Covered Entity Details

FQHCLA270A CASTLE FAMILY HEALTH CENTERS, INC. (Active) - information as of 6/7/2025 6:06:00 AM

Main Details

Name

CASTLE FAMILY HEALTH CENTERS, INC.

Subdivision Name

CASTLE FAMILY HEALTH CENTERS AT WINTON

Type

Health Center Program Look-Alike

Site ID

BPS-LAL-027468

340B ID

FQHCLA270A

Grant Number

LALCS00012

Additional Details

Current Program Status

Active

Registration Date

9/13/2010

Participating Start Date

10/1/2010

Participating Approval Date

9/13/2010

Last Recertification Date

2/11/2025

Contacts

Authorizing Official

Castle Family Health Centers Inc.
Dawnita Castle, Chief Financial Officer
(209) 381-2000 Ext: 7022

Primary Contact

Castle Family Health Centers Inc.
Kevin Kelleher, Accountant
(209) 381-2000 Ext: 7021

Addresses

Street Address

6029 N WINTON WAY
WINTON, CA 95388-9515

Billing Address

CASTLE FAMILY HEALTH CENTERS, INC.
3605 HOSPITAL ROAD
ATWATER, CA 95301-5173

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
CA	1649938	1447281746

Shipping Addresses

Shipping Address 1

CASTLE FAMILY HEALTH CENTERS, INC.
3605 HOSPITAL ROAD
ATWATER, CA 95301-5173

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
FQHCLA270	Active	BPS-LAL-009720	CASTLE FAMILY HEALTH CENTERS, INC.	CASTLE FAMILY HEALTH CENTERS AT CASTLE	3605 HOSPITAL ROAD	ATWATER	CA
FQHCLA270A	Active	BPS-LAL-027468	CASTLE FAMILY HEALTH CENTERS, INC.	CASTLE FAMILY HEALTH CENTERS AT WINTON	6029 N WINTON WAY	WINTON	CA
FQHCLA270B	Active	BPS-LAL-009721	CASTLE FAMILY HEALTH CENTERS, INC.	CASTLE FAMILY HEALTH CENTERS AT BLOSS	1251 GROVE AVE	ATWATER	CA
FQHCLA270C	Approved	BPS-LAL-036704	CASTLE FAMILY HEALTH CENTERS, INC.	Castle Family Health Centers at Atwater	1775 Third Street	Atwater	CA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
FQHCLA270	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	07/01/2024
FQHCLA270	AVELLA OF DEER VALLEY, INC. #38	DBA AVELLA SPECIALTY PHARMACY	24416 N. 19TH AVE	PHOENIX	AZ	85085	07/01/2018	07/14/2020
FQHCLA270	AVELLA OF SACRAMENTO, INC.	2288 AUBURN BLVD #102		SACRAMENTO	CA	95821	07/01/2018	07/14/2020
FQHCLA270	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/01/2024
FQHCLA270	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/01/2024
FQHCLA270	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/01/2024
FQHCLA270	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	07/01/2024
FQHCLA270	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	07/01/2024
FQHCLA270	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/01/2024
FQHCLA270	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	07/01/2024
FQHCLA270	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	07/01/2024
FQHCLA270	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	07/01/2024
FQHCLA270	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	07/01/2024
FQHCLA270	CASTLE WINTON PHARMACY	6029 N WINTON WAY STE A		WINTON	CA	95388-9515	10/01/2019	10/09/2023
FQHCLA270	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2024
FQHCLA270	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2024
FQHCLA270	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	07/01/2024
FQHCLA270	DIPLOMAT SPECIALTY PHARMACY	4100 S SAGINAW ST	STE D	FLINT	MI	48507-2683	10/01/2019
FQHCLA270	DIPLOMAT SPECIALTY PHARMACY	15211 VANOWEN ST	STE 301	VAN NUYS	CA	91405	10/01/2019	10/01/2020
FQHCLA270	DIPLOMAT SPECIALTY PHARMACY OF PHOENIX,	DIPLOMAT SPECIALTY PHARMACY	485 N. JUNIPER DR	CHANDLER	AZ	85226	10/01/2019
FQHCLA270	DIPLOMAT SPECIALTY PHARMACY OF SOUTHERN	DIPLOMAT SPECIALTY PHARMACY	1809 EXCISE AVENUE SUITE 204-208	ONTARIO	CA	91761	10/01/2018	07/31/2019
FQHCLA270	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 03117	1651 BELLEVUE RD	ATWATER	CA	95301	07/01/2017
FQHCLA270	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY #10360	474 WINTON PKWY	LIVINGSTON	CA	95334	01/01/2019
FQHCLA270	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 17449	1000 COMMERCE AVE	ATWATER	CA	95301	01/01/2019
FQHCLA270	LA PHARMACY LLC	1048 S GARFIELD AVE	STE 101	ALHAMBRA	CA	91801	07/01/2023	02/01/2024
FQHCLA270	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09919	1621 LANDER AVE	TURLOCK	CA	95380	07/01/2019
FQHCLA270	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 07206	1970 YOSEMITE PARKWAY	MERCED	CA	95341	07/01/2019
FQHCLA270	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09623	649 W. OLIVE AVENUE	MERCED	CA	95348	07/01/2019
FQHCLA270	NMB PHARMACY INC	1203 NE 163RD ST STE 103		NORTH MIAMI BEACH	FL	33162	07/01/2023	11/05/2024
FQHCLA270	OPTUM FRONTIER THERAPIES II, LLC	6425 SANTA MARGARITA ST UNIT 110		LAS VEGAS	NV	89118-1913	10/01/2020
FQHCLA270	OPTUM PHARMACY 701, LLC	4100 S SAGINAW ST STE D		FLINT	MI	48507	01/13/2022
FQHCLA270	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	10/01/2020
FQHCLA270	OPTUM PHARMACY 801, INC.	24416 N 19TH AVE	STE. 100	PHOENIX	AZ	85085	07/07/2020	11/30/2022
FQHCLA270	OPTUM PHARMACY 806, INC.	2288 AUBURN BLVD	STE. 102	SACRAMENTO	CA	95821-1618	07/07/2020
FQHCLA270	OVERLAKE PHARMACY, LLC	4124 148TH AVE NE STE JA		REDMOND	WA	98052	07/01/2023	02/01/2024
FQHCLA270	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/01/2024
FQHCLA270	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	07/01/2024
FQHCLA270	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	07/01/2024
FQHCLA270	RELIANCE CASTLE PHARMACY LLC	DBA CASTLE PHARMACY	3605 HOSPITAL RD STE D	ATWATER	CA	95301	03/15/2011	04/19/2024
FQHCLA270	RIVER CITY PHARMACY LLC	4150 FREIDRICH LN STE I		AUSTIN	TX	78744-1052	07/01/2023	11/05/2024
FQHCLA270	SAVE MART PHARMACY #102		1701 BELLEVUE ROAD	ATWATER	CA	95301	01/17/2012	08/24/2022
FQHCLA270	SAVE MART PHARMACY #53	150 WEST OLIVE AVE		MERCED	CA	95348-3166	01/01/2021	08/31/2022
FQHCLA270	THRIFTY PAYLESS, INC.	RITE AID #6001	571 BELLEVUE ROAD	ATWATER	CA	95301	04/01/2013
FQHCLA270	THRIFTY PAYLESS, INC.	RITE AID #6379	500 MAIN STREET	LIVINGSTON	CA	95334	04/01/2013	03/01/2019
FQHCLA270	THRIFTY PAYLESS, INC.	RITE AID #6006	1158 WEST MAIN STREET	MERCED	CA	95340	04/01/2013	01/31/2022
FQHCLA270	THRIFTY PAYLESS, INC.	RITE AID #6007	3142 G STREET	MERCED	CA	95340	07/01/2019
FQHCLA270	THRIFTY PAYLESS, INC.	RITE AID #6019	653 N GOLDEN STATE BLVD	TURLOCK	CA	95380-3952	01/01/2021
FQHCLA270	THRIFTY PAYLESS, INC.	RITE AID #6512	1000 W MONTE VISTA AVENUE	TURLOCK	CA	95382	01/01/2021
FQHCLA270	THRIFTY PAYLESS, INC.	RITE AID #5855	1317 EAST PACHECO BOULEVARD	LOS BANOS	CA	93635	01/01/2021
FQHCLA270	THRIFTY PAYLESS, INC.	RITE AID #6379	500 MAIN STREET	LIVINGSTON	CA	95334	01/01/2021
FQHCLA270	TRUEPILL	3121 DIABLO AVE		HAYWARD	CA	94545	07/01/2023	02/01/2024
FQHCLA270	TRUEPILL NY LLC	850 3RD AVE STE 404		BROOKLYN	NY	11232-1523	07/01/2023	02/01/2024
FQHCLA270	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2017
FQHCLA270	WAL-MART PHARMACY 10-2039	3055 LOUGHBOROUGH DRIVE		MERCED	CA	95348	04/01/2013	03/02/2017
FQHCLA270	WAL-MART PHARMACY 10-2625	1025 TRINITY MILLS		CARROLLTON	TX	75006	04/01/2024
FQHCLA270	WAL-MART PHARMACY 10-5315	2354 COMMERCE PARK DR.		ORLANDO	FL	32819	01/01/2024
FQHCLA270	WAL-MART PHARMACY 10-5890	800 COMMERCE AVE.		ATWATER	CA	95301	07/01/2013
FQHCLA270	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2017
FQHCLA270	WALGREEN CO.	DBA: WALGREENS # 03030	1591 GEER ROAD	TURLOCK	CA	95380	04/01/2015
FQHCLA270	WALGREEN CO.	DBA: WALGREENS # 03330	1640 R STREET	MERCED	CA	95340	04/01/2015
FQHCLA270	WALGREEN CO.	DBA: WALGREENS # 04415	3098 G STREET	MERCED	CA	95340	04/01/2015
FQHCLA270	WALGREEN CO.	DBA: WALGREENS # 06718	2730 SHAFFER ROAD	ATWATER	CA	95301	04/01/2015
FQHCLA270	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	04/01/2015	07/06/2015
FQHCLA270	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	04/01/2015	07/06/2015
FQHCLA270	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
FQHCLA270	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	2/1/2024 1:44:05 PM	2/11/2025 11:25:08 AM	2/11/2025 11:25 AM
Contacts	Primary Contact	Update	Change Request	Lujano, Edward CEO Castle Family Health Centers Inc. 2093812000-7001	Kelleher, Kevin Accountant Castle Family Health Centers Inc. 2093812000-7021	1/16/2025 11:17 AM
Contacts	Primary Contact	Update	Change Request	Castle, Dawnita Chief Financial Officer Castle Family Health Centers Inc. 2093812000-7022	Lujano, Edward CEO Castle Family Health Centers Inc. 2093812000-7001	1/3/2025 6:13 AM
Contacts	Authorizing Official	Update	Change Request	Lujano, Edward CEO Castle Family Health Centers Inc. 2093812000-7001	Castle, Dawnita Chief Financial Officer Castle Family Health Centers Inc. 2093812000-7022	1/3/2025 6:13 AM
Details	Last Recertification Date	Update	Recertification	2/1/2023 2:41:08 PM	2/1/2024 1:44:05 PM	2/1/2024 1:44 PM
Details	Last Recertification Date	Update	Recertification	2/3/2022 6:06:50 PM	2/1/2023 2:41:08 PM	2/1/2023 2:41 PM
Details	Last Recertification Date	Update	Recertification	2/1/2021 5:23:53 PM	2/3/2022 6:06:50 PM	2/3/2022 6:06 PM
Medicaid Billing	NPI: State	Update	Recertification		CA	2/1/2021 5:23 PM
Details	Last Recertification Date	Update	Recertification	1/27/2020 1:40:05 PM	2/1/2021 5:23:53 PM	2/1/2021 5:23 PM
Details	Last Recertification Date	Update	Recertification	1/29/2019 11:35:35 AM	1/27/2020 1:40:05 PM	1/27/2020 1:40 PM
Addresses	Main Address	Update	Change Request	6596 N WINTON WAY WINTON, CA 95388-9988	6029 N WINTON WAY WINTON, CA 95388-9515	3/11/2019 2:51 PM
Details	Last Recertification Date	Update	Recertification	2/7/2018 12:05:11 PM	1/29/2019 11:35:35 AM	1/29/2019 11:35 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	10/4/2018 1:52 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		1649938	10/4/2018 1:52 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		CA	10/4/2018 1:52 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1447281746	10/4/2018 1:52 PM
Details	Last Recertification Date	Update	Recertification	1/25/2017 12:00:00 AM	2/7/2018 12:05:11 PM	2/7/2018 12:05 PM
Details	Grant Number	Update	Recertification	LAL000012	LALCS00012	2/7/2018 12:05 PM
Contacts	Primary Contact	Update	Profile Change Request	Castle, Dawnita Senior Accountant Castle Family Health Centers Inc. 2093812000-7022	Castle, Dawnita Chief Financial Officer Castle Family Health Centers Inc. 2093812000-7022	10/9/2017 7:10 PM
Contacts	Authorizing Official	Update		Lujano, Edward CEO 2093812000-7001	Lujano, Edward CEO Castle Family Health Centers Inc. 2093812000-7001	10/2/2017 12:30 PM
Contacts	Primary Contact	Update		Castle, Dawnita Senior Accountant 2093812000-7022	Castle, Dawnita Senior Accountant Castle Family Health Centers Inc. 2093812000-7022	10/2/2017 12:02 PM
Contacts	Authorizing Official	Insert			Lujano, Edward CEO 2093812000-7001	7/25/2017 1:11 PM
Contacts	Primary Contact	Insert			Castle, Dawnita Senior Accountant 2093812000-7022	2/10/2017 5:38 PM
Addresses	Main Address	Insert			6596 N WINTON WAY WINTON, CA 95388-9988	2/10/2017 5:38 PM
Addresses	Billing Address	Insert			CASTLE FAMILY HEALTH CENTERS, INC. 3605 HOSPITAL ROAD ATWATER, CA 95301-5173	2/10/2017 5:38 PM
Addresses	Shipping Address	Insert			CASTLE FAMILY HEALTH CENTERS, INC. 3605 HOSPITAL ROAD ATWATER, CA 95301-5173	2/10/2017 5:38 PM
Details	Last Recertification Date	Update		3/4/2016 12:00:00 AM	1/25/2017 12:00:00 AM	1/25/2017 11:51 AM
Details	Last Recertification Date	Update		3/9/2015 12:00:00 AM	3/4/2016 12:00:00 AM	3/4/2016 12:35 PM
Details	Last Recertification Date	Update		3/13/2014 12:00:00 AM	3/9/2015 12:00:00 AM	3/9/2015 9:28 PM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	3/13/2014 12:00:00 AM	3/13/2014 10:56 PM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	2/22/2013 7:39 AM
Details	Grant Number	Update			LAL000012	9/27/2012 4:20 PM
Details	Grant Number	Update		LAL000012		9/14/2010 8:40 AM
Details	Last Recertification Date	Insert				9/13/2010 11:16 AM
Details	Grant Number	Insert			LAL000012	9/13/2010 11:16 AM
Details	340B ID	Insert			FQHCLA270A	9/13/2010 11:16 AM
Details	Is Authorizing Official EHB Data	Insert				9/13/2010 11:16 AM
Dates	Last Date That 340B Drugs Purchased	Insert				9/13/2010 11:16 AM
Details	Medicare Provider Number	Insert				9/13/2010 11:16 AM
Details	Entity Name	Insert			CASTLE FAMILY HEALTH CENTERS, INC.	9/13/2010 11:16 AM
Details	Program Code	Insert			FQHCLA	9/13/2010 11:16 AM
Details	Entity Subname	Insert			CASTLE FAMILY HEALTH CENTERS AT WINTON	9/13/2010 11:16 AM
Dates	Participating Approval Date	Insert			9/13/2010 12:00:00 AM	9/13/2010 11:16 AM
Details	State	Insert			Active	9/13/2010 11:16 AM
Dates	Registration Date	Insert			9/13/2010 12:00:00 AM	9/13/2010 11:16 AM
Dates	Signed By Date	Insert			8/26/2010 12:00:00 AM	9/13/2010 11:16 AM
Dates	Start Date	Insert			10/1/2010 12:00:00 AM	9/13/2010 11:16 AM
Terminations	Termination Comments	Insert				9/13/2010 11:16 AM
Terminations	Termination Date	Insert				9/13/2010 11:16 AM
Terminations	Termination Effective Date	Insert				9/13/2010 11:16 AM
Terminations	Termination Reason	Insert				9/13/2010 11:16 AM

340B Drug Pricing Program Database