27/2012  
CH020560WALGREEN EASTERN CO., INC.  80 INTERNATIONAL DR.
WINDSORCT06095-104410/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS # 09758 2100 RIDGE RD E
IRONDEQUOITNY14622-264110/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS # 09584 1650 ELMWOOD AVENUE
ROCHESTERNY14620-341810/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #09872 1125 RIDGE RD.
WEBSTERNY14580-290910/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #10382 4366 BUFFALO RD.
NORTH CHILINY1451410/27/2012  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS 6707 PITTSFORD PALMYRA RD.
FAIRPORTNY14450-344210/27/2012  
CH02056RWALGREEN EASTERN CO., INC.DBA: WALGREENS #10380 18 EASTERN BLVD.
CANANDAIGUANY14424-221908/22/2012 03/09/2016
CH02056RWALGREEN EASTERN CO., INC.DBA: WALGREENS #10218 226 LIBERTY ST.
PENN YANNY14527-164708/22/2012 03/09/2016
CH02056RWALGREEN EASTERN CO., INC.DBA: WALGREENS #10697 431 HAMILTON ST.
GENEVANY1445608/22/2012 03/09/2016
CH02056RWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09585 430 SPENCERPORT ROAD
ROCHESTERNY1460608/22/2012 03/09/2016
CH02056RWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09800 1750 GENESEE STREET
UTICANY13502-542908/22/2012 03/09/2016
CH02056RWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09939 709 W UNION ST
NEWARKNY14513-135708/22/2012 03/09/2016
CH02056RWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09992 1659 PENFIELD RD
ROCHESTERNY1462508/22/2012 03/09/2016
CH02056RWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09798 4855 COMMERCIAL DR
NEW HARTFORDNY13413-621208/22/2012 03/09/2016
CH02056RWALGREEN EASTERN CO., INC.DBA: WALGREENS #10159 201 S. JAMES ST.
ROMENY1344008/22/2012 03/09/2016
CH02056RWALGREEN EASTERN CO., INC.DBA: WALGREENS #11716 321 W. WASHINGTON ST.
BATHNY14810-101708/22/2012 03/09/2016
CH02056RWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09799 49 KELLOGG RD
NEW HARTFORDNY13413-284908/22/2012 03/09/2016
CH02056RWALGREEN EASTERN CO., INC.DBA: WALGREENS # 10511 2665 E HENRIETTA RD
HENRIETTANY1446708/22/2012 03/09/2016
CH02056SWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09585 430 SPENCERPORT ROAD
ROCHESTERNY1460608/22/2012 03/09/2016
CH02056SWALGREEN EASTERN CO., INC.DBA: WALGREENS #10218 226 LIBERTY ST.
PENN YANNY14527-164708/22/2012 03/09/2016
CH02056SWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09798 4855 COMMERCIAL DR
NEW HARTFORDNY13413-621208/22/2012 03/09/2016
CH02056SWALGREEN EASTERN CO., INC.DBA: WALGREENS #10380 18 EASTERN BLVD.
CANANDAIGUANY14424-221908/22/2012 03/09/2016
CH02056SWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09799 49 KELLOGG RD
NEW HARTFORDNY13413-284908/22/2012 03/09/2016
CH02056SWALGREEN EASTERN CO., INC.DBA: WALGREENS # 10511 2665 E HENRIETTA RD
HENRIETTANY1446708/22/2012 03/09/2016
CH02056SWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09800 1750 GENESEE STREET
UTICANY13502-542908/22/2012 03/09/2016
CH02056SWALGREEN EASTERN CO., INC.DBA: WALGREENS #10697 431 HAMILTON ST.
GENEVANY1445608/22/2012 03/09/2016
CH02056SWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09939 709 W UNION ST
NEWARKNY14513-135708/22/2012 03/09/2016
CH02056SWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09992 1659 PENFIELD RD
ROCHESTERNY1462508/22/2012 03/09/2016
CH020560WALGREEN EASTERN CO., INC.WALGREENS 101 PATTONWOOD DR
ROCHESTERNY1461702/28/2018 11/13/2024
CH020560WALGREEN EASTERN CO., INC.WALGREENS 1143 MOHAWK ST
UTICANY1350102/28/2018 03/30/2023
CH020560WALGREEN EASTERN CO., INC.WALGREENS 1433 CULVER RD
ROCHESTERNY14609-423502/28/2018  
CH020560WALGREEN EASTERN CO., INC.RITE AID #10781 1503 GENESEE ST
UTICANY13501-470902/28/2018 09/18/2018
CH020560WALGREEN EASTERN CO., INC.RITE AID #02783 127 CASTLE ST
GENEVANY14456-260902/28/2018 06/17/2019
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #17603 17 E STATE ST
ILIONNY1335702/28/2018  
CH020560WALGREEN EASTERN CO., INC.WALGREENS #19736 5651 WHISKEY HILL RD
WOLCOTTNY1459002/28/2018  
CH020560WALGREEN EASTERN CO., INC.RITE AID #10864 689 E. RIDGE RD.
ROCHESTERNY1462102/28/2018 09/10/2018
CH020560WALGREEN EASTERN CO., INC.WALGREENS 804 N GOODMAN ST
ROCHESTERNY1460902/28/2018 02/08/2021
CH020560WALGREEN EASTERN CO., INC.WALGREENS #19725 1490 LAKE AVE
ROCHESTERNY1461503/02/2018 11/19/2024
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #19354 437 LYELL AVE
ROCHESTERNY1460603/02/2018  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #19352 670 THURSTON RD
ROCHESTERNY1461903/02/2018 11/07/2022
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #19585 792 W MAIN ST
ROCHESTERNY1461103/02/2018 11/12/2024
CH020560WALGREEN EASTERN CO., INC.RITE AID #00614 2918 DEWEY AVE
ROCHESTERNY1461601/01/2019 06/05/2019
CH020560WALGREEN EASTERN CO., INC.WALGREENS #19868 2950 W RIDGE RD
ROCHESTERNY1462601/01/2019 08/06/2021
CH020560WALGREEN EASTERN CO., INC.WALGREENS #19717 2841 NICHOLS ST
SPENCERPORTNY1455901/01/2019  
CH020560WALGREEN EASTERN CO., INC.WALGREENS #17260 3122 MONROE AVE
ROCHESTERNY14618-460601/01/2019 11/06/2024
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #17396 21 E STATE ST
MOUNT MORRISNY1451001/01/2019  
CH020560WALGREEN EASTERN CO., INC.WALGREENS 208 HERKIMER RD
UTICANY13502-230801/01/2019  
CH020560WALGREEN EASTERN CO., INC.WALGREENS #19978 4433 DEWEY AVE
ROCHESTERNY1461601/01/2019  
CH020560WALGREEN EASTERN CO., INC.RITE AID #03460 133 E MAIN ST
FRANKFORTNY1334001/01/2019 02/10/2020
CH020560WALGREEN EASTERN CO., INC.WLAGREENS # 18376 205 S CAROLINE ST
HERKIMERNY13350-224801/01/2019  
CH020560WALGREEN EASTERN CO., INC.WALGREENS #17267 1829 CHILI AVE
ROCHESTERNY14624-323701/01/2019  
CH020560WALGREEN EASTERN CO., INC.WALGREENS #18076 4061 ROUTE 104
WILLIAMSONNY1458907/01/2019  
CH020560WALGREEN EASTERN CO., INC.COMMUNITY, A WALGREENS PHARMACY #21240 1575 MOUNT HOPE AVE.
ROCHESTERNY1462001/01/2020  
CH020560WALGREEN EASTERN CO., INC.WALGREENS #18364 135 W MAIN ST
HONEOYE FALLSNY1447201/01/2022  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #10749 2231 DOWNER ST.
BALDWINSVILLENY13027-670101/01/2022  
CH020560WALGREEN EASTERN CO., INC.WALGREENS #19539 10 EAST AVE
ALBIONNY1441101/01/2022  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS 8 W. MAIN ST.
LEROYNY1448201/01/2022  
CH020560WALGREEN EASTERN CO., INC.DBA: WALGREENS #19739 128 N CENTER ST
PERRYNY1453001/01/2022  
CH020560WALGREEN EASTERN CO., INC.WALGREENS #17389 201 W BROADWAY
FULTONNY1306901/01/2022  
CH020560WALGREEN EASTERN CO., INC.WALGREENS #19876 1929 US ROUTE 20
WATERLOONY1316501/01/2022  
CH020560WALGREEN EASTERN CO., INC.WALGREENS # 18074 73 N MAIN ST
BROCKPORTNY1442001/01/2022  
CH020560WEGMAN'S FOOD MARKETS, INC.300 HAMILTON STREET ATTN: PHARMACY
GENEVANY1445604/01/2019  
CH020560WEGMANS FOOD MARKETS, INC1955 EMPIRE BLVD ATTN: PHARMACY
WEBSTERNY1458001/01/2016 07/20/2016
CH020560WEGMANS FOOD MARKETS, INC2833 RIDGE RD WEST
ROCHESTERNY1462601/01/2016 07/20/2016
CH020560WEGMANS FOOD MARKETS, INC1955 EMPIRE BLVD ATTN: PHARMACY
WEBSTERNY1458004/01/2019  
CH020560WEGMANS FOOD MARKETS, INC2833 RIDGE RD WEST
ROCHESTERNY1462604/01/2019  
CH020560WEGMANS FOOD MARKETS, INC.ATTN: PHARMACY 851 FAIRPORT RD
EAST ROCHESTERNY1444501/01/2016 07/20/2016
CH020560WEGMANS FOOD MARKETS, INC.C/O PHARMACY 800 W MILLER ST
NEWARKNY14513-135401/01/2016 07/20/2016
CH020560WEGMANS FOOD MARKETS, INC.345 EASTERN BOULEVARD
CANANDAIGUANY1442401/01/2016 07/20/2016
CH020560WEGMANS FOOD MARKETS, INC.2301 LYELL AVENUE ATTN: PHARMACY
ROCHESTERNY1460601/01/2016  
CH020560WEGMANS FOOD MARKETS, INC.1750 EAST AVENUE ATTN: PHARMACY
ROCHESTERNY1461001/01/2016 07/20/2016
CH020560WEGMANS FOOD MARKETS, INC.2200 RIDGE ROAD EAST ATTN: PHARMACY
ROCHESTERNY1462201/01/2016  
CH020560WEGMANS FOOD MARKETS, INC.3701 MT. READ BLVD. ATTN: PHARMACY
ROCHESTERNY1461601/01/2016  
CH020560WEGMANS FOOD MARKETS, INC.745 CALKINS ROAD ATTN: PHARMACY
ROCHESTERNY1462301/01/2016 07/20/2016
CH020560WEGMANS FOOD MARKETS, INC.6600 PITTSFORD-PALMYRA RD ATTN: PHARMACY
FAIRPORTNY1445001/01/2016 07/20/2016
CH020560WEGMANS FOOD MARKETS, INC.3195 MONROE AVENUE ATTN: PHARMACY
ROCHESTERNY1461801/01/2016 07/20/2016
CH020560WEGMANS FOOD MARKETS, INC.650 HYLAN DRIVE ATTN: PHARMACY
ROCHESTERNY1462301/01/2016 07/20/2016
CH020560WEGMANS FOOD MARKETS, INC.2155 PENFIELD ROAD ATTN: PHARMACY
PENFIELDNY1452601/01/2016 07/20/2016
CH020560WEGMANS FOOD MARKETS, INC.3177 LATTA ROAD ATTN: PHARMACY
ROCHESTERNY1461201/01/2016 07/20/2016
CH020560WEGMANS FOOD MARKETS, INC.6660 4TH SECTION RD STE 2 ATTN: PHARMACY
BROCKPORTNY1442001/01/2016 07/20/2016
CH020560WEGMANS FOOD MARKETS, INC.900 HOLT ROAD ATTN: PHARMACY
WEBSTERNY1458001/01/2016 07/20/2016
CH020560WEGMANS FOOD MARKETS, INC.525 TITUS AVENUE ATTN: PHARMACY
ROCHESTERNY1461701/01/2016  
CH020560WEGMANS FOOD MARKETS, INC.3175 CHILI AVE ATTN: PHARMACY
ROCHESTERNY1462401/01/2016 07/20/2016
CH020560WEGMANS FOOD MARKETS, INC.C/O PHARMACY 800 W MILLER ST
NEWARKNY14513-135404/01/2018  
CH020560WEGMANS FOOD MARKETS, INC.1750 EAST AVENUE ATTN: PHARMACY
ROCHESTERNY1461004/01/2018  
CH020560WEGMANS FOOD MARKETS, INC.2155 PENFIELD ROAD ATTN: PHARMACY
PENFIELDNY1452604/01/2019  
CH020560WEGMANS FOOD MARKETS, INC.900 HOLT ROAD ATTN: PHARMACY
WEBSTERNY1458004/01/2019 01/10/2019
CH020560WEGMANS FOOD MARKETS, INC.745 CALKINS ROAD ATTN: PHARMACY
ROCHESTERNY1462304/01/2019  
CH020560WEGMANS FOOD MARKETS, INC.3177 LATTA ROAD ATTN: PHARMACY
ROCHESTERNY1461204/01/2019  
CH020560WEGMANS FOOD MARKETS, INC.6660 4TH SECTION RD STE 2 ATTN: PHARMACY
BROCKPORTNY1442004/01/2019 01/10/2019
CH020560WEGMANS FOOD MARKETS, INC.3175 CHILI AVE ATTN: PHARMACY
ROCHESTERNY1462404/01/2019 01/10/2019
CH020560WEGMANS FOOD MARKETS, INC.650 HYLAN DRIVE ATTN: PHARMACY
ROCHESTERNY1462304/01/2019  
CH020560WEGMANS FOOD MARKETS, INC.900 HOLT ROAD ATTN: PHARMACY
WEBSTERNY1458004/01/2019  
CH020560WEGMANS FOOD MARKETS, INC.3175 CHILI AVE ATTN: PHARMACY
ROCHESTERNY1462404/01/2019  
CH020560WEGMANS FOOD MARKETS, INC.6660 4TH SECTION RD STE 2 ATTN: PHARMACY
BROCKPORTNY1442004/01/2019  
CH020560WEGMANS FOOD MARKETS, INC.4287 GENESEE VALLEY PLAZA ATTN: PHARMACY
GENESEONY1445404/01/2019  
CH020560WEGMANS FOOD MARKETS, INC.3195 MONROE AVENUE ATTN: PHARMACY
ROCHESTERNY1461804/01/2019  
CH020560WEGMANS FOOD MARKETS, INC.6600 PITTSFORD-PALMYRA RD ATTN: PHARMACY
FAIRPORTNY1445004/01/2019  
CH020560WEGMANS FOOD MARKETS, INC.345 EASTERN BOULEVARD
CANANDAIGUANY1442404/01/2019  
CH020560WEGMANS FOOD MARKETS, INC.ATTN: PHARMACY 851 FAIRPORT RD
EAST ROCHESTERNY1444504/01/2019  
CH020560WEGMANS FOOD MARKETS, INC.650 HYLAN DRIVE ATTN: PHARMACY
ROCHESTERNY1462304/01/2019 01/10/2019
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsPrimary ContactUpdateChange RequestSimmons, Vanessa I. Quality Specialist Mosaic Health, Inc. 5853252280-7308Fulcher, Jared Payroll & 340B Manager Mosaic Health 58594354993/13/2025 1:56 PM
ContactsPrimary ContactUpdateProfile Change RequestSimmons, Vanessa I. Pharmacy Coordinator Mosaic Health, Inc. 5853252280-7308Simmons, Vanessa I. Quality Specialist Mosaic Health, Inc. 5853252280-73083/11/2025 1:52 PM
DetailsLast Recertification DateUpdateRecertification2/12/2024 11:38:59 AM2/14/2025 11:54:33 AM2/14/2025 11:54 AM
DetailsLast Recertification DateUpdateRecertification2/14/2023 8:29:04 AM2/12/2024 11:38:59 AM2/12/2024 11:38 AM
DetailsLast Recertification DateUpdateRecertification2/8/2022 2:40:13 PM2/14/2023 8:29:04 AM2/14/2023 8:29 AM
DetailsLast Recertification DateUpdateRecertification2/18/2021 1:52:12 PM2/8/2022 2:40:13 PM2/8/2022 2:40 PM
ContactsAuthorizing OfficialUpdateGroup Change RequestLeary, Michael J President/CEO Rochester Primary Care Network 5853252280-7302Leary, Michael Joseph President/CEO Mosaic Health, Inc. 5853252280-73027/29/2021 6:42 AM
ContactsPrimary ContactUpdateChange RequestSimmons, Vanessa I. Pharmacy Coordinator Mosaic Health, Inc. 5853252280-7308Simmons, Vanessa I. Pharmacy Coordinator Mosaic Health, Inc. 5853252280-73086/8/2021 5:59 PM
ContactsPrimary ContactUpdateProfile Change RequestSimmons, Vanessa I. Pharmacy Coordinator Rochester Primary Care Network 5853252280-7308Simmons, Vanessa I. Pharmacy Coordinator Mosaic Health, Inc. 5853252280-73085/21/2021 5:11 PM
DetailsEntity NameUpdateChange RequestRochester Primary Care NetworkMosaic Health, Inc.5/20/2021 3:55 PM
DetailsEntity SubnameUpdateChange RequestRPCN Central Administrative OfficeMosaic Health Finger Lakes Administration5/20/2021 3:55 PM
DetailsLast Recertification DateUpdateRecertification2/20/2020 2:58:42 PM2/18/2021 1:52:12 PM2/18/2021 1:52 PM
DetailsLast Recertification DateUpdateRecertification2/7/2019 10:25:00 AM2/20/2020 2:58:42 PM2/20/2020 2:58 PM
DetailsLast Recertification DateUpdateRecertification2/13/2018 8:47:53 AM2/7/2019 10:25:00 AM2/7/2019 10:25 AM
DetailsEntity NameUpdateRecertificationROCHESTER PRIMARY CARE NETWORKRochester Primary Care Network2/7/2019 10:25 AM
AddressesMain AddressUpdateChange Request 259 Monroe Ave Rochester, NY 14607-3632 1 S Washington Street Suite 300 Rochester, NY 14614-113411/1/2018 9:24 AM
DetailsEntity SubnameUpdateChange RequestROCHESTER PRIMARY CARE NETWORKRPCN Central Administrative Office11/1/2018 9:24 AM
DetailsLast Recertification DateUpdateRecertification2/14/2017 12:00:00 AM2/13/2018 8:47:53 AM2/13/2018 8:47 AM
ContactsAuthorizing OfficialUpdate Leary, Michael President/CEO 5853252280-7302Leary, Michael J President/CEO Rochester Primary Care Network 5853252280-73021/9/2018 1:56 PM
ContactsPrimary ContactUpdate Simmons, Vanessa I. Pharmacy Coordinator 5853252280-7308Simmons, Vanessa I. Pharmacy Coordinator Rochester Primary Care Network 5853252280-73089/26/2017 12:10 PM
ContactsAuthorizing OfficialUpdate PARIS, LOUIS T. PRESIDENT/CEO 5853252280-302Leary, Michael President/CEO 5853252280-73027/17/2017 10:53 AM
ContactsPrimary ContactUpdate PARIS, LOU PRESIDENT/CEO 5853252280Simmons, Vanessa I. Pharmacy Coordinator 5853252280-73083/16/2017 10:03 AM
AddressesMain AddressInsert   259 Monroe Ave Rochester, NY 14607-36322/14/2017 11:02 AM
DetailsLast Recertification DateUpdate 3/2/2016 12:00:00 AM2/14/2017 12:00:00 AM2/14/2017 11:02 AM
DetailsLast Recertification DateUpdate 3/3/2015 12:00:00 AM3/2/2016 12:00:00 AM3/9/2016 12:33 PM
DetailsLast Recertification DateUpdate 2/11/2014 12:00:00 AM3/3/2015 12:00:00 AM3/3/2015 8:00 AM
DetailsEntity NameUpdate Rochester Primary Care Network, Inc.ROCHESTER PRIMARY CARE NETWORK3/31/2014 4:25 PM
DetailsEntity SubnameUpdate  ROCHESTER PRIMARY CARE NETWORK3/31/2014 4:25 PM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM2/11/2014 12:00:00 AM2/11/2014 4:30 PM
ContactsPrimary ContactInsert  PARIS, LOU PRESIDENT/CEO 58532522803/28/2013 3:11 PM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM3/15/2013 10:28 AM
DetailsEntity NameUpdate ROCHESTER PRIMARY CARE NETWORK, INC.Rochester Primary Care Network, Inc.1/14/2013 7:08 AM
ContactsAuthorizing OfficialInsert  PARIS, LOUIS T. PRESIDENT/CEO 5853252280-3026/14/2010 6:40 PM
DetailsLast Recertification DateInsert   9/1/2005 11:16 AM
DetailsGrant NumberInsert  H80CS001679/1/2005 11:16 AM
Details340B IDInsert  CH0205609/1/2005 11:16 AM
DetailsIs Authorizing Official EHB DataInsert   9/1/2005 11:16 AM
DatesLast Date That 340B Drugs PurchasedInsert   9/1/2005 11:16 AM
DetailsMedicare Provider NumberInsert   9/1/2005 11:16 AM
DetailsEntity NameInsert  ROCHESTER PRIMARY CARE NETWORK, INC.9/1/2005 11:16 AM
DetailsProgram CodeInsert  CH9/1/2005 11:16 AM
DetailsEntity SubnameInsert   9/1/2005 11:16 AM
DatesParticipating Approval DateInsert  9/1/2005 12:00:00 AM9/1/2005 11:16 AM
DetailsStateInsert  Active9/1/2005 11:16 AM
DatesRegistration DateInsert  9/1/2005 12:00:00 AM9/1/2005 11:16 AM
DatesSigned By DateInsert  8/31/2005 12:00:00 AM9/1/2005 11:16 AM
DatesStart DateInsert  9/9/2005 12:00:00 AM9/1/2005 11:16 AM
TerminationsTermination CommentsInsert   9/1/2005 11:16 AM
TerminationsTermination DateInsert   9/1/2005 11:16 AM
TerminationsTermination Effective DateInsert   9/1/2005 11:16 AM
TerminationsTermination ReasonInsert   9/1/2005 11:16 AM