Covered Entity Details

CHC08231-00 HOUSTON COMMUNITY HEALTH CENTERS INC (Active) - information as of 4/25/2025 5:37:04 PM

Main Details

Name

HOUSTON COMMUNITY HEALTH CENTERS INC

Subdivision Name

HOUSTON COMMUNITY HEALTH CENTER

Type

HRSA-Funded Health Center

Site ID

BPS-H80-004149

340B ID

CHC08231-00

Grant Number

H80CS08231

Additional Details

Current Program Status

Active

Registration Date

6/7/2010

Participating Start Date

9/9/2005

Participating Approval Date

7/15/2005

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

Vecino Health Centers
Daniel Moises Montez, CEO
(713) 343-5450

Primary Contact

Vecino Health Centers
Kathleen OShaughnessy, Controller
(713) 343-5451

Addresses

Street Address

424 Hahlo St
Houston, TX 77020-3022

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
6/1/2011 - CHANGED CONTACT PERSON FROM DANIEL KALB, MD - MEDICAL DIRECTOR # 713-674-3326 EMAIL ADDRESS - DKALB.HCHC@TACHC.ORG	06/01/2011

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
TX		1629819347

Shipping Addresses

Shipping Address 1

Vecino Pharmacy Services
424 Hahlo St
Houston, TX 77020

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	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/17/2023	07/01/2023		07/01/2023
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/17/2023	07/01/2023		07/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/17/2023	07/01/2023		07/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/17/2023	07/01/2023		07/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/17/2023	07/01/2023		07/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/17/2023	07/01/2023		07/01/2023
Contract Detail	AMBER PHARMACY	AMBER ENTERPRISES, INC.	10004 S 152ND STREET SUITE A	OMAHA	NE	68138-3931	04/11/2025	07/01/2025		04/11/2025
Contract Detail	AVENUE 360 HEALTH AND WELLNESS	2150 W 18TH ST STE 300	SERVICE JOBS FOR PROGRESS	HOUSTON	TX	77008	04/08/2014	07/01/2014	10/10/2017	10/10/2017
Contract Detail	CENTERWELL PHARMACY, INC.	11010 FLORIDA CROWN DRIVE, SUITE 200		ORLANDO	FL	32824	01/14/2025	04/01/2025		04/01/2025
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06241	4516 HARRISBURG BLVD.	HOUSTON	TX	77011	07/11/2019	10/01/2019		10/01/2019
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06665	10222 EAST FWY	JACINTO CITY	TX	77029	07/11/2019	10/01/2019		10/01/2019
Contract Detail	CVS PHARMACY, INC.	DBA CVS/PHARMACY #11094	300 MILAM ST, SUITE A	HOUSTON	TX	77002	07/11/2019	10/01/2019		10/01/2019
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07231	4702 IRVINGTON BLVD	HOUSTON	TX	77009	07/11/2019	10/01/2019		10/01/2019
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06834	917 MAIN ST.	HOUSTON	TX	77002	07/11/2019	10/01/2019	04/05/2022	09/19/2023
Contract Detail	CVS PHARMACY, INC.	CVS PHARMACY # 17181	2580 SHEARN ST	HOUSTON	TX	77007	07/11/2019	10/01/2019		10/01/2019
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06239	806 S 75TH ST	HOUSTON	TX	77023	07/11/2019	10/01/2019		10/01/2019
Contract Detail	CVS PHARMACY, INC.	CVS/PHARMACY #11066	5602 LYONS AVE	HOUSTON	TX	77020-4721	07/11/2019	10/01/2019		10/01/2019
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 05968	402 GRAY ST.	HOUSTON	TX	77002	07/11/2019	10/01/2019		10/01/2019
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00784	1000 ELGIN ST.	HOUSTON	TX	77004	07/11/2019	10/01/2019	07/14/2022	09/19/2023
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 05840	1001 WAUGH DR.	HOUSTON	TX	77019	07/11/2019	10/01/2019		10/01/2019
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07092	110 W. 20TH ST.	HOUSTON	TX	77008	07/06/2020	10/01/2020		10/01/2020
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 05910	4150 N. SHEPHERD	HOUSTON	TX	77018	07/06/2020	10/01/2020		10/01/2020
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07495	519 E TIDWELL RD	HOUSTON	TX	77022	07/06/2020	10/01/2020	10/01/2020	09/19/2023
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06409	4314 NORTH FREEWAY	HOUSTON	TX	77022	07/06/2020	10/01/2020	07/03/2023	09/19/2023
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07222	4131 ALDINE MAIL RTE.	HOUSTON	TX	77039	07/06/2020	10/01/2020		10/01/2020
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06294	5212 ANTOINE DR	HOUSTON	TX	77092	07/06/2020	10/01/2020		10/01/2020
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07106	3401 TIDWELL RD	HOUSTON	TX	77093	07/06/2020	10/01/2020		10/01/2020
Contract Detail	CVS PHARMACY, INC.	DBA CVS/PHARMACY # 10301	1525 NORTH LOOP WEST	HOUSTON	TX	77008	07/06/2020	10/01/2020		10/01/2020
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06249	9411 NORTH FWY	HOUSTON	TX	77037	07/06/2020	10/01/2020	10/01/2020	09/19/2023
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 05657	8234 BROADWAY ST.	HOUSTON	TX	77061	01/08/2021	04/01/2021	04/19/2023	09/19/2023
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 05970	930 SOUTHMORE AVE.	PASADENA	TX	77502	01/08/2021	04/01/2021		04/01/2021
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06773	15411 WALLISVILLE RD.,	HOUSTON	TX	77049	01/08/2021	04/01/2021		04/01/2021
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06240	3939 BELLAIRE BLVD	HOUSTON	TX	77025	04/13/2021	07/01/2021		07/01/2021
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06242	6161 TELEPHONE RD	HOUSTON	TX	77087	04/13/2021	07/01/2021		07/01/2021
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07038	6504 W LITTLE YORK	HOUSTON	TX	77040	04/13/2021	07/01/2021		07/01/2021
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07296	14630 FM 2100	CROSBY	TX	77532	04/13/2021	07/01/2021		07/01/2021
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07485	31013 FM 2920 RD.	WALLER	TX	77484	04/13/2021	07/01/2021		07/01/2021
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/17/2023	07/01/2023		07/01/2023
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/17/2023	07/01/2023		07/01/2023
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/17/2023	07/01/2023		07/01/2023
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/17/2023	07/01/2023		07/01/2023
Contract Detail	HEB PHARMACY #039	2509 NORTH MAIN STREET		BELTON	TX	76513	01/14/2025	04/01/2025		04/01/2025
Contract Detail	HEB PHARMACY #741	13401 I-10 EAST		BAYTOWN	TX	77523	01/14/2025	04/01/2025		04/01/2025
Contract Detail	HEB PHARMACY #742	6430 GARTH RD		BAYTOWN	TX	77521	01/14/2025	04/01/2025		04/01/2025
Contract Detail	HEB PHARMACY WAREHOUSE 208	H-E-B, LP	5311 DIETRICH RD STE 100	SAN ANTONIO	TX	78219	01/14/2025	04/01/2025		04/01/2025
Contract Detail	HEB SPECIALTY PHARMACY #701	3503 FREDERICKSBURG RD	STE 450	SAN ANTONIO	TX	78201	01/14/2025	04/01/2025		04/01/2025
Contract Detail	KROGER PHARMACY #448	950 E SANDY LAKE ROAD		COPPELL	TX	75019	01/14/2025	04/01/2025		04/01/2025
Contract Detail	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	04/08/2025	07/01/2025		04/08/2025
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/17/2023	07/01/2023		07/01/2023
Contract Detail	WAL-MART PHARMACY 10-1137	13750 I-10 EAST		HOUSTON	TX	77015	04/17/2023	07/01/2023		07/01/2023
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/17/2023	07/01/2023		07/01/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02135	6610 TIDWELL ROAD	HOUSTON	TX	77016-4824	10/10/2017	01/01/2018		10/10/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02686	1515 LOCKWOOD DRIVE	HOUSTON	TX	77020	10/10/2017	01/01/2018		10/10/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05314	9375 VETERANS MEMORIAL DR.	HOUSTON	TX	77088	10/10/2017	01/01/2018		10/10/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06239	105 WEST ROAD	HOUSTON	TX	77037	10/10/2017	01/01/2018		10/10/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06907	6600 AIRLINE DRIVE	HOUSTON	TX	77076	10/10/2017	01/01/2018		10/10/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 12015	747 E CROSSTIMBERS ST.	HOUSTON	TX	77022	10/10/2017	01/01/2018		10/10/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 10259	10660 EASTEX FREEWAY	HOUSTON	TX	77093-4324	01/07/2019	04/01/2019		04/01/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03717	4841 MOUNT HOUSTON RD	HOUSTON	TX	77093	01/07/2019	04/01/2019		04/01/2019
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21239	3217 MONTROSE BLVD STE 120	HOUSTON	TX	77006	10/09/2019	01/01/2020		01/01/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07289	500 MAXEY RD	HOUSTON	TX	77013-5020	10/05/2020	01/01/2021		01/01/2021
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04021	8808 ANTOINE DRIVE	HOUSTON	TX	77088-1626	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06182	15111 WALLISVILLE RD	HOUSTON	TX	77049	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04605	9200 CULLEN BLVD	HOUSTON	TX	77051	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07773	12959 ALDINE WESTFIELD ROAD	HOUSTON	TX	77039-5307	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 12069	2221 FULTON STREET	HOUSTON	TX	77009-8132	10/18/2021	01/01/2022	03/19/2025	03/19/2025
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 11465	3822 OLD SPANISH TRAIL	HOUSTON	TX	77021	10/18/2021	01/01/2022	01/23/2025	01/23/2025
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05766	101 W SOUTHMORE AVE	PASADENA	TX	77502	10/18/2021	01/01/2022	01/30/2025	01/30/2025
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 16261	6486 W LITTLE YORK RD	HOUSTON	TX	77091	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07531	2203 TEXAS PARKWAY	MISSOURI CITY	TX	77489-4009	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03444	11107 MARKET ST	JACINTO CITY	TX	77029	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06668	9450 HAMMERLY BLVD	HOUSTON	TX	77080-5400	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06702	3403 MANGUM ROAD	HOUSTON	TX	77092-7415	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 10138	4849 N HWY 146	BAYTOWN	TX	77520-8700	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09808	2612 SMITH ST	HOUSTON	TX	77006	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09601	3755 ATASCOCITA ROAD	HUMBLE	TX	77396	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07681	8505 FM 1960 W	HUMBLE	TX	77338	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04647	388 UVALDE ROAD	HOUSTON	TX	77015	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07213	16244 S POST OAK ROAD	HOUSTON	TX	77053	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05035	8301 BROADWAY ST	HOUSTON	TX	77061	10/18/2021	01/01/2022	11/07/2024	11/07/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04396	10850 SCARSDALE BLVD.	HOUSTON	TX	77089	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03370	13714 TOMBALL PARKWAY	HOUSTON	TX	77086	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02692	14806 WOODFOREST BLVD	CHANNELVIEW	TX	77530	10/18/2021	01/01/2022	04/24/2025	04/24/2025
Contract Detail	WALGREEN CO.	DBA: WALGREENS #12377	13631 TIDWELL RD.	HOUSTON	TX	77044	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #13778	6624 FANNIN ST STE 120	HOUSTON	TX	77030	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS #15155	107 W. RANKIN RD.	HOUSTON	TX	77090	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02809	220 SOUTH WAYSIDE	HOUSTON	TX	77011	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03285	530 W LITTLE YORK	HOUSTON	TX	77091	10/18/2021	01/01/2022	11/07/2022	10/25/2024
Contract Detail	Walgreens #21373	Walgreens Central Fill #21373	4100 Dale Earnhardt Way STE 200	Northlake	TX	76262	10/18/2021	01/01/2022		01/01/2022
Contract Detail	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	07/14/2023	10/01/2023		10/01/2023
Contract Detail	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	10/10/2023	01/01/2024		01/01/2024

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	Address Cont.	City	State
CHC08231-00	Active	BPS-H80-004149	HOUSTON COMMUNITY HEALTH CENTERS INC	HOUSTON COMMUNITY HEALTH CENTER	424 Hahlo St		Houston	TX
CHC08231-01	Active	BPS-H80-007552	HOUSTON COMMUNITY HEALTH CENTERS INC	Airline Women and Children's Health Center	5808 Airline Dr		Houston	TX

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC08231-00	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2023
CHC08231-01	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2023
CHC08231-00	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2023
CHC08231-00	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	07/01/2023
CHC08231-00	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2023
CHC08231-00	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2023
CHC08231-00	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/01/2023
CHC08231-00	AMBER PHARMACY	AMBER ENTERPRISES, INC.	10004 S 152ND STREET SUITE A	OMAHA	NE	68138-3931	07/01/2025
CHC08231-00	AVENUE 360 HEALTH AND WELLNESS	2150 W 18TH ST STE 300	SERVICE JOBS FOR PROGRESS	HOUSTON	TX	77008	07/01/2014	10/10/2017
CHC08231-00	CENTERWELL PHARMACY, INC.	11010 FLORIDA CROWN DRIVE, SUITE 200		ORLANDO	FL	32824	04/01/2025
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07495	519 E TIDWELL RD	HOUSTON	TX	77022	10/01/2019	10/01/2020
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06249	9411 NORTH FWY	HOUSTON	TX	77037	10/01/2019	10/01/2020
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06241	4516 HARRISBURG BLVD.	HOUSTON	TX	77011	10/01/2019
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06665	10222 EAST FWY	JACINTO CITY	TX	77029	10/01/2019
CHC08231-01	CVS PHARMACY, INC.	DBA CVS/PHARMACY # 10301	1525 NORTH LOOP WEST	HOUSTON	TX	77008	10/01/2019
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06294	5212 ANTOINE DR	HOUSTON	TX	77092	10/01/2019
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06409	4314 NORTH FREEWAY	HOUSTON	TX	77022	10/01/2019	07/03/2023
CHC08231-00	CVS PHARMACY, INC.	DBA CVS/PHARMACY #11094	300 MILAM ST, SUITE A	HOUSTON	TX	77002	10/01/2019
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07231	4702 IRVINGTON BLVD	HOUSTON	TX	77009	10/01/2019
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06834	917 MAIN ST.	HOUSTON	TX	77002	10/01/2019	04/05/2022
CHC08231-00	CVS PHARMACY, INC.	CVS PHARMACY # 17181	2580 SHEARN ST	HOUSTON	TX	77007	10/01/2019
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06239	806 S 75TH ST	HOUSTON	TX	77023	10/01/2019
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07222	4131 ALDINE MAIL RTE.	HOUSTON	TX	77039	10/01/2019
CHC08231-00	CVS PHARMACY, INC.	CVS/PHARMACY #11066	5602 LYONS AVE	HOUSTON	TX	77020-4721	10/01/2019
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07106	3401 TIDWELL RD	HOUSTON	TX	77093	10/01/2019
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07092	110 W. 20TH ST.	HOUSTON	TX	77008	10/01/2019
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 05910	4150 N. SHEPHERD	HOUSTON	TX	77018	10/01/2019
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 05968	402 GRAY ST.	HOUSTON	TX	77002	10/01/2019
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00784	1000 ELGIN ST.	HOUSTON	TX	77004	10/01/2019	07/14/2022
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 05840	1001 WAUGH DR.	HOUSTON	TX	77019	10/01/2019
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07092	110 W. 20TH ST.	HOUSTON	TX	77008	10/01/2020
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 05910	4150 N. SHEPHERD	HOUSTON	TX	77018	10/01/2020
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07495	519 E TIDWELL RD	HOUSTON	TX	77022	10/01/2020	10/01/2020
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06409	4314 NORTH FREEWAY	HOUSTON	TX	77022	10/01/2020	07/03/2023
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07222	4131 ALDINE MAIL RTE.	HOUSTON	TX	77039	10/01/2020
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06294	5212 ANTOINE DR	HOUSTON	TX	77092	10/01/2020
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07106	3401 TIDWELL RD	HOUSTON	TX	77093	10/01/2020
CHC08231-00	CVS PHARMACY, INC.	DBA CVS/PHARMACY # 10301	1525 NORTH LOOP WEST	HOUSTON	TX	77008	10/01/2020
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06249	9411 NORTH FWY	HOUSTON	TX	77037	10/01/2020	10/01/2020
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07231	4702 IRVINGTON BLVD	HOUSTON	TX	77009	10/01/2020
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06241	4516 HARRISBURG BLVD.	HOUSTON	TX	77011	10/01/2020
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 05840	1001 WAUGH DR.	HOUSTON	TX	77019	10/01/2020
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06239	806 S 75TH ST	HOUSTON	TX	77023	10/01/2020
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06665	10222 EAST FWY	JACINTO CITY	TX	77029	10/01/2020
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 05968	402 GRAY ST.	HOUSTON	TX	77002	10/01/2020
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06834	917 MAIN ST.	HOUSTON	TX	77002	10/01/2020	04/05/2022
CHC08231-01	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00784	1000 ELGIN ST.	HOUSTON	TX	77004	10/01/2020	07/14/2022
CHC08231-01	CVS PHARMACY, INC.	CVS PHARMACY # 17181	2580 SHEARN ST	HOUSTON	TX	77007	10/01/2020
CHC08231-01	CVS PHARMACY, INC.	DBA CVS/PHARMACY #11094	300 MILAM ST, SUITE A	HOUSTON	TX	77002	10/01/2020
CHC08231-01	CVS PHARMACY, INC.	CVS/PHARMACY #11066	5602 LYONS AVE	HOUSTON	TX	77020-4721	10/01/2020
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 05657	8234 BROADWAY ST.	HOUSTON	TX	77061	04/01/2021	04/19/2023
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 05970	930 SOUTHMORE AVE.	PASADENA	TX	77502	04/01/2021
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06773	15411 WALLISVILLE RD.,	HOUSTON	TX	77049	04/01/2021
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06240	3939 BELLAIRE BLVD	HOUSTON	TX	77025	07/01/2021
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06242	6161 TELEPHONE RD	HOUSTON	TX	77087	07/01/2021
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07038	6504 W LITTLE YORK	HOUSTON	TX	77040	07/01/2021
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07296	14630 FM 2100	CROSBY	TX	77532	07/01/2021
CHC08231-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07485	31013 FM 2920 RD.	WALLER	TX	77484	07/01/2021
CHC08231-00	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/01/2023
CHC08231-00	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2023
CHC08231-00	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2023
CHC08231-00	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/01/2023
CHC08231-00	HEB PHARMACY #039	2509 NORTH MAIN STREET		BELTON	TX	76513	04/01/2025
CHC08231-00	HEB PHARMACY #741	13401 I-10 EAST		BAYTOWN	TX	77523	04/01/2025
CHC08231-00	HEB PHARMACY #742	6430 GARTH RD		BAYTOWN	TX	77521	04/01/2025
CHC08231-00	HEB PHARMACY WAREHOUSE 208	H-E-B, LP	5311 DIETRICH RD STE 100	SAN ANTONIO	TX	78219	04/01/2025
CHC08231-00	HEB SPECIALTY PHARMACY #701	3503 FREDERICKSBURG RD	STE 450	SAN ANTONIO	TX	78201	04/01/2025
CHC08231-00	KROGER PHARMACY #448	950 E SANDY LAKE ROAD		COPPELL	TX	75019	04/01/2025
CHC08231-00	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	07/01/2025
CHC08231-00	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	07/01/2023
CHC08231-00	WAL-MART PHARMACY 10-1137	13750 I-10 EAST		HOUSTON	TX	77015	07/01/2023
CHC08231-00	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	07/01/2023
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 02135	6610 TIDWELL ROAD	HOUSTON	TX	77016-4824	01/01/2018
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 02686	1515 LOCKWOOD DRIVE	HOUSTON	TX	77020	01/01/2018
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 05314	9375 VETERANS MEMORIAL DR.	HOUSTON	TX	77088	01/01/2018
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 06239	105 WEST ROAD	HOUSTON	TX	77037	01/01/2018
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 06907	6600 AIRLINE DRIVE	HOUSTON	TX	77076	01/01/2018
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 12015	747 E CROSSTIMBERS ST.	HOUSTON	TX	77022	01/01/2018
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 10259	10660 EASTEX FREEWAY	HOUSTON	TX	77093-4324	04/01/2019
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 03717	4841 MOUNT HOUSTON RD	HOUSTON	TX	77093	04/01/2019
CHC08231-00	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21239	3217 MONTROSE BLVD STE 120	HOUSTON	TX	77006	01/01/2020
CHC08231-01	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21239	3217 MONTROSE BLVD STE 120	HOUSTON	TX	77006	01/01/2020
CHC08231-01	WALGREEN CO.	DBA: WALGREENS # 02135	6610 TIDWELL ROAD	HOUSTON	TX	77016-4824	10/01/2020
CHC08231-01	WALGREEN CO.	DBA: WALGREENS # 02686	1515 LOCKWOOD DRIVE	HOUSTON	TX	77020	10/01/2020
CHC08231-01	WALGREEN CO.	DBA: WALGREENS # 05314	9375 VETERANS MEMORIAL DR.	HOUSTON	TX	77088	10/01/2020
CHC08231-01	WALGREEN CO.	DBA: WALGREENS # 06239	105 WEST ROAD	HOUSTON	TX	77037	10/01/2020
CHC08231-01	WALGREEN CO.	DBA: WALGREENS # 06907	6600 AIRLINE DRIVE	HOUSTON	TX	77076	10/01/2020
CHC08231-01	WALGREEN CO.	DBA: WALGREENS # 12015	747 E CROSSTIMBERS ST.	HOUSTON	TX	77022	10/01/2020
CHC08231-01	WALGREEN CO.	DBA: WALGREENS # 03717	4841 MOUNT HOUSTON RD	HOUSTON	TX	77093	10/01/2020
CHC08231-01	WALGREEN CO.	DBA: WALGREENS # 10259	10660 EASTEX FREEWAY	HOUSTON	TX	77093-4324	10/01/2020
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 07289	500 MAXEY RD	HOUSTON	TX	77013-5020	01/01/2021
CHC08231-01	WALGREEN CO.	DBA: WALGREENS # 07289	500 MAXEY RD	HOUSTON	TX	77013-5020	01/01/2021
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 04021	8808 ANTOINE DRIVE	HOUSTON	TX	77088-1626	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 06182	15111 WALLISVILLE RD	HOUSTON	TX	77049	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 04605	9200 CULLEN BLVD	HOUSTON	TX	77051	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 07773	12959 ALDINE WESTFIELD ROAD	HOUSTON	TX	77039-5307	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 12069	2221 FULTON STREET	HOUSTON	TX	77009-8132	01/01/2022	03/19/2025
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 11465	3822 OLD SPANISH TRAIL	HOUSTON	TX	77021	01/01/2022	01/23/2025
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 05766	101 W SOUTHMORE AVE	PASADENA	TX	77502	01/01/2022	01/30/2025
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 16261	6486 W LITTLE YORK RD	HOUSTON	TX	77091	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 07531	2203 TEXAS PARKWAY	MISSOURI CITY	TX	77489-4009	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 03444	11107 MARKET ST	JACINTO CITY	TX	77029	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 06668	9450 HAMMERLY BLVD	HOUSTON	TX	77080-5400	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 06702	3403 MANGUM ROAD	HOUSTON	TX	77092-7415	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 10138	4849 N HWY 146	BAYTOWN	TX	77520-8700	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 09808	2612 SMITH ST	HOUSTON	TX	77006	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 09601	3755 ATASCOCITA ROAD	HUMBLE	TX	77396	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 07681	8505 FM 1960 W	HUMBLE	TX	77338	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 04647	388 UVALDE ROAD	HOUSTON	TX	77015	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 07213	16244 S POST OAK ROAD	HOUSTON	TX	77053	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 05035	8301 BROADWAY ST	HOUSTON	TX	77061	01/01/2022	11/07/2024
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 04396	10850 SCARSDALE BLVD.	HOUSTON	TX	77089	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 03370	13714 TOMBALL PARKWAY	HOUSTON	TX	77086	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 02692	14806 WOODFOREST BLVD	CHANNELVIEW	TX	77530	01/01/2022	04/24/2025
CHC08231-00	WALGREEN CO.	DBA: WALGREENS #12377	13631 TIDWELL RD.	HOUSTON	TX	77044	01/01/2022
CHC08231-00	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #13778	6624 FANNIN ST STE 120	HOUSTON	TX	77030	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS #15155	107 W. RANKIN RD.	HOUSTON	TX	77090	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 02809	220 SOUTH WAYSIDE	HOUSTON	TX	77011	01/01/2022
CHC08231-00	WALGREEN CO.	DBA: WALGREENS # 03285	530 W LITTLE YORK	HOUSTON	TX	77091	01/01/2022	11/07/2022
CHC08231-00	Walgreens #21373	Walgreens Central Fill #21373	4100 Dale Earnhardt Way STE 200	Northlake	TX	76262	01/01/2022
CHC08231-00	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	10/01/2023
CHC08231-00	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/29/2024 12:22:10 PM	2/10/2025 10:55:25 AM	2/10/2025 10:55 AM
Addresses	Shipping Address	Insert	Change Request		Vecino Pharmacy Services 424 Hahlo St Houston, TX 77020	8/1/2024 11:34 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1629819347	8/1/2024 11:34 AM
Medicaid Billing	NPI: State	Insert	Change Request		TX	8/1/2024 11:34 AM
Contacts	Primary Contact	Update	PC Change Request	Latting Young, Shelia CFO HOUSTON COMMUNITY HEALTH CENTERS 7133435451	OShaughnessy, Kathleen Controller Vecino Health Centers 7133435451	4/12/2024 2:54 PM
Details	Last Recertification Date	Update	Recertification	1/31/2023 1:42:53 PM	1/29/2024 12:22:10 PM	1/29/2024 12:22 PM
Details	Last Recertification Date	Update	Recertification	2/4/2022 12:20:37 PM	1/31/2023 1:42:53 PM	1/31/2023 1:42 PM
Contacts	Primary Contact	Update	Change Request	OShaughnessy, Kathleen Controller Vecino Health Centers 7133435451	Latting Young, Shelia CFO HOUSTON COMMUNITY HEALTH CENTERS 7133435451	12/9/2022 2:06 PM
Details	Last Recertification Date	Update	Recertification	2/4/2021 9:05:38 AM	2/4/2022 12:20:37 PM	2/4/2022 12:20 PM
Contacts	Primary Contact	Update	Change Request	O'Shaughnessy, Kathleen Controller Vecino Health Centers 7133435451	OShaughnessy, Kathleen Controller Vecino Health Centers 7133435451	4/13/2021 2:38 PM
Contacts	Primary Contact	Update	Change Request	Yun, Nathan Controller Houston Community Health Centers 7133435451	O'Shaughnessy, Kathleen Controller Vecino Health Centers 7133435451	4/12/2021 5:57 PM
Details	Last Recertification Date	Update	Recertification	1/28/2020 8:13:33 AM	2/4/2021 9:05:38 AM	2/4/2021 9:05 AM
Details	Last Recertification Date	Update	Recertification	1/29/2019 2:24:56 PM	1/28/2020 8:13:33 AM	1/28/2020 8:13 AM
Details	Last Recertification Date	Update	Recertification	2/7/2018 6:12:23 PM	1/29/2019 2:24:56 PM	1/29/2019 2:24 PM
Details	Last Recertification Date	Update	Recertification	1/27/2017 12:00:00 AM	2/7/2018 6:12:23 PM	2/7/2018 6:12 PM
Contacts	Authorizing Official	Update	AO Change Request	MONTEZ, DANIEL CEO 7133435450	Montez, Daniel Moises CEO Vecino Health Centers 7133435450	10/10/2017 2:36 PM
Contacts	Primary Contact	Update		Yun, Nathan Controller 7133435451	Yun, Nathan Controller Houston Community Health Centers 7133435451	10/10/2017 1:43 PM
Addresses	Main Address	Insert			424 Hahlo St Houston, TX 77020-3022	1/27/2017 9:29 AM
Contacts	Primary Contact	Update		MILLER, SARAH CFO 7133435451	Yun, Nathan Controller 7133435451	1/27/2017 9:29 AM
Contacts	Authorizing Official	Insert			MONTEZ, DANIEL CEO 7133435450	1/27/2017 9:29 AM
Details	Last Recertification Date	Update		2/25/2016 12:00:00 AM	1/27/2017 12:00:00 AM	1/27/2017 9:29 AM
Contacts	Primary Contact	Insert			MILLER, SARAH CFO 7133435451	2/25/2016 11:57 AM
Details	Last Recertification Date	Update		2/10/2015 12:00:00 AM	2/25/2016 12:00:00 AM	2/25/2016 11:57 AM
Details	Last Recertification Date	Update		2/10/2014 12:00:00 AM	2/10/2015 12:00:00 AM	2/10/2015 3:04 PM
Details	Entity Name	Update		HOUSTON COMMUNITY HEALTH CENTERS, INC	HOUSTON COMMUNITY HEALTH CENTERS INC	3/31/2014 4:25 PM
Details	Entity Subname	Update			HOUSTON COMMUNITY HEALTH CENTER	3/31/2014 4:25 PM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	2/10/2014 12:00:00 AM	2/10/2014 11:32 AM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	2/6/2013 10:12 AM
Details	Last Recertification Date	Insert				6/1/2011 10:51 AM
Details	Grant Number	Insert			H80CS08231	6/1/2011 10:51 AM
Details	340B ID	Insert			CHC08231-00	6/1/2011 10:51 AM
Details	Is Authorizing Official EHB Data	Insert				6/1/2011 10:51 AM
Dates	Last Date That 340B Drugs Purchased	Insert				6/1/2011 10:51 AM
Details	Medicare Provider Number	Insert				6/1/2011 10:51 AM
Details	Entity Name	Insert			HOUSTON COMMUNITY HEALTH CENTERS, INC	6/1/2011 10:51 AM
Details	Program Code	Insert			CH	6/1/2011 10:51 AM
Details	Entity Subname	Insert				6/1/2011 10:51 AM
Dates	Participating Approval Date	Insert			7/15/2005 12:00:00 AM	6/1/2011 10:51 AM
Details	State	Insert			Active	6/1/2011 10:51 AM
Dates	Registration Date	Insert			6/7/2010 12:00:00 AM	6/1/2011 10:51 AM
Dates	Signed By Date	Insert			6/30/2005 12:00:00 AM	6/1/2011 10:51 AM
Dates	Start Date	Insert			9/9/2005 12:00:00 AM	6/1/2011 10:51 AM
Terminations	Termination Comments	Insert				6/1/2011 10:51 AM
Terminations	Termination Date	Insert				6/1/2011 10:51 AM
Terminations	Termination Effective Date	Insert				6/1/2011 10:51 AM
Terminations	Termination Reason	Insert				6/1/2011 10:51 AM
Details	Comments Public	Insert			6/1/2011 - CHANGED CONTACT PERSON FROM DANIEL KALB, MD - MEDICAL DIRECTOR # 713-674-3326 EMAIL ADDRESS - DKALB.HCHC@TACHC.ORG	6/1/2011 10:51 AM

340B Drug Pricing Program Database