Covered Entity Details

HV022690 NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (Terminated) - information as of 5/16/2025 11:25:43 PM

Main Details

Name

NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

Subdivision Name

SYDENHAM HEALTH CARE NETWORK

Type

Ryan White Part C

340B ID

HV022690

Grant Number

H76HA00034

Additional Details

Current Program Status

Terminated

Registration Date

12/1/1992

Participating Start Date

12/1/1992

Participating Approval Date

12/1/1992

Last Recertification Date

2/8/2018

Time Period the Assistance was Received

Termination Date
Termination Reason

10/1/2018
Never implemented the 340B Program

Contacts

Authorizing Official

New York City Health and Hospitals
Paul Albertson, Vice President
(212) 748-2256

Primary Contact

New York City Health + Hospitals
Danielle Sestito, Senior Director, 340B Operations
(212) 442-3892

Addresses

Street Address

264 W 118th St
NEW YORK, NY 10026

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
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?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	31ST & 3RD PHARMACY INC	D/B/A AVITA PHARMACY 1063	1860 WALT WHITMAN RD STE 700	MELVILLE	NY	11747	01/16/2018	04/01/2018	03/19/2018	03/29/2018
Contract Detail	31ST & 3RD PHARMACY INC	D/B/A AVITA PHARMACY 1063	1860 WALT WHITMAN RD STE 700	MELVILLE	NY	11747	01/16/2018	04/01/2018	10/01/2018	10/01/2018
Contract Detail	523 PHARMACY CORP.	523 MALCOLM X BLVD		NEW YORK	NY	10037	01/19/2017	04/01/2017	10/01/2018	10/01/2018
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	01/16/2018	04/01/2018	10/01/2018	10/01/2018
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	01/16/2018	04/01/2018	10/01/2018	10/01/2018
Contract Detail	DUANE READE	279 W 125TH STREET		NEW YORK	NY	10027-4408	01/19/2017	04/01/2017	07/20/2018	07/20/2018
Contract Detail	DUANE READE	2683 BROADWAY # 7		NEW YORK	NY	10025	01/19/2017	04/01/2017	10/01/2018	10/01/2018
Contract Detail	DUANE READE	2760-62 BROADWAY		NEW YORK	NY	10025	01/19/2017	04/01/2017	10/01/2018	10/01/2018
Contract Detail	DUANE READE	135 EAST 125TH STREET		NEW YORK	NY	10035	01/19/2017	04/01/2017	10/01/2018	10/01/2018
Contract Detail	DUANE READE	300 WEST 135TH ST.		NEW YORK	NY	10030	01/19/2017	04/01/2017	10/01/2018	10/01/2018
Contract Detail	DUANE READE	568 W 125TH ST		NEW YORK	NY	10027	01/19/2017	04/01/2017	10/01/2018	10/01/2018
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/17/2018	10/01/2018	10/01/2018	10/01/2018
Contract Detail	HARLEM HOSPITAL CENTER	c/o Outpatient Pharmacy	46 West 137th Street	New York	NY	10037	01/04/2018	04/01/2018	10/01/2018	10/01/2018
Contract Detail	RITE AID OF NEW YORK, INC.	RITE AID #7760	2170 FREDERICK DOUGLASS BLVD	NEW YORK	NY	10026	10/13/2016	01/01/2017	10/01/2018	10/01/2018
Contract Detail	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #13755	364 SPRINGFIELD AVE	SUMMIT	NJ	07901	01/19/2017	04/01/2017	10/01/2018	10/01/2018
Contract Detail	WALGREENS MAIL SERVICE, LLC	WALGREENS MAIL SERVICE #03397	8350 S RIVER PARKWAY	TEMPE	AZ	85284	01/12/2018	04/01/2018	10/01/2018	10/01/2018
Contract Detail	WALGREENS.COM, INC.	DBA: WALGREENS	2225 S. PRICE ROAD	CHANDLER	AZ	85286	01/12/2018	04/01/2018	10/01/2018	10/01/2018

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	10/1/2018 12:05 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		8/24/2018 12:00:00 AM	8/24/2018 2:44 PM
Details	State	Update	Termination Request	Active	To Be Terminated	8/24/2018 2:44 PM
Terminations	Termination Comments	Update	Termination Request		This clinic is within the 4 walls of an FQHC-LA and is within the scope of their primary healthcare services grant 340B ID FQHCLA334A	8/24/2018 2:44 PM
Terminations	Termination Date	Update	Termination Request		10/1/2018 12:00:00 AM	8/24/2018 2:44 PM
Terminations	Termination Effective Date	Update	Termination Request		8/24/2018 12:00:00 AM	8/24/2018 2:44 PM
Terminations	Termination Reason	Update	Termination Request		Never implemented the 340B Program	8/24/2018 2:44 PM
Details	Last Recertification Date	Update	Recertification	1/30/2017 12:00:00 AM	2/8/2018 7:43:49 PM	2/8/2018 7:43 PM
Contacts	Primary Contact	Update	Change Request	Lakoff, Warren Director Pharmacy Services 6464588645	Sestito, Danielle Senior Director, 340B Operations New York City Health + Hospitals 2124423892	11/28/2017 8:10 PM
Contacts	Authorizing Official	Update	AO Change Request	Masci, Joseph Director 7183343446	Albertson, Paul Vice President New York City Health and Hospitals 2127482256	10/4/2017 2:56 PM
Addresses	Main Address	Insert			264 W 118th St NEW YORK, NY 10026	1/30/2017 1:35 PM
Details	Last Recertification Date	Update		3/1/2016 12:00:00 AM	1/30/2017 12:00:00 AM	1/30/2017 1:35 PM
Contacts	Primary Contact	Update		Williams, Reba Medical Director 2129326531	Lakoff, Warren Director Pharmacy Services 6464588645	11/15/2016 11:09 AM
Details	Entity Subname	Update		RENAISSANCE HEALTH CARE NETWORK	SYDENHAM HEALTH CARE NETWORK	11/15/2016 11:09 AM
Details	Last Recertification Date	Update		3/6/2015 12:00:00 AM	3/1/2016 12:00:00 AM	3/1/2016 4:04 PM
Details	Last Recertification Date	Update		2/10/2014 12:00:00 AM	3/6/2015 12:00:00 AM	3/6/2015 10:53 AM
Contacts	Primary Contact	Update		Masci, Joseph Director 7183343446	Williams, Reba Medical Director 2129326531	2/10/2014 10:00 PM
Details	Last Recertification Date	Update		1/1/2013 12:00:00 AM	2/10/2014 12:00:00 AM	2/10/2014 10:00 PM
Details	Last Recertification Date	Update		10/1/2006 12:00:00 AM	1/1/2013 12:00:00 AM	12/6/2012 7:54 AM
Contacts	Authorizing Official	Insert			Masci, Joseph Director 7183343446	9/26/2012 2:19 PM
Contacts	Primary Contact	Insert			Masci, Joseph Director 7183343446	9/26/2012 2:19 PM
Details	Entity Name	Update		RENAISSANCE HEALTH CARE NETWORK	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	9/26/2012 2:19 PM
Details	Entity Subname	Update			RENAISSANCE HEALTH CARE NETWORK	9/26/2012 2:19 PM
Details	Last Recertification Date	Insert			10/1/2006 12:00:00 AM	11/25/2005 2:23 PM
Details	Grant Number	Insert			H76HA00034	11/25/2005 2:23 PM
Details	340B ID	Insert			HV022690	11/25/2005 2:23 PM
Details	Is Authorizing Official EHB Data	Insert				11/25/2005 2:23 PM
Dates	Last Date That 340B Drugs Purchased	Insert				11/25/2005 2:23 PM
Details	Medicare Provider Number	Insert				11/25/2005 2:23 PM
Details	Entity Name	Insert			RENAISSANCE HEALTH CARE NETWORK	11/25/2005 2:23 PM
Details	Program Code	Insert			HV	11/25/2005 2:23 PM
Details	Entity Subname	Insert				11/25/2005 2:23 PM
Dates	Participating Approval Date	Insert			12/1/1992 12:00:00 AM	11/25/2005 2:23 PM
Details	State	Insert			Active	11/25/2005 2:23 PM
Dates	Registration Date	Insert			12/1/1992 12:00:00 AM	11/25/2005 2:23 PM
Dates	Signed By Date	Insert				11/25/2005 2:23 PM
Dates	Start Date	Insert			12/1/1992 12:00:00 AM	11/25/2005 2:23 PM
Terminations	Termination Comments	Insert				11/25/2005 2:23 PM
Terminations	Termination Date	Insert				11/25/2005 2:23 PM
Terminations	Termination Effective Date	Insert				11/25/2005 2:23 PM
Terminations	Termination Reason	Insert				11/25/2005 2:23 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History