Covered Entity Details

CHC10592-00 HCHC Stone Port (Active) - information as of 5/25/2025 1:19:53 AM

Main Details

Name

HCHC Stone Port

Subdivision Name

Harrisonburg Community Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-011881

340B ID

CHC10592-00

Grant Number

H80CS10592

Additional Details

Current Program Status

Active

Registration Date

9/14/2009

Participating Start Date

10/1/2009

Participating Approval Date

9/18/2009

Last Recertification Date

2/12/2025

Contacts

Authorizing Official

Harrisonburg Community Health Centers
Natalie Bass, Executive Director
(540) 437-3800

Primary Contact

Harrisonburg Community Health Center
Beth Moseley, CFO
(540) 236-3682

Addresses

Street Address

1380 Little Sorrell Drive
Suite #100
HARRISONBURG, VA 22801

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
VA	1871775882	1023628856,1871775882

Shipping Addresses

Shipping Address 1

HCHC Pharmacy
1380 Little Sorrell Dr
Harrisonburg, VA 22801

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	01/12/2018	04/01/2018		01/12/2018
Contract Detail	AVITA PHARMACY 1058	MEDEXPRESS PHARMACY, LTD. DBA AVITA PHAR	1431 W. INNES ST.	SALISBURY	NC	28144	01/12/2018	04/01/2018		01/12/2018
Contract Detail	ELKTON HEALTHCARE SERVICES INC.	ELKTON FAMILY PHARMACY	111 S. STUART AVE.	ELKTON	VA	22827	01/17/2017	04/01/2017		01/17/2017
Contract Detail	LONG'S KILBOURNE ROAD PHARMACY	D/B/A AVITA PHARMACY 1053	630 KILBOURNE RD	COLUMBIA	SC	29205-2827	01/12/2018	04/01/2018		01/12/2018
Contract Detail	MEDICAP PHARMACY	1851 VIRGINIA AVE		HARRISONBURG	VA	22802-8374	05/18/2012	05/18/2012		08/30/2013
Contract Detail	MEDICAP PHARMACY	PAYNE REMEDIES INC	2091 PRO POINTE LN	HARRISONBURG	VA	22801-8021	10/15/2012	10/15/2012	12/31/2021	06/07/2023
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	07/31/2017	10/01/2017		10/01/2017
Contract Detail	WAL-MART PHARMACY 10-1726	171 BURGESS RD		HARRISONBURG	VA	22801	07/18/2016	10/01/2016		07/18/2016
Contract Detail	WAL-MART PHARMACY 10-2807	2160 JOHN WAYLAND HWY		HARRISONBURG (W)	VA	22801	01/17/2022	04/01/2022		04/01/2022
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	07/28/2017	10/01/2017		10/01/2017
Contract Detail	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/12/2023	04/01/2023		04/01/2023
Contract Detail	WALMART PHARMACY 10-7177	1942 PORT REPUBLIC ROAD		ROCKINGHAM	VA	22801	10/03/2016	01/01/2017		10/03/2016
Contract Detail	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	10/05/2023	01/01/2024		01/01/2024
Contract Detail	WILLIAMSON HUGHES PHARMACY AND HOME HEAL	1380 LITTLE SORRELL DRIVE	SUITE 110	HARRISONBURG	VA	22801	10/02/2009	10/02/2009	12/31/2020	06/07/2023

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	Address Cont.	City	State
CHC10592-00	Active	BPS-H80-011881	HCHC Stone Port	Harrisonburg Community Health Center	1380 Little Sorrell Drive	Suite #100	HARRISONBURG	VA
CHC10592-01	Active	BPS-H80-018929	Harrisonburg Community Health Center, Inc.	HCHC Elkton	800 Shenandoah Ave Ste 170		Elkton	VA
CHC10592-02	Active	BPS-H80-035646	Harrisonburg Community Health Center, Inc.	HCHC Park View	1479 Virginia Ave		Harrisonburg	VA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC10592-00	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	04/01/2018
CHC10592-00	AVITA PHARMACY 1058	MEDEXPRESS PHARMACY, LTD. DBA AVITA PHAR	1431 W. INNES ST.	SALISBURY	NC	28144	04/01/2018
CHC10592-00	ELKTON HEALTHCARE SERVICES INC.	ELKTON FAMILY PHARMACY	111 S. STUART AVE.	ELKTON	VA	22827	04/01/2017
CHC10592-01	ELKTON HEALTHCARE SERVICES INC.	ELKTON FAMILY PHARMACY	111 S. STUART AVE.	ELKTON	VA	22827	01/01/2024
CHC10592-00	LONG'S KILBOURNE ROAD PHARMACY	D/B/A AVITA PHARMACY 1053	630 KILBOURNE RD	COLUMBIA	SC	29205-2827	04/01/2018
CHC10592-00	MEDICAP PHARMACY	1851 VIRGINIA AVE		HARRISONBURG	VA	22802-8374	05/18/2012
CHC10592-00	MEDICAP PHARMACY	PAYNE REMEDIES INC	2091 PRO POINTE LN	HARRISONBURG	VA	22801-8021	10/15/2012	12/31/2021
CHC10592-00	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2017
CHC10592-00	WAL-MART PHARMACY 10-1726	171 BURGESS RD		HARRISONBURG	VA	22801	10/01/2016
CHC10592-00	WAL-MART PHARMACY 10-2807	2160 JOHN WAYLAND HWY		HARRISONBURG (W)	VA	22801	04/01/2022
CHC10592-00	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2017
CHC10592-00	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC10592-00	WALMART PHARMACY 10-7177	1942 PORT REPUBLIC ROAD		ROCKINGHAM	VA	22801	01/01/2017
CHC10592-00	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CHC10592-00	WILLIAMSON HUGHES PHARMACY AND HOME HEAL	1380 LITTLE SORRELL DRIVE	SUITE 110	HARRISONBURG	VA	22801	10/02/2009	12/31/2020

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Profile Change Request	Bass, Natalie COO; Intermin Executive Director Harrisonburg Community Health Centers 5404373800	Bass, Natalie Executive Director Harrisonburg Community Health Centers 5404373800	2/12/2025 8:23 AM
Details	Last Recertification Date	Update	Recertification	2/1/2024 9:27:05 AM	2/12/2025 8:20:10 AM	2/12/2025 8:20 AM
Contacts	Authorizing Official	Update	Profile Change Request	Bass, Natalie COO; Intermin Executive Director Healthy Community Health Centers 5404373800	Bass, Natalie COO; Intermin Executive Director Harrisonburg Community Health Centers 5404373800	7/9/2024 11:26 AM
Contacts	Authorizing Official	Update	AO Change Request	Bricker, Lisa B. EXECUTIIVE DIRECTOR Harrisonburg Community Health Center 5402363683	Bass, Natalie COO; Intermin Executive Director Healthy Community Health Centers 5404373800	7/1/2024 12:49 PM
Details	Last Recertification Date	Update	Recertification	1/30/2023 9:08:15 AM	2/1/2024 9:27:05 AM	2/1/2024 9:27 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	6/6/2023 12:50 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		1871775882	6/6/2023 12:50 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		VA	6/6/2023 12:50 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1871775882	6/6/2023 12:50 PM
Medicaid Billing	NPI: State	Insert	Change Request		VA	6/6/2023 12:50 PM
Details	Entity Name	Update	Change Request	HARRISONBURG COMMUNITY HEALTH CENTER	HCHC Stone Port	6/6/2023 12:50 PM
Details	Last Recertification Date	Update	Recertification	2/7/2022 4:33:57 PM	1/30/2023 9:08:15 AM	1/30/2023 9:08 AM
Details	Last Recertification Date	Update	Recertification	2/9/2021 11:07:38 AM	2/7/2022 4:33:57 PM	2/7/2022 4:33 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1023628856	1/17/2022 12:32 PM
Medicaid Billing	NPI: State	Insert	Change Request		VA	1/17/2022 12:32 PM
Details	Last Recertification Date	Update	Recertification	2/4/2020 4:25:05 PM	2/9/2021 11:07:38 AM	2/9/2021 11:07 AM
Addresses	Shipping Address	Insert	Change Request		HCHC Pharmacy 1380 Little Sorrell Dr Harrisonburg, VA 22801	9/30/2020 11:22 AM
Details	Entity Subname	Update	Change Request		Harrisonburg Community Health Center	9/30/2020 11:22 AM
Details	Last Recertification Date	Update	Recertification	2/1/2019 12:12:18 PM	2/4/2020 4:25:05 PM	2/4/2020 4:25 PM
Details	Last Recertification Date	Update	Recertification	2/8/2018 9:57:11 AM	2/1/2019 12:12:18 PM	2/1/2019 12:12 PM
Details	Last Recertification Date	Update	Recertification	1/27/2017 12:00:00 AM	2/8/2018 9:57:11 AM	2/8/2018 9:57 AM
Contacts	Primary Contact	Update	Recertification	Moseley, Beth CFO 5402363682	Moseley, Beth CFO Harrisonburg Community Health Center 5402363682	2/8/2018 9:57 AM
Contacts	Authorizing Official	Update		Bricker, Lisa B. EXECUTIIVE DIRECTOR 5402363683	Bricker, Lisa B. EXECUTIIVE DIRECTOR Harrisonburg Community Health Center 5402363683	1/12/2018 4:13 PM
Contacts	Authorizing Official	Update		Woodson, Wayne E. EXECUTIIVE DIRECTOR 5402363683	Bricker, Lisa B. EXECUTIIVE DIRECTOR 5402363683	7/31/2017 1:48 PM
Addresses	Main Address	Insert			1380 Little Sorrell Drive Suite #100 HARRISONBURG, VA 22801	1/27/2017 3:57 PM
Contacts	Primary Contact	Update		Paige, Jolene Accountant 5402363684	Moseley, Beth CFO 5402363682	1/27/2017 3:57 PM
Details	Last Recertification Date	Update		3/9/2016 12:00:00 AM	1/27/2017 12:00:00 AM	1/27/2017 3:57 PM
Contacts	Authorizing Official	Update		NYE, CHRISTOPHER CHIEF EXECUTIIVE DIRECTOR 5402363683	Woodson, Wayne E. EXECUTIIVE DIRECTOR 5402363683	7/18/2016 12:45 PM
Contacts	Primary Contact	Update		NYE, CHRISTOPHER CHIEF EXECUTIIVE DIRECTOR 5402363683	Paige, Jolene Accountant 5402363684	3/9/2016 10:35 AM
Details	Last Recertification Date	Update		3/9/2015 12:00:00 AM	3/9/2016 12:00:00 AM	3/9/2016 10:26 AM
Contacts	Authorizing Official	Insert			NYE, CHRISTOPHER CHIEF EXECUTIIVE DIRECTOR 5402363683	3/9/2015 10:24 PM
Contacts	Primary Contact	Update		GOLLADAY, JAYNELLE OPERATIONS COORDINATOR 5404334913	NYE, CHRISTOPHER CHIEF EXECUTIIVE DIRECTOR 5402363683	3/9/2015 10:24 PM
Details	Last Recertification Date	Update		3/10/2014 12:00:00 AM	3/9/2015 12:00:00 AM	3/9/2015 10:24 PM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	3/10/2014 12:00:00 AM	3/10/2014 10:42 AM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	2/21/2013 9:21 AM
Contacts	Primary Contact	Insert			GOLLADAY, JAYNELLE OPERATIONS COORDINATOR 5404334913	12/19/2012 3:04 PM
Details	Last Recertification Date	Insert				9/18/2009 8:05 AM
Details	Grant Number	Insert			H80CS10592	9/18/2009 8:05 AM
Details	340B ID	Insert			CHC10592-00	9/18/2009 8:05 AM
Details	Is Authorizing Official EHB Data	Insert				9/18/2009 8:05 AM
Dates	Last Date That 340B Drugs Purchased	Insert				9/18/2009 8:05 AM
Details	Medicare Provider Number	Insert				9/18/2009 8:05 AM
Details	Entity Name	Insert			HARRISONBURG COMMUNITY HEALTH CENTER	9/18/2009 8:05 AM
Details	Program Code	Insert			CH	9/18/2009 8:05 AM
Details	Entity Subname	Insert				9/18/2009 8:05 AM
Dates	Participating Approval Date	Insert			9/18/2009 12:00:00 AM	9/18/2009 8:05 AM
Details	State	Insert			Active	9/18/2009 8:05 AM
Dates	Registration Date	Insert			9/14/2009 12:00:00 AM	9/18/2009 8:05 AM
Dates	Signed By Date	Insert			8/26/2009 12:00:00 AM	9/18/2009 8:05 AM
Dates	Start Date	Insert			10/1/2009 12:00:00 AM	9/18/2009 8:05 AM
Terminations	Termination Comments	Insert				9/18/2009 8:05 AM
Terminations	Termination Date	Insert				9/18/2009 8:05 AM
Terminations	Termination Effective Date	Insert				9/18/2009 8:05 AM
Terminations	Termination Reason	Insert				9/18/2009 8:05 AM

340B Drug Pricing Program Database