340B Drug Pricing Program Database


CH02348C Alliance Community Healthcare Inc. (Active) - information as of 5/7/2025 10:43:27 PM

Main Details
Alliance Community Healthcare Inc.
Alliance Community Healthcare Inc.
HRSA-Funded Health Center
BPS-H80-011078
CH02348C
H80CS19534


Additional Details
Active
4/1/2012
7/1/2012
6/19/2012
2/13/2025

Contacts

Alliance Community Healthcare Inc.
Marilyn Cintron, Chief Executive Officer
(201) 209-2301

Alliance Community Healthcare Inc.
Arlene Simon, Chief Operation Officer
(201) 401-6713

Addresses

115 Christopher Columbus Dr
Jersey City, NJ 07302-5526

Alliance Community Healthcare Inc.
26 Journal Square
Suite 1600
Jersey City, NJ 07306-4802


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
4/5/12 - Reviewed registration. 4/18/12 - Processed registration and forwarded to IS.04/18/2012
4/5/12 - Reviewed registration.04/05/2012
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 DetailALLIANCE PA PHARMACY, LLC.1235 PENN AVE STE 101
WYOMISSINGPA19610-210004/12/201907/01/2019 10/01/202410/17/2024
Contract DetailHORIZON PHARMACY115 CHRISTOPHER COLUMBUS DR STE 101
JERSEY CITYNJ07302-355104/15/202207/01/2022  07/01/2022
Contract DetailNEW HORIZON PHARMACY711 BERGEN AVE NEW HORIZON PHARMACY
JERSEY CITYNJ0730610/08/201301/01/2014 05/01/202410/17/2024
Contract DetailOLSHINS PHARMACY114 CONGRESS ST
NEWARKNJ0710510/08/201301/01/2014  10/08/2013
Contract DetailPHARMACEUTICAL PRESCRIPTION SERVICE, LLC155 JEFFERSON ST
NEWARKNJ07105-170611/23/201501/01/2016 09/01/202410/17/2024
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH023480TerminatedBPS-H80-005483HORIZON HEALTH CENTER INCHORIZON HEALTH CENTER714 Bergen Ave Jersey CityNJ
CH02348BTerminatedBPS-H80-010422HORIZON HEALTH CENTER INCBayonne Family Medicine by Horizon29 E 29th St BayonneNJ
CH02348CActiveBPS-H80-011078Alliance Community Healthcare Inc.Alliance Community Healthcare Inc.115 Christopher Columbus Dr Jersey CityNJ
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH02348CALLIANCE PA PHARMACY, LLC.1235 PENN AVE STE 101
WYOMISSINGPA19610-210007/01/2019 10/01/2024
CH02348BBMC PHARMACY  29TH STREET & AVENUE E
INSIDE BAYONNE MEDICAL CENTER
BAYONNENJ0700201/01/2014 04/01/2016
CH023480CORRECT RX PHARMACY SERVICES1352 CHARWOOD ROAD SUITE C
HANOVERMD2107607/01/2017 07/01/2019
CH023480HEALTH CARE PHARMACY103 SUMMIT AVENUE
JERSEY CITYNJ0730404/01/2005 10/03/2016
CH02348CHORIZON PHARMACY115 CHRISTOPHER COLUMBUS DR STE 101
JERSEY CITYNJ07302-355107/01/2022  
CH023480NEW HORIZON PHARMACY711 BERGEN AVE NEW HORIZON PHARMACY
JERSEY CITYNJ0730601/01/2014 07/01/2019
CH02348CNEW HORIZON PHARMACY711 BERGEN AVE NEW HORIZON PHARMACY
JERSEY CITYNJ0730601/01/2014 05/01/2024
CH023480OLSHINS PHARMACY114 CONGRESS ST
NEWARKNJ0710501/01/2014 07/01/2019
CH02348BOLSHINS PHARMACY114 CONGRESS ST
NEWARKNJ0710501/01/2014 04/01/2016
CH02348COLSHINS PHARMACY114 CONGRESS ST
NEWARKNJ0710501/01/2014  
CH023480PAVONIA PHARMACYPAVONIA PHARMACY 600 PAVONIA AVENUE
GROUND FLOOR
JERSEY CITYNJ07306-292901/01/2017 07/01/2019
CH023480PHARMACEUTICAL PRESCRIPTION SERVICE, LLC155 JEFFERSON ST
NEWARKNJ07105-170601/01/2016 07/01/2019
CH02348BPHARMACEUTICAL PRESCRIPTION SERVICE, LLC155 JEFFERSON ST
NEWARKNJ07105-170601/01/2016 04/01/2016
CH02348CPHARMACEUTICAL PRESCRIPTION SERVICE, LLC155 JEFFERSON ST
NEWARKNJ07105-170601/01/2016 09/01/2024
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/9/2024 9:47:50 AM2/13/2025 11:41:57 AM2/13/2025 11:41 AM
DetailsLast Recertification DateUpdateRecertification2/4/2023 3:57:46 PM2/9/2024 9:47:50 AM2/9/2024 9:47 AM
DetailsEntity NameUpdateRecertificationHORIZON HEALTH CENTER INCAlliance Community Healthcare Inc.2/9/2024 9:47 AM
DetailsEntity SubnameUpdateRecertificationHorizon Health Center/ColumbusAlliance Community Healthcare Inc.2/9/2024 9:47 AM
AddressesBilling AddressUpdateChange RequestHorizon Health Center 3000 Kennedy Blvd. Suite 306 Jersey City, NJ 07306-4802Alliance Community Healthcare Inc. 26 Journal Square Suite 1600 Jersey City, NJ 07306-48025/18/2023 10:24 AM
ContactsAuthorizing OfficialUpdateAO Change RequestCintron, Marilyn Chief Executive Officer Alliance Community Healthcare Inc. 2012092301Cintron, Marilyn Chief Executive Officer Alliance Community Healthcare Inc. 20120923015/17/2023 3:41 PM
ContactsPrimary ContactUpdateChange RequestSimon, Arlene Chief Operation Officer Horizon Health Center, Inc. D/B/A Alliance Community Healthcare Inc. 2014016713Simon, Arlene Chief Operation Officer Alliance Community Healthcare Inc. 20140167135/4/2023 6:58 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestCintron, Marilyn Chief Executive Officer Horizon Health Center, Inc/DBA Alliance Community Healthcare Inc. 2012092301Cintron, Marilyn Chief Executive Officer Alliance Community Healthcare Inc. 20120923014/27/2023 6:42 AM
ContactsSigned ByUpdateProfile Change RequestCintron, Marilyn Chief Executive Officer Horizon Health Center, Inc/DBA Alliance Community Healthcare Inc. 2012092301Cintron, Marilyn Chief Executive Officer Alliance Community Healthcare Inc. 20120923014/27/2023 6:42 AM
DetailsLast Recertification DateUpdateRecertification2/9/2022 6:21:17 PM2/4/2023 3:57:46 PM2/4/2023 3:57 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestCintron, Marilyn Executive Director Horizon Health Center, Inc 2012092309Cintron, Marilyn Chief Executive Officer Horizon Health Center, Inc/DBA Alliance Community Healthcare Inc. 20120923011/27/2023 10:54 AM
ContactsSigned ByUpdateProfile Change RequestCintron, Marilyn Executive Director Horizon Health Center, Inc 2012092309Cintron, Marilyn Chief Executive Officer Horizon Health Center, Inc/DBA Alliance Community Healthcare Inc. 20120923011/27/2023 10:54 AM
DetailsLast Recertification DateUpdateRecertification2/4/2021 6:47:27 PM2/9/2022 6:21:17 PM2/9/2022 6:21 PM
DetailsLast Recertification DateUpdateRecertification1/29/2020 2:47:41 PM2/4/2021 6:47:27 PM2/4/2021 6:47 PM
DetailsLast Recertification DateUpdateRecertification2/2/2019 7:33:06 PM1/29/2020 2:47:41 PM1/29/2020 2:47 PM
AddressesBilling AddressUpdateChange RequestHorizon Health Center 714 Bergen Avenue Jersey City, NJ 07306Horizon Health Center 3000 Kennedy Blvd. Suite 306 Jersey City, NJ 07306-48023/15/2019 12:30 PM
DetailsLast Recertification DateUpdateRecertification2/28/2018 11:37:54 AM2/2/2019 7:33:06 PM2/2/2019 7:33 PM
DetailsLast Recertification DateUpdateRecertification2/13/2017 12:00:00 AM2/28/2018 11:37:54 AM2/28/2018 11:37 AM
ContactsPrimary ContactUpdateRecertificationSimon, Arlene Chief Operation Officer 2014016713Simon, Arlene Chief Operation Officer Horizon Health Center, Inc. D/B/A Alliance Community Healthcare Inc. 20140167132/28/2018 11:37 AM
ContactsAuthorizing OfficialUpdate Cintron, Marilyn Executive Director 2012092309Cintron, Marilyn Executive Director Horizon Health Center, Inc 20120923092/13/2018 6:06 PM
ContactsSigned ByUpdate Cintron, Marilyn Executive Director 2012092309Cintron, Marilyn Executive Director Horizon Health Center, Inc 20120923092/13/2018 6:06 PM
ContactsAuthorizing OfficialInsert  Cintron, Marilyn Executive Director 20120923094/26/2017 9:09 AM
ContactsSigned ByInsert  Cintron, Marilyn Executive Director 20120923094/26/2017 9:09 AM
ContactsPrimary ContactInsert  Simon, Arlene Chief Operation Officer 20140167134/18/2017 4:37 PM
AddressesMain AddressInsert   115 Christopher Columbus Dr Jersey City, NJ 07302-55264/18/2017 4:36 PM
AddressesBilling AddressInsert  Horizon Health Center 714 Bergen Avenue Jersey City, NJ 073064/18/2017 4:36 PM
DetailsLast Recertification DateUpdate 2/23/2016 12:00:00 AM2/13/2017 12:00:00 AM2/13/2017 5:46 PM
DetailsLast Recertification DateUpdate 2/3/2015 12:00:00 AM2/23/2016 12:00:00 AM2/23/2016 4:29 PM
DetailsLast Recertification DateUpdate 3/15/2014 12:00:00 AM2/3/2015 12:00:00 AM2/3/2015 11:35 AM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM3/15/2014 12:00:00 AM3/15/2014 7:08 PM
DetailsEntity NameUpdate Horizon Health CenterHORIZON HEALTH CENTER INC3/15/2014 7:08 PM
DetailsEntity SubnameUpdate Columbus Drive OfficeHorizon Health Center/Columbus3/15/2014 7:08 PM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM2/14/2013 2:06 PM
Details340B IDUpdate IS-FF-CH02348CCH02348C6/19/2012 2:37 PM
DatesParticipating Approval DateUpdate  6/19/2012 12:00:00 AM6/19/2012 2:37 PM
DetailsStateUpdate PendingActive6/19/2012 2:37 PM
DatesStart DateUpdate  7/1/2012 12:00:00 AM6/19/2012 2:37 PM
DetailsGrant NumberUpdate H80CS19534-0300H80CS195344/18/2012 11:36 AM
Details340B IDUpdate FF-04-05-12IS-FF-CH02348C4/18/2012 11:36 AM
DetailsComments PublicInsert  4/5/12 - Reviewed registration. 4/18/12 - Processed registration and forwarded to IS.4/18/2012 11:36 AM
Details340B IDUpdate ONLINE_REGFF-04-05-124/5/2012 12:43 PM
DetailsComments PublicInsert  4/5/12 - Reviewed registration.4/5/2012 12:43 PM
DetailsLast Recertification DateInsert   4/1/2012 7:09 PM
DetailsGrant NumberInsert  H80CS19534-03004/1/2012 7:09 PM
Details340B IDInsert  ONLINE_REG4/1/2012 7:09 PM
DetailsIs Authorizing Official EHB DataInsert   4/1/2012 7:09 PM
DatesLast Date That 340B Drugs PurchasedInsert   4/1/2012 7:09 PM
DetailsMedicare Provider NumberInsert   4/1/2012 7:09 PM
DetailsEntity NameInsert  Horizon Health Center4/1/2012 7:09 PM
DetailsProgram CodeInsert  CH4/1/2012 7:09 PM
DetailsEntity SubnameInsert  Columbus Drive Office4/1/2012 7:09 PM
DatesParticipating Approval DateInsert   4/1/2012 7:09 PM
DetailsStateInsert  Pending4/1/2012 7:09 PM
DatesRegistration DateInsert  4/1/2012 12:00:00 AM4/1/2012 7:09 PM
DatesSigned By DateInsert  4/1/2012 12:00:00 AM4/1/2012 7:09 PM
DatesStart DateInsert   4/1/2012 7:09 PM
TerminationsTermination CommentsInsert   4/1/2012 7:09 PM
TerminationsTermination DateInsert   4/1/2012 7:09 PM
TerminationsTermination Effective DateInsert   4/1/2012 7:09 PM
TerminationsTermination ReasonInsert   4/1/2012 7:09 PM