340B Drug Pricing Program Database


CH06024A FIRST CHOICE COMMUNITY HEALTHCARE (Active) - information as of 4/28/2025 1:45:59 AM

Main Details
FIRST CHOICE COMMUNITY HEALTHCARE
1ST CHOICE/LOS LUNAS
HRSA-Funded Health Center
BPS-H80-010148
CH06024A
H80CS00202


Additional Details
Active
12/1/1992
12/1/1992
4/15/2005
2/24/2025

Contacts

First Choice Community Healthcare
Shawna R Gonzales, CFO
(505) 873-7414

First Choice Community Healthcare
Dane Tortalita, Financial Analyst
(505) 873-7400 Ext: 9053

Addresses

145 Don Pasqual NW
Los Lunas, NM 87031-8841

FIRST CHOICE COMMUNITY HEALTHCARE, INC., ATTN: ACCOUNTS PAYABLE
2001 N CENTRO FAMILIAR BLVD. SW
ALBUQUERQUE, NM 87105


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
Address is not showing in EHB as approved site, contact the BPHC project officer to submit a change in scope. OPA will not make the change until verification can be made. 4/10/12 - Changed contact information from John Denslow, R.Ph, added INC to entity name. 4/15/05 - NEW BILL TO, 10/24/05 - NEW CONTACT; 10/18/2012
4/10/12 - Changed contact information from John Denslow, R.Ph, added INC to entity name. 4/15/05 - NEW BILL TO, 10/24/05 - NEW CONTACT; 04/10/2012
4/15/05 - NEW BILL TO, 10/24/05 - NEW CONTACT; 10/24/2005
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
NM465571649431834
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailSMITH MANAGEMENT CORP DBASMITH'S PHARMACY #414 2580 MAIN ST NE
LOS LUNASNM8703105/01/200005/01/2000  03/28/2013
Contract DetailWAL-MART PHARMACY 10-35962250 MAIN STREET NW
LOS LUNASNM8703107/17/201810/01/2018  10/01/2018
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH060240ActiveBPS-H80-000395FIRST CHOICE COMMUNITY HEALTHCAREFIRST CHOICE COMMUNITY HEALTH CARE2001 NORTH CENTRO FAMILIAR BOU ALBUQUERQUENM
CH06024AActiveBPS-H80-010148FIRST CHOICE COMMUNITY HEALTHCARE1ST CHOICE/LOS LUNAS145 Don Pasqual NW Los LunasNM
CH06024CActiveBPS-H80-018336FIRST CHOICE COMMUNITY HEALTHCARE, INC.MOUNTAIN AND VALLEY REGIONAL HEALTH CENTER7 MUNICIPAL WAY EDGEWOODNM
CH06024DActiveBPS-H80-005069FIRST CHOICE COMMUNITY HEALTHCARENORTH VALLEY HEALTH CENTER1231 Candelaria Rd NW AlbuquerqueNM
CH06024EActiveBPS-H80-008628FIRST CHOICE COMMUNITY HEALTHCARESouth Broadway / William Street1401 William St SE AlbuquerqueNM
CH06024FActiveBPS-H80-005262FIRST CHOICE COMMUNITY HEALTHCAREALAMEDA CENTER7704 2nd St NW AlbuquerqueNM
CH06024GActiveBPS-H80-001338FIRST CHOICE COMMUNITY HEALTHCAREALAMOSA COMMUNITY CENTER6900 GONZALES RD SW ALBUQUERQUENM
CH06024HTerminatedBPS-H80-003462FIRST CHOICE COMMUNITY HEALTHCAREBELEN CENTER120 S 9th St BelenNM
CH06024IActiveBPS-H80-007471FIRST CHOICE COMMUNITY HEALTHCARERIO GRANDE HIGH SCHOOL CLINIC2300 ARENAL RD SW ALBUQUERQUENM
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH06024EDURAN CENTRAL PHARMACY INC1815 CENTRAL AVE NW
ALBUQUERQUENM8710405/01/2000 05/23/2018
CH06024HSHARE N' CARE PHARMACY LTCSHARE 'N CARE PHARMACY 701 DALIES AVE STE B
BELENNM8700210/01/1999 05/23/2018
CH060240SMITH MANAGEMENT CORP DBASMITH'S PHARMACY #414 2580 MAIN ST NE
LOS LUNASNM8703101/01/2017  
CH06024ASMITH MANAGEMENT CORP DBASMITH'S PHARMACY #414 2580 MAIN ST NE
LOS LUNASNM8703105/01/2000  
CH060240SMITH'S FOOD & DRUG CTRSSMITH'S PHARMACY #496 3701 CONSTITUTION NE
ALBUQUERQUENM8711001/01/2017  
CH060240SMITH'S FOOD & DRUG CTRSSMITH'S PHARMACY #498 111 COOR ROAD N.W.
ALBUQUERQUENM8712101/01/2017  
CH06024DSMITH'S FOOD & DRUG CTRSSMITH'S PHARMACY #496 3701 CONSTITUTION NE
ALBUQUERQUENM8711005/02/2011  
CH06024GSMITH'S FOOD & DRUG CTRSSMITH'S PHARMACY #498 111 COOR ROAD N.W.
ALBUQUERQUENM8712109/15/2009  
CH060240SMITH'S PHARMACY02-B HIGHWAY 344
EDGEWOODNM8701501/01/2017  
CH06024CSMITH'S PHARMACY02-B HIGHWAY 344
EDGEWOODNM8701510/01/2003  
CH06024FSMITHS FOOD & DRUG CTRSSMITHS PHARMACY # 423 6125 4TH ST NW
ATTENTION: PHARMACY 		ALBUQUERQUENM8710707/01/2000  
CH060240SMITHS FOOD & DRUG CTRSSMITH'S FOOD & DRUG #571 1601 ARENAL SW
ATTN PHARMACY 		ALBUQUERQUENM8710505/01/2000  
CH060240SMITHS FOOD & DRUG CTRSSMITHS PHARMACY # 423 6125 4TH ST NW
ATTENTION: PHARMACY 		ALBUQUERQUENM8710701/01/2017  
CH06024DSMITHS FOOD AND DRUG CENTERS, INC. - #4292620 Carlisle Blvd. NE
AlbuquerqueNM8711005/01/2000 05/23/2018
CH060240SW MESA CENTER FOR FAMILY AND COMMUNITY301 UNSER BLVD NW STE 106
ALBUQUERQUENM87121-192707/01/2015  
CH060240UNIV HOSP OUTPATIENT PHARMACY1209 UNIVERSITY BLVD NE
ALBUQUERQUENM8710207/01/2015  
CH060240UNM HOSPITAL SE HEIGHTS CLINIC8200 CENTRAL AVE SE UNM HEALTH SCIENCES
ALBUQUERQUENM87108-240807/01/2015  
CH06024DWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2018  
CH060240WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738604/01/2019  
CH060240WAL-MART PHARMACY # 54912266 WYOMING BLVD NE
ALBUQUERQUENM8711210/01/2019 01/07/2024
CH060240WAL-MART PHARMACY 10-0831301 SAN MATEO BLV SE
ALBUQUERQUENM8710810/01/2019 01/07/2024
CH060240WAL-MART PHARMACY 10-08502701 CARLISLE BLVD NE
ALBUQUERQUE(C)NM8711010/01/2019  
CH06024HWAL-MART PHARMACY 10-14141 I-25 BYPASS
BELENNM8700210/01/2018 04/01/2025
CH060240WAL-MART PHARMACY 10-14141 I-25 BYPASS
BELENNM8700204/01/2019  
CH060240WAL-MART PHARMACY 10-24514700 CUTLER AVE NE
ALBUQUERQUENM8711010/01/2019 01/07/2024
CH06024DWAL-MART PHARMACY 10-29242550 COORS BLVD., N.W.
ALBUQUERQUE (W)NM8712010/01/2018  
CH060240WAL-MART PHARMACY 10-29242550 COORS BLVD., N.W.
ALBUQUERQUE (W)NM8712004/01/2019 01/07/2024
CH06024DWAL-MART PHARMACY 10-33859600 SAGE RD SW
ALBUQUERQUENM8712110/01/2018  
CH060240WAL-MART PHARMACY 10-33859600 SAGE RD SW
ALBUQUERQUENM8712104/01/2019  
CH06024AWAL-MART PHARMACY 10-35962250 MAIN STREET NW
LOS LUNASNM8703110/01/2018  
CH060240WAL-MART PHARMACY 10-35962250 MAIN STREET NW
LOS LUNASNM8703104/01/2019 01/07/2024
CH060240WAL-MART PHARMACY 10-420166 STATE ROUTE #344
EDGEWOODNM8701510/01/2019  
CH060240WAL-MART PHARMACY 10-54303500 COORS BLVD. SW
ALBUQUERQUE (S)NM8710510/01/2019  
CH06024DWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2018  
CH060240WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283704/01/2019  
CH060240WALGREEN ARIZONA DRUG CO  DBA WALGREENS
2400 N WALGREEN STREET 		FLAGSTAFFAZ8600405/07/2012 05/23/2018
CH060240WALGREEN ARIZONA DRUG CO.WALGREENS CENTRAL FILL #21372 120 N 83RD AVE
STE 200 		TOLLESONAZ8535301/01/2022  
CH060240WALGREEN CODBA: WALGREENS 2370 E MAIN STREET
WOODLANDCA9577605/07/2012 05/23/2018
CH060240WALGREEN CO.DBA: WALGREENS # 00023 5001 MONTGOMERY BLVD NE STE A31
ALBUQUERQUENM8710905/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS # 01279 2950 CENTRAL AVENUE SE, SUITE A
ALBUQUERQUENM8710605/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS # 02026 100 E HWY 550
BERNALILLONM87004-596705/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS # 02050 315 N MAIN ST
BELENNM8700205/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS #15033 3401 ISLETA BLVD. SW
ALBUQUERQUENM8710505/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS # 06587 9700 MENAUL BLVD NE
ALBUQUERQUENM8711205/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS # 06610 2500 MAIN STREET NE
LOS LUNASNM8703105/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS # 07351 4700 4TH STREET NW
ALBUQUERQUENM87107-390205/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS # 07438 5850 EUBANK BLVD NE
A101 		ALBUQUERQUENM8711105/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS # 07442 1201 UNSER BLVD SW
ALBUQUERQUENM8712105/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS # 07735 6605 4TH ST NW
LOS RANCHOS DE ALBUQUERQUENM87107-611205/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS # 07881 5 WALKER ROAD
EDGEWOODNM87015-874005/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS # 09336 2011 12TH ST NW
ALBUQUERQUENM8710405/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS # 09608 6250 PASEO DEL NORTE NE
ALBUQUERQUENM87113-171205/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS # 09773 10300 CENTRAL AVE SE
ALBUQUERQUENM8712305/07/2012 12/30/2024
CH060240WALGREEN CO.DBA: WALGREENS # 11360 11200 MONTGOMERY BLVD NE, #12
ALBUQUERQUENM8711105/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS #11361 1861 MAIN ST NW
LOS LUNASNM8703105/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS #11958 3632 MENAUL BLVD. NE
ALBUQUERQUENM8711005/07/2012 12/30/2024
CH060240WALGREEN CO.DBA: WALGREENS #11959 5201 CENTRAL AVE. NE
ALBUQUERQUENM87108-132805/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS #13164 9601 GIBSON BLVD. SW
ALBUQUERQUENM8712105/07/2012  
CH060240WALGREEN CO.DBA: WALGREENS # 06121 8400 MONTGOMERY BLVD NE
ALBUQUERQUENM8711104/01/2025  
CH060240WALGREEN CO.DBA: WALGREENS #12407 10800 UNSER BLVD. NW
ALBUQUERQUENM8711404/01/2025  
CH060240WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #16544 933 SAN MATEO BLVD NE STE 501
ALBUQUERQUENM8710804/01/2025  
CH060240WALGREEN CO.DBA: WALGREENS # 09213 1900 WYOMING BLVD NE
ALBUQUERQUENM87112-286604/01/2025  
CH060240WALGREEN CO.WALGREENS #04651 10236 COORS BYPASS NW
ALBUQUERQUENM8711404/01/2025  
CH060240WALGREEN HASTINGS CO.DBA: WALGREENS # 03366 3400 COORS BLVD NW
ALBUQUERQUENM8712005/07/2012  
CH060240WALGREEN HASTINGS CO.DBA: WALGREENS # 03997 2105 CENTRAL AVE NW
ALBUQUERQUENM8710405/07/2012  
CH060240WALGREEN HASTINGS CO.DBA: WALGREENS # 04047 101 COORS BOULEVARD NW
ALBUQUERQUENM8712105/07/2012  
CH060240WALGREEN HASTINGS CO.DBA: WALGREENS # 04649 3501 LOMAS BLVD. NE
ALBUQUERQUENM8710605/07/2012  
CH060240WALGREEN HASTINGS CO.DBA: WALGREENS # 04911 6000 COORS BLVD NW
ALBUQUERQUENM8712005/07/2012  
CH060240WALGREEN HASTINGS CO.DBA: WALGREENS # 05158 4051 SOUTHERN BLVD SE
RIO RANCHONM8712405/07/2012  
CH060240WALGREEN HASTINGS CO.DBA: WALGREENS # 05923 13000 INDIAN SCHOOL RD NE
ALBUQUERQUENM8711205/07/2012  
CH060240WALGREEN HASTINGS CO.DBA: WALGREENS # 05997 2625 SAN PEDRO NE
ALBUQUERQUENM8711005/07/2012  
CH060240WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528407/01/2013 05/23/2018
CH060240WALGREENS MAIL SERVICE, INC.  8337 S PARK CIRCLE
ORLANDOFL32819-904907/01/2013 05/23/2018
CH060240WALGREENS MAIL SERVICE, LLCWALGREENS MAIL SERVICE #03397 8350 S RIVER PARKWAY
TEMPEAZ8528401/01/2018  
CH060240WALGREENS.COM, INC.DBA: WALGREENS 2225 S. PRICE ROAD
CHANDLERAZ8528601/01/2018  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/26/2024 8:22:41 PM2/24/2025 3:19:13 PM2/24/2025 3:19 PM
ContactsPrimary ContactUpdateProfile Change RequestTortalita, Dane Financial Analyst First Choice Community Healthcare 5052204249Tortalita, Dane Financial Analyst First Choice Community Healthcare 5058737400-90532/18/2025 4:08 PM
ContactsPrimary ContactUpdatePC Change RequestBriones, Monica E Medical Director First Choice Community Healthcare 5052248718Tortalita, Dane Financial Analyst First Choice Community Healthcare 505220424911/25/2024 2:14 PM
DetailsLast Recertification DateUpdateRecertification2/9/2023 5:41:18 PM2/26/2024 8:22:41 PM2/26/2024 8:22 PM
ContactsPrimary ContactUpdateOPA EditGrasty, Christopher CFO FCCH 5058737457Briones, Monica E Medical Director First Choice Community Healthcare 50522487182/26/2024 8:20 PM
ContactsAuthorizing OfficialUpdateOPA EditEdwards, Heather Interim -CEO First Choice Community Healthcarealthcare 2146165761Gonzales, Shawna R CFO First Choice Community Healthcare 50587374142/26/2024 8:20 PM
DetailsLast Recertification DateUpdateRecertification2/10/2022 4:24:25 PM2/9/2023 5:41:18 PM2/9/2023 5:41 PM
ContactsAuthorizing OfficialUpdateAO Change RequestThames, Marie Chief Executive Officer FIRST CHOICE COMMUNITY HEALTHCARE 5058737401Edwards, Heather Interim -CEO First Choice Community Healthcarealthcare 21461657612/9/2023 5:08 PM
DetailsLast Recertification DateUpdateRecertification2/26/2021 2:42:51 PM2/10/2022 4:24:25 PM2/10/2022 4:24 PM
ContactsAuthorizing OfficialUpdateAO Change RequestDEFELICE, ROBERT CEO CH060240 5058737401Thames, Marie Chief Executive Officer FIRST CHOICE COMMUNITY HEALTHCARE 50587374012/9/2022 7:14 AM
Medicaid BillingNPI: StateUpdateRecertification NM2/26/2021 2:42 PM
DetailsLast Recertification DateUpdateRecertification2/6/2020 2:54:20 PM2/26/2021 2:42:51 PM2/26/2021 2:42 PM
DetailsLast Recertification DateUpdateRecertification2/18/2019 1:12:52 PM2/6/2020 2:54:20 PM2/6/2020 2:54 PM
DetailsLast Recertification DateUpdateRecertification2/19/2018 1:20:18 PM2/18/2019 1:12:52 PM2/18/2019 1:12 PM
DetailsLast Recertification DateUpdateRecertification2/20/2017 12:00:00 AM2/19/2018 1:20:18 PM2/19/2018 1:20 PM
ContactsAuthorizing OfficialUpdate DEFELICE, ROBERT CEO 5058737401DEFELICE, ROBERT CEO CH060240 505873740110/13/2017 5:46 PM
ContactsPrimary ContactUpdate Grasty, Christopher CFO 5058737457Grasty, Christopher CFO FCCH 505873745710/12/2017 5:34 PM
AddressesMain AddressInsert   145 Don Pasqual NW LOS LUNAS, NM 87031-88412/20/2017 6:21 PM
ContactsAuthorizing OfficialInsert  DEFELICE, ROBERT CEO 50587374012/20/2017 6:21 PM
ContactsPrimary ContactInsert  Grasty, Christopher CFO 50587374572/20/2017 6:21 PM
DetailsLast Recertification DateUpdate 3/8/2016 12:00:00 AM2/20/2017 12:00:00 AM2/20/2017 6:21 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False3/8/2016 6:38 PM
Medicaid BillingMedicaid: NumberInsert  465573/8/2016 6:38 PM
Medicaid BillingMedicaid: StateInsert  NM3/8/2016 6:38 PM
Medicaid BillingNPI: NumberInsert  16494318343/8/2016 6:38 PM
DetailsLast Recertification DateUpdate 3/10/2015 12:00:00 AM3/8/2016 12:00:00 AM3/8/2016 6:38 PM
DetailsLast Recertification DateUpdate 2/14/2014 12:00:00 AM3/10/2015 12:00:00 AM3/10/2015 4:13 PM
DetailsEntity NameUpdate FIRST CHOICE COMMUNITY HEALTHCARE, INC.FIRST CHOICE COMMUNITY HEALTHCARE3/31/2014 4:25 PM
DetailsEntity SubnameUpdate LOS LUNAS CENTER1ST CHOICE/LOS LUNAS3/31/2014 4:25 PM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM2/14/2014 12:00:00 AM2/14/2014 3:51 PM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM2/14/2013 3:05 PM
AddressesBilling AddressInsert  FIRST CHOICE COMMUNITY HEALTHCARE, INC., ATTN: ACCOUNTS PAYABLE 2001 N CENTRO FAMILIAR BLVD. SW ALBUQUERQUE, NM 8710512/17/2012 4:45 PM
DetailsComments PublicInsert  Address is not showing in EHB as approved site, contact the BPHC project officer to submit a change in scope. OPA will not make the change until verification can be made. 4/10/12 - Changed contact information from John Denslow, R.Ph, added INC to entity name. 4/15/05 - NEW BILL TO, 10/24/05 - NEW CONTACT; 10/18/2012 2:59 PM
DetailsEntity NameUpdate FIRST CHOICE COMMUNITY HEALTHCAREFIRST CHOICE COMMUNITY HEALTHCARE, INC.4/10/2012 8:12 AM
DetailsComments PublicInsert  4/10/12 - Changed contact information from John Denslow, R.Ph, added INC to entity name. 4/15/05 - NEW BILL TO, 10/24/05 - NEW CONTACT; 4/10/2012 8:12 AM
DetailsLast Recertification DateInsert   10/24/2005 10:30 AM
DetailsGrant NumberInsert  H80CS0020210/24/2005 10:30 AM
Details340B IDInsert  CH06024A10/24/2005 10:30 AM
DetailsIs Authorizing Official EHB DataInsert   10/24/2005 10:30 AM
DatesLast Date That 340B Drugs PurchasedInsert   10/24/2005 10:30 AM
DetailsMedicare Provider NumberInsert   10/24/2005 10:30 AM
DetailsEntity NameInsert  FIRST CHOICE COMMUNITY HEALTHCARE10/24/2005 10:30 AM
DetailsProgram CodeInsert  CH10/24/2005 10:30 AM
DetailsEntity SubnameInsert  LOS LUNAS CENTER10/24/2005 10:30 AM
DatesParticipating Approval DateInsert  4/15/2005 12:00:00 AM10/24/2005 10:30 AM
DetailsStateInsert  Active10/24/2005 10:30 AM
DatesRegistration DateInsert  12/1/1992 12:00:00 AM10/24/2005 10:30 AM
DatesSigned By DateInsert   10/24/2005 10:30 AM
DatesStart DateInsert  12/1/1992 12:00:00 AM10/24/2005 10:30 AM
TerminationsTermination CommentsInsert   10/24/2005 10:30 AM
TerminationsTermination DateInsert   10/24/2005 10:30 AM
TerminationsTermination Effective DateInsert   10/24/2005 10:30 AM
TerminationsTermination ReasonInsert   10/24/2005 10:30 AM
DetailsComments PublicInsert  4/15/05 - NEW BILL TO, 10/24/05 - NEW CONTACT; 10/24/2005 10:30 AM