Covered Entity Details

CH021887D SUNSET PARK HEALTH COUNCIL, INC. (Active) - information as of 5/2/2025 10:24:22 PM

Main Details

Name

SUNSET PARK HEALTH COUNCIL, INC.

Subdivision Name

PARK RIDGE FAMILY HEALTH CENTER at NYU LANGONE

Type

HRSA-Funded Health Center

Site ID

BPS-H80-003385

340B ID

CH021887D

Grant Number

H80CS07914

Additional Details

Current Program Status

Active

Registration Date

6/15/2007

Participating Start Date

1/1/2004

Participating Approval Date

6/15/2007

Last Recertification Date

2/26/2025

Contacts

Authorizing Official

Sunset Park Health Council, Inc.
Larry K. McReynolds, Executive Director
(718) 630-7216

Primary Contact

Sunset Park Health Council, Inc.
Astrid P. Gonzalez, VP - Finance
(718) 630-8973

Addresses

Street Address

6317 - 4TH AVE
BROOKLYN, NY 11220

Billing Address

SUNSET PARK HEALTH COUNCIL, INC.
150 - 55TH STREET
BROOKLYN, NY 11220

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

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
NY	02996078,05698357	1619341716,1205305331

Shipping Addresses

Shipping Address 1

Park Ridge Family Health Center at NYU Langone
6317 4th Avenue
Brooklyn, NY 11220

Shipping Address 2

Sunset Terrace Family Health Center at NYU Langone
514 49 Street
Brooklyn, NY 11220

Shipping Address 3

Sunset Park Health Council, Inc. d/b/a Family Health Centers at NYU Langone
150 55th Street
Brooklyn, NY 11220

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	5407 PHARMACY INC	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	08/10/2017	10/01/2017	08/04/2023	02/16/2024
Contract Detail	59 STREET RX INC.	5816 4TH AVE		BROOKLYN	NY	11220-3810	07/11/2019	10/01/2019		10/01/2019
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/15/2024	07/01/2024		07/01/2024
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/15/2024	07/01/2024		07/01/2024
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/15/2024	07/01/2024		07/01/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/15/2024	07/01/2024		07/01/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/15/2024	07/01/2024		07/01/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/15/2024	07/01/2024		07/01/2024
Contract Detail	BROOKLYN STAR PHARMACY INC.	D/B/A LUTHERAN PHARMACY	5407 2ND AVENUE	BROOKLYN	NY	11220	04/05/2013	04/05/2013	05/08/2017	07/17/2017
Contract Detail	CAF PHARMACY INC.	CAF PHARMACY INC	3424 CHURCH AVE	BROOKLYN	NY	11203	07/13/2015	10/01/2015	12/08/2022	01/10/2023
Contract Detail	COMMUNITY DRUGS INC.	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	10/09/2024	01/01/2025		01/01/2025
Contract Detail	CRESETTI DRUG CORP	DBA: NEERGAARD PHARMACY	454 5TH AVE	BROOKLYN	NY	11215-4003	01/11/2013	10/27/2012		03/28/2013
Contract Detail	DUANE READE		5423 SECOND AVE	BROOKLYN	NY	11220-2605	04/15/2004	04/15/2004	08/21/2017	10/16/2017
Contract Detail	DUANE READE	5008 5TH AVE		BROOKLYN	NY	11220	01/11/2013	10/27/2012		03/28/2013
Contract Detail	DUANE READE	436 86TH STREET		BROOKLYN	NY	11209	01/11/2013	10/27/2012		03/28/2013
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/15/2024	07/01/2024		07/01/2024
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/15/2024	07/01/2024		07/01/2024
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/15/2024	07/01/2024		07/01/2024
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/15/2024	07/01/2024		07/01/2024
Contract Detail	GENOVESE DRUG STORES, INC.	RITE AID #10574	7118 3RD AVENUE	BROOKLYN	NY	11209	04/06/2023	07/01/2023		07/01/2023
Contract Detail	GENOVESE DRUG STORES, INC.	RITE AID #10579	6423 FORT HAMILTON PKWY.	BROOKLYN	NY	11219	04/06/2023	07/01/2023		07/01/2023
Contract Detail	HEALTH MAX 5TH AVENUE INC	DBA: HEALTHMAX PHARMACY	5313 FIFTH AVE	BROOKLYN	NY	11220	04/05/2013	04/05/2013	05/14/2018	06/14/2018
Contract Detail	NYU LANGONE HOSPITALS	NYU LANGONE SPECIALTY PHARMACY	882 3RD AVE FLOOR 3 INDUSTRY CITY BUILDING #10	BROOKLYN	NY	11232	01/03/2025	04/01/2025		04/01/2025
Contract Detail	PHARMACY ON FIFTH INC		6914 5TH AVE ATTN: SUPERVISING PHARMACIST	BROOKLYN	NY	11209-1507	04/05/2013	04/05/2013	12/01/2016	01/18/2017
Contract Detail	RITE AID OF NEW YORK, INC.	RITE AID #4269	6201-23 FOURTH AVENUE	BROOKLYN	NY	11220	10/15/2020	01/01/2021	12/18/2023	02/16/2024
Contract Detail	RITE AID OF NEW YORK, INC.	RITE AID #543	5224 FIFTH AVENUE	BROOKLYN	NY	11220	10/15/2020	01/01/2021		01/01/2021
Contract Detail	RITE AID OF NEW YORK, INC.	RITE AID #4712	9302 3RD AVENUE	BROOKLYN	NY	11209	10/15/2020	01/01/2021		01/01/2021
Contract Detail	RITE AID OF NEW YORK, INC.	RITE AID #2612	344 AVENUE X	BROOKLYN	NY	11223	04/06/2023	07/01/2023	01/08/2024	02/16/2024
Contract Detail	RITE AID OF NEW YORK, INC.	RITE AID #3879	6900 4TH AVENUE	BROOKLYN	NY	11209	04/06/2023	07/01/2023		07/01/2023
Contract Detail	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	01/11/2013	10/27/2012	04/02/2018	04/13/2018
Contract Detail	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	01/17/2023	04/01/2023		04/01/2023
Contract Detail	WALGREEN EASTERN CO., INC.	WALGREENS # 17772	462 5TH AVENUE	BROOKLYN	NY	11215	04/14/2025	07/01/2025		04/14/2025

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH0218870	Active	BPS-H80-003761	SUNSET PARK HEALTH COUNCIL, INC.	Sunset Park Family Health Center at NYU Langone	150 - 55TH STREET	BROOKLYN	NY
CH021887A	Active	BPS-H80-004310	SUNSET PARK HEALTH COUNCIL, INC.	FAMILY PHYSICIAN FAMILY HEALTH CENTER at NYU Langone	5616 - 6TH AVE	BROOKLYN	NY
CH021887AA	Terminated	BPS-H80-018417	Sunset Park Health Council, Inc.	Blanche Kahn Family Health Center	1221 E14th Street	Brooklyn	NY
CH021887AB	Active	BPS-H80-018467	Sunset Park Health Council, Inc.	Premium Health Center Pediatrics	5506 15th Avenue	Brooklyn	NY
CH021887AC	Active	BPS-H80-012278	Sunset Park Health Council, Inc.	Premium Health Center	620 Foster Ave	Brooklyn	NY
CH021887AD	Active	BPS-H80-010401	Sunset Park Health Council, Inc.	Barbara Kleinman Shelter	300 Skillman Ave	Brooklyn	NY
CH021887AE	Active	BPS-H80-010399	Sunset Park Health Council, Inc.	Casa Rita (Women in Need)	391 E 149th St	Bronx	NY
CH021887AF	Active	BPS-H80-013636	Sunset Park Health Council, Inc.	Boys and Girls High School	1700 FULTON ST	BROOKLYN	NY
CH021887AG	Active	BPS-H80-001168	Sunset Park Health Council, Inc.	MS 88 School-Based Health Center	544 7th Ave	Brooklyn	NY
CH021887AH	Active	BPS-H80-001831	Sunset Park Health Council, Inc.	PS 172 School-Based Health Center	825 4th Ave	Brooklyn	NY
CH021887AJ	Terminated	BPS-H80-013805	Sunset Park Health Council, Inc.	P.S. 164	4211 14TH AVE	BROOKLYN	NY
CH021887AK	Active	BPS-H80-010402	Sunset Park Health Council, Inc.	Grand Central Neighborhood Association	120 E 32nd St	New York	NY
CH021887AL	Active	BPS-H80-005857	Sunset Park Health Council, Inc.	Lutheran Augustana Center	5434 2nd Ave	Brooklyn	NY
CH021887AM	Active	BPS-H80-010396	Sunset Park Health Council, Inc.	Project Hospitality Drop in Center Outreach Service	25 Central Ave	Staten Island	NY
CH021887AN	Active	BPS-H80-010400	Sunset Park Health Council, Inc.	Woodstock Hotel (Project Find)	127 W 43rd St	New York	NY
CH021887AP	Active	BPS-H80-017802	Sunset Park Health Council, Inc.	Wingate Educational Campus	600 Kingston Avenue	Brooklyn	NY
CH021887AQ	Active	BPS-H80-002263	Sunset Park Health Council, Inc.	Shore Road Sports Therapy and Rehabilitation	9000 SHORE RD, East Building	BROOKLYN	NY
CH021887AR	Active	BPS-H80-012038	Sunset Park Health Council, Inc.	Magnolia House	1424 Herkimer St	Brooklyn	NY
CH021887AS	Active	BPS-H80-019216	Sunset Park Health Council, Inc.	South Shore Educational Complex	6565 Flatlands Avenue	Brooklyn	NY
CH021887AT	Active	BPS-H80-004292	Sunset Park Health Council, Inc.	FAMILY SUPPORT CENTER	6025 6th Ave	Brooklyn	NY
CH021887AU	Active	BPS-H80-004381	Sunset Park Health Council, Inc.	Care Management	5421 2nd Ave	Brooklyn	NY
CH021887AV	Active	BPS-H80-000610	Sunset Park Health Council, Inc.	PS 24 School-Based Health Center	427 38th St	Brooklyn	NY
CH021887AW	Active	BPS-H80-005614	Sunset Park Health Council, Inc.	PS 503/506 School-Based Health Center	330 60th St	Brooklyn	NY
CH021887AX	Terminated	BPS-H80-014867	Sunset Park Health Council, Inc.	P. S. 50	433 East 100 Street	New York	NY
CH021887AY	Active	BPS-H80-010398	Sunset Park Health Council, Inc.	LFHC Community Medicine Program at Bowery Residents Committee	317 Bowery Street	New York	NY
CH021887AZ	Active	BPS-H80-001938	Sunset Park Health Council, Inc.	Pershing JHS 220 School-Based Health Center	4812 9th Ave	Brooklyn	NY
CH021887B	Active	BPS-H80-003761	SUNSET PARK HEALTH COUNCIL, INC.	SUNSET TERRACE FAMILY HEALTH CENTER at NYU LANGONE	514 - 49TH STREET	BROOKLYN	NY
CH021887BA	Active	BPS-H80-005223	Sunset Park Health Council, Inc.	PS 94 School-Based Health Center	5010 6th Ave	Brooklyn	NY
CH021887BB	Active	BPS-H80-014870	Sunset Park Health Council, Inc.	P. S. 38	232 East 103 Street	New York	NY
CH021887BC	Active	BPS-H80-014869	Sunset Park Health Council, Inc.	P.S. 31	55 Layton Avenue	Staten Island	NY
CH021887BD	Active	BPS-H80-010395	Sunset Park Health Council, Inc.	Atlantic House Shelter	2402 Atlantic Ave.	Brooklyn	NY
CH021887BE	Active	BPS-H80-010397	Sunset Park Health Council, Inc.	Charles H. Gay Shelter Care-Center for Men	One Keener Building	Wards' Island	NY
CH021887BF	Active	BPS-H80-002779	Sunset Park Health Council, Inc.	Erasmus Academies School-Based Health Center	911 Flatbush Ave	Brooklyn	NY
CH021887BG	Active	BPS-H80-018664	Sunset Park Health Council, Inc.	Juan Morel Campos Secondary School	215 Heyward St	Brooklyn	NY
CH021887BH	Active	BPS-H80-005427	Sunset Park Health Council, Inc.	PS 1 School-Based Health Center	309 47th St	Brooklyn	NY
CH021887BJ	Active	BPS-H80-021422	Sunset Park Health Council, Inc.	JHS 62 Ditmas	700 Cortelyou Road	Brooklyn	NY
CH021887BK	Active	BPS-H80-018416	Sunset Park Health Council, Inc.	Abraham Lincoln High School	2800 Ocean Parkway	Brooklyn	NY
CH021887BL	Active	BPS-H80-009990	Sunset Park Health Council, Inc.	JHS 126 School-Based Health Center	424 Leonard St	Brooklyn	NY
CH021887BM	Terminated	BPS-H80-014866	Sunset Park Health Council, Inc.	PS 329	2929 W 30 Street	Brooklyn	NY
CH021887BN	Active	BPS-H80-004104	Sunset Park Health Council, Inc.	PS 282 School-Based Health Center	180 6th Ave	Brooklyn	NY
CH021887BP	Active	BPS-H80-010202	Sunset Park Health Council, Inc.	Sunset Park High School	153 35th St	Brooklyn	NY
CH021887BQ	Active	BPS-H80-013807	Sunset Park Health Council, Inc.	P.S. 28 School-Based Health Center	475 W 155TH ST	NEW YORK	NY
CH021887BR	Active	BPS-H80-011324	Sunset Park Health Council, Inc.	LFHC Community Medicine Program Chelsea Center	127 West 25th Street FL 4	New York	NY
CH021887BS	Active	BPS-H80-001407	Sunset Park Health Council, Inc.	Dewey MS 136 School-Based Health Center	4004 4th Ave	Brooklyn	NY
CH021887BT	Active	BPS-H80-021641	Sunset Park Health Council, Inc.	Frank J. Macchiarola Educational Complex	3000 Avenue X	Brooklyn	NY
CH021887BU	Active	BPS-H80-002257	Sunset Park Health Council, Inc.	PS 15 School-Based Health Center	71 Sullivan St	Brooklyn	NY
CH021887BV	Active	BPS-H80-001335	Sunset Park Health Council, Inc.	PS 10 School-Based Health Center	511 7th Ave	Brooklyn	NY
CH021887BW	Active	BPS-H80-000798	Sunset Park Health Council, Inc.	PS 169 School-Based Health Center	4305 7th Ave	Brooklyn	NY
CH021887BX	Active	BPS-H80-018776	Sunset Park Health Council, Inc.	P.S. 217 / Magnet School of International Arts and Letters	1100 Newkirk Avenue	Brooklyn	NY
CH021887BY	Active	BPS-H80-017578	Sunset Park Health Council, Inc.	PS 188 School Based Health Center	3314 Neptune Avenue	Brooklyn	NY
CH021887BZ	Active	BPS-H80-027150	Sunset Park Health Council, Inc.	PS 307 School-Based Health Center	209 York St	Brooklyn	NY
CH021887C	Active	BPS-H80-004828	SUNSET PARK HEALTH COUNCIL, INC.	PARK SLOPE FAMILY HEALTH CENTER at NYU LANGONE	220 - 13TH STREET	BROOKLYN	NY
CH021887CA	Active	BPS-H80-017801	Sunset Park Health Council, Inc.	P.S. 196	207 Bushwick Ave	Brooklyn	NY
CH021887CB	Active	BPS-H80-009978	Sunset Park Health Council, Inc.	PS 179/369 School Based Health Center	468 E 140th St	Bronx	NY
CH021887CC	Active	BPS-H80-014872	Sunset Park Health Council, Inc.	PS 288	2950 West 25th Street	Brooklyn	NY
CH021887CD	Terminated	BPS-H80-009979	Sunset Park Health Council, Inc.	PS 96 School Based Health Center	216 E 120th St	New York	NY
CH021887CE	Active	BPS-H80-021781	Sunset Park Health Council, Inc.	PS 12/MS 484	430 Howard Avenue	Brooklyn	NY
CH021887CF	Active	BPS-H80-024694	Sunset Park Health Council, Inc.	PS 092	601 Parkside Avenue	Brooklyn	NY
CH021887CG	Terminated	BPS-H80-013828	Sunset Park Health Council, Inc.	P.S. 971	6214 4TH AVE	BROOKLYN	NY
CH021887CH	Active	BPS-H80-021866	Sunset Park Health Council, Inc.	PS 091	532 Albany Avenue	Brooklyn	NY
CH021887CJ	Active	BPS-H80-009988	Sunset Park Health Council, Inc.	PS 124 School Based Health Center	40 Division St	New York	NY
CH021887CK	Active	BPS-H80-009989	Sunset Park Health Council, Inc.	PS 18 School Based Health Center	221 Broadway	Staten Island	NY
CH021887CL	Active	BPS-H80-021867	Sunset Park Health Council, Inc.	PS 243	1580 Dean Street	Brooklyn	NY
CH021887CM	Terminated	BPS-H80-017424	Sunset Park Health Council, Inc.	PS 352/375 School Based Health Center	46 McKeever Place	Brooklyn	NY
CH021887CN	Active	BPS-H80-024765	Sunset Park Health Council, Inc.	PS/IS 157	850 Kent Avenue	Brooklyn	NY
CH021887CP	Terminated	BPS-H80-014536	Sunset Park Health Council, Inc.	P.S. 59	211 THROOP AVE	BROOKLYN	NY
CH021887CQ	Active	BPS-H80-022081	Sunset Park Health Council, Inc.	PS 002	122 Henry Street	New York	NY
CH021887CR	Active	BPS-H80-022291	Sunset Park Health Council, Inc.	PS 044	80 Maple Parkway	Staten Island	NY
CH021887CS	Active	BPS-H80-009983	Sunset Park Health Council, Inc.	PS 90 School-Based Health Center	2840 W 12th St	Brooklyn	NY
CH021887CT	Active	BPS-H80-021423	Sunset Park Health Council, Inc.	P.S. 335/M.S. 898	130 Rochester Avenue	Brooklyn	NY
CH021887CU	Active	BPS-H80-009986	Sunset Park Health Council, Inc.	PS 153 School Based Health Center	1750 Amsterdam Ave	New York	NY
CH021887CV	Active	BPS-H80-017803	Sunset Park Health Council, Inc.	PS 257 School-Based Health Center	60 Cook St	Brooklyn	NY
CH021887CW	Active	BPS-H80-027988	Sunset Park Health Council, Inc.	Premium Health - Womens Health	4514 16th Avenue FL 4	Brooklyn	NY
CH021887CX	Terminated	BPS-H80-021362	Sunset Park Health Council, Inc.	Callen-Lorde at the Center	208 West 13th Street	New York	NY
CH021887CY	Active	BPS-H80-029940	Sunset Park Health Council, Inc.	Atlantic Armory Health Center	1322 Bedford Avenue	Brooklyn	NY
CH021887CZ	Active	BPS-H80-030504	Sunset Park Health Council, Inc.	Metro Community Health Center - Manhattan	335 East 24th Street STE 1B	New York	NY
CH021887D	Active	BPS-H80-003385	SUNSET PARK HEALTH COUNCIL, INC.	PARK RIDGE FAMILY HEALTH CENTER at NYU LANGONE	6317 - 4TH AVE	BROOKLYN	NY
CH021887DA	Terminated	BPS-H80-024923	Sunset Park Health Council, Inc.	RAMBAM Family Health Center	1122 Chestnut Ave	Brooklyn	NY
CH021887DB	Active	BPS-H80-033639	Sunset Park Health Council, Inc.	PS 19 - The Marino Jantet School	9802 Roosevelt Ave	Corona	NY
CH021887DC	Active	BPS-H80-033640	Sunset Park Health Council, Inc.	George Washington Carver PS 40	265 Ralph Ave	Brooklyn	NY
CH021887DD	Active	BPS-H80-034377	Sunset Park Health Council, Inc.	Goldie Maple Academy/P.S. 333	3-65 Beach 56th Street	Queens	NY
CH021887DE	Active	BPS-H80-034376	Sunset Park Health Council, Inc.	Village Academy (27Q319)	10-45 Nameoke Street	Far Rockaway	NY
CH021887DF	Active	BPS-H80-034037	Sunset Park Health Council, Inc.	JHS 291 - Roland Hayes Campus	231 Palmetto St	Brooklyn	NY
CH021887DG	Active	BPS-H80-034375	Sunset Park Health Council, Inc.	PS/MS 43 - PS 256 at 43	160 Beach 29th St	Far Rockaway	NY
CH021887DH	Active	BPS-H80-036291	Sunset Park Health Council, Inc.	Boro Park Pediatrics (18th Avenue) at Premium Health Center	5323 18th Ave	Brooklyn	NY
CH021887DJ	Active	BPS-H80-036584	Sunset Park Health Council, Inc.	Long Island City High School	14-30 Broadway	Astoria	NY
CH021887DK	Active	BPS-H80-036290	Sunset Park Health Council, Inc.	Boro Park Pediatrics (12th Avenue) at Premium Health Center	4406 12th Avenue	Brooklyn	NY
CH021887DL	Active	BPS-H80-036560	Sunset Park Health Council, Inc.	Bushwick Educational Campus	400 Irving Ave	Brooklyn	NY
CH021887DM	Active	BPS-H80-035870	Sunset Park Health Council, Inc.	PS 197 The Ocean School	825 Hicksville Rd	Queens	NY
CH021887DN	Active	BPS-H80-036490	Sunset Park Health Council, Inc.	PS 329	2929 W 30th St	Brooklyn	NY
CH021887DP	Active	BPS-H80-036681	Sunset Park Health Council, Inc.	Yeshiva Darchei Torah (Premium Health)	257 Beach 17th St	Far Rockaway	NY
CH021887DQ	Active	BPS-H80-036070	Sunset Park Health Council, Inc.	PS/MS 46 The Arthur Tappan School	2987 Frederick Douglass Blvd	New York	NY
CH021887DR	Active	BPS-H80-036276	Sunset Park Health Council, Inc.	Red Hook Family Health Center at NYU Langone	160 Van Brunt St	Brooklyn	NY
CH021887DS	Active	BPS-H80-037283	SUNSET PARK HEALTH COUNCIL, INC.	PS 14 - The Fairview School	107-01 Otis Ave RM 209	Corona	NY
CH021887DT	Active	BPS-H80-037279	SUNSET PARK HEALTH COUNCIL, INC.	PS 25 - The Bilingual School	811 E 149th St	Bronx	NY
CH021887DU	Active	BPS-H80-036966	SUNSET PARK HEALTH COUNCIL, INC.	P.S 939/M.S. 936	270 59th St	Brooklyn	NY
CH021887DV	Active	BPS-H80-037817	SUNSET PARK HEALTH COUNCIL, INC.	PS 105- The Blythebourne School	1031 59th Street # 253	Brooklyn	NY
CH021887E	Terminated	BPS-H80-005492	SUNSET PARK HEALTH COUNCIL, INC.	SHORE ROAD FAMILY HEALTH CENTER at NYU LANGONE	9000 SHORE ROAD	BROOKLYN	NY
CH021887F	Active	BPS-H80-002039	SUNSET PARK HEALTH COUNCIL, INC.	FLATBUSH FAMILY HEALTH CENTER at NYU LANGONE	3414 Church Avenue	Brooklyn	NY
CH021887G	Active	BPS-H80-010421	SUNSET PARK HEALTH COUNCIL, INC.	SEVENTH AVENUE FAMILY HEALTH CENTER at NYU LANGONE	5008 7TH AVENUE	BROOKLYN	NY
CH021887Q	Active	BPS-H80-000534	SUNSET PARK HEALTH COUNCIL, INC.	CALLEN LORDE COMMUNITY HEALTH CENTER	356 W 18th St	New York	NY
CH021887R	Active	BPS-H80-009483	SUNSET PARK HEALTH COUNCIL, INC.	WOMEN INFANTS CHILDREN FAMILY HEALTH CENTER at NYU LANGONE	5610 Second Avenue	Brooklyn	NY
CH021887S	Terminated	BPS-H80-007340	SUNSET PARK HEALTH COUNCIL, INC.	Callen-Lorde Community Health Center Mobile Primary Care Unit	356 W 18th St	New York	NY
CH021887T	ToBeTerminated	BPS-H80-013988	SUNSET PARK HEALTH COUNCIL, INC.	Callen-Lorde 17th Street	230 W 17TH ST	NEW YORK	NY
CH021887U	Active	BPS-H80-016810	SUNSET PARK HEALTH COUNCIL, INC.	Metro Community Health Centers - Staten island	2324 Forest Avenue	Staten Island	NY
CH021887V	Active	BPS-H80-015588	SUNSET PARK HEALTH COUNCIL, INC.	Metro Community Health Centers - Bronx	979 Cross Bronx Expressway Service Road North	Bronx	NY
CH021887W	Terminated	BPS-H80-015740	SUNSET PARK HEALTH COUNCIL, INC.	Metro Community Health Centers	842 A LEFFERTS AVE	BROOKLYN	NY
CH021887X	Terminated	BPS-H80-018418	SUNSET PARK HEALTH COUNCIL, INC.	Metro Community Health Centers - Queens	51-40 59th Street	Queens	NY
CH021887Y	Active	BPS-H80-018466	SUNSET PARK HEALTH COUNCIL, INC.	Metro Community Health Centers – Downtown Brooklyn	177 Livingston Street, LL	Brooklyn	NY
CH021887Z	Terminated	BPS-H80-018061	SUNSET PARK HEALTH COUNCIL, INC.	The Door – A Center of Alternatives, Inc.	555 Broome Street	New York	NY

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH0218870	5407 PHARMACY INC	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	10/01/2017	08/04/2023
CH021887A	5407 PHARMACY INC	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	10/01/2017	08/04/2023
CH021887B	5407 PHARMACY INC	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	10/01/2017	08/04/2023
CH021887C	5407 PHARMACY INC	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	10/01/2017	08/04/2023
CH021887D	5407 PHARMACY INC	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	10/01/2017	08/04/2023
CH021887E	5407 PHARMACY INC	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	10/01/2017	04/01/2019
CH021887F	5407 PHARMACY INC	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	10/01/2017	08/04/2023
CH021887G	5407 PHARMACY INC	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	10/01/2017	08/04/2023
CH021887R	5407 PHARMACY INC	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	10/01/2017	08/03/2023
CH021887DR	5407 PHARMACY INC	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	10/01/2023	08/04/2023
CH0218870	59 STREET RX INC.	5816 4TH AVE		BROOKLYN	NY	11220-3810	10/01/2019
CH021887A	59 STREET RX INC.	5816 4TH AVE		BROOKLYN	NY	11220-3810	10/01/2019
CH021887B	59 STREET RX INC.	5816 4TH AVE		BROOKLYN	NY	11220-3810	10/01/2019
CH021887C	59 STREET RX INC.	5816 4TH AVE		BROOKLYN	NY	11220-3810	10/01/2019
CH021887D	59 STREET RX INC.	5816 4TH AVE		BROOKLYN	NY	11220-3810	10/01/2019
CH021887F	59 STREET RX INC.	5816 4TH AVE		BROOKLYN	NY	11220-3810	10/01/2019
CH021887G	59 STREET RX INC.	5816 4TH AVE		BROOKLYN	NY	11220-3810	10/01/2019
CH021887R	59 STREET RX INC.	5816 4TH AVE		BROOKLYN	NY	11220-3810	10/01/2019
CH021887DR	59 STREET RX INC.	5816 4TH AVE		BROOKLYN	NY	11220-3810	10/01/2023
CH021887Q	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	01/01/2022	12/31/2024
CH021887Q	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	01/01/2022	12/31/2024
CH021887Q	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	01/01/2022	12/31/2024
CH021887T	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	01/01/2022	09/30/2024
CH021887T	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	01/01/2022	09/30/2024
CH021887T	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	01/01/2022	09/30/2024
CH021887CX	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	01/01/2022	10/01/2023
CH021887CX	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	01/01/2022	10/01/2023
CH021887CX	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	01/01/2022	10/01/2023
CH0218870	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2024
CH021887A	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2024
CH021887B	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2024
CH021887C	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2024
CH021887D	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2024
CH021887F	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2024
CH021887G	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2024
CH021887R	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2024
CH021887DR	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2024
CH0218870	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2024
CH021887A	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2024
CH021887B	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2024
CH021887C	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2024
CH021887D	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2024
CH021887F	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2024
CH021887G	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2024
CH021887R	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2024
CH021887DR	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2024
CH0218870	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2024
CH021887A	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2024
CH021887B	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2024
CH021887C	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2024
CH021887D	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2024
CH021887F	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2024
CH021887G	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2024
CH021887R	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2024
CH021887DR	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2024
CH021887Q	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	01/01/2022	12/31/2024
CH021887Q	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	01/01/2022	12/31/2024
CH021887Q	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	01/01/2022	12/31/2024
CH021887T	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	01/01/2022	09/30/2024
CH021887T	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	01/01/2022	09/30/2024
CH021887T	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	01/01/2022	09/30/2024
CH021887CX	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	01/01/2022	10/01/2023
CH021887CX	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	01/01/2022	10/01/2023
CH021887CX	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	01/01/2022	10/01/2023
CH0218870	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2024
CH021887A	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2024
CH021887B	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2024
CH021887C	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2024
CH021887D	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2024
CH021887F	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2024
CH021887R	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2024
CH021887DR	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2024
CH0218870	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2024
CH021887A	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2024
CH021887B	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2024
CH021887D	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2024
CH021887F	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2024
CH021887G	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2024
CH021887R	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2024
CH021887DR	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2024
CH0218870	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/01/2024
CH021887A	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/01/2024
CH021887B	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/01/2024
CH021887C	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/01/2024
CH021887D	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/01/2024
CH021887F	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/01/2024
CH021887G	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/01/2024
CH021887R	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/01/2024
CH021887DR	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/01/2024
CH021887C	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2024
CH021887G	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2024
CH021887AA	BIG APPLE DRUGS INC.	DBA: FLUSHING PHARMACY	414 FLUSHING AVE	BROOKLYN	NY	11205	07/01/2023	03/07/2024
CH021887DA	BIG APPLE DRUGS INC.	DBA: FLUSHING PHARMACY	414 FLUSHING AVE	BROOKLYN	NY	11205	07/01/2023	03/07/2024
CH0218870	BROOKLYN STAR PHARMACY INC.	D/B/A LUTHERAN PHARMACY	5407 2ND AVENUE	BROOKLYN	NY	11220	04/05/2013	05/08/2017
CH021887A	BROOKLYN STAR PHARMACY INC.	D/B/A LUTHERAN PHARMACY	5407 2ND AVENUE	BROOKLYN	NY	11220	04/05/2013	05/08/2017
CH021887B	BROOKLYN STAR PHARMACY INC.	D/B/A LUTHERAN PHARMACY	5407 2ND AVENUE	BROOKLYN	NY	11220	04/05/2013	05/08/2017
CH021887C	BROOKLYN STAR PHARMACY INC.	D/B/A LUTHERAN PHARMACY	5407 2ND AVENUE	BROOKLYN	NY	11220	04/05/2013	05/08/2017
CH021887D	BROOKLYN STAR PHARMACY INC.	D/B/A LUTHERAN PHARMACY	5407 2ND AVENUE	BROOKLYN	NY	11220	04/05/2013	05/08/2017
CH021887E	BROOKLYN STAR PHARMACY INC.	D/B/A LUTHERAN PHARMACY	5407 2ND AVENUE	BROOKLYN	NY	11220	04/05/2013	05/08/2017
CH021887F	BROOKLYN STAR PHARMACY INC.	D/B/A LUTHERAN PHARMACY	5407 2ND AVENUE	BROOKLYN	NY	11220	04/05/2013	05/08/2017
CH021887G	BROOKLYN STAR PHARMACY INC.	D/B/A LUTHERAN PHARMACY	5407 2ND AVENUE	BROOKLYN	NY	11220	04/05/2013	07/13/2017
CH021887R	BROOKLYN STAR PHARMACY INC.	D/B/A LUTHERAN PHARMACY	5407 2ND AVENUE	BROOKLYN	NY	11220	04/05/2013	05/08/2017
CH0218870	CAF PHARMACY INC.	CAF PHARMACY INC	3424 CHURCH AVE	BROOKLYN	NY	11203	10/01/2015	12/08/2022
CH021887A	CAF PHARMACY INC.	CAF PHARMACY INC	3424 CHURCH AVE	BROOKLYN	NY	11203	10/01/2015	12/08/2022
CH021887B	CAF PHARMACY INC.	CAF PHARMACY INC	3424 CHURCH AVE	BROOKLYN	NY	11203	10/01/2015	12/08/2022
CH021887C	CAF PHARMACY INC.	CAF PHARMACY INC	3424 CHURCH AVE	BROOKLYN	NY	11203	10/01/2015	12/08/2022
CH021887D	CAF PHARMACY INC.	CAF PHARMACY INC	3424 CHURCH AVE	BROOKLYN	NY	11203	10/01/2015	12/08/2022
CH021887E	CAF PHARMACY INC.	CAF PHARMACY INC	3424 CHURCH AVE	BROOKLYN	NY	11203	10/01/2015	04/01/2019
CH021887F	CAF PHARMACY INC.	CAF PHARMACY INC	3424 CHURCH AVE	BROOKLYN	NY	11203	10/01/2015	12/08/2022
CH021887G	CAF PHARMACY INC.	CAF PHARMACY INC	3424 CHURCH AVE	BROOKLYN	NY	11203	10/01/2015	12/08/2022
CH021887R	CAF PHARMACY INC.	CAF PHARMACY INC	3424 CHURCH AVE	BROOKLYN	NY	11203	10/01/2015	12/08/2022
CH021887CZ	CANAAN PHARMACY INC	DBA-FREEDOM PHARMACY	6914 5TH AVE	BROOKLYN	NY	11209	01/01/2024
CH021887U	CANAAN PHARMACY INC	DBA-FREEDOM PHARMACY	6914 5TH AVE	BROOKLYN	NY	11209	01/01/2024
CH021887V	CANAAN PHARMACY INC	DBA-FREEDOM PHARMACY	6914 5TH AVE	BROOKLYN	NY	11209	01/01/2024
CH021887Y	CANAAN PHARMACY INC	DBA-FREEDOM PHARMACY	6914 5TH AVE	BROOKLYN	NY	11209	01/01/2024
CH021887V	CARE WELL PHARMACY INC.	DBA: MEDLY PHARMACY	1868 3RD AVE	NEW YORK	NY	10029-5432	07/01/2022	12/31/2022
CH021887CZ	CARE WELL PHARMACY INC.	DBA: MEDLY PHARMACY	1868 3RD AVE	NEW YORK	NY	10029-5432	07/01/2022	12/31/2022
CH021887U	CARE WELL PHARMACY INC.	DBA: MEDLY PHARMACY	1868 3RD AVE	NEW YORK	NY	10029-5432	07/01/2022	12/31/2022
CH021887Y	CARE WELL PHARMACY INC.	DBA: MEDLY PHARMACY	1868 3RD AVE	NEW YORK	NY	10029-5432	07/01/2022	12/31/2022
CH021887Q	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2021
CH021887T	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2021	09/30/2024
CH021887CX	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2021	10/01/2023
CH021887Q	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/01/2021
CH021887T	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/01/2021	09/30/2024
CH021887CX	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/01/2021	10/01/2023
CH021887Q	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/01/2021
CH021887T	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/01/2021	09/30/2024
CH021887CX	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/01/2021	10/01/2023
CH021887Q	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/01/2021
CH021887T	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/01/2021	09/30/2024
CH021887CX	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/01/2021	10/01/2023
CH021887Q	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/01/2021
CH021887T	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/01/2021	09/30/2024
CH021887CX	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/01/2021	10/01/2023
CH021887Q	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/01/2021
CH021887T	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/01/2021	09/30/2024
CH021887CX	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/01/2021	10/01/2023
CH021887Q	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/01/2021
CH021887T	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/01/2021	09/30/2024
CH021887CX	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/01/2021	10/01/2023
CH021887Q	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2021
CH021887T	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2021	09/30/2024
CH021887CX	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2021	10/01/2023
CH021887Q	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/01/2021
CH021887T	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/01/2021	09/30/2024
CH021887CX	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/01/2021	10/01/2023
CH021887Q	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/01/2021
CH021887T	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/01/2021	09/30/2024
CH021887CX	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/01/2021	10/01/2023
CH021887CZ	CAREWAY RX INC	CAREWAY PHARMACY	1174 FLATBUSH AVE	BROOKLYN	NY	11226-7005	01/01/2024
CH021887U	CAREWAY RX INC	CAREWAY PHARMACY	1174 FLATBUSH AVE	BROOKLYN	NY	11226-7005	01/01/2024
CH021887V	CAREWAY RX INC	CAREWAY PHARMACY	1174 FLATBUSH AVE	BROOKLYN	NY	11226-7005	01/01/2024
CH021887Y	CAREWAY RX INC	CAREWAY PHARMACY	1174 FLATBUSH AVE	BROOKLYN	NY	11226-7005	01/01/2024
CH021887U	CHEM RX PHARMACY SERVICES LLC	TRADE NAME: PHARMERICA	51 CHARLES LINDBERGH BLVD	UNIONDALE	NY	11553-3658	01/01/2017	02/12/2025
CH021887V	CHEM RX PHARMACY SERVICES LLC	TRADE NAME: PHARMERICA	51 CHARLES LINDBERGH BLVD	UNIONDALE	NY	11553-3658	01/01/2017	02/12/2025
CH021887X	CHEM RX PHARMACY SERVICES LLC	TRADE NAME: PHARMERICA	51 CHARLES LINDBERGH BLVD	UNIONDALE	NY	11553-3658	01/01/2017	04/01/2022
CH021887W	CHEM RX PHARMACY SERVICES LLC	TRADE NAME: PHARMERICA	51 CHARLES LINDBERGH BLVD	UNIONDALE	NY	11553-3658	01/01/2017	04/01/2022
CH021887Y	CHEM RX PHARMACY SERVICES LLC	TRADE NAME: PHARMERICA	51 CHARLES LINDBERGH BLVD	UNIONDALE	NY	11553-3658	01/01/2017	02/12/2025
CH021887AA	CHEM RX PHARMACY SERVICES LLC	TRADE NAME: PHARMERICA	51 CHARLES LINDBERGH BLVD	UNIONDALE	NY	11553-3658	07/01/2018	09/01/2019
CH021887CZ	CHEM RX PHARMACY SERVICES LLC	TRADE NAME: PHARMERICA	51 CHARLES LINDBERGH BLVD	UNIONDALE	NY	11553-3658	01/01/2021	02/12/2025
CH021887AA	CHEM RX PHARMACY SERVICES LLC	TRADE NAME: PHARMERICA	51 CHARLES LINDBERGH BLVD	UNIONDALE	NY	11553-3658	01/01/2023	03/07/2024
CH021887DA	CHEM RX PHARMACY SERVICES LLC	TRADE NAME: PHARMERICA	51 CHARLES LINDBERGH BLVD	UNIONDALE	NY	11553-3658	01/01/2023	03/07/2024
CH021887U	COMMUNITY CARE RX INC.	131 SUNNYSIDE BLVD STE 100		PLAINVIEW	NY	11803	01/01/2018	01/14/2019
CH021887V	COMMUNITY CARE RX INC.	131 SUNNYSIDE BLVD STE 100		PLAINVIEW	NY	11803	01/01/2018	01/14/2019
CH021887W	COMMUNITY CARE RX INC.	131 SUNNYSIDE BLVD STE 100		PLAINVIEW	NY	11803	01/01/2018	01/14/2019
CH021887X	COMMUNITY CARE RX INC.	131 SUNNYSIDE BLVD STE 100		PLAINVIEW	NY	11803	01/01/2018	01/14/2019
CH021887Y	COMMUNITY CARE RX INC.	131 SUNNYSIDE BLVD STE 100		PLAINVIEW	NY	11803	01/01/2018	01/14/2019
CH021887U	COMMUNITY CARE RX INC.	131 SUNNYSIDE BLVD STE 100		PLAINVIEW	NY	11803	07/01/2020	02/16/2025
CH021887V	COMMUNITY CARE RX INC.	131 SUNNYSIDE BLVD STE 100		PLAINVIEW	NY	11803	07/01/2020	02/16/2025
CH021887W	COMMUNITY CARE RX INC.	131 SUNNYSIDE BLVD STE 100		PLAINVIEW	NY	11803	07/01/2020	04/01/2022
CH021887X	COMMUNITY CARE RX INC.	131 SUNNYSIDE BLVD STE 100		PLAINVIEW	NY	11803	07/01/2020	04/01/2022
CH021887Y	COMMUNITY CARE RX INC.	131 SUNNYSIDE BLVD STE 100		PLAINVIEW	NY	11803	07/01/2020	02/16/2025
CH021887CZ	COMMUNITY CARE RX INC.	131 SUNNYSIDE BLVD STE 100		PLAINVIEW	NY	11803	01/01/2021	02/16/2025
CH0218870	COMMUNITY DRUGS INC.	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	01/01/2025
CH021887A	COMMUNITY DRUGS INC.	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	01/01/2025
CH021887B	COMMUNITY DRUGS INC.	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	01/01/2025
CH021887C	COMMUNITY DRUGS INC.	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	01/01/2025
CH021887D	COMMUNITY DRUGS INC.	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	01/01/2025
CH021887F	COMMUNITY DRUGS INC.	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	01/01/2025
CH021887G	COMMUNITY DRUGS INC.	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	01/01/2025
CH021887R	COMMUNITY DRUGS INC.	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	01/01/2025
CH021887DR	COMMUNITY DRUGS INC.	LUTHERAN PHARMACY	5407 2ND AVE	BROOKLYN	NY	11220	01/01/2025
CH021887CZ	CORBY PHARMA INC	DBA-CORBY CHEMISTS	988 FIRST AVE	NEW YORK	NY	10022	01/01/2024
CH021887U	CORBY PHARMA INC	DBA-CORBY CHEMISTS	988 FIRST AVE	NEW YORK	NY	10022	01/01/2024
CH021887V	CORBY PHARMA INC	DBA-CORBY CHEMISTS	988 FIRST AVE	NEW YORK	NY	10022	01/01/2024
CH021887Y	CORBY PHARMA INC	DBA-CORBY CHEMISTS	988 FIRST AVE	NEW YORK	NY	10022	01/01/2024
CH0218870	CRESETTI DRUG CORP	DBA: NEERGAARD PHARMACY	454 5TH AVE	BROOKLYN	NY	11215-4003	12/01/2011
CH021887A	CRESETTI DRUG CORP	DBA: NEERGAARD PHARMACY	454 5TH AVE	BROOKLYN	NY	11215-4003	10/27/2012
CH021887B	CRESETTI DRUG CORP	DBA: NEERGAARD PHARMACY	454 5TH AVE	BROOKLYN	NY	11215-4003	10/27/2012
CH021887C	CRESETTI DRUG CORP	DBA: NEERGAARD PHARMACY	454 5TH AVE	BROOKLYN	NY	11215-4003	10/27/2012
CH021887D	CRESETTI DRUG CORP	DBA: NEERGAARD PHARMACY	454 5TH AVE	BROOKLYN	NY	11215-4003	10/27/2012
CH021887E	CRESETTI DRUG CORP	DBA: NEERGAARD PHARMACY	454 5TH AVE	BROOKLYN	NY	11215-4003	10/27/2012	04/01/2019
CH021887F	CRESETTI DRUG CORP	DBA: NEERGAARD PHARMACY	454 5TH AVE	BROOKLYN	NY	11215-4003	10/27/2012
CH021887G	CRESETTI DRUG CORP	DBA: NEERGAARD PHARMACY	454 5TH AVE	BROOKLYN	NY	11215-4003	10/27/2012
CH021887R	CRESETTI DRUG CORP	DBA: NEERGAARD PHARMACY	454 5TH AVE	BROOKLYN	NY	11215-4003	10/27/2012
CH021887DR	CRESETTI DRUG CORP	DBA: NEERGAARD PHARMACY	454 5TH AVE	BROOKLYN	NY	11215-4003	10/01/2023
CH021887CZ	CROWN PHARMA INC	DBA-LAVIDA PHARMACY	40-20 82ND ST	ELMHURST	NY	11373-1305	01/01/2024
CH021887U	CROWN PHARMA INC	DBA-LAVIDA PHARMACY	40-20 82ND ST	ELMHURST	NY	11373-1305	01/01/2024
CH021887V	CROWN PHARMA INC	DBA-LAVIDA PHARMACY	40-20 82ND ST	ELMHURST	NY	11373-1305	01/01/2024
CH021887Y	CROWN PHARMA INC	DBA-LAVIDA PHARMACY	40-20 82ND ST	ELMHURST	NY	11373-1305	01/01/2024
CH021887Q	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 1618	81 EIGHTH AVE.	NEW YORK	NY	10011	04/01/2020
CH021887Q	CVS ALBANY, L.L.C.	CVS/PHARMACY # 2280	329-339 WYCKOFF AVE	RIDGEWOOD	NY	11385	04/01/2020
CH021887S	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 1618	81 EIGHTH AVE.	NEW YORK	NY	10011	04/01/2020	10/07/2019
CH021887S	CVS ALBANY, L.L.C.	CVS/PHARMACY # 2280	329-339 WYCKOFF AVE	RIDGEWOOD	NY	11385	04/01/2020	10/07/2019
CH021887T	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 1618	81 EIGHTH AVE.	NEW YORK	NY	10011	04/01/2020	09/30/2024
CH021887T	CVS ALBANY, L.L.C.	CVS/PHARMACY # 2280	329-339 WYCKOFF AVE	RIDGEWOOD	NY	11385	04/01/2020	09/30/2024
CH021887CX	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 1618	81 EIGHTH AVE.	NEW YORK	NY	10011	04/01/2020	10/01/2023
CH021887CX	CVS ALBANY, L.L.C.	CVS/PHARMACY # 2280	329-339 WYCKOFF AVE	RIDGEWOOD	NY	11385	04/01/2020	10/01/2023
CH021887Q	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 00601	272 8TH AVENUE	NEW YORK	NY	10011	04/01/2021	09/27/2021
CH021887Q	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 10298	241 WEST 57TH STREET	NEW YORK	NY	10019	04/01/2021
CH021887Q	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02940	500 W. 42ND ST.	NEW YORK	NY	10036	04/01/2021
CH021887Q	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 10086	30 FLATBUSH AVE.	BROOKLYN	NY	11217	04/01/2021
CH021887Q	CVS ALBANY, L.L.C.	CVS/PHARMACY # 10235	800 10TH AVE.	NEW YORK	NY	10019	04/01/2021
CH021887Q	CVS ALBANY, L.L.C.	CVS/PHARMACY # 13019	218 MYRTLE AVE.	BROOKLYN	NY	11201	04/01/2021
CH021887Q	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 00491	7209 NORTHERN BLVD	JACKSON HEIGHTS	NY	11372	04/01/2021
CH021887Q	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02697	3681 BRUCKNER BLVD.	BRONX	NY	10461	04/01/2021	11/06/2021
CH021887Q	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY #07576	3101 DITMARS BLVD.	ASTORIA	NY	11105	04/01/2021
CH021887T	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 00601	272 8TH AVENUE	NEW YORK	NY	10011	04/01/2021	09/27/2021
CH021887T	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 10298	241 WEST 57TH STREET	NEW YORK	NY	10019	04/01/2021	09/30/2024
CH021887T	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02940	500 W. 42ND ST.	NEW YORK	NY	10036	04/01/2021	09/30/2024
CH021887T	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 10086	30 FLATBUSH AVE.	BROOKLYN	NY	11217	04/01/2021	09/30/2024
CH021887T	CVS ALBANY, L.L.C.	CVS/PHARMACY # 10235	800 10TH AVE.	NEW YORK	NY	10019	04/01/2021	09/30/2024
CH021887T	CVS ALBANY, L.L.C.	CVS/PHARMACY # 13019	218 MYRTLE AVE.	BROOKLYN	NY	11201	04/01/2021	09/30/2024
CH021887T	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 00491	7209 NORTHERN BLVD	JACKSON HEIGHTS	NY	11372	04/01/2021	09/30/2024
CH021887T	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02697	3681 BRUCKNER BLVD.	BRONX	NY	10461	04/01/2021	11/06/2021
CH021887T	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY #07576	3101 DITMARS BLVD.	ASTORIA	NY	11105	04/01/2021	09/30/2024
CH021887CX	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 00601	272 8TH AVENUE	NEW YORK	NY	10011	04/01/2021	09/27/2021
CH021887CX	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 10298	241 WEST 57TH STREET	NEW YORK	NY	10019	04/01/2021	10/01/2023
CH021887CX	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02940	500 W. 42ND ST.	NEW YORK	NY	10036	04/01/2021	10/01/2023
CH021887CX	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 10086	30 FLATBUSH AVE.	BROOKLYN	NY	11217	04/01/2021	10/01/2023
CH021887CX	CVS ALBANY, L.L.C.	CVS/PHARMACY # 10235	800 10TH AVE.	NEW YORK	NY	10019	04/01/2021	10/01/2023
CH021887CX	CVS ALBANY, L.L.C.	CVS/PHARMACY # 13019	218 MYRTLE AVE.	BROOKLYN	NY	11201	04/01/2021	10/01/2023
CH021887CX	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 00491	7209 NORTHERN BLVD	JACKSON HEIGHTS	NY	11372	04/01/2021	10/01/2023
CH021887CX	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02697	3681 BRUCKNER BLVD.	BRONX	NY	10461	04/01/2021	11/06/2021
CH021887CX	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY #07576	3101 DITMARS BLVD.	ASTORIA	NY	11105	04/01/2021	10/01/2023
CH021887Q	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/01/2021
CH021887T	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/01/2021	09/30/2024
CH021887CX	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/01/2021	10/01/2023
CH021887Q	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/01/2021
CH021887T	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/01/2021	09/30/2024
CH021887CX	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/01/2021	10/01/2023
CH021887Q	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2021
CH021887T	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2021	09/30/2024
CH021887CX	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2021	10/01/2023
CH021887AC	DEAR DRUGS INC	488-490 AVENUE P		BROOKLYN	NY	11223	04/01/2019	12/31/2022
CH021887AB	DEAR DRUGS INC	488-490 AVENUE P		BROOKLYN	NY	11223	04/01/2019	12/31/2022
CH021887CZ	DHAKA RX INC	DBA-HILLSIDE DHAKA PHARMACY	17014 HILLSIDE AVE	JAMAICA	NY	11432-4547	01/01/2024
CH021887U	DHAKA RX INC	DBA-HILLSIDE DHAKA PHARMACY	17014 HILLSIDE AVE	JAMAICA	NY	11432-4547	01/01/2024
CH021887V	DHAKA RX INC	DBA-HILLSIDE DHAKA PHARMACY	17014 HILLSIDE AVE	JAMAICA	NY	11432-4547	01/01/2024
CH021887Y	DHAKA RX INC	DBA-HILLSIDE DHAKA PHARMACY	17014 HILLSIDE AVE	JAMAICA	NY	11432-4547	01/01/2024
CH0218870	DUANE READE		5423 SECOND AVE	BROOKLYN	NY	11220-2605	04/15/2004	08/21/2017
CH0218870	DUANE READE	5008 5TH AVE		BROOKLYN	NY	11220	10/27/2012
CH0218870	DUANE READE	436 86TH STREET		BROOKLYN	NY	11209	10/27/2012
CH021887A	DUANE READE		5423 SECOND AVE	BROOKLYN	NY	11220-2605	04/15/2004	08/21/2017
CH021887A	DUANE READE	5008 5TH AVE		BROOKLYN	NY	11220	10/27/2012
CH021887A	DUANE READE	436 86TH STREET		BROOKLYN	NY	11209	10/27/2012
CH021887B	DUANE READE	5008 5TH AVE		BROOKLYN	NY	11220	01/01/2010
CH021887B	DUANE READE		5423 SECOND AVE	BROOKLYN	NY	11220-2605	10/27/2012	08/21/2017
CH021887B	DUANE READE	436 86TH STREET		BROOKLYN	NY	11209	10/27/2012
CH021887C	DUANE READE		5423 SECOND AVE	BROOKLYN	NY	11220-2605	04/15/2004	08/21/2017
CH021887C	DUANE READE	5008 5TH AVE		BROOKLYN	NY	11220	10/27/2012
CH021887C	DUANE READE	436 86TH STREET		BROOKLYN	NY	11209	10/27/2012
CH021887D	DUANE READE		5423 SECOND AVE	BROOKLYN	NY	11220-2605	04/15/2004	08/21/2017
CH021887D	DUANE READE	5008 5TH AVE		BROOKLYN	NY	11220	10/27/2012
CH021887D	DUANE READE	436 86TH STREET		BROOKLYN	NY	11209	10/27/2012
CH021887E	DUANE READE	436 86TH STREET		BROOKLYN	NY	11209	04/10/2009	04/01/2019
CH021887E	DUANE READE		5423 SECOND AVE	BROOKLYN	NY	11220-2605	10/27/2012	08/21/2017
CH021887E	DUANE READE	5008 5TH AVE		BROOKLYN	NY	11220	10/27/2012	04/01/2019
CH021887F	DUANE READE		5423 SECOND AVE	BROOKLYN	NY	11220-2605	04/15/2004	08/21/2017
CH021887F	DUANE READE	5008 5TH AVE		BROOKLYN	NY	11220	10/27/2012
CH021887F	DUANE READE	436 86TH STREET		BROOKLYN	NY	11209	10/27/2012
CH021887G	DUANE READE		5423 SECOND AVE	BROOKLYN	NY	11220-2605	04/15/2004	08/21/2017
CH021887G	DUANE READE	5008 5TH AVE		BROOKLYN	NY	11220	10/27/2012
CH021887G	DUANE READE	436 86TH STREET		BROOKLYN	NY	11209	10/27/2012
CH021887R	DUANE READE		5423 SECOND AVE	BROOKLYN	NY	11220-2605	10/27/2012	08/21/2017
CH021887R	DUANE READE	5008 5TH AVE		BROOKLYN	NY	11220	10/27/2012
CH021887R	DUANE READE	436 86TH STREET		BROOKLYN	NY	11209	10/27/2012
CH021887DR	DUANE READE	5008 5TH AVE		BROOKLYN	NY	11220	10/01/2023
CH021887DR	DUANE READE	436 86TH STREET		BROOKLYN	NY	11209	10/01/2023
CH021887Q	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	01/01/2022	12/31/2024
CH021887T	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	01/01/2022	09/30/2024
CH021887CX	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	01/01/2022	10/01/2023
CH0218870	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/01/2024
CH021887A	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/01/2024
CH021887B	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/01/2024
CH021887C	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/01/2024
CH021887D	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/01/2024
CH021887F	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/01/2024
CH021887G	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/01/2024
CH021887R	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/01/2024
CH021887DR	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/01/2024
CH021887Q	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	01/01/2022	12/31/2024
CH021887T	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	01/01/2022	09/30/2024
CH021887CX	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	01/01/2022	10/01/2023
CH0218870	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2024
CH021887A	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2024
CH021887B	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2024
CH021887C	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2024
CH021887D	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2024
CH021887F	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2024
CH021887G	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2024
CH021887R	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2024
CH021887DR	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2024
CH021887Q	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	01/01/2022	12/31/2024
CH021887Q	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	01/01/2022	12/31/2024
CH021887T	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	01/01/2022	09/30/2024
CH021887T	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	01/01/2022	09/30/2024
CH021887CX	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	01/01/2022	10/01/2023
CH021887CX	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	01/01/2022	10/01/2023
CH0218870	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2024
CH021887A	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2024
CH021887B	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2024
CH021887C	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2024
CH021887D	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2024
CH021887F	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2024
CH021887G	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2024
CH021887R	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2024
CH021887DR	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2024
CH0218870	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/01/2024
CH021887A	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/01/2024
CH021887B	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/01/2024
CH021887C	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/01/2024
CH021887D	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/01/2024
CH021887F	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/01/2024
CH021887G	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/01/2024
CH021887R	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/01/2024
CH021887DR	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/01/2024
CH021887CX	GENOA HEALTHCARE LLC	17 E GENESEE ST STE 208		AUBURN	NY	13021	07/01/2022	10/01/2023
CH021887CX	GENOA HEALTHCARE LLC	2020 CONEY ISLAND AVE STE P		BROOKLYN	NY	11223	07/01/2022	10/01/2023
CH021887CX	GENOA HEALTHCARE LLC	55 HORIZON DR STE P		HUNTINGTON	NY	11743	07/01/2022	10/01/2023
CH021887CX	GENOA HEALTHCARE LLC	9114 37TH AVE STE E		JACKSON HEIGHTS	NY	11372	07/01/2022	10/01/2023
CH021887CX	GENOA HEALTHCARE LLC	2431 6TH AVE STE P		TROY	NY	12180	07/01/2022	10/01/2023
CH021887CX	GENOA HEALTHCARE LLC	140 ROUTE 303 STE C		VALLEY COTTAGE	NY	10989	07/01/2022	10/01/2023
CH021887Q	GENOA HEALTHCARE LLC	17 E GENESEE ST STE 208		AUBURN	NY	13021	07/01/2022	12/31/2024
CH021887Q	GENOA HEALTHCARE LLC	2020 CONEY ISLAND AVE STE P		BROOKLYN	NY	11223	07/01/2022	12/31/2024
CH021887Q	GENOA HEALTHCARE LLC	55 HORIZON DR STE P		HUNTINGTON	NY	11743	07/01/2022	12/31/2024
CH021887Q	GENOA HEALTHCARE LLC	9114 37TH AVE STE E		JACKSON HEIGHTS	NY	11372	07/01/2022	12/31/2024
CH021887Q	GENOA HEALTHCARE LLC	2431 6TH AVE STE P		TROY	NY	12180	07/01/2022	12/31/2024
CH021887Q	GENOA HEALTHCARE LLC	140 ROUTE 303 STE C		VALLEY COTTAGE	NY	10989	07/01/2022	12/31/2024
CH021887T	GENOA HEALTHCARE LLC	17 E GENESEE ST STE 208		AUBURN	NY	13021	07/01/2022	09/30/2024
CH021887T	GENOA HEALTHCARE LLC	2020 CONEY ISLAND AVE STE P		BROOKLYN	NY	11223	07/01/2022	09/30/2024
CH021887T	GENOA HEALTHCARE LLC	55 HORIZON DR STE P		HUNTINGTON	NY	11743	07/01/2022	09/30/2024
CH021887T	GENOA HEALTHCARE LLC	9114 37TH AVE STE E		JACKSON HEIGHTS	NY	11372	07/01/2022	09/30/2024
CH021887T	GENOA HEALTHCARE LLC	2431 6TH AVE STE P		TROY	NY	12180	07/01/2022	09/30/2024
CH021887T	GENOA HEALTHCARE LLC	140 ROUTE 303 STE C		VALLEY COTTAGE	NY	10989	07/01/2022	09/30/2024
CH0218870	GENOVESE DRUG STORES, INC.	RITE AID #10574	7118 3RD AVENUE	BROOKLYN	NY	11209	07/01/2023
CH021887A	GENOVESE DRUG STORES, INC.	RITE AID #10574	7118 3RD AVENUE	BROOKLYN	NY	11209	07/01/2023
CH021887B	GENOVESE DRUG STORES, INC.	RITE AID #10574	7118 3RD AVENUE	BROOKLYN	NY	11209	07/01/2023
CH021887C	GENOVESE DRUG STORES, INC.	RITE AID #10574	7118 3RD AVENUE	BROOKLYN	NY	11209	07/01/2023
CH021887D	GENOVESE DRUG STORES, INC.	RITE AID #10574	7118 3RD AVENUE	BROOKLYN	NY	11209	07/01/2023
CH021887F	GENOVESE DRUG STORES, INC.	RITE AID #10574	7118 3RD AVENUE	BROOKLYN	NY	11209	07/01/2023
CH021887G	GENOVESE DRUG STORES, INC.	RITE AID #10574	7118 3RD AVENUE	BROOKLYN	NY	11209	07/01/2023
CH021887R	GENOVESE DRUG STORES, INC.	RITE AID #10574	7118 3RD AVENUE	BROOKLYN	NY	11209	07/01/2023
CH0218870	GENOVESE DRUG STORES, INC.	RITE AID #10579	6423 FORT HAMILTON PKWY.	BROOKLYN	NY	11219	07/01/2023
CH021887A	GENOVESE DRUG STORES, INC.	RITE AID #10579	6423 FORT HAMILTON PKWY.	BROOKLYN	NY	11219	07/01/2023
CH021887B	GENOVESE DRUG STORES, INC.	RITE AID #10579	6423 FORT HAMILTON PKWY.	BROOKLYN	NY	11219	07/01/2023
CH021887C	GENOVESE DRUG STORES, INC.	RITE AID #10579	6423 FORT HAMILTON PKWY.	BROOKLYN	NY	11219	07/01/2023
CH021887D	GENOVESE DRUG STORES, INC.	RITE AID #10579	6423 FORT HAMILTON PKWY.	BROOKLYN	NY	11219	07/01/2023
CH021887F	GENOVESE DRUG STORES, INC.	RITE AID #10579	6423 FORT HAMILTON PKWY.	BROOKLYN	NY	11219	07/01/2023
CH021887G	GENOVESE DRUG STORES, INC.	RITE AID #10579	6423 FORT HAMILTON PKWY.	BROOKLYN	NY	11219	07/01/2023
CH021887R	GENOVESE DRUG STORES, INC.	RITE AID #10579	6423 FORT HAMILTON PKWY.	BROOKLYN	NY	11219	07/01/2023
CH021887DR	GENOVESE DRUG STORES, INC.	RITE AID #10574	7118 3RD AVENUE	BROOKLYN	NY	11209	10/01/2023
CH021887DR	GENOVESE DRUG STORES, INC.	RITE AID #10579	6423 FORT HAMILTON PKWY.	BROOKLYN	NY	11219	10/01/2023
CH021887U	GREENE-VAN PHARMACY CORP	D/B/A PROSPECT DRUGS	94 GREENE AVE	BROOKLYN	NY	11238-1011	01/01/2017
CH021887V	GREENE-VAN PHARMACY CORP	D/B/A PROSPECT DRUGS	94 GREENE AVE	BROOKLYN	NY	11238-1011	01/01/2017
CH021887X	GREENE-VAN PHARMACY CORP	D/B/A PROSPECT DRUGS	94 GREENE AVE	BROOKLYN	NY	11238-1011	01/01/2017	04/01/2022
CH021887W	GREENE-VAN PHARMACY CORP	D/B/A PROSPECT DRUGS	94 GREENE AVE	BROOKLYN	NY	11238-1011	01/01/2017	04/01/2022
CH021887Y	GREENE-VAN PHARMACY CORP	D/B/A PROSPECT DRUGS	94 GREENE AVE	BROOKLYN	NY	11238-1011	01/01/2017
CH021887CZ	GREENE-VAN PHARMACY CORP	D/B/A PROSPECT DRUGS	94 GREENE AVE	BROOKLYN	NY	11238-1011	01/01/2021
CH0218870	HEALTH MAX 5TH AVENUE INC	DBA: HEALTHMAX PHARMACY	5313 FIFTH AVE	BROOKLYN	NY	11220	04/05/2013	05/14/2018
CH021887A	HEALTH MAX 5TH AVENUE INC	DBA: HEALTHMAX PHARMACY	5313 FIFTH AVE	BROOKLYN	NY	11220	04/05/2013	05/14/2018
CH021887B	HEALTH MAX 5TH AVENUE INC	DBA: HEALTHMAX PHARMACY	5313 FIFTH AVE	BROOKLYN	NY	11220	04/05/2013	05/14/2018
CH021887C	HEALTH MAX 5TH AVENUE INC	DBA: HEALTHMAX PHARMACY	5313 FIFTH AVE	BROOKLYN	NY	11220	04/05/2013	05/14/2018
CH021887D	HEALTH MAX 5TH AVENUE INC	DBA: HEALTHMAX PHARMACY	5313 FIFTH AVE	BROOKLYN	NY	11220	04/05/2013	05/14/2018
CH021887E	HEALTH MAX 5TH AVENUE INC	DBA: HEALTHMAX PHARMACY	5313 FIFTH AVE	BROOKLYN	NY	11220	04/05/2013	05/14/2018
CH021887F	HEALTH MAX 5TH AVENUE INC	DBA: HEALTHMAX PHARMACY	5313 FIFTH AVE	BROOKLYN	NY	11220	04/05/2013	05/14/2018
CH021887G	HEALTH MAX 5TH AVENUE INC	DBA: HEALTHMAX PHARMACY	5313 FIFTH AVE	BROOKLYN	NY	11220	04/05/2013	05/14/2018
CH021887R	HEALTH MAX 5TH AVENUE INC	DBA: HEALTHMAX PHARMACY	5313 FIFTH AVE	BROOKLYN	NY	11220	04/05/2013	05/14/2018
CH021887CZ	MANHATTAN RX LLC	DBA BOSTON ROAD PHARMACY	3456 BOSTON RD	BRONX	NY	10469-2512	01/01/2024
CH021887U	MANHATTAN RX LLC	DBA BOSTON ROAD PHARMACY	3456 BOSTON RD	BRONX	NY	10469-2512	01/01/2024
CH021887V	MANHATTAN RX LLC	DBA BOSTON ROAD PHARMACY	3456 BOSTON RD	BRONX	NY	10469-2512	01/01/2024
CH021887Y	MANHATTAN RX LLC	DBA BOSTON ROAD PHARMACY	3456 BOSTON RD	BRONX	NY	10469-2512	01/01/2024
CH021887V	MEDLY PHARMACY INC.	DBA MEDLY PHARMACY	31 DEBEVOISE ST	BROOKLYN	NY	11206-4196	07/01/2022	12/31/2022
CH021887CZ	MEDLY PHARMACY INC.	DBA MEDLY PHARMACY	31 DEBEVOISE ST	BROOKLYN	NY	11206-4196	07/01/2022	12/31/2022
CH021887U	MEDLY PHARMACY INC.	DBA MEDLY PHARMACY	31 DEBEVOISE ST	BROOKLYN	NY	11206-4196	07/01/2022	12/31/2022
CH021887Y	MEDLY PHARMACY INC.	DBA MEDLY PHARMACY	31 DEBEVOISE ST	BROOKLYN	NY	11206-4196	07/01/2022	12/31/2022
CH021887AA	MEDPACK LLC	5923 STRICKLAND AVE		BROOKLYN	NY	11234	07/01/2023	03/07/2024
CH021887DA	MEDPACK LLC	5923 STRICKLAND AVE		BROOKLYN	NY	11234	07/01/2023	03/07/2024
CH021887AC	NOSTRAND DRUG CORP	2918 AVENUE J	ATTN SUPERVISING PHARMACIST	BROOKLYN	NY	11210	01/01/2020	12/31/2022
CH021887AB	NOSTRAND DRUG CORP	2918 AVENUE J	ATTN SUPERVISING PHARMACIST	BROOKLYN	NY	11210	01/01/2020	12/31/2022
CH0218870	NYU LANGONE HOSPITALS	NYU LANGONE SPECIALTY PHARMACY	882 3RD AVE FLOOR 3 INDUSTRY CITY BUILDING #10	BROOKLYN	NY	11232	04/01/2025
CH021887A	NYU LANGONE HOSPITALS	NYU LANGONE SPECIALTY PHARMACY	882 3RD AVE FLOOR 3 INDUSTRY CITY BUILDING #10	BROOKLYN	NY	11232	04/01/2025
CH021887B	NYU LANGONE HOSPITALS	NYU LANGONE SPECIALTY PHARMACY	882 3RD AVE FLOOR 3 INDUSTRY CITY BUILDING #10	BROOKLYN	NY	11232	04/01/2025
CH021887C	NYU LANGONE HOSPITALS	NYU LANGONE SPECIALTY PHARMACY	882 3RD AVE FLOOR 3 INDUSTRY CITY BUILDING #10	BROOKLYN	NY	11232	04/01/2025
CH021887D	NYU LANGONE HOSPITALS	NYU LANGONE SPECIALTY PHARMACY	882 3RD AVE FLOOR 3 INDUSTRY CITY BUILDING #10	BROOKLYN	NY	11232	04/01/2025
CH021887F	NYU LANGONE HOSPITALS	NYU LANGONE SPECIALTY PHARMACY	882 3RD AVE FLOOR 3 INDUSTRY CITY BUILDING #10	BROOKLYN	NY	11232	04/01/2025
CH021887G	NYU LANGONE HOSPITALS	NYU LANGONE SPECIALTY PHARMACY	882 3RD AVE FLOOR 3 INDUSTRY CITY BUILDING #10	BROOKLYN	NY	11232	04/01/2025
CH021887R	NYU LANGONE HOSPITALS	NYU LANGONE SPECIALTY PHARMACY	882 3RD AVE FLOOR 3 INDUSTRY CITY BUILDING #10	BROOKLYN	NY	11232	04/01/2025
CH021887DR	NYU LANGONE HOSPITALS	NYU LANGONE SPECIALTY PHARMACY	882 3RD AVE FLOOR 3 INDUSTRY CITY BUILDING #10	BROOKLYN	NY	11232	04/01/2025
CH021887DA	OPTUM INFUSION SERVICES 101, INC.	931 CONKLIN ST STE D		FARMINGDALE	NY	11735-2429	10/01/2023	03/07/2024
CH021887AA	OPTUM INFUSION SERVICES 101, INC.	931 CONKLIN ST STE D		FARMINGDALE	NY	11735-2429	10/01/2023	03/07/2024
CH021887DA	OPTUM INFUSION SERVICES 305, LLC	15529 COLLEGE BLVD.		LENEXA	KS	66219-1351	10/01/2023	03/07/2024
CH021887AA	OPTUM INFUSION SERVICES 305, LLC	15529 COLLEGE BLVD.		LENEXA	KS	66219-1351	10/01/2023	03/07/2024
CH021887CX	OPTUM PHARMACY 700, LLC	19 CHAPIN RD BLDG D, STE D8		PINE BROOK	NJ	07058	07/01/2022	10/01/2023
CH021887Q	OPTUM PHARMACY 700, LLC	19 CHAPIN RD BLDG D, STE D8		PINE BROOK	NJ	07058	07/01/2022	12/31/2024
CH021887T	OPTUM PHARMACY 700, LLC	19 CHAPIN RD BLDG D, STE D8		PINE BROOK	NJ	07058	07/01/2022	09/30/2024
CH021887DA	OPTUM PHARMACY 700, LLC	19 CHAPIN RD BLDG D, STE D8		PINE BROOK	NJ	07058	10/01/2023	03/07/2024
CH021887AA	OPTUM PHARMACY 700, LLC	19 CHAPIN RD BLDG D, STE D8		PINE BROOK	NJ	07058	10/01/2023	03/07/2024
CH021887CX	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	07/01/2022	10/01/2023
CH021887Q	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	07/01/2022	12/31/2024
CH021887T	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	07/01/2022	09/30/2024
CH021887DA	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	10/01/2023	03/07/2024
CH021887AA	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	10/01/2023	03/07/2024
CH021887CX	OPTUM PHARMACY 706, INC.	30-30 47TH AVENUE	SUITE 410	LONG ISLAND CITY	NY	11101	07/01/2022	10/01/2023
CH021887Q	OPTUM PHARMACY 706, INC.	30-30 47TH AVENUE	SUITE 410	LONG ISLAND CITY	NY	11101	07/01/2022	12/31/2024
CH021887T	OPTUM PHARMACY 706, INC.	30-30 47TH AVENUE	SUITE 410	LONG ISLAND CITY	NY	11101	07/01/2022	09/30/2024
CH021887DA	OPTUM PHARMACY 706, INC.	30-30 47TH AVENUE	SUITE 410	LONG ISLAND CITY	NY	11101	10/01/2023	03/07/2024
CH021887AA	OPTUM PHARMACY 706, INC.	30-30 47TH AVENUE	SUITE 410	LONG ISLAND CITY	NY	11101	10/01/2023	03/07/2024
CH021887DA	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	10/01/2023	03/07/2024
CH021887AA	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	10/01/2023	03/07/2024
CH0218870	PHARMACY ON FIFTH INC		6914 5TH AVE ATTN: SUPERVISING PHARMACIST	BROOKLYN	NY	11209-1507	04/05/2013	12/01/2016
CH021887A	PHARMACY ON FIFTH INC		6914 5TH AVE ATTN: SUPERVISING PHARMACIST	BROOKLYN	NY	11209-1507	04/05/2013	12/01/2016
CH021887B	PHARMACY ON FIFTH INC		6914 5TH AVE ATTN: SUPERVISING PHARMACIST	BROOKLYN	NY	11209-1507	04/05/2013	12/01/2016
CH021887C	PHARMACY ON FIFTH INC		6914 5TH AVE ATTN: SUPERVISING PHARMACIST	BROOKLYN	NY	11209-1507	04/05/2013	12/01/2016
CH021887D	PHARMACY ON FIFTH INC		6914 5TH AVE ATTN: SUPERVISING PHARMACIST	BROOKLYN	NY	11209-1507	04/05/2013	12/01/2016
CH021887E	PHARMACY ON FIFTH INC		6914 5TH AVE ATTN: SUPERVISING PHARMACIST	BROOKLYN	NY	11209-1507	04/05/2013	12/01/2016
CH021887F	PHARMACY ON FIFTH INC		6914 5TH AVE ATTN: SUPERVISING PHARMACIST	BROOKLYN	NY	11209-1507	04/05/2013	12/01/2016
CH021887G	PHARMACY ON FIFTH INC		6914 5TH AVE ATTN: SUPERVISING PHARMACIST	BROOKLYN	NY	11209-1507	04/05/2013	12/01/2016
CH021887R	PHARMACY ON FIFTH INC		6914 5TH AVE ATTN: SUPERVISING PHARMACIST	BROOKLYN	NY	11209-1507	04/05/2013	12/01/2016
CH021887Q	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/01/2021
CH021887T	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/01/2021	09/30/2024
CH021887CX	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/01/2021	10/01/2023
CH021887Q	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 2919	126 EIGHTH AVE.	NEW YORK	NY	10011	04/01/2020
CH021887S	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 2919	126 EIGHTH AVE.	NEW YORK	NY	10011	04/01/2020	10/07/2019
CH021887T	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 2919	126 EIGHTH AVE.	NEW YORK	NY	10011	04/01/2020	09/30/2024
CH021887CX	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 2919	126 EIGHTH AVE.	NEW YORK	NY	10011	04/01/2020	10/01/2023
CH021887Q	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/01/2021
CH021887Q	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	04/01/2021
CH021887Q	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/01/2021
CH021887T	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/01/2021	09/30/2024
CH021887T	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	04/01/2021	09/30/2024
CH021887T	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/01/2021	09/30/2024
CH021887CX	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/01/2021	10/01/2023
CH021887CX	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	04/01/2021	10/01/2023
CH021887CX	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/01/2021	10/01/2023
CH021887CZ	R AND M DRUG CORP	259-21 UNION TPKE		GLEN OAKS	NY	11004	01/01/2024
CH021887U	R AND M DRUG CORP	259-21 UNION TPKE		GLEN OAKS	NY	11004	01/01/2024
CH021887V	R AND M DRUG CORP	259-21 UNION TPKE		GLEN OAKS	NY	11004	01/01/2024
CH021887Y	R AND M DRUG CORP	259-21 UNION TPKE		GLEN OAKS	NY	11004	01/01/2024
CH0218870	RITE AID OF NEW YORK, INC.	RITE AID #4269	6201-23 FOURTH AVENUE	BROOKLYN	NY	11220	01/01/2021	12/18/2023
CH0218870	RITE AID OF NEW YORK, INC.	RITE AID #543	5224 FIFTH AVENUE	BROOKLYN	NY	11220	01/01/2021
CH0218870	RITE AID OF NEW YORK, INC.	RITE AID #4712	9302 3RD AVENUE	BROOKLYN	NY	11209	01/01/2021
CH021887A	RITE AID OF NEW YORK, INC.	RITE AID #4269	6201-23 FOURTH AVENUE	BROOKLYN	NY	11220	01/01/2021	12/18/2023
CH021887A	RITE AID OF NEW YORK, INC.	RITE AID #543	5224 FIFTH AVENUE	BROOKLYN	NY	11220	01/01/2021
CH021887A	RITE AID OF NEW YORK, INC.	RITE AID #4712	9302 3RD AVENUE	BROOKLYN	NY	11209	01/01/2021
CH021887B	RITE AID OF NEW YORK, INC.	RITE AID #4269	6201-23 FOURTH AVENUE	BROOKLYN	NY	11220	01/01/2021	12/18/2023
CH021887B	RITE AID OF NEW YORK, INC.	RITE AID #543	5224 FIFTH AVENUE	BROOKLYN	NY	11220	01/01/2021
CH021887B	RITE AID OF NEW YORK, INC.	RITE AID #4712	9302 3RD AVENUE	BROOKLYN	NY	11209	01/01/2021
CH021887C	RITE AID OF NEW YORK, INC.	RITE AID #4269	6201-23 FOURTH AVENUE	BROOKLYN	NY	11220	01/01/2021	12/18/2023
CH021887C	RITE AID OF NEW YORK, INC.	RITE AID #543	5224 FIFTH AVENUE	BROOKLYN	NY	11220	01/01/2021
CH021887C	RITE AID OF NEW YORK, INC.	RITE AID #4712	9302 3RD AVENUE	BROOKLYN	NY	11209	01/01/2021
CH021887D	RITE AID OF NEW YORK, INC.	RITE AID #4269	6201-23 FOURTH AVENUE	BROOKLYN	NY	11220	01/01/2021	12/18/2023
CH021887D	RITE AID OF NEW YORK, INC.	RITE AID #543	5224 FIFTH AVENUE	BROOKLYN	NY	11220	01/01/2021
CH021887D	RITE AID OF NEW YORK, INC.	RITE AID #4712	9302 3RD AVENUE	BROOKLYN	NY	11209	01/01/2021
CH021887F	RITE AID OF NEW YORK, INC.	RITE AID #4269	6201-23 FOURTH AVENUE	BROOKLYN	NY	11220	01/01/2021	12/18/2023
CH021887F	RITE AID OF NEW YORK, INC.	RITE AID #543	5224 FIFTH AVENUE	BROOKLYN	NY	11220	01/01/2021
CH021887F	RITE AID OF NEW YORK, INC.	RITE AID #4712	9302 3RD AVENUE	BROOKLYN	NY	11209	01/01/2021
CH021887G	RITE AID OF NEW YORK, INC.	RITE AID #4269	6201-23 FOURTH AVENUE	BROOKLYN	NY	11220	01/01/2021	12/18/2023
CH021887G	RITE AID OF NEW YORK, INC.	RITE AID #543	5224 FIFTH AVENUE	BROOKLYN	NY	11220	01/01/2021
CH021887G	RITE AID OF NEW YORK, INC.	RITE AID #4712	9302 3RD AVENUE	BROOKLYN	NY	11209	01/01/2021
CH021887R	RITE AID OF NEW YORK, INC.	RITE AID #4269	6201-23 FOURTH AVENUE	BROOKLYN	NY	11220	01/01/2021	12/18/2023
CH021887R	RITE AID OF NEW YORK, INC.	RITE AID #543	5224 FIFTH AVENUE	BROOKLYN	NY	11220	01/01/2021
CH021887R	RITE AID OF NEW YORK, INC.	RITE AID #4712	9302 3RD AVENUE	BROOKLYN	NY	11209	01/01/2021
CH0218870	RITE AID OF NEW YORK, INC.	RITE AID #2612	344 AVENUE X	BROOKLYN	NY	11223	07/01/2023	01/08/2024
CH021887A	RITE AID OF NEW YORK, INC.	RITE AID #2612	344 AVENUE X	BROOKLYN	NY	11223	07/01/2023	01/08/2024
CH021887B	RITE AID OF NEW YORK, INC.	RITE AID #2612	344 AVENUE X	BROOKLYN	NY	11223	07/01/2023	01/08/2024
CH021887C	RITE AID OF NEW YORK, INC.	RITE AID #2612	344 AVENUE X	BROOKLYN	NY	11223	07/01/2023	01/08/2024
CH021887D	RITE AID OF NEW YORK, INC.	RITE AID #2612	344 AVENUE X	BROOKLYN	NY	11223	07/01/2023	01/08/2024
CH021887F	RITE AID OF NEW YORK, INC.	RITE AID #2612	344 AVENUE X	BROOKLYN	NY	11223	07/01/2023	01/08/2024
CH021887G	RITE AID OF NEW YORK, INC.	RITE AID #2612	344 AVENUE X	BROOKLYN	NY	11223	07/01/2023	01/08/2024
CH021887R	RITE AID OF NEW YORK, INC.	RITE AID #2612	344 AVENUE X	BROOKLYN	NY	11223	07/01/2023	01/08/2024
CH0218870	RITE AID OF NEW YORK, INC.	RITE AID #3879	6900 4TH AVENUE	BROOKLYN	NY	11209	07/01/2023
CH021887A	RITE AID OF NEW YORK, INC.	RITE AID #3879	6900 4TH AVENUE	BROOKLYN	NY	11209	07/01/2023
CH021887B	RITE AID OF NEW YORK, INC.	RITE AID #3879	6900 4TH AVENUE	BROOKLYN	NY	11209	07/01/2023
CH021887C	RITE AID OF NEW YORK, INC.	RITE AID #3879	6900 4TH AVENUE	BROOKLYN	NY	11209	07/01/2023
CH021887D	RITE AID OF NEW YORK, INC.	RITE AID #3879	6900 4TH AVENUE	BROOKLYN	NY	11209	07/01/2023
CH021887F	RITE AID OF NEW YORK, INC.	RITE AID #3879	6900 4TH AVENUE	BROOKLYN	NY	11209	07/01/2023
CH021887G	RITE AID OF NEW YORK, INC.	RITE AID #3879	6900 4TH AVENUE	BROOKLYN	NY	11209	07/01/2023
CH021887R	RITE AID OF NEW YORK, INC.	RITE AID #3879	6900 4TH AVENUE	BROOKLYN	NY	11209	07/01/2023
CH021887DR	RITE AID OF NEW YORK, INC.	RITE AID #4269	6201-23 FOURTH AVENUE	BROOKLYN	NY	11220	10/01/2023	12/18/2023
CH021887DR	RITE AID OF NEW YORK, INC.	RITE AID #543	5224 FIFTH AVENUE	BROOKLYN	NY	11220	10/01/2023
CH021887DR	RITE AID OF NEW YORK, INC.	RITE AID #4712	9302 3RD AVENUE	BROOKLYN	NY	11209	10/01/2023
CH021887DR	RITE AID OF NEW YORK, INC.	RITE AID #2612	344 AVENUE X	BROOKLYN	NY	11223	10/01/2023	01/08/2024
CH021887DR	RITE AID OF NEW YORK, INC.	RITE AID #3879	6900 4TH AVENUE	BROOKLYN	NY	11209	10/01/2023
CH021887CZ	RX EXPRESS PHARMA LLC	DBA - RX-SPRESS PHARMACY	12307 LIBERTY AVE	JAMAICA	NY	11419	01/01/2024
CH021887U	RX EXPRESS PHARMA LLC	DBA - RX-SPRESS PHARMACY	12307 LIBERTY AVE	JAMAICA	NY	11419	01/01/2024
CH021887V	RX EXPRESS PHARMA LLC	DBA - RX-SPRESS PHARMACY	12307 LIBERTY AVE	JAMAICA	NY	11419	01/01/2024
CH021887Y	RX EXPRESS PHARMA LLC	DBA - RX-SPRESS PHARMACY	12307 LIBERTY AVE	JAMAICA	NY	11419	01/01/2024
CH021887CZ	SUN PHARMA INC	DBA DEFRANCO PHARMACY	1790 RANDALL AVE	BRONX	NY	10473	01/01/2024
CH021887U	SUN PHARMA INC	DBA DEFRANCO PHARMACY	1790 RANDALL AVE	BRONX	NY	10473	01/01/2024
CH021887V	SUN PHARMA INC	DBA DEFRANCO PHARMACY	1790 RANDALL AVE	BRONX	NY	10473	01/01/2024
CH021887Y	SUN PHARMA INC	DBA DEFRANCO PHARMACY	1790 RANDALL AVE	BRONX	NY	10473	01/01/2024
CH021887CZ	TAINO TOWERS PHARMA INC	DBA-TAINO TOWERS PHARMACY	2253 3RD AVE FRNT 1	NEW YORK	NY	10035-2206	01/01/2024
CH021887U	TAINO TOWERS PHARMA INC	DBA-TAINO TOWERS PHARMACY	2253 3RD AVE FRNT 1	NEW YORK	NY	10035-2206	01/01/2024
CH021887V	TAINO TOWERS PHARMA INC	DBA-TAINO TOWERS PHARMACY	2253 3RD AVE FRNT 1	NEW YORK	NY	10035-2206	01/01/2024
CH021887Y	TAINO TOWERS PHARMA INC	DBA-TAINO TOWERS PHARMACY	2253 3RD AVE FRNT 1	NEW YORK	NY	10035-2206	01/01/2024
CH021887U	TOTAL CARE RX, INC.	WORLD'S FAIR PHARMACY	22310 UNION TPKE	OAKLAND GARDENS	NY	11364-3645	01/01/2017
CH021887V	TOTAL CARE RX, INC.	WORLD'S FAIR PHARMACY	22310 UNION TPKE	OAKLAND GARDENS	NY	11364-3645	01/01/2017
CH021887X	TOTAL CARE RX, INC.	WORLD'S FAIR PHARMACY	22310 UNION TPKE	OAKLAND GARDENS	NY	11364-3645	01/01/2017	04/01/2022
CH021887W	TOTAL CARE RX, INC.	WORLD'S FAIR PHARMACY	22310 UNION TPKE	OAKLAND GARDENS	NY	11364-3645	01/01/2017	04/01/2022
CH021887Y	TOTAL CARE RX, INC.	WORLD'S FAIR PHARMACY	22310 UNION TPKE	OAKLAND GARDENS	NY	11364-3645	01/01/2017
CH021887CZ	TOTAL CARE RX, INC.	WORLD'S FAIR PHARMACY	22310 UNION TPKE	OAKLAND GARDENS	NY	11364-3645	01/01/2021
CH0218870	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	04/11/2011	04/02/2018
CH021887A	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	10/27/2012	04/02/2018
CH021887B	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	10/27/2012	04/02/2018
CH021887C	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	10/27/2012	04/02/2018
CH021887D	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	10/27/2012	04/02/2018
CH021887E	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	10/27/2012	04/02/2018
CH021887F	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	10/27/2012	04/02/2018
CH021887G	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	10/27/2012	04/02/2018
CH021887R	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	10/27/2012	04/02/2018
CH0218870	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	04/01/2023
CH021887A	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	04/01/2023
CH021887B	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	04/01/2023
CH021887C	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	04/01/2023
CH021887D	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	04/01/2023
CH021887F	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	04/01/2023
CH021887G	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	04/01/2023
CH021887R	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	04/01/2023
CH021887DR	V L S PHARMACY INC	4402 5TH AVE		BROOKLYN	NY	11220	10/01/2023
CH021887CZ	VENKAT PHARM INC	DBA: RITE CHOICE PHARMACY	1484 FULTON ST	BROOKLYN	NY	11216-2505	01/01/2024
CH021887U	VENKAT PHARM INC	DBA: RITE CHOICE PHARMACY	1484 FULTON ST	BROOKLYN	NY	11216-2505	01/01/2024
CH021887V	VENKAT PHARM INC	DBA: RITE CHOICE PHARMACY	1484 FULTON ST	BROOKLYN	NY	11216-2505	01/01/2024
CH021887Y	VENKAT PHARM INC	DBA: RITE CHOICE PHARMACY	1484 FULTON ST	BROOKLYN	NY	11216-2505	01/01/2024
CH0218870	WALGREEN EASTERN CO., INC.	WALGREENS # 17772	462 5TH AVENUE	BROOKLYN	NY	11215	07/01/2025
CH021887A	WALGREEN EASTERN CO., INC.	WALGREENS # 17772	462 5TH AVENUE	BROOKLYN	NY	11215	07/01/2025
CH021887B	WALGREEN EASTERN CO., INC.	WALGREENS # 17772	462 5TH AVENUE	BROOKLYN	NY	11215	07/01/2025
CH021887C	WALGREEN EASTERN CO., INC.	WALGREENS # 17772	462 5TH AVENUE	BROOKLYN	NY	11215	07/01/2025
CH021887D	WALGREEN EASTERN CO., INC.	WALGREENS # 17772	462 5TH AVENUE	BROOKLYN	NY	11215	07/01/2025
CH021887F	WALGREEN EASTERN CO., INC.	WALGREENS # 17772	462 5TH AVENUE	BROOKLYN	NY	11215	07/01/2025
CH021887G	WALGREEN EASTERN CO., INC.	WALGREENS # 17772	462 5TH AVENUE	BROOKLYN	NY	11215	07/01/2025
CH021887R	WALGREEN EASTERN CO., INC.	WALGREENS # 17772	462 5TH AVENUE	BROOKLYN	NY	11215	07/01/2025
CH021887DR	WALGREEN EASTERN CO., INC.	WALGREENS # 17772	462 5TH AVENUE	BROOKLYN	NY	11215	07/01/2025

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/16/2024 1:54:24 PM	2/26/2025 2:33:35 PM	2/26/2025 2:33 PM
Details	Last Recertification Date	Update	Recertification	2/15/2023 2:16:56 PM	2/16/2024 1:54:24 PM	2/16/2024 1:54 PM
Addresses	Shipping Address	Delete	Recertification	Sunset Park Family Health Center at NYU Langone 150 55th Street Brooklyn, NY 11220		2/15/2023 2:16 PM
Addresses	Shipping Address	Insert	Recertification		Sunset Park Health Council, Inc. d/b/a Family Health Centers at NYU Langone 150 55th Street Brooklyn, NY 11220	2/15/2023 2:16 PM
Details	Last Recertification Date	Update	Recertification	2/23/2022 6:44:58 AM	2/15/2023 2:16:56 PM	2/15/2023 2:16 PM
Addresses	Shipping Address	Insert	Recertification		Sunset Park Family Health Center at NYU Langone 150 55th Street Brooklyn, NY 11220	2/23/2022 6:44 AM
Details	Last Recertification Date	Update	Recertification	2/12/2021 2:26:40 PM	2/23/2022 6:44:58 AM	2/23/2022 6:44 AM
Medicaid Billing	NPI: State	Update	Recertification		NY	2/12/2021 2:26 PM
Medicaid Billing	NPI: State	Update	Recertification		NY	2/12/2021 2:26 PM
Details	Last Recertification Date	Update	Recertification	2/21/2020 5:30:56 PM	2/12/2021 2:26:40 PM	2/12/2021 2:26 PM
Details	Last Recertification Date	Update	Recertification	2/14/2019 4:39:53 PM	2/21/2020 5:30:56 PM	2/21/2020 5:30 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	11/7/2019 7:40 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		05698357	11/7/2019 7:40 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		NY	11/7/2019 7:40 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1205305331	11/7/2019 7:40 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	9/13/2019 12:40 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		02996078	9/13/2019 12:40 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		NY	9/13/2019 12:40 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1619341716	9/13/2019 12:40 PM
Addresses	Shipping Address	Insert	Change Request		Park Ridge Family Health Center at NYU Langone 6317 4th Avenue Brooklyn, NY 11220	8/15/2019 7:26 AM
Addresses	Shipping Address	Insert	Change Request		Sunset Terrace Family Health Center at NYU Langone 514 49 Street Brooklyn, NY 11220	8/15/2019 7:26 AM
Details	Last Recertification Date	Update	Recertification	3/2/2018 3:17:00 PM	2/14/2019 4:39:53 PM	2/14/2019 4:39 PM
Medicaid Billing	Medicaid: Number	Delete	Change Request	02996078 (NY)		11/12/2018 1:50 PM
Medicaid Billing	NPI: Number	Delete	Change Request	1538111653 ( )		11/12/2018 1:50 PM
Details	Last Recertification Date	Update	Recertification	2/17/2017 12:00:00 AM	3/2/2018 3:17:00 PM	3/2/2018 3:17 PM
Details	Entity Subname	Update	Change Request	PARK RIDGE FAMILY HEALTH CENTER	PARK RIDGE FAMILY HEALTH CENTER at NYU LANGONE	1/19/2018 3:07 PM
Contacts	Primary Contact	Update	New Registration	Gonzalez, Astrid P. VP - Finance 7186308973	Gonzalez, Astrid P. VP - Finance Sunset Park Health Council, Inc. 7186308973	1/12/2018 5:04 PM
Contacts	Authorizing Official	Update		McReynolds, Larry K. Executive Director 7186307216	McReynolds, Larry K. Executive Director Sunset Park Health Council, Inc. 7186307216	10/13/2017 2:52 PM
Contacts	Authorizing Official	Insert			McReynolds, Larry K. Executive Director 7186307216	8/10/2017 1:52 PM
Contacts	Primary Contact	Insert			Gonzalez, Astrid P. VP - Finance 7186308973	2/17/2017 7:38 AM
Addresses	Main Address	Insert			6317 - 4TH AVE BROOKLYN, NY 11220	2/17/2017 7:36 AM
Details	Last Recertification Date	Update		3/7/2016 12:00:00 AM	2/17/2017 12:00:00 AM	2/17/2017 7:35 AM
Addresses	Billing Address	Insert			SUNSET PARK HEALTH COUNCIL, INC. 150 - 55TH STREET BROOKLYN, NY 11220	3/29/2016 11:30 AM
Details	Last Recertification Date	Update		3/4/2015 12:00:00 AM	3/7/2016 12:00:00 AM	3/7/2016 8:44 AM
Details	Last Recertification Date	Update		3/11/2014 12:00:00 AM	3/4/2015 12:00:00 AM	3/4/2015 8:20 AM
Medicaid Billing	Medicaid: Is Primary	Insert			False	5/15/2014 11:19 AM
Medicaid Billing	Medicaid: Number	Insert			02996078	5/15/2014 11:19 AM
Medicaid Billing	Medicaid: State	Insert			NY	5/15/2014 11:19 AM
Medicaid Billing	NPI: Number	Insert			1538111653	5/15/2014 11:19 AM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	3/11/2014 12:00:00 AM	3/11/2014 6:03 PM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	3/11/2013 9:17 AM
Details	Entity Name	Update		SUNSET PARK FAMILY HEALTH CENTER	SUNSET PARK HEALTH COUNCIL, INC.	2/1/2013 8:46 PM
Dates	Participating Approval Date	Update		6/15/2007 2:04:37 PM	6/15/2007 12:00:00 AM	2/1/2013 8:46 PM
Details	Last Recertification Date	Insert				6/15/2007 3:02 PM
Details	Grant Number	Insert			H80CS07914	6/15/2007 3:02 PM
Details	340B ID	Insert			CH021887D	6/15/2007 3:02 PM
Details	Is Authorizing Official EHB Data	Insert				6/15/2007 3:02 PM
Dates	Last Date That 340B Drugs Purchased	Insert				6/15/2007 3:02 PM
Details	Medicare Provider Number	Insert				6/15/2007 3:02 PM
Details	Entity Name	Insert			SUNSET PARK FAMILY HEALTH CENTER	6/15/2007 3:02 PM
Details	Program Code	Insert			CH	6/15/2007 3:02 PM
Details	Entity Subname	Insert			PARK RIDGE FAMILY HEALTH CENTER	6/15/2007 3:02 PM
Dates	Participating Approval Date	Insert			6/15/2007 2:04:37 PM	6/15/2007 3:02 PM
Details	State	Insert			Active	6/15/2007 3:02 PM
Dates	Registration Date	Insert			6/15/2007 12:00:00 AM	6/15/2007 3:02 PM
Dates	Signed By Date	Insert				6/15/2007 3:02 PM
Dates	Start Date	Insert			1/1/2004 12:00:00 AM	6/15/2007 3:02 PM
Terminations	Termination Comments	Insert				6/15/2007 3:02 PM
Terminations	Termination Date	Insert				6/15/2007 3:02 PM
Terminations	Termination Effective Date	Insert				6/15/2007 3:02 PM
Terminations	Termination Reason	Insert				6/15/2007 3:02 PM

340B Drug Pricing Program Database