340B Drug Pricing Program Database


CH01017A HARBOR HEALTH SERVICES, INC. (Active) - information as of 4/24/2025 11:59:15 PM

Main Details
HARBOR HEALTH SERVICES, INC.
GEIGER-GIBSON COMMUNITY HLTH CTR
HRSA-Funded Health Center
BPS-H80-000651
CH01017A
H80CS00743


Additional Details
Active
12/14/2007
1/1/2008
12/14/2007
2/28/2025

Contacts

Harbor Health Services
Todd Murphy, CFO
(617) 533-2333

Harbor Health Services, Inc.
Victor Paul Fournier, Director of Pharmacy
(617) 533-2280

Addresses

250 MOUNT VERNON ST.
DORCHESTER, MA 02125

HARBOR HEALTH SERVICES, INC.
1135 MORTON STREET
MATTAPAN, MA 02126-2834


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
8/10/10 UPDATED BILL TO (WAS 398 NEPONSET AVE, DORCHESTER, 02122)08/10/2010
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
MA110027821D1659330496,1881692366
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH010170ActiveBPS-H80-004970Harbor Health Services, Inc.DANIEL DRISCOLL - NEPONSET HEALTH CENTER398 NEPONSET AVE DORCHESTERMA
CH01017AActiveBPS-H80-000651HARBOR HEALTH SERVICES, INC.GEIGER-GIBSON COMMUNITY HLTH CTR250 MOUNT VERNON ST. DORCHESTERMA
CH01017FActiveBPS-H80-010227HARBOR HEALTH SERVICES, INC.ELDER SERVICE PLAN1135 Morton Street, FL 2 MattapanMA
CH01017IActiveBPS-H80-031030HARBOR HEALTH SERVICES, INC.ELLEN JONES COMMUNITY DENTAL CLINIC516 Route 134 South DennisMA
CH01017OActiveBPS-H80-012122Harbor Health Services, Inc.Harbor Community Health Center - Hyannis735 Attucks Ln HYANNISMA
CH01017PActiveBPS-H80-013085Harbor Health Services, Inc.Harbor Community Health Center-Plymouth10 Cordage Park CirSuite 115PlymouthMA
CH01017QActiveBPS-H80-019444Harbor Health Services, Inc.Elder Service Plan, Brockton479 Torrey Street BrocktonMA
CH01017RTerminatedBPS-H80-024652Harbor Health Services, Inc.Harbor Community Dental Center - Provincetown49 Harry Kemp Way ProvincetownMA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH010170ALLCARE PLUS PHARMACY50 BEARFOOT ROAD
NORTHBOROUGHMA01532-151410/01/2017 10/03/2019
CH010170ATLAS PHARMAHEALTH, INCDBA GALAXY PHARMACY 534 DORCHESTER AVE
UNIT 1
SOUTH BOSTONMA0212701/01/2023  
CH010170CAPE COD PHARMACY & HEALTHDBA: WHOLE HEALTH PHARMACY 596 W MAIN ST
HYANNISMA02601-346501/01/2023  
CH010170CAREKINESISSUITE 100 5303 SPINE RD
BOULDERCO80301-330001/01/2021  
CH010170CAREKINESIS228 STRAWBRIDGE DR STE 200
MOORESTOWNNJ08057-460001/01/2021  
CH010170CAREKINESIS401 S CANAL ST
SOUTH SAN FRANCISCOCA94080-460601/01/2021  
CH010170CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2019  
CH010170CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2019  
CH010170CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/01/2019  
CH010170CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2019  
CH010170CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2019  
CH010170CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2019  
CH010170CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2019  
CH010170CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813301/01/2019  
CH010170CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237401/01/2019  
CH010170CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911904/01/2022  
CH010170CRAWFORD DRUG,LLC1735 DORCHESTER AVE
DORCHESTERMA0212401/01/2023  
CH010170CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/01/2020  
CH010170CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/01/2020  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00720 2235 DORCHESTER AVENUE
BOSTONMA0212407/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00860 6 POST OFFICE SQ
HARWICH PORTMA0264607/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01252 874 HARRISON AVE
BOSTONMA0211807/01/2018 04/01/2022
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00471 778 DUDLEY ST.
DORCHESTERMA0212507/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01859 148 ROUTE 137
HARWICHMA0264507/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01015 42 BEALE STREET
WOLLASTONMA0217007/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01869 1080 FALMOUTH RD.
HYANNISMA0260107/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01264 704 CENTRE STREET
JAMAICA PLAINMA0213007/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02070 467 CENTRE STREET
JAMAICA PLAINMA0213007/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01049 942A HYDE PARK AVENUE
HYDE PARKMA0213607/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01263 10 BASSETT STREET
MILTONMA0218607/01/2018  
CH010170CVS PHARMACY, INC.CVS PHARMACY # 16826 101 INDEPENDENCE MALL WAY
KINGSTONMA0236407/01/2018  
CH010170CVS PHARMACY, INC.CVS PHARMACY # 17018 7 ALLSTATE RD
DORCHESTERMA0212507/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02322 176 NORTH STREET
HYANNISMA0260107/01/2018  
CH010170CVS PHARMACY, INC.DBA CVS/PHARMACY # 5464 1575 BLUE HILL AVE
MATTAPANMA0212607/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02592 468 BLUE HILL AVE
DORCHESTERMA0212107/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02282 703 GALLIVAN BOULEVARD
DORCHESTERMA0212407/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02138 8 PILGRIM HILL ROAD
PLYMOUTHMA0236007/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02454 321 QUINCY SHORE DRIVE
QUINCYMA0217107/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02283 715 MORRISSEY BOULEVARD
DORCHESTERMA0212207/01/2018  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00735 976 ROUTE 28
SOUTH YARMOUTHMA0266401/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01249 471 LIBERTY STREET
HANSONMA0234101/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02200 1030 PUTNAM AVENUE
MARSTONS MILLSMA0264801/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00937 100 D N. MAIN ST.
CARVERMA0233001/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00636 65 ROUTE 6A
SANDWICHMA02563-189301/01/2019  
CH010170CVS PHARMACY, INC.DBA CVS/PHARMACY #10174 700 ATLANTIC AVENUE
BOSTONMA0211101/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02377 2253 STATE RD.
PLYMOUTHMA0236001/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02201 270 BUSSEY ST.
DELLA PARK PLAZA
DEDHAMMA0202601/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01945 207 ROCKLAND ST.
HANOVERMA0233901/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00117 1921-1943 CENTRE STREET
WEST ROXBURYMA0213201/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00594 105 DAVIS STRAITS
FALMOUTHMA0254001/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01007 1267 MAIN ST
BROCKTONMA02301-710701/01/2019  
CH010170CVS PHARMACY, INC.DBA CVS PHARMACY # 1878 12 QUEEN ANNE ROAD
CHATHAMMA0263301/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01872 438, SUITE B WEST GROVE ST.
MIDDLEBOROMA0234601/01/2019  
CH010170CVS PHARMACY, INC.DBA CVS/PHARMACY # 5407 11 MAIN ST.
LAKEVILLEMA0234701/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01021 500 ROUTE 134 STE 2
SOUTH DENNISMA0266001/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00457 426B ESSEX ST
SALEMMA0197001/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01024 214 HARVARD AVENUE
ALLSTONMA0213401/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01297 357 GROVE ST
BRAINTREEMA0218401/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00861 355 CENTRE ST.
BROCKTONMA0230201/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00686 178 WASHINGTON STREET
BRAINTREEMA02184-649801/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00043 474 WASHINGTON ST.
WEYMOUTHMA0218801/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00979 423 WEST BROADWAY
SOUTH BOSTONMA0212701/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00672 32 FERRY STREET
MALDENMA0214801/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01247 2992 CRANBERRY HWY
EAST WAREHAMMA0253801/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01603 104 WASHINGTON STREET
NORWELLMA0206101/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01867 517 STATE RD.
PLYMOUTHMA0236001/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02054 136 NAHATAN ST.
NORWOODMA0206201/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01251 842 SOUTH FRANKLIN STREET
HOLBROOKMA0234301/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01248 240 OAK STREET
BROCKTONMA0230101/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00669 413 PARADISE RD STE A
SWAMPSCOTTMA0190701/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01889 427 WASHINGTON STREET
BRIGHTONMA0213501/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01861 884-886 WASHINGTON STREET
BRAINTREEMA0218401/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01850 77 QUAKER MEETING HOUSE ROAD
SANDWICHMA0256301/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00049 333 WASHINGTON STREET
BOSTONMA0210801/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00746 171 NORTH MAIN STREET
RANDOLPHMA0236801/01/2019  
CH010170CVS PHARMACY, INC.DBA CVS/PHARMACY # 1189 405 LINCOLN ST.
HINGHAMMA0204301/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02325 1025 CENTRAL STREET
STOUGHTONMA0207201/01/2019  
CH010170CVS PHARMACY, INC.DBA CVS/PHARMACY # 4313 438 RT 28
WEST YARMOUTHMA0267301/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01853 737 BRIDGE STREET
WEYMOUTHMA0219101/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00026 590 FELLSWAY
MEDFORDMA0215501/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01865 155 CENTER STREET
PEMBROKEMA0235901/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05874 631 WASHINGTON ST.
BOSTONMA0211101/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00944 465 STATION AVENUE
SOUTH YARMOUTHMA0266401/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00518 419 MAIN ST,
WAREHAMMA0257101/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01576 6 HEAD OF THE BAY RD.
BOURNEMA0253201/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01031 4600 WASHINGTON STREET
ROSLINDALEMA0213101/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00719 110 ROUTE 6A
ORLEANSMA0265301/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02600 1515 COMMERCIAL ST.
WEYMOUTHMA0218901/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01857 9 WEST RD
SKAKET CORNERS
ORLEANSMA0265301/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00634 189 SUMMER STREET
KINGSTONMA0236401/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00242 480 NORTH FRANKLIN ST.
HOLBROOKMA0234301/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01250 555 BELMONT STREET
BROCKTONMA0230101/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01002 624 MASSACHUSETTS AVE.
CAMBRIDGEMA0213901/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00281 80 MARKET STREET
ROCKLANDMA0237001/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01265 210 BORDER STREET
EAST BOSTONMA0212801/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01253 8 GREENE STREET
MASHPEEMA0264901/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02401 1880 OCEAN STREET
MARSHFIELDMA0205001/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00137 626 SOUTHERN ARTERY, RTE 3A
QUINCYMA0216901/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00361 55 SUMMER STREET
BOSTONMA0211007/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00524 350 LONGWOOD AVENUE
BOSTONMA0211507/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00619 1150 SARATOGA STREET
EAST BOSTONMA0212807/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00109 1010 REVERE BEACH PKWY
CHELSEAMA0215007/01/2019  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00119 451 MAIN STREET
WAKEFIELDMA0188004/01/2020  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01008 230 EAST ASHLAND ST.
CARY HILL PLAZA
BROCKTONMA0230204/01/2020 05/10/2022
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00717 36 WHITE STREET
CAMBRIDGEMA0214004/01/2020  
CH010170CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01012 27 MAIN ST
WATERTOWNMA0247204/01/2020  
CH010170CVS PHARMACY, INC.DBA CVS/PHARMACY #11036 451 WASHINGTON STREET
DORCHESTERMA0212407/01/2020  
CH010170CVS PHARMACY, INC.CVS/PHARMACY # 10852 411 BARNSTABLE ROAD
HYANNISMA0260110/01/2021  
CH010170CVS PHARMACY, INC.DBA CVS/PHARMACY #10932 330 COURT ST.
PLYMOUTHMA0236010/01/2021  
CH010170CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502804/01/2022  
CH010170CYSTIC FIBROSIS SERVICESCYSTIC FIBROSIS SERVICES, INC 10530 JOHN W ELLIOTT DR, STE 200
FRISCOTX7503301/01/2017 08/09/2017
CH010170CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503307/01/2017  
CH010170D.A.W., LLCEATON APOTHECARY #3060 427 TURNPIKE ST STE 5
CANTONMA02021-270907/01/2017 06/29/2021
CH01017FD.A.W., LLCEATON APOTHECARY #3060 427 TURNPIKE ST STE 5
CANTONMA02021-270908/12/2008 02/07/2018
CH010170MAXI DRUG, INC.RITE AID #10150 1100 DORCHESTER AVENUE
DORCHESTERMA0212510/01/2016 01/24/2018
CH010170MAXI DRUG, INC.RITE AID #10170 132 GRANITE STREET
QUINCYMA0216910/01/2016 01/24/2018
CH010170MAXI DRUG, INC.RITE AID #10189 360 BARNSTABLE ROAD
HYANNISMA0260110/01/2016 01/17/2018
CH010170MAXI DRUG, INC.RITE AID #10190 520 WEST MAIN ST.
HYANNISMA0260110/01/2016 01/17/2018
CH010170MAXI DRUG, INC.RITE AID #10191 711 MAIN ST. ROUTE 28
DENNIS PORTMA0263910/01/2016 01/27/2017
CH010170MAXI DRUG, INC.RITE AID #10194 918 MAIN STREET 6A
YARMOUTH PORTMA0267510/01/2016 01/17/2018
CH010170MAXIM PHARMACY1365 DORCHESTER AVE (1365-1377 DORCHESTER AVE)
DORCHESTERMA0212201/01/2023  
CH010170MHHP ACQUISITION COMPANY, LLCOMNICARE OF CENTRAL MASSACHUSETTS 574 HARTFORD TURNPIKE
SHREWSBURYMA0154507/01/2018  
CH010170NORTH SHORE PHARMACY SERVICESOMNICARE OF NORTHERN MASSACHUSETTS 2 TECHNOLOGY DRIVE
PEABODYMA0196007/01/2018  
CH010170PERSONIFILRX800 WISCONSIN ST., MAIL BOX 21 BUILDING A18, SUITE 101
EAU CLAIREWI5470301/01/2021  
CH010170PERSONIFILRX NEW ENGLAND, LLC225 METRO CENTER BLVD BLDG 2
WARWICKRI02886-178301/01/2021  
CH010170PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/01/2019  
CH010170PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY # 2516 35 KNEELAND STREET
BOSTONMA0211104/01/2019  
CH010170PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2971 350 LONGWOOD AVE., STE B
BOSTONMA0211504/01/2020  
CH010170PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523304/01/2022  
CH010170PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920304/01/2022  
CH010170TABULA RASA HEALTHCARE GROUP, INC.DBA CAREKINESIS 225 METRO CENTER BLVD BLDG 2
WARWICKRI0288601/01/2025  
CH010170WALGREEN CODBA: WALGREENS 28727 OREGON ROAD
PERRYSBURGOH4355112/04/2012 06/30/2015
CH010170WALGREEN EASTERN CO INCWALGREENS SPECIALTY PHARMACY #15307 21 STANHOPE STREET #23
BOSTONMA0211604/01/2015  
CH010170WALGREEN EASTERN CO. INC.DBA STRAND, A WALGREENS PHARMACY #13806 533 COLUMBIA ROAD
DORCHESTERMA0212512/04/2012 03/09/2020
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 05755 413 WASHINGTON STREET
STOUGHTONMA02072-421012/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 01847 757 GALLIVAN BLVD STE 3
DORCHESTERMA0212212/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 10317 1035 TRUMAN HWY
BOSTONMA0213612/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS #15001 980 AMERICAN LEGION HWY
ROSLINDALEMA02131-470112/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 01864 324 MASSACHUSETTS AVE
ARLINGTONMA02474-830612/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 10824 430 BROADWAY
REVEREMA0215112/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 01855 15 SCHOOL STREET
FRAMINGHAMMA0170112/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 02759 550 ADAMS ST
SUITE 6
QUINCYMA0216912/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 02861 653 WORCESTER RD STE 3
FRAMINGHAMMA0170112/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 02977 1101 MAIN STREET
BROCKTONMA0230112/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03016 416 WARREN ST
ROXBURYMA0211912/04/2012 01/31/2024
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03135 825 MORTON STREET
BOSTONMA0212612/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03062 595 WASHINGTON ST.
CANTONMA0202112/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03130 185 CENTRE STREET
MALDENMA0214812/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03496 317 FERRY ST
EVERETTMA0214912/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03469 369 PLYMOUTH AVE
FALL RIVERMA0272112/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03759 1010 BROADWAY
CHELSEAMA0215012/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03758 610 PLEASANT ST.
BROCKTONMA02301-251312/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 04072 1890 COLUMBUS AVE
ROXBURYMA0211912/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 04403 418 QUINCY AVENUE
QUINCYMA0216912/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 04535 170 N MAIN STREET
RANDOLPHMA0236812/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 04571 220 S. BROADWAY
LAWRENCEMA0184312/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 04729 951 BOSTON PROVIDENCE TPKE
NORWOODMA0206212/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 04966 215 BEACH ST
MALDENMA0214812/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 04923 1999 CENTRE ST
WEST ROXBURYMA0213212/04/2012 11/06/2024
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 06072 1603 WASHINGTON ST
BOSTONMA0211812/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 05586 1 PLYMOUTH ST
HOLBROOKMA0234312/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 06349 585 WASHINGTON ST
DORCHESTERMA02124-203212/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 06470 750 WASHINGTON ST
WEYMOUTHMA0218812/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 06805 130 BOWDOIN ST
DORCHESTERMA02122-183712/04/2012 11/05/2019
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 05756 1 CENTRAL SQ
EAST BOSTONMA0212812/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 07189 1630 TREMONT STREET
ROXBURYMA0212012/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 07329 75 MARKET ST
ROCKLANDMA0237012/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 09538 2275 WASHINGTON ST
ROXBURYMA02119-321212/04/2012 11/08/2022
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 09405 969 MAIN ST
WEYMOUTHMA0219012/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS #10460 1041ROUTE 28
SOUTH YARMOUTHMA02664-411512/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS #10152 624 WAVERLY STREET
FRAMINGHAMMA0170212/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS #15591 57 WINTHROP STREET
TAUNTONMA02780-305412/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS #10650 880 N MONTELLO ST
BROCKTONMA02301-165512/04/2012 03/23/2017
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS #13135 21 SOUTH STREET
MASHPEEMA02649-650112/04/2012  
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS #11831 324 HANCOCK STREET
QUINCYMA02171-225812/04/2012 02/27/2025
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS #13987 385 COTTAGE ST.
PAWTUCKETRI02861-160312/04/2012  
CH010170WALGREEN EASTERN CO., INC.  80 INTERNATIONAL DR.
WINDSORCT06095-104412/04/2012 06/30/2015
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS # 07734 165 SAMOSET ST
PLYMOUTHMA02360-482207/01/2016  
CH010170WALGREEN EASTERN CO., INC.DBA WALGREENS #16237 75 AMORY STREET
SUITE 100
BOSTONMA0211907/01/2017 03/30/2018
CH010170WALGREEN EASTERN CO., INC.WALGREENS SPECIALTY PHARMACY#10996 429 BROOKLINE AVENUE
BOSTONMA0221501/01/2018  
CH010170WALGREEN EASTERN CO., INC.WALGREENS #17545 520 W MAIN ST
HYANNISMA0260102/05/2018  
CH010170WALGREEN EASTERN CO., INC.WALGREENS #19695 918 ROUTE 6A
YARMOUTH PORTMA0267502/05/2018  
CH010170WALGREEN EASTERN CO., INC.WALGREENS #17259 467 IYANNOUGH RD
HYANNISMA0260102/05/2018 01/23/2025
CH010170WALGREEN EASTERN CO., INC.DBA: WALGREENS #19437 1100 DORCHESTER AVE
DORCHESTERMA0212502/06/2018  
CH010170WALGREEN EASTERN CO., INC.WALGREENS #18361 132 GRANITE ST
QUINCYMA0216902/06/2018  
CH010170WALGREEN EASTERN CO., INC.WALGREENS #17257 90 RIVER ST STE 7
MATTAPANMA0212607/01/2018 11/10/2022
CH010170WALGREEN EASTERN CO., INC.WALGREENS #17169 710 E BROADWAY
SOUTH BOSTONMA0212707/01/2018  
CH010170WALGREEN EASTERN CO., INC.WALGREENS #19067 1329 HYDE PARK AVE
HYDE PARKMA0213607/01/2018 11/09/2022
CH010170WALGREEN EASTERN CO., INC.WALGREENS #19487 330 RIVER ST
CAMBRIDGEMA0213907/01/2018  
CH010170WALGREEN EASTERN CO., INC.WALGREENS #17685 14 MCGRATH HWY STE 3
SOMERVILLEMA0214307/01/2018 11/06/2023
CH010170WALGREEN EASTERN CO., INC.RITE AID #10148 100 CAMBRIDGE ST
SUITE 102
BOSTONMA0211407/01/2018 07/19/2018
CH010170WALGREEN EASTERN CO., INC.WALGREENS #17228 11 PEARL ST
BRAINTREEMA0218407/01/2019  
CH010170WALGREEN EASTERN CO., INC.WALGREENS #18183 121 MARION RD
WAREHAMMA0257107/01/2019  
CH010170WALGREEN EASTERN CO., INC.WALGREENS #19947 3848 FALMOUTH RD
MARSTONS MILLSMA0264810/01/2019 02/18/2025
CH010170WALGREEN EASTERN CO., INC.WALGREENS #19983 711 MAIN ST
DENNISPORTMA0263910/01/2019 02/27/2025
CH010170WALGREEN EASTERN CO., INC.WALGREENS #19491 179 COURT ST
PLYMOUTHMA0236001/01/2020 11/19/2020
CH010170Walgreens Central Fill #2140044 Cabot Blvd.
MansfieldMA0204804/01/2023  
CH010170WALGREENS MAIL SERVICE, INC.  8337 S PARK CIRCLE
ORLANDOFL32819-904907/01/2013 06/30/2015
CH010170WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528407/01/2013 06/30/2015
CH010170WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700801/01/2017 10/01/2021
CH010170WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818801/01/2017  
CH010170WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503301/01/2017  
CH010170WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527501/01/2017  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesMain AddressUpdateRecertification 250 MT. VERNON STREET DORCHESTER, MA 02125 250 MOUNT VERNON ST. DORCHESTER, MA 021252/28/2025 6:39 AM
DetailsLast Recertification DateUpdateRecertification2/12/2024 12:54:20 PM2/28/2025 6:39:26 AM2/28/2025 6:39 AM
ContactsAuthorizing OfficialUpdateChange RequestJones, Charles T. CEO Harbor Health Services 6175332350Murphy, Todd CFO Harbor Health Services 617533233312/4/2024 8:15 AM
DetailsLast Recertification DateUpdateRecertification2/1/2023 8:03:05 AM2/12/2024 12:54:20 PM2/12/2024 12:54 PM
DetailsLast Recertification DateUpdateRecertification2/7/2022 3:54:15 PM2/1/2023 8:03:05 AM2/1/2023 8:03 AM
DetailsLast Recertification DateUpdateRecertification2/25/2021 12:35:54 PM2/7/2022 3:54:15 PM2/7/2022 3:54 PM
Medicaid BillingNPI: StateUpdateRecertification MA2/25/2021 12:35 PM
Medicaid BillingNPI: StateUpdateRecertification MA2/25/2021 12:35 PM
DetailsLast Recertification DateUpdateRecertification1/31/2020 4:01:21 PM2/25/2021 12:35:54 PM2/25/2021 12:35 PM
Medicaid BillingNPI: NumberInsertRecertification 18816923661/31/2020 4:01 PM
DetailsLast Recertification DateUpdateRecertification1/30/2019 7:14:01 AM1/31/2020 4:01:21 PM1/31/2020 4:01 PM
DetailsLast Recertification DateUpdateRecertification2/7/2018 11:41:43 AM1/30/2019 7:14:01 AM1/30/2019 7:14 AM
ContactsPrimary ContactUpdateChange RequestCasey, Kevin EXECUTIVE DIRECTOR - Geiger Gibson Community Health Center Harbor Health Service, Inc. 6172881140Fournier, Victor Paul Director of Pharmacy Harbor Health Services, Inc. 61753322802/7/2018 11:54 AM
DetailsLast Recertification DateUpdateRecertification2/15/2017 12:00:00 AM2/7/2018 11:41:43 AM2/7/2018 11:41 AM
ContactsAuthorizing OfficialUpdate Jones, Charles T. CEO 6175332350Jones, Charles T. CEO Harbor Health Services 617533235010/12/2017 3:20 PM
ContactsPrimary ContactUpdate Casey, Kevin EXECUTIVE DIRECTOR - Geiger Gibson Community Health Center 6172881140Casey, Kevin EXECUTIVE DIRECTOR - Geiger Gibson Community Health Center Harbor Health Service, Inc. 617288114010/10/2017 3:25 PM
ContactsAuthorizing OfficialInsert  Jones, Charles T. CEO 61753323507/3/2017 7:57 AM
AddressesMain AddressInsert   250 MT. VERNON STREET DORCHESTER, MA 021253/14/2017 2:13 PM
AddressesBilling AddressInsert  HARBOR HEALTH SERVICES, INC. 1135 MORTON STREET MATTAPAN, MA 02126-28343/14/2017 2:13 PM
ContactsPrimary ContactUpdate BRADY, LOU EXECUTIVE DIRECTOR-GEIGER GIBSON COMMUNITY HEALTH CENTER 6172881140Casey, Kevin EXECUTIVE DIRECTOR - Geiger Gibson Community Health Center 61728811403/14/2017 2:13 PM
DetailsLast Recertification DateUpdate 2/29/2016 12:00:00 AM2/15/2017 12:00:00 AM2/15/2017 2:07 PM
Medicaid BillingMedicaid: Is PrimaryUpdate TrueFalse2/29/2016 2:56 PM
DetailsLast Recertification DateUpdate 2/19/2015 12:00:00 AM2/29/2016 12:00:00 AM2/29/2016 2:56 PM
DetailsLast Recertification DateUpdate 3/15/2014 12:00:00 AM2/19/2015 12:00:00 AM2/19/2015 10:28 AM
Medicaid BillingMedicaid: NumberUpdate 1305395110027821D1/8/2015 3:27 PM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM3/15/2014 12:00:00 AM3/15/2014 8:19 AM
Medicaid BillingNPI: NumberInsert  16593304962/11/2013 12:43 PM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM2/11/2013 12:43 PM
ContactsPrimary ContactInsert  BRADY, LOU EXECUTIVE DIRECTOR-GEIGER GIBSON COMMUNITY HEALTH CENTER 61728811408/10/2010 6:54 PM
DetailsLast Recertification DateInsert   8/10/2010 6:54 PM
DetailsGrant NumberInsert  H80CS007438/10/2010 6:54 PM
Details340B IDInsert  CH01017A8/10/2010 6:54 PM
DetailsIs Authorizing Official EHB DataInsert   8/10/2010 6:54 PM
DatesLast Date That 340B Drugs PurchasedInsert   8/10/2010 6:54 PM
DetailsMedicare Provider NumberInsert   8/10/2010 6:54 PM
DetailsEntity NameInsert  HARBOR HEALTH SERVICES, INC.8/10/2010 6:54 PM
DetailsProgram CodeInsert  CH8/10/2010 6:54 PM
DetailsEntity SubnameInsert  GEIGER-GIBSON COMMUNITY HLTH CTR8/10/2010 6:54 PM
DatesParticipating Approval DateInsert  12/14/2007 12:00:00 AM8/10/2010 6:54 PM
DetailsStateInsert  Active8/10/2010 6:54 PM
DatesRegistration DateInsert  12/14/2007 12:00:00 AM8/10/2010 6:54 PM
DatesSigned By DateInsert  12/14/2007 12:00:00 AM8/10/2010 6:54 PM
DatesStart DateInsert  1/1/2008 12:00:00 AM8/10/2010 6:54 PM
TerminationsTermination CommentsInsert   8/10/2010 6:54 PM
TerminationsTermination DateInsert   8/10/2010 6:54 PM
TerminationsTermination Effective DateInsert   8/10/2010 6:54 PM
TerminationsTermination ReasonInsert   8/10/2010 6:54 PM
DetailsComments PublicInsert  8/10/10 UPDATED BILL TO (WAS 398 NEPONSET AVE, DORCHESTER, 02122)8/10/2010 6:54 PM
Medicaid BillingMedicaid: Is PrimaryInsert  True12/14/2007 11:31 AM
Medicaid BillingMedicaid: NumberInsert  130539512/14/2007 11:31 AM
Medicaid BillingMedicaid: StateInsert  MA12/14/2007 11:31 AM