340B Drug Pricing Program Database


CHC16639-00 COMMUNITY HEALTH CENTER OF RICHMOND, INC. (Active) - information as of 6/23/2025 11:58:37 PM

Main Details
COMMUNITY HEALTH CENTER OF RICHMOND, INC.
CHCR
HRSA-Funded Health Center
BPS-H80-009060
CHC16639-00
H80CS16639


Additional Details
Active
6/9/2010
7/1/2008
6/10/2008
2/20/2025

Contacts

COMMUNITY HEALTH CENTER OF RICHMOND, INC.
HENRY THOMPSON, EXECUTIVE DIRECTOR
(718) 876-2599

COMMUNITY HEALTH CENTER OF RICHMOND, INC.
Benito Lindo, CFO
(718) 924-2254 Ext: 7414

Addresses

235 Port Richmond Avenue
Staten Island, NY 10302-1701

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailB & A PHARMACY CORPD/B/A NATES PHARMACY 812 FOREST AVENUE
STATEN ISLANDNY1031003/31/201103/31/2011 02/16/201701/15/2018
Contract DetailB & T WEST BRIGHTON PHARMACY INCDBA B & T PHARMACY 702 CASTLETON AVE
STATEN ISLANDNY1031004/17/201707/01/2017  07/08/2021
Contract DetailB&T PORT RICHMOND PHARMACY, INC.DBA B&T PHARMACY 251 PORT RICHMOND AVE
STATEN ISLANDNY10302-170401/15/201804/01/2018  01/15/2018
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526101/18/202404/01/2024  04/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267001/18/202404/01/2024  04/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771301/18/202404/01/2024  04/01/2024
Contract DetailDOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K 		GREENVILLESC29607-654101/18/202404/01/2024  04/01/2024
Contract DetailDUANE READE630 FOREST AVENUE
STATEN ISLANDNY1031007/05/201207/05/201210/01/201703/03/202003/11/2020
Contract DetailDUANE READE3155 AMBOY ROAD
STATEN ISLANDNY10306-279901/06/202204/01/2022  04/01/2022
Contract DetailEMNICO RX INCDBA: DORADO PHARMACY 1440 FOREST AVE
STORE # 5 		STATEN ISLANDNY1030201/06/202204/01/2022 08/06/202302/09/2024
Contract DetailGENOVESE DRUG STORES, INC.RITE AID #10538 43-68 AMBOY ROAD
STATEN ISLANDNY1031204/23/202407/01/2024  07/01/2024
Contract DetailMB&T PHARMACY INC.2343 FOREST AVE STE 8
STATEN ISLANDNY1030307/17/202310/01/2023  10/01/2023
Contract DetailNATES PHARMACY252-B PORT RICHMOND AVE.
STATEN ISLANDNY1030203/13/200903/13/2009 03/02/201701/15/2018
Contract DetailOCEAN BREEZE ASSOCIATES LLCDBA: OCEAN BREEZE PHARMACY 1817 HYLAN BLVD
STATEN ISLANDNY10305-191804/17/201707/01/201710/01/201705/10/202106/10/2021
Contract DetailRAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255001/18/202404/01/2024  04/01/2024
Contract DetailRIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500201/18/202404/01/2024  04/01/2024
Contract DetailSAND LANE PHARMACY CORPD/B/A NATE'S SPECIALTY PHARMACY 307 SAND LANE
STATEN ISLANDNY10305-103103/31/201103/31/2011 01/02/201701/15/2018
Contract DetailSANTA BARBARA SPECIALTY PHARMACY LLC4690 CARPINTERIA AVE STE B
CARPINTERIACA9301301/18/202404/01/2024  04/01/2024
Contract DetailTOMPKINSVILLE PHARMACY INCGANGADIN, ESAR 45 VICTORY BLVD.
STATEN ISLANDNY1030107/14/201710/01/2017 01/01/202001/28/2020
Contract DetailTOMPKINSVILLE RX INCTOMPKINSVILLE PHARMACY 45 VICTORY BLVD
STATEN ISLANDNY1030101/13/202004/01/2020  04/01/2020
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #01598 1579 FOREST AVE.
STATEN ISLANDNY10302-222607/05/201207/05/2012 08/27/201508/28/2015
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #02257 1973 FOREST AVENUE
STATEN ISLANDNY10303-210407/05/201207/05/201210/01/201711/01/201701/16/2018
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 06179 1551 RICHMOND AVE
STATEN ISLANDNY10314-152007/05/201207/05/2012  07/08/2021
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 07321 1227 FOREST AVE
STATEN ISLANDNY10310-241607/05/201207/05/2012  07/08/2021
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS 2270 CLOVE RD.
STATEN ISLANDNY10305-152407/05/201207/05/2012  03/28/2013
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 03916 758 ARTHUR KILL RD
STATEN ISLANDNY10312-214107/05/201207/05/2012  07/08/2021
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #07776 1759 HYLAN BLVD.
STATEN ISLANDNY10305-191601/06/202204/01/2022  04/01/2022
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC16639-00ActiveBPS-H80-009060COMMUNITY HEALTH CENTER OF RICHMOND, INC.CHCR235 Port Richmond Avenue Staten IslandNY
CHC16639-01ActiveBPS-H80-013491COMMUNITY HEALTH CENTER OF RICHMOND, INC.CHCR 439439 Port Richmond Ave Staten IslandNY
CHC16639-02ActiveBPS-H80-017740COMMUNITY HEALTH CENTER OF RICHMOND, INC.CHCR - 135 Canal St, 3rd Floor135 CANAL ST STATEN ISLANDNY
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC16639-00B & A PHARMACY CORPD/B/A NATES PHARMACY 812 FOREST AVENUE
STATEN ISLANDNY1031003/31/2011 02/16/2017
CHC16639-01B & A PHARMACY CORPD/B/A NATES PHARMACY 812 FOREST AVENUE
STATEN ISLANDNY1031010/01/2014 03/02/2017
CHC16639-02B & A PHARMACY CORPD/B/A NATES PHARMACY 812 FOREST AVENUE
STATEN ISLANDNY1031007/01/2016 03/02/2017
CHC16639-00B & T WEST BRIGHTON PHARMACY INCDBA B & T PHARMACY 702 CASTLETON AVE
STATEN ISLANDNY1031007/01/2017  
CHC16639-01B & T WEST BRIGHTON PHARMACY INCDBA B & T PHARMACY 702 CASTLETON AVE
STATEN ISLANDNY1031007/01/2017  
CHC16639-02B & T WEST BRIGHTON PHARMACY INCDBA B & T PHARMACY 702 CASTLETON AVE
STATEN ISLANDNY1031007/01/2017  
CHC16639-00B&T PORT RICHMOND PHARMACY, INC.DBA B&T PHARMACY 251 PORT RICHMOND AVE
STATEN ISLANDNY10302-170404/01/2018  
CHC16639-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526104/01/2024  
CHC16639-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267004/01/2024  
CHC16639-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771304/01/2024  
CHC16639-00DOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K 		GREENVILLESC29607-654104/01/2024  
CHC16639-00DUANE READE630 FOREST AVENUE
STATEN ISLANDNY1031007/05/201210/01/201703/03/2020
CHC16639-01DUANE READE630 FOREST AVENUE
STATEN ISLANDNY1031007/01/201710/01/201703/03/2020
CHC16639-02DUANE READE630 FOREST AVENUE
STATEN ISLANDNY1031007/01/201710/01/201703/03/2020
CHC16639-00DUANE READE3155 AMBOY ROAD
STATEN ISLANDNY10306-279904/01/2022  
CHC16639-01DUANE READE3155 AMBOY ROAD
STATEN ISLANDNY10306-279904/01/2022  
CHC16639-02DUANE READE3155 AMBOY ROAD
STATEN ISLANDNY10306-279904/01/2022  
CHC16639-02EMNICO RX INCDBA: DORADO PHARMACY 1440 FOREST AVE
STORE # 5 		STATEN ISLANDNY1030204/01/2022 08/06/2023
CHC16639-01EMNICO RX INCDBA: DORADO PHARMACY 1440 FOREST AVE
STORE # 5 		STATEN ISLANDNY1030204/01/2022 08/06/2023
CHC16639-00EMNICO RX INCDBA: DORADO PHARMACY 1440 FOREST AVE
STORE # 5 		STATEN ISLANDNY1030204/01/2022 08/06/2023
CHC16639-00GENOVESE DRUG STORES, INC.RITE AID #10538 43-68 AMBOY ROAD
STATEN ISLANDNY1031207/01/2024  
CHC16639-00MB&T PHARMACY INC.2343 FOREST AVE STE 8
STATEN ISLANDNY1030310/01/2023  
CHC16639-00NATES PHARMACY252-B PORT RICHMOND AVE.
STATEN ISLANDNY1030203/13/2009 03/02/2017
CHC16639-00OCEAN BREEZE ASSOCIATES LLCDBA: OCEAN BREEZE PHARMACY 1817 HYLAN BLVD
STATEN ISLANDNY10305-191807/01/201710/01/201705/10/2021
CHC16639-01OCEAN BREEZE ASSOCIATES LLCDBA: OCEAN BREEZE PHARMACY 1817 HYLAN BLVD
STATEN ISLANDNY10305-191807/01/201710/01/201705/10/2021
CHC16639-02OCEAN BREEZE ASSOCIATES LLCDBA: OCEAN BREEZE PHARMACY 1817 HYLAN BLVD
STATEN ISLANDNY10305-191807/01/201710/01/201705/10/2021
CHC16639-00RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255004/01/2024  
CHC16639-00RIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500204/01/2024  
CHC16639-02SAI RX MART LLCDBA-MILLERS PHARMACY 173 BROAD ST
STATEN ISLANDNY1030401/01/2019 04/01/2022
CHC16639-00SAND LANE PHARMACY CORPD/B/A NATE'S SPECIALTY PHARMACY 307 SAND LANE
STATEN ISLANDNY10305-103103/31/2011 01/02/2017
CHC16639-00SANTA BARBARA SPECIALTY PHARMACY LLC4690 CARPINTERIA AVE STE B
CARPINTERIACA9301304/01/2024  
CHC16639-00TOMPKINSVILLE PHARMACY INCGANGADIN, ESAR 45 VICTORY BLVD.
STATEN ISLANDNY1030110/01/2017 01/01/2020
CHC16639-01TOMPKINSVILLE PHARMACY INCGANGADIN, ESAR 45 VICTORY BLVD.
STATEN ISLANDNY1030110/01/2017 01/01/2020
CHC16639-02TOMPKINSVILLE PHARMACY INCGANGADIN, ESAR 45 VICTORY BLVD.
STATEN ISLANDNY1030110/01/2017 01/01/2020
CHC16639-02TOMPKINSVILLE RX INCTOMPKINSVILLE PHARMACY 45 VICTORY BLVD
STATEN ISLANDNY1030104/01/2020  
CHC16639-01TOMPKINSVILLE RX INCTOMPKINSVILLE PHARMACY 45 VICTORY BLVD
STATEN ISLANDNY1030104/01/2020  
CHC16639-00TOMPKINSVILLE RX INCTOMPKINSVILLE PHARMACY 45 VICTORY BLVD
STATEN ISLANDNY1030104/01/2020  
CHC16639-00WALGREEN EASTERN CO., INC.DBA: WALGREENS #01598 1579 FOREST AVE.
STATEN ISLANDNY10302-222607/05/2012 08/27/2015
CHC16639-00WALGREEN EASTERN CO., INC.DBA: WALGREENS #02257 1973 FOREST AVENUE
STATEN ISLANDNY10303-210407/05/201210/01/201711/01/2017
CHC16639-00WALGREEN EASTERN CO., INC.DBA: WALGREENS # 06179 1551 RICHMOND AVE
STATEN ISLANDNY10314-152007/05/2012  
CHC16639-00WALGREEN EASTERN CO., INC.DBA: WALGREENS # 07321 1227 FOREST AVE
STATEN ISLANDNY10310-241607/05/2012  
CHC16639-00WALGREEN EASTERN CO., INC.DBA: WALGREENS 2270 CLOVE RD.
STATEN ISLANDNY10305-152407/05/2012  
CHC16639-00WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03916 758 ARTHUR KILL RD
STATEN ISLANDNY10312-214107/05/2012  
CHC16639-01WALGREEN EASTERN CO., INC.DBA: WALGREENS # 06179 1551 RICHMOND AVE
STATEN ISLANDNY10314-152007/01/2017  
CHC16639-01WALGREEN EASTERN CO., INC.DBA: WALGREENS # 07321 1227 FOREST AVE
STATEN ISLANDNY10310-241607/01/2017  
CHC16639-01WALGREEN EASTERN CO., INC.DBA: WALGREENS 2270 CLOVE RD.
STATEN ISLANDNY10305-152407/01/2017  
CHC16639-01WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03916 758 ARTHUR KILL RD
STATEN ISLANDNY10312-214107/01/2017  
CHC16639-01WALGREEN EASTERN CO., INC.DBA: WALGREENS #02257 1973 FOREST AVENUE
STATEN ISLANDNY10303-210410/01/2017  
CHC16639-02WALGREEN EASTERN CO., INC.DBA: WALGREENS #01598 1579 FOREST AVE.
STATEN ISLANDNY10302-222607/01/2016  
CHC16639-02WALGREEN EASTERN CO., INC.DBA: WALGREENS 2270 CLOVE RD.
STATEN ISLANDNY10305-152407/01/2017  
CHC16639-02WALGREEN EASTERN CO., INC.DBA: WALGREENS # 07321 1227 FOREST AVE
STATEN ISLANDNY10310-241607/01/2017  
CHC16639-02WALGREEN EASTERN CO., INC.DBA: WALGREENS # 06179 1551 RICHMOND AVE
STATEN ISLANDNY10314-152007/01/2017  
CHC16639-02WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03916 758 ARTHUR KILL RD
STATEN ISLANDNY10312-214107/01/2017  
CHC16639-02WALGREEN EASTERN CO., INC.DBA: WALGREENS #02257 1973 FOREST AVENUE
STATEN ISLANDNY10303-210410/01/2017  
CHC16639-01WALGREEN EASTERN CO., INC.DBA: WALGREENS #07776 1759 HYLAN BLVD.
STATEN ISLANDNY10305-191604/01/2022  
CHC16639-02WALGREEN EASTERN CO., INC.DBA: WALGREENS #07776 1759 HYLAN BLVD.
STATEN ISLANDNY10305-191604/01/2022  
CHC16639-00WALGREEN EASTERN CO., INC.DBA: WALGREENS #07776 1759 HYLAN BLVD.
STATEN ISLANDNY10305-191604/01/2022  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/2/2024 2:37:28 PM2/20/2025 9:16:54 AM2/20/2025 9:16 AM
DetailsLast Recertification DateUpdateRecertification2/1/2023 8:37:40 AM2/2/2024 2:37:28 PM2/2/2024 2:37 PM
DetailsLast Recertification DateUpdateRecertification2/1/2022 10:34:59 AM2/1/2023 8:37:40 AM2/1/2023 8:37 AM
DetailsLast Recertification DateUpdateRecertification2/4/2021 9:34:53 AM2/1/2022 10:34:59 AM2/1/2022 10:34 AM
Medicaid BillingNPI: NumberDeleteRecertification1114137403 ( ) 2/4/2021 9:34 AM
DetailsLast Recertification DateUpdateRecertification1/28/2020 12:41:53 PM2/4/2021 9:34:53 AM2/4/2021 9:34 AM
DetailsLast Recertification DateUpdateRecertification1/29/2019 1:55:26 PM1/28/2020 12:41:53 PM1/28/2020 12:41 PM
DetailsLast Recertification DateUpdateRecertification2/15/2018 12:00:59 PM1/29/2019 1:55:26 PM1/29/2019 1:55 PM
DetailsLast Recertification DateUpdateRecertification2/10/2017 12:00:00 AM2/15/2018 12:00:59 PM2/15/2018 12:00 PM
ContactsAuthorizing OfficialUpdate THOMPSON, HENRY EXECUTIVE DIRECTOR 7188762599THOMPSON, HENRY EXECUTIVE DIRECTOR COMMUNITY HEALTH CENTER OF RICHMOND, INC. 718876259911/29/2017 11:47 AM
ContactsPrimary ContactUpdate Lindo, Benito CFO 7189242254-7414Lindo, Benito CFO COMMUNITY HEALTH CENTER OF RICHMOND, INC. 7189242254-741411/29/2017 11:30 AM
ContactsAuthorizing OfficialInsert  THOMPSON, HENRY EXECUTIVE DIRECTOR 71887625997/14/2017 4:10 PM
ContactsPrimary ContactInsert  Lindo, Benito CFO 7189242254-74147/14/2017 3:27 PM
AddressesMain AddressInsert   235 Port Richmond Avenue Staten Island, NY 10302-17012/10/2017 9:35 AM
DetailsLast Recertification DateUpdate 3/2/2016 12:00:00 AM2/10/2017 12:00:00 AM2/10/2017 9:35 AM
Medicaid BillingNPI: NumberInsert  111413740312/14/2016 11:16 AM
DetailsLast Recertification DateUpdate 1/28/2015 12:00:00 AM3/2/2016 12:00:00 AM3/2/2016 4:19 PM
DetailsLast Recertification DateUpdate 3/14/2014 12:00:00 AM1/28/2015 12:00:00 AM1/28/2015 3:02 PM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM3/14/2014 12:00:00 AM3/14/2014 8:14 AM
DetailsEntity NameUpdate COMMUNITY HEALTH CENTER OF RICHMONDCOMMUNITY HEALTH CENTER OF RICHMOND, INC.3/14/2014 8:14 AM
DetailsEntity SubnameUpdate  CHCR3/14/2014 8:14 AM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM3/11/2013 11:58 AM
DetailsLast Recertification DateInsert   6/10/2010 1:10 PM
DetailsGrant NumberInsert  H80CS166396/10/2010 1:10 PM
Details340B IDInsert  CHC16639-006/10/2010 1:10 PM
DetailsIs Authorizing Official EHB DataInsert   6/10/2010 1:10 PM
DatesLast Date That 340B Drugs PurchasedInsert   6/10/2010 1:10 PM
DetailsMedicare Provider NumberInsert   6/10/2010 1:10 PM
DetailsEntity NameInsert  COMMUNITY HEALTH CENTER OF RICHMOND6/10/2010 1:10 PM
DetailsProgram CodeInsert  CH6/10/2010 1:10 PM
DetailsEntity SubnameInsert   6/10/2010 1:10 PM
DatesParticipating Approval DateInsert  6/10/2008 12:00:00 AM6/10/2010 1:10 PM
DetailsStateInsert  Active6/10/2010 1:10 PM
DatesRegistration DateInsert  6/9/2010 12:00:00 AM6/10/2010 1:10 PM
DatesSigned By DateInsert  5/30/2008 12:00:00 AM6/10/2010 1:10 PM
DatesStart DateInsert  7/1/2008 12:00:00 AM6/10/2010 1:10 PM
TerminationsTermination CommentsInsert   6/10/2010 1:10 PM
TerminationsTermination DateInsert   6/10/2010 1:10 PM
TerminationsTermination Effective DateInsert   6/10/2010 1:10 PM
TerminationsTermination ReasonInsert   6/10/2010 1:10 PM