Covered Entity Details

CH020010 Neighborhood Health Center of WNY, Inc. (Active) - information as of 4/28/2025 12:40:48 AM

Main Details

Name

Neighborhood Health Center of WNY, Inc.

Subdivision Name

Neighborhood Health Center Northwest

Type

HRSA-Funded Health Center

Site ID

BPS-H80-002077

340B ID

CH020010

Grant Number

H80CS00171

Additional Details

Current Program Status

Active

Registration Date

10/1/1997

Participating Start Date

10/1/1997

Participating Approval Date

3/20/2009

Last Recertification Date

2/27/2025

Contacts

Authorizing Official

Neighborhood Health Center of WNY
Joanne Haefner, Chief Executive Officer
(716) 875-2904

Primary Contact

Neighborhood Health Center of WNY, Inc.
Michele Steiner, Vice President of Pharmacy
(716) 875-2904

Addresses

Street Address

155 Lawn Ave
Buffalo, NY 14207-1816

Billing Address
Same as Street Address

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	01034940,04392949,04941920,07485830	1881789014,1821467226,1306356340,1528795978

Shipping Addresses

Shipping Address 1

Neighborhood Health Center of WNY, Inc.
300 Niagara Street
Buffalo, NY 14201

Shipping Address 2

Neighborhood Health Center of WNY, Inc.
4233 Lake Avenue
Blasdell, NY 14219

Shipping Address 3

Neighborhood Health Center of WNY, Inc.
1569 Niagara Street
Buffalo, NY 14213

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	01/15/2024	04/01/2024	12/20/2024	01/17/2025
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	01/15/2024	04/01/2024		04/01/2024
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	01/15/2024	04/01/2024	12/20/2024	01/17/2025
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	01/15/2024	04/01/2024		04/01/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	01/15/2024	04/01/2024		04/01/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	01/15/2024	04/01/2024	12/20/2024	01/17/2025
Contract Detail	BLACK ROCK PHARMACY, INC.	431 TONAWANDA ST		BUFFALO	NY	14207-2625	11/07/2011	11/10/2011	07/29/2019	07/30/2019
Contract Detail	BUFFALO CLINICAL SERVICES	BUFFALO CLINICAL SERVICES, INC. DBA UNIO	1769 ORCHARD PARK ROAD	WEST SENECA	NY	14224-4624	10/20/2011	05/01/2001	07/29/2019	07/30/2019
Contract Detail	ECKERD CORPORATION	RITE AID #10826	291 WEST FERRY STREET	BUFFALO	NY	14213	10/11/2019	01/01/2020	07/01/2021	07/08/2021
Contract Detail	ECKERD CORPORATION	RITE AID #10824	789 TONAWANDA STREET	BUFFALO	NY	14207	10/11/2019	01/01/2020		01/01/2020
Contract Detail	NIAGARA PHARMACY		455 NIAGARA ST.	BUFFALO	NY	14201	02/07/2012	02/10/2012	07/29/2019	07/30/2019
Contract Detail	PARKVIEW HEALTH SERVICES, LLC	3920 MAIN ST STE 100		AMHERST	NY	14226	04/15/2021	07/01/2021		07/01/2021
Contract Detail	PARKVIEW NIAGARA STREET, LLC	DBA RIVERVIEW PROFESSIONAL PHARMACY	3920 MAIN ST STE 150	AMHERST	NY	14226	04/15/2021	07/01/2021		07/01/2021
Contract Detail	PARKVIEW WEST SIDE RX, LLC	1050 NIAGARA ST	STE 110	BUFFALO	NY	14213	01/15/2024	04/01/2024		04/01/2024
Contract Detail	PERNA NIAGARA, INC.	DBA: TOPS MARKET #113	425 NIAGARA ST	BUFFALO	NY	14201	07/12/2013	10/01/2013	06/19/2024	01/17/2025
Contract Detail	RITE AID OF NEW YORK, INC.	RITE AID #497	350 NIAGARA STREET	BUFFALO	NY	14201	10/11/2019	01/01/2020		01/01/2020
Contract Detail	RITE AID OF NEW YORK, INC.	RITE AID #1962	284 CONNECTICUT STREET	BUFFALO	NY	14213	10/11/2019	01/01/2020		01/01/2020
Contract Detail	TOPS MARKETS	345 AMHERST ST		BUFFALO	NY	14207	07/12/2013	10/01/2013		07/12/2013
Contract Detail	TOPS MARKETS	1460 SOUTH PARK AVENUE		BUFFALO	NY	14220	07/12/2013	10/01/2013	07/01/2021	07/08/2021
Contract Detail	TOPS MARKETS, LLC	2101 ELMWOOD AVE		BUFFALO	NY	14207	07/12/2013	10/01/2013		07/12/2013
Contract Detail	TOPS MARKETS, LLC	1740 SHERIDAN DRIVE		TONAWANDA	NY	14223	07/12/2013	10/01/2013	07/23/2020	08/31/2020
Contract Detail	TOPS MARKETS, LLC	TOPS PHARMACY #250	1275 JEFFERSON AVE	BUFFALO	NY	14208	07/12/2013	10/01/2013	07/23/2020	08/31/2020
Contract Detail	TOPS MARKETS, LLC	TOPS PHARMACY #033	425 NIAGARA ST	BUFFALO	NY	14201	04/11/2025	07/01/2025		04/11/2025

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH020010	Active	BPS-H80-002077	Neighborhood Health Center of WNY, Inc.	Neighborhood Health Center Northwest	155 Lawn Ave	Buffalo	NY
CH020010A	Active	BPS-H80-022102	Neighborhood Health Center of WNY, Inc.	Neighborhood Health Center Southtowns	151 Elmview Avenue	Hamburg	NY
CH020010B	Active	BPS-H80-010915	Neighborhood Health Center of WNY, Inc.	Neighborhood Health Center Mattina	300 Niagara St	Buffalo	NY
CH020010C	Active	BPS-H80-019451	Neighborhood Health Center of WNY, Inc.	Neighborhood Health Center Blasdell	4233 Lake Avenue	Blasdell	NY
CH020010D	Active	BPS-H80-027505	Neighborhood Health Center of WNY, Inc.	Neighborhood Health Center Mobile	155 Lawn Ave	Buffalo	NY
CH020010E	Active	BPS-H80-034881	NEIGHBORHOOD HEALTH CENTER OF WNY, INC.	Neighborhood Health Center - Riverway	1569 Niagara St	Buffalo	NY
CH020010F	Active	BPS-H80-034026	NEIGHBORHOOD HEALTH CENTER OF WNY, INC.	Neighborhood Health Center Bridgeview	1050 Niagara St	Buffalo	NY

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH020010	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2024	12/20/2024
CH020010	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2024
CH020010	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2024	12/20/2024
CH020010	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2024
CH020010	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2024
CH020010	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2024	12/20/2024
CH020010	BLACK ROCK PHARMACY, INC.	431 TONAWANDA ST		BUFFALO	NY	14207-2625	11/10/2011	07/29/2019
CH020010	BUFFALO CLINICAL SERVICES	BUFFALO CLINICAL SERVICES, INC. DBA UNIO	1769 ORCHARD PARK ROAD	WEST SENECA	NY	14224-4624	05/01/2001	07/29/2019
CH020010	ECKERD CORPORATION	RITE AID #10826	291 WEST FERRY STREET	BUFFALO	NY	14213	01/01/2020	07/01/2021
CH020010	ECKERD CORPORATION	RITE AID #10824	789 TONAWANDA STREET	BUFFALO	NY	14207	01/01/2020
CH020010	NIAGARA PHARMACY		455 NIAGARA ST.	BUFFALO	NY	14201	02/10/2012	07/29/2019
CH020010	PARKVIEW HEALTH SERVICES, LLC	3920 MAIN ST STE 100		AMHERST	NY	14226	07/01/2021
CH020010	PARKVIEW NIAGARA STREET, LLC	DBA RIVERVIEW PROFESSIONAL PHARMACY	3920 MAIN ST STE 150	AMHERST	NY	14226	07/01/2021
CH020010	PARKVIEW WEST SIDE RX, LLC	1050 NIAGARA ST	STE 110	BUFFALO	NY	14213	04/01/2024
CH020010	PERNA NIAGARA, INC.	DBA: TOPS MARKET #113	425 NIAGARA ST	BUFFALO	NY	14201	10/01/2013	06/19/2024
CH020010	RITE AID OF NEW YORK, INC.	RITE AID #497	350 NIAGARA STREET	BUFFALO	NY	14201	01/01/2020
CH020010	RITE AID OF NEW YORK, INC.	RITE AID #1962	284 CONNECTICUT STREET	BUFFALO	NY	14213	01/01/2020
CH020010	TOPS MARKETS	345 AMHERST ST		BUFFALO	NY	14207	10/01/2013
CH020010	TOPS MARKETS	1460 SOUTH PARK AVENUE		BUFFALO	NY	14220	10/01/2013	07/01/2021
CH020010	TOPS MARKETS, LLC	2101 ELMWOOD AVE		BUFFALO	NY	14207	10/01/2013
CH020010	TOPS MARKETS, LLC	1740 SHERIDAN DRIVE		TONAWANDA	NY	14223	10/01/2013	07/23/2020
CH020010	TOPS MARKETS, LLC	TOPS PHARMACY #250	1275 JEFFERSON AVE	BUFFALO	NY	14208	10/01/2013	07/23/2020
CH020010	TOPS MARKETS, LLC	TOPS PHARMACY #033	425 NIAGARA ST	BUFFALO	NY	14201	07/01/2025

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/12/2024 7:51:25 AM	2/27/2025 3:39:53 PM	2/27/2025 3:39 PM
Details	Entity Subname	Update	Change Request	Neighborhood Health Center Northwest dba of NORTHWEST BUFFALO COMMUNITY HEALTH CARE CENTER, INC.	Neighborhood Health Center Northwest	8/30/2024 5:26 PM
Details	Last Recertification Date	Update	Recertification	2/9/2023 10:41:48 AM	2/12/2024 7:51:25 AM	2/12/2024 7:51 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	2/27/2023 8:57 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		07485830	2/27/2023 8:57 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		NY	2/27/2023 8:57 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1528795978	2/27/2023 8:57 AM
Medicaid Billing	NPI: State	Insert	Change Request		NY	2/27/2023 8:57 AM
Details	Last Recertification Date	Update	Recertification	2/18/2022 2:37:06 PM	2/9/2023 10:41:48 AM	2/9/2023 10:41 AM
Addresses	Shipping Address	Insert	Group Change Request		Neighborhood Health Center of WNY, Inc. 1569 Niagara Street Buffalo, NY 14213	10/4/2022 3:57 PM
Details	Last Recertification Date	Update	Recertification	2/3/2021 9:26:31 AM	2/18/2022 2:37:06 PM	2/18/2022 2:37 PM
Addresses	Shipping Address	Delete	Change Request	Northwest Buffalo Community Health Care Center, Inc. 155 Lawn Avenue Buffalo, NY 14207		6/29/2021 1:24 PM
Addresses	Shipping Address	Delete	Change Request	Northwest Buffalo Community Health Care Center, Inc. 4233 Lake Avenue Blasdell, NY 14219		6/29/2021 1:24 PM
Addresses	Shipping Address	Delete	Change Request	Northwest Buffalo Community Health Care Center, Inc. 300 Niagara Street Buffalo, NY 14201		6/29/2021 1:24 PM
Addresses	Shipping Address	Insert	Change Request		Neighborhood Health Center of WNY, Inc. 300 Niagara Street Buffalo, NY 14201	6/29/2021 1:24 PM
Addresses	Shipping Address	Insert	Change Request		Neighborhood Health Center of WNY, Inc. 4233 Lake Avenue Blasdell, NY 14219	6/29/2021 1:24 PM
Contacts	Primary Contact	Update	Profile Change Request	Steiner, Michele Chief Pharmacy Officer Neighborhood Health Center of WNY, Inc. 7168752904	Steiner, Michele Vice President of Pharmacy Neighborhood Health Center of WNY, Inc. 7168752904	6/23/2021 11:45 AM
Contacts	Authorizing Official	Update	Profile Change Request	Haefner, Joanne Chief Executive Officer Northwest Buffalo Community Health Care Center 7168752904	Haefner, Joanne Chief Executive Officer Neighborhood Health Center of WNY 7168752904	2/3/2021 10:24 AM
Medicaid Billing	NPI: State	Update	Recertification		NY	2/3/2021 9:26 AM
Medicaid Billing	NPI: State	Update	Recertification		NY	2/3/2021 9:26 AM
Medicaid Billing	NPI: State	Update	Recertification		NY	2/3/2021 9:26 AM
Details	Last Recertification Date	Update	Recertification	2/18/2020 4:39:02 PM	2/3/2021 9:26:31 AM	2/3/2021 9:26 AM
Contacts	Primary Contact	Update	Profile Change Request	Steiner, Michele Chief Pharmacy Officer Northwest Buffalo Community Health Care Center, Inc. 7168752904	Steiner, Michele Chief Pharmacy Officer Neighborhood Health Center of WNY, Inc. 7168752904	9/11/2020 1:27 PM
Details	Entity Name	Update	Change Request	NORTHWEST BUFFALO COMMUNITY HEALTH CARE CENTER	Neighborhood Health Center of WNY, Inc.	7/28/2020 9:36 AM
Details	Entity Subname	Update	Change Request	NORTHWEST BUFFALO COMMUNITY HEALTH CARE CENTER, INC.	Neighborhood Health Center Northwest dba of NORTHWEST BUFFALO COMMUNITY HEALTH CARE CENTER, INC.	7/28/2020 9:36 AM
Details	Last Recertification Date	Update	Recertification	2/14/2019 1:16:30 PM	2/18/2020 4:39:02 PM	2/18/2020 4:39 PM
Addresses	Shipping Address	Insert	Change Request		Northwest Buffalo Community Health Care Center, Inc. 300 Niagara Street Buffalo, NY 14201	7/30/2019 3:03 PM
Addresses	Shipping Address	Insert	Change Request		Northwest Buffalo Community Health Care Center, Inc. 4233 Lake Avenue Blasdell, NY 14219	7/30/2019 3:03 PM
Addresses	Shipping Address	Insert	Change Request		Northwest Buffalo Community Health Care Center, Inc. 155 Lawn Avenue Buffalo, NY 14207	7/30/2019 3:03 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	7/30/2019 3:03 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		01034940	7/30/2019 3:03 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		NY	7/30/2019 3:03 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	7/30/2019 3:03 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		04392949	7/30/2019 3:03 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		NY	7/30/2019 3:03 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	7/30/2019 3:03 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		04941920	7/30/2019 3:03 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		NY	7/30/2019 3:03 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1881789014	7/30/2019 3:03 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1821467226	7/30/2019 3:03 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1306356340	7/30/2019 3:03 PM
Contacts	Authorizing Official	Update	Profile Change Request	Haefner, Joanne Executive Director Northwest Buffalo Community Health Care Center 7168752904	Haefner, Joanne Chief Executive Officer Northwest Buffalo Community Health Care Center 7168752904	7/30/2019 1:58 PM
Contacts	Authorizing Official	Update	Profile Change Request	Haefner, Joanne Executive Director Northwest Buffalo Community Health Care Center 7168752904-1230	Haefner, Joanne Executive Director Northwest Buffalo Community Health Care Center 7168752904	7/30/2019 1:54 PM
Contacts	Primary Contact	Update	Profile Change Request	Steiner, Michele Chief Pharmacy Officer Northwest Buffalo Community Health Care Center, Inc. 7168752904-1588	Steiner, Michele Chief Pharmacy Officer Northwest Buffalo Community Health Care Center, Inc. 7168752904	7/29/2019 9:42 AM
Details	Last Recertification Date	Update	Recertification	3/2/2018 5:37:13 PM	2/14/2019 1:16:30 PM	2/14/2019 1:16 PM
Contacts	Primary Contact	Update	Recertification	Haefner, Joanne Executive Director Northwest Buffalo Community Health Care Center 7168752904-1230	Steiner, Michele Chief Pharmacy Officer Northwest Buffalo Community Health Care Center, Inc. 7168752904-1588	3/2/2018 5:37 PM
Details	Last Recertification Date	Update	Recertification	2/13/2017 12:00:00 AM	3/2/2018 5:37:13 PM	3/2/2018 5:37 PM
Contacts	Authorizing Official	Update		Haefner, Joanne Executive Director 7168752904-1230	Haefner, Joanne Executive Director Northwest Buffalo Community Health Care Center 7168752904-1230	3/2/2018 5:31 PM
Contacts	Primary Contact	Update		Haefner, Joanne Executive Director 7168752904-1230	Haefner, Joanne Executive Director Northwest Buffalo Community Health Care Center 7168752904-1230	3/2/2018 5:31 PM
Contacts	Authorizing Official	Insert			Haefner, Joanne Executive Director 7168752904-1230	5/19/2017 4:16 PM
Contacts	Primary Contact	Update		KUCERA, JON MEDICAL DIRECTOR 7168752904	Haefner, Joanne Executive Director 7168752904-1230	5/19/2017 4:16 PM
Addresses	Main Address	Insert			155 Lawn Ave Buffalo, NY 14207-1816	2/13/2017 9:52 AM
Details	Last Recertification Date	Update		3/4/2016 12:00:00 AM	2/13/2017 12:00:00 AM	2/13/2017 9:51 AM
Details	Last Recertification Date	Update		3/2/2015 12:00:00 AM	3/4/2016 12:00:00 AM	3/4/2016 11:37 AM
Details	Last Recertification Date	Update		2/17/2014 12:00:00 AM	3/2/2015 12:00:00 AM	3/2/2015 9:46 AM
Details	Entity Subname	Update			NORTHWEST BUFFALO COMMUNITY HEALTH CARE CENTER, INC.	3/31/2014 4:25 PM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	2/17/2014 12:00:00 AM	2/17/2014 4:27 PM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	2/27/2013 3:00 PM
Contacts	Primary Contact	Insert			KUCERA, JON MEDICAL DIRECTOR 7168752904	3/20/2009 11:05 AM
Details	Last Recertification Date	Insert				3/20/2009 11:05 AM
Details	Grant Number	Insert			H80CS00171	3/20/2009 11:05 AM
Details	340B ID	Insert			CH020010	3/20/2009 11:05 AM
Details	Is Authorizing Official EHB Data	Insert				3/20/2009 11:05 AM
Dates	Last Date That 340B Drugs Purchased	Insert				3/20/2009 11:05 AM
Details	Medicare Provider Number	Insert				3/20/2009 11:05 AM
Details	Entity Name	Insert			NORTHWEST BUFFALO COMMUNITY HEALTH CARE CENTER	3/20/2009 11:05 AM
Details	Program Code	Insert			CH	3/20/2009 11:05 AM
Details	Entity Subname	Insert				3/20/2009 11:05 AM
Dates	Participating Approval Date	Insert			3/20/2009 12:00:00 AM	3/20/2009 11:05 AM
Details	State	Insert			Active	3/20/2009 11:05 AM
Dates	Registration Date	Insert			10/1/1997 12:00:00 AM	3/20/2009 11:05 AM
Dates	Signed By Date	Insert				3/20/2009 11:05 AM
Dates	Start Date	Insert			10/1/1997 12:00:00 AM	3/20/2009 11:05 AM
Terminations	Termination Comments	Insert				3/20/2009 11:05 AM
Terminations	Termination Date	Insert				3/20/2009 11:05 AM
Terminations	Termination Effective Date	Insert				3/20/2009 11:05 AM
Terminations	Termination Reason	Insert				3/20/2009 11:05 AM

340B Drug Pricing Program Database