340B Drug Pricing Program Database


CH05203I CHERRY STREET SERVICES, INC. (Active) - information as of 6/28/2025 12:24:31 AM

Main Details
CHERRY STREET SERVICES, INC.
HEART OF THE CITY HEALTH CENTER
HRSA-Funded Health Center
BPS-H80-008781
CH05203I
H80CS00770


Additional Details
Active
6/7/2006
7/1/2006
6/8/2006
2/24/2025

Contacts

Cherry Street Services Inc
Tasha Blackmon, CEO
(616) 965-8215

Cherry Street Services Inc
Brett Gingrich, Pharmacy Director
(616) 965-8278 Ext: 7139

Addresses

100 CHERRY STREET SE
GRAND RAPIDS, MI 49503

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
2/16/12-changed address (was 540 Cherry Street, SE)02/16/2012
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
MI 1669530986,1568730745
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH052030ActiveBPS-H80-001701CHERRY STREET SERVICES, INC.CHERRY STREET HEALTH CENTER550 Cherry St SE Grand RapidsMI
CH05203AActiveBPS-H80-000152CHERRY STREET SERVICES, INC.WESTSIDE HEALTH CENTER669 STOCKING AVE NW GRAND RAPIDSMI
CH05203AAActiveBPS-H80-032205CHERRY STREET SERVICES, INC.Cherry Health Mobile Unit2929 Burlingame Ave S.W. WyomingMI
CH05203ABActiveBPS-H80-032802CHERRY STREET SERVICES, INC.Southside Health Center Suite 2002303 Kalamazoo Ave SE Ste 200 Grand RapidsMI
CH05203ACActiveBPS-H80-036842CHERRY STREET SERVICES INCGodwin Heights Senior High School Health Center50 35th St SWRM 100Grand RapidsMI
CH05203BActiveBPS-H80-001551CHERRY STREET SERVICES, INC.BURTON HEALTH CENTER2135 Buchanan Ave SW Grand RapidsMI
CH05203CActiveBPS-H80-001330CHERRY STREET SERVICES, INC.BELKNAP COMMONS DENTAL CENTER751 Lafayette Ave NERM 104Grand RapidsMI
CH05203DTerminatedBPS-H80-003764CHERRY STREET SERVICES, INC.THE SALVATION ARMY BOOTH CLINIC1215 Fulton St E Grand RapidsMI
CH05203EActiveBPS-H80-002914CHERRY STREET SERVICES, INC.FERGUSON DENTAL CENTER101 Sheldon Blvd SE Grand RapidsMI
CH05203FActiveBPS-H80-003795CHERRY STREET SERVICES, INC.UNION HIGH SCHOOL HEALTH CENTER - RM1281800 TREMONT BLVD, NWRM 128GRAND RAPIDSMI
CH05203GTerminatedBPS-H80-008781CHERRY STREET SERVICES, INC.HEART OF THE CITY HEALTH CENTER PEDIATRICS100 CHERRY STREET SE GRAND RAPIDSMI
CH05203IActiveBPS-H80-008781CHERRY STREET SERVICES, INC.HEART OF THE CITY HEALTH CENTER100 CHERRY STREET SE GRAND RAPIDSMI
CH05203JActiveBPS-H80-003543CHERRY STREET SERVICES, INC.OTTAWA HILLS HIGH SCHOOL HEALTH CENTER2055 Rosewood Ave SERM 2322Grand RapidsMI
CH05203KActiveBPS-H80-018584CHERRY STREET SERVICES, INC.INNOVATION CENTRAL HIGH SCHOOL HEALTH CENTER421 Fountain St NERM 29Grand RapidsMI
CH05203LTerminatedBPS-H80-004778CHERRY STREET SERVICES, INC.SCHOOL DENTAL PROGRAM101 SHELDON SE GRAND RAPIDSMI
CH05203NTerminatedBPS-H80-000152CHERRY STREET SERVICES, INC.SCHOOL MEDICAL PROGRAM669 STOCKING NW GRAND RAPIDSMI
CH05203OActiveBPS-H80-012165CHERRY STREET SERVICES, INC.Montcalm Area Health Center1003 N Lafayette St GreenvilleMI
CH05203PActiveBPS-H80-011134CHERRY STREET SERVICES, INC.Southside Health Center2303 Kalamazoo Ave SE Grand RapidsMI
CH05203QTerminatedBPS-H80-011135CHERRY STREET SERVICES, INC.Leonard Street Counseling Center1400 Leonard St NE Grand RapidsMI
CH05203RActiveBPS-H80-011670CHERRY STREET SERVICES, INC.Wyoming Community Health Center2929 Burlingame Ave SW WyomingMI
CH05203SActiveBPS-H80-021387CHERRY STREET SERVICES, INC.Barry Community Health Center200 S. Boltwood St. HastingsMI
CH05203TTerminatedBPS-H80-014460CHERRY STREET SERVICES, INC.Barry Community Health Center - Dental1230 W. State Street HastingsMI
CH05203UTerminatedBPS-H80-015059CHERRY STREET SERVICES, INC.Cedar Springs School Health Center204 East Muskegon Street Cedar SpringsMI
CH05203VActiveBPS-H80-004496CHERRY STREET SERVICES, INC.School Linked Health/Vision Program101 SHELDON SE GRAND RAPIDSMI
CH05203WTerminatedBPS-H80-014999CHERRY STREET SERVICES, INC.Eaton Community Health Center1033 HEALTHCARE DR CHARLOTTEMI
CH05203XActiveBPS-H80-011132CHERRY STREET SERVICES, INC.Heart of the City West201 Sheldon Ave SE Grand RapidsMI
CH05203YActiveBPS-H80-018034CHERRY STREET SERVICES, INC.Muskegon Recovery Center1611 Oak Ave MuskegonMI
CH05203ZActiveBPS-H80-027242CHERRY STREET SERVICES, INC.Lakeside Clubhouse490 Century Ln HollandMI
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH052030HASTINGS PHARMACY400 W STATE ST
HASTINGSMI49058-164010/01/2020  
CH05203ABHASTINGS PHARMACY400 W STATE ST
HASTINGSMI49058-164001/01/2024  
CH052030MEIJER DISTRIBUTION INC #902721 WALKER AVE NW
GRAND RAPIDSMI4954410/01/2019  
CH052030MEIJER INC #1581997 EAST BELTLINE NE
GRAND RAPIDSMI4952510/01/2019 05/01/2020
CH052030MEIJER INC #202425 ALPINE AVE., N.W.
GRAND RAPIDSMI4954410/01/2019  
CH05203YMEIJER INC #202425 ALPINE AVE., N.W.
GRAND RAPIDSMI4954401/01/2024  
CH052030MEIJER INC #201606 S. GREENVILLE WEST DRIVE
GREENVILLEMI4883810/01/2019  
CH05203UMEIJER INC #201606 S. GREENVILLE WEST DRIVE
GREENVILLEMI4883801/01/2024 07/01/2024
CH052030MEIJER INC #365500 CLYDE PARK S.W
WYOMINGMI4950910/01/2019 03/04/2024
CH052030MEIJER INC. #3111540 28TH STREET
GRAND RAPIDSMI4950810/01/2019 07/07/2024
CH05203BMEIJER INC. #3111540 28TH STREET
GRAND RAPIDSMI4950801/01/2024  
CH052030MEIJER PHARMACY #46441255 COCA COLA DR.
BELLEVILLEMI48111-182710/01/2019  
CH052030MEIJER SPECIALTY PHARMACY8455 HAGGERTY ROAD
BELLEVILLEMI4811110/01/2021  
CH052030MEIJER STORES LIMITED PARTNERSHIPD/B/A MEIJER PHARMACY #463 1515 PROFIT DR.
FORT WAYNEIN4680810/01/2019  
CH05203APGPA PHARMACY3544 MERIDIAN CROSSINGS
OKEMOSMI48864-602507/09/2009 04/01/2017
CH052030PGPA PHARMACY3544 MERIDIAN CROSSINGS
OKEMOSMI48864-602507/09/2009 04/01/2017
CH05203OPGPA PHARMACY3544 MERIDIAN CROSSINGS
OKEMOSMI48864-602504/01/2013 04/01/2017
CH052030WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2019  
CH052030WAL-MART PHARMACY 10-19233999 ALPINE AVE
COMSTOCK PARKMI4932110/01/2019 04/14/2023
CH052030WAL-MART PHARMACY 10-26201618 WEST M 43
HASTINGSMI4905810/01/2019 04/14/2023
CH052030WAL-MART PHARMACY 10-332810772 WEST CARSON CITY ROAD
GREENVILLEMI4883810/01/2019  
CH05203OWAL-MART PHARMACY 10-332810772 WEST CARSON CITY ROAD
GREENVILLEMI4883801/01/2024  
CH052030WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2019  
CH052030WALGREEN CODBA: WALGREENS #10351 3596 ALPINE AVE NW
WALKERMI4954407/01/2021  
CH052030WALGREEN CODBA: WALGREENS #11801 5575 BYRON CENTER AVE SW
WYOMINGMI4951901/01/2022  
CH052030WALGREEN CO.DBA: WALGREENS # 15007 425 FULLER AVE NE
GRAND RAPIDSMI4950310/01/2019  
CH052030WALGREEN CO.DBA: WALGREENS #15466 800 LEONARD ST. NW
GRAND RAPIDSMI49504-414810/01/2019  
CH052030WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #16475 555 MICHIGAN ST NE STE 100
GRAND RAPIDSMI4950310/01/2019  
CH052030WALGREEN CO.DBA WALGREENS #15535 126 N BROADWAY ST
HASTINGSMI4905810/01/2019  
CH052030WALGREEN CO.DBA: WALGREENS # 02581 1601 KALAMAZOO AVE SE
GRAND RAPIDSMI4950710/01/2019  
CH052030WALGREEN CO.DBA: WALGREENS # 09132 1420 W WASHINGTON ST
GREENVILLEMI48838-262110/01/2019  
CH052030WALGREEN CO.DBA: WALGREENS #11249 1550 36TH ST SW , STE A
WYOMINGMI4950910/01/2019  
CH052030WALGREEN CO.DBA: WALGREENS # 04299 2829 DIVISION AVE S.
WYOMINGMI4954810/01/2019 11/09/2023
CH052030WALGREEN CO.DBA: WALGREENS # 09131 2643 KALAMAZOO AVE SE
GRAND RAPIDSMI49507-390004/01/2020  
CH052030WALGREEN CO.DBA: WALGREENS # 02714 4425 S DIVISION AVE
WYOMINGMI4954804/01/2020  
CH052030WALGREEN CO.DBA: WALGREENS # 05095 1964 FULLER AVE NE
GRAND RAPIDSMI4950504/01/2020  
CH052030WALGREEN CO.DBA: WALGREENS # 03426 3610 PLAINFIELD AVE NE
GRAND RAPIDSMI4952504/01/2020  
CH052030WALGREEN CO.DBA: WALGREENS # 04726 8 68TH STREET SW
GRAND RAPIDSMI4954804/01/2020  
CH052030WALGREEN CO.DBA: WALGREENS # 05534 6020 KALAMAZOO AVE. SE
KENTWOODMI4950810/01/2020  
CH052030WALGREEN CO.DBA: WALGREENS # 10803 2425 44TH STREET SE
KENTWOODMI4951210/01/2020  
CH052030WALGREEN CO.DBA: WALGREENS # 03012 3191 28TH ST. S.W.
GRANDVILLEMI4941807/01/2021  
CH052030WALGREEN CO.DBA: WALGREENS #12777 4365 LAKE MICHIGAN DR NW
WALKERMI4953407/01/2021  
CH052030WALGREEN CO.DBA: WALGREENS #12561 4550 CASCADE RD. SE
GRAND RAPIDSMI4954601/01/2022  
CH052030WALGREEN CO.DBA: WALGREENS # 07160 4445 IVANREST AVE SW
GRANDVILLEMI49418-931901/01/2022  
CH05203CWALGREEN CO.DBA: WALGREENS # 09132 1420 W WASHINGTON ST
GREENVILLEMI48838-262101/01/2024  
CH05203PWALGREEN CO.DBA: WALGREENS # 15007 425 FULLER AVE NE
GRAND RAPIDSMI4950301/01/2024  
CH05203RWALGREEN CO.DBA: WALGREENS # 09131 2643 KALAMAZOO AVE SE
GRAND RAPIDSMI49507-390001/01/2024  
CH05203AAWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #16475 555 MICHIGAN ST NE STE 100
GRAND RAPIDSMI4950301/01/2024  
CH05203VWALGREEN CO.DBA: WALGREENS # 02714 4425 S DIVISION AVE
WYOMINGMI4954801/01/2024  
CH05203KWALGREEN CO.DBA: WALGREENS #15466 800 LEONARD ST. NW
GRAND RAPIDSMI49504-414801/01/2024  
CH05203ZWALGREEN CO.DBA: WALGREENS # 05534 6020 KALAMAZOO AVE. SE
KENTWOODMI4950801/01/2024  
CH05203JWALGREEN CO.DBA: WALGREENS # 04299 2829 DIVISION AVE S.
WYOMINGMI4954801/01/2024  
CH05203FWALGREEN CO.DBA: WALGREENS # 02581 1601 KALAMAZOO AVE SE
GRAND RAPIDSMI4950701/01/2024  
CH05203XWALGREEN CO.DBA: WALGREENS #11249 1550 36TH ST SW , STE A
WYOMINGMI4950901/01/2024  
CH05203EWALGREEN CO.DBA: WALGREENS # 03426 3610 PLAINFIELD AVE NE
GRAND RAPIDSMI4952501/01/2024  
CH05203SWALGREEN CO.DBA WALGREENS #15535 126 N BROADWAY ST
HASTINGSMI4905801/01/2024  
CH052030Walgreens #21423Walgreens Central Fill #21423 6275 Winchester Blvd
Canal WInchesterOH43110-653701/01/2024  
CH052030WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818804/01/2021  
CH052030WALMART PHARMACY #10-3453355 54TH STREET SW
WYOMINGMI4954810/01/2019 04/01/2021
CH052030WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A
ROGERSAR7275607/01/2023  
CH052030Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CH052030WOODWARD DETROIT CVS, L.L.C.DBA: CVS/PHARMACY # 08293 1550 LAKE DR. SE
GRAND RAPIDSMI4950607/01/2024  
CH052030WOODWARD DETROIT CVS, L.L.C.DBA: CVS/PHARMACY # 08292 1155 FULLER AVE NE
GRAND RAPIDSMI4950307/01/2024  
CH052030WOODWARD DETROIT CVS, L.L.C.DBA: CVS/PHARMACY # 08290 3601 CLYDE PARK SW
WYOMINGMI4950907/01/2024  
CH052030WOODWARD DETROIT CVS, L.L.C.DBA: CVS/PHARMACY # 08306 2375 28TH STREET SW
WYOMINGMI4950907/01/2024 09/04/2024
CH052030WOODWARD DETROIT CVS, L.L.C.CVS PHARMACY # 16437 5455 CLYDE PARK AVE SW
WYOMINGMI4950907/01/2024  
CH052030WOODWARD DETROIT CVS, L.L.C.DBA: CVS/PHARMACY # 08087 301 SOUTH COCHRAN AVE.
CHARLOTTEMI4881307/01/2024  
CH052030WOODWARD DETROIT CVS, L.L.C.DBA: CVS/PHARMACY # 08291 727 28TH ST. SE
GRAND RAPIDSMI4954807/01/2024  
CH05203BWOODWARD DETROIT CVS, L.L.C.DBA: CVS/PHARMACY # 08290 3601 CLYDE PARK SW
WYOMINGMI4950901/01/2025  
CH05203JWOODWARD DETROIT CVS, L.L.C.DBA: CVS/PHARMACY # 08291 727 28TH ST. SE
GRAND RAPIDSMI4954801/01/2025  
CH05203ACWOODWARD DETROIT CVS, L.L.C.DBA: CVS/PHARMACY # 08292 1155 FULLER AVE NE
GRAND RAPIDSMI4950301/01/2025  
CH05203PWOODWARD DETROIT CVS, L.L.C.DBA: CVS/PHARMACY # 08293 1550 LAKE DR. SE
GRAND RAPIDSMI4950601/01/2025  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/8/2024 3:04:58 PM2/24/2025 3:26:27 PM2/24/2025 3:26 PM
DetailsLast Recertification DateUpdateRecertification2/21/2023 3:11:59 PM2/8/2024 3:04:58 PM2/8/2024 3:04 PM
DetailsLast Recertification DateUpdateRecertification2/12/2022 12:21:48 AM2/21/2023 3:11:59 PM2/21/2023 3:11 PM
DetailsLast Recertification DateUpdateRecertification2/5/2021 4:13:51 PM2/12/2022 12:21:48 AM2/12/2022 12:21 AM
Medicaid BillingNPI: StateUpdateRecertification MI2/5/2021 4:13 PM
Medicaid BillingNPI: StateUpdateRecertification MI2/5/2021 4:13 PM
DetailsLast Recertification DateUpdateRecertification2/18/2020 5:14:48 PM2/5/2021 4:13:51 PM2/5/2021 4:13 PM
DetailsLast Recertification DateUpdateRecertification1/31/2019 5:28:34 PM2/18/2020 5:14:48 PM2/18/2020 5:14 PM
DetailsLast Recertification DateUpdateRecertification2/8/2018 8:06:19 AM1/31/2019 5:28:34 PM1/31/2019 5:28 PM
Medicaid BillingNPI: NumberInsertChange Request 156873074511/21/2018 10:51 AM
ContactsAuthorizing OfficialUpdateChange RequestSHEA, CHRIS CEO Cherry Street Services,Inc. 6167762129Blackmon, Tasha CEO Cherry Street Services Inc 61696582153/23/2018 1:43 PM
DetailsLast Recertification DateUpdateRecertification2/2/2017 12:00:00 AM2/8/2018 8:06:19 AM2/8/2018 8:06 AM
ContactsAuthorizing OfficialUpdate SHEA, CHRIS CEO 6167762129SHEA, CHRIS CEO Cherry Street Services,Inc. 61677621291/8/2018 4:50 PM
ContactsPrimary ContactUpdate Gingrich, Brett Pharmacy Director 6169658278Gingrich, Brett Pharmacy Director Cherry Street Services Inc 6169658278-71399/19/2017 11:54 AM
ContactsPrimary ContactUpdate SCHMIDT, FREDERICK E. PHARMACY DIRECTOR 6169658278Gingrich, Brett Pharmacy Director 61696582788/7/2017 3:05 PM
ContactsAuthorizing OfficialUpdate SHEA, CHRIS CEO 6169658200-2129SHEA, CHRIS CEO 61677621298/7/2017 3:05 PM
AddressesMain AddressInsert   100 CHERRY STREET SE GRAND RAPIDS, MI 495033/1/2017 10:02 AM
ContactsPrimary ContactUpdate SCHMIDT, FREDERICK E. PHARMACY DIRECTOR 6167762276SCHMIDT, FREDERICK E. PHARMACY DIRECTOR 61696582782/2/2017 5:29 PM
DetailsLast Recertification DateUpdate 2/18/2016 12:00:00 AM2/2/2017 12:00:00 AM2/2/2017 5:29 PM
DetailsLast Recertification DateUpdate 3/4/2015 12:00:00 AM2/18/2016 12:00:00 AM2/18/2016 3:49 PM
DetailsLast Recertification DateUpdate 2/14/2014 12:00:00 AM3/4/2015 12:00:00 AM3/4/2015 11:54 AM
DetailsEntity NameUpdate CHERRY STREET HEALTH SERVICES, INC.CHERRY STREET SERVICES, INC.12/19/2014 9:25 AM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM2/14/2014 12:00:00 AM2/14/2014 2:14 PM
Medicaid BillingNPI: NumberInsert  166953098610/1/2013 7:57 AM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM3/15/2013 9:49 AM
DetailsEntity SubnameUpdate HEART OF THE CITY HEALTH CENTER ADULT MEDICINEHEART OF THE CITY HEALTH CENTER1/14/2013 2:09 PM
ContactsAuthorizing OfficialInsert  SHEA, CHRIS CEO 6169658200-21292/16/2012 4:31 PM
ContactsPrimary ContactInsert  SCHMIDT, FREDERICK E. PHARMACY DIRECTOR 61677622762/16/2012 3:56 PM
DetailsComments PublicInsert  2/16/12-changed address (was 540 Cherry Street, SE)2/16/2012 3:56 PM
DetailsEntity SubnameUpdate FERGUSON ADULT HEALTH CENTERHEART OF THE CITY HEALTH CENTER ADULT MEDICINE9/28/2011 11:38 AM
DetailsLast Recertification DateInsert   12/12/2007 3:29 PM
DetailsGrant NumberInsert  H80CS0077012/12/2007 3:29 PM
Details340B IDInsert  CH05203I12/12/2007 3:29 PM
DetailsIs Authorizing Official EHB DataInsert   12/12/2007 3:29 PM
DatesLast Date That 340B Drugs PurchasedInsert   12/12/2007 3:29 PM
DetailsMedicare Provider NumberInsert   12/12/2007 3:29 PM
DetailsEntity NameInsert  CHERRY STREET HEALTH SERVICES, INC.12/12/2007 3:29 PM
DetailsProgram CodeInsert  CH12/12/2007 3:29 PM
DetailsEntity SubnameInsert  FERGUSON ADULT HEALTH CENTER12/12/2007 3:29 PM
DatesParticipating Approval DateInsert  6/8/2006 12:00:00 AM12/12/2007 3:29 PM
DetailsStateInsert  Active12/12/2007 3:29 PM
DatesRegistration DateInsert  6/7/2006 12:00:00 AM12/12/2007 3:29 PM
DatesSigned By DateInsert  5/30/2006 12:00:00 AM12/12/2007 3:29 PM
DatesStart DateInsert  7/1/2006 12:00:00 AM12/12/2007 3:29 PM
TerminationsTermination CommentsInsert   12/12/2007 3:29 PM
TerminationsTermination DateInsert   12/12/2007 3:29 PM
TerminationsTermination Effective DateInsert   12/12/2007 3:29 PM
TerminationsTermination ReasonInsert   12/12/2007 3:29 PM