Covered Entity Details

CH02163Q COMMUNITY HEALTHCARE NETWORK, INC. (Active) - information as of 6/16/2025 1:04:51 AM

Main Details

Name

COMMUNITY HEALTHCARE NETWORK, INC.

Subdivision Name

Tremont Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-037536

340B ID

CH02163Q

Grant Number

H80CS00597

Additional Details

Current Program Status

Active

Registration Date

7/6/2012

Participating Start Date

10/1/2012

Participating Approval Date

9/10/2012

Last Recertification Date

2/19/2025

Contacts

Authorizing Official

Community Healthcare Network
Alan Wengrofsky, CFO
(212) 545-2481

Primary Contact

Community Healthcare Network
Taisha Benjamin, CMO
(212) 545-2400

Addresses

Street Address

1880 Bathgate Avenue
Bronx, NY 10457

Billing Address

Community Healthcare Network
60 Madison Ave
5th Floor
New York, NY 10010

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?
No

Shipping Addresses

Same as Street Address

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
Contract Detail	BEST AID COMMUNITY PHARMACY LLC	BEST AID PHARMACY	563 EAST TREMONT AVENUE	BRONX	NY	10457	12/21/2012	10/27/2012		12/02/2016	03/28/2024
Contract Detail	JAMAICA ECONOMY DRUG INC	221-21 JAMAICA AVE.		QUEENS VILLAGE	NY	11428	07/02/2014	10/01/2014		08/04/2017	08/04/2017

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	Address Cont.	City	State
CH021630	Active	BPS-H80-013948	COMMUNITY HEALTHCARE NETWORK	COMMUNITY HEALTHCARE NETWORK	60 MADSION AVE	5TH FLOOR	NEW YORK	NY
CH02163A	Active	BPS-H80-000783	COMMUNITY HEALTHCARE NETWORK, INC.	DR BETTY SHABAZZ HEALTH CENTER	999 Blake Ave		Brooklyn	NY
CH02163C	Active	BPS-H80-001470	COMMUNITY HEALTHCARE NETWORK, INC.	C.A.B.S. CENTER	94-98 MANHATTAN AVENUE		BROOKLYN	NY
CH02163D	Active	BPS-H80-000121	COMMUNITY HEALTHCARE NETWORK, INC.	QUEENS HEALTH CENTER SITE	9704 Sutphin Blvd		Jamaica	NY
CH02163E	Active	BPS-H80-000893	COMMUNITY HEALTHCARE NETWORK, INC.	CARIBBEAN HOUSE HEALTH CENTER	1167 NOSTRAND AVE		BROOKLYN	NY
CH02163G	Active	BPS-H80-005537	COMMUNITY HEALTHCARE NETWORK, INC.	HELEN B. ATKINSON CENTER	81 W 115TH ST		NEW YORK	NY
CH02163H	Active	BPS-H80-002653	COMMUNITY HEALTHCARE NETWORK, INC.	BRONX HEALTH CENTER	975 WESTCHESTER AVE		BRONX	NY
CH02163I	Active	BPS-H80-013921	COMMUNITY HEALTHCARE NETWORK, INC.	Community League Health Center	511 W 157TH ST		NEW YORK	NY
CH02163J	Active	BPS-H80-000025	COMMUNITY HEALTHCARE NETWORK, INC.	Long Island City Health Center	36-11 21st Street		Long Island City	NY
CH02163N	Terminated	BPS-H80-004195	COMMUNITY HEALTHCARE NETWORK, INC.	DOWNTOWN FAMILY CARE CENTER	150 Essex St		New York	NY
CH02163P	Terminated	BPS-H80-011161	COMMUNITY HEALTHCARE NETWORK, INC.	Family Health Center	90-04 161st St FL 5		Jamaica	NY
CH02163Q	Active	BPS-H80-037536	COMMUNITY HEALTHCARE NETWORK, INC.	Tremont Health Center	1880 Bathgate Avenue		Bronx	NY
CH02163R	Active	BPS-H80-024703	Community Healthcare Network, Inc.	East New York Health Hub	2581 Atlantic Ave FL 1		Brooklyn	NY
CH02163S	Active	BPS-H80-017010	Community Healthcare Network, Inc.	The Seward Park School-based Health Center	350 Grand Street		New York	NY
CH02163T	Active	BPS-H80-019439	Community Healthcare Network, Inc.	Phoenix Health Center	504 W 158th Street		New York	NY
CH02163U	Active	BPS-H80-035303	Community Healthcare Network, Inc.	Lower East Side Health Center	255 E Houston St		New York	NY
CH02163V	Active	BPS-H80-036015	Community Healthcare Network, Inc.	Jamaica Health Center	8944 164th St		Jamaica	NY

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH021630	3817 BROADWAY PHARMACY INC		3835 BROADWAY	NEW YORK	NY	10032	10/01/2015	12/02/2016
CH02163I	3817 BROADWAY PHARMACY INC		3835 BROADWAY	NEW YORK	NY	10032	10/27/2012	07/28/2022
CH021630	ABHINAV CORPORATION	DBA NEW LOTS PHARMACY	739 NEW LOTS AVE	BROOKLYN	NY	11207-7305	10/01/2015	12/02/2016
CH021630	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/01/2022	06/07/2024
CH021630	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/01/2022	06/07/2024
CH021630	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/01/2022	06/07/2024
CH021630	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	10/01/2022	06/07/2024
CH021630	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/01/2022	06/07/2024
CH021630	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/01/2022
CH021630	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	10/01/2022	06/07/2024
CH021630	BELL DRUGS	138 GRAHAM AVE		BROOKLYN	NY	11206-2621	01/01/2016	12/02/2016
CH021630	BEST AID COMMUNITY PHARMACY LLC	BEST AID PHARMACY	563 EAST TREMONT AVENUE	BRONX	NY	10457	10/01/2015	12/02/2016
CH02163P	BEST AID COMMUNITY PHARMACY LLC	BEST AID PHARMACY	563 EAST TREMONT AVENUE	BRONX	NY	10457	03/21/2013	07/28/2022
CH02163Q	BEST AID COMMUNITY PHARMACY LLC	BEST AID PHARMACY	563 EAST TREMONT AVENUE	BRONX	NY	10457	10/27/2012	12/02/2016
CH021630	BGH RX INC.	D/B/A CYPRESS HILLS PHARMACY	1155-A BLAKE AVE	BROOKLYN	NY	11208	10/01/2015	12/02/2016
CH021630	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	07/01/2024	06/11/2025
CH021630	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	07/01/2024	06/11/2025
CH021630	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	13925 YALE AVE STE 145		IRVINE	CA	92620-2670	07/01/2024	06/11/2025
CH021630	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	145 S 79TH ST STE 70	CHANDLER	AZ	85226	07/01/2024	06/11/2025
CH021630	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4740 VICTORY LN STE C	INDIANAPOLIS	IN	46203	07/01/2024	06/11/2025
CH021630	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 00491	7209 NORTHERN BLVD	JACKSON HEIGHTS	NY	11372	07/01/2025
CH021630	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 01113	89-11 NORTHERN BLVD.	JACKSON HEIGHTS	NY	11372	07/01/2025
CH021630	CVS ALBANY, L.L.C.	CVS/PHARMACY # 2280	329-339 WYCKOFF AVE	RIDGEWOOD	NY	11385	07/01/2025
CH021630	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02344	1249 NOSTRAND AVENUE	BROOKLYN	NY	11225	07/01/2025
CH021630	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02737	115 W. 125TH STREET	NEW YORK	NY	10027	07/01/2025
CH021630	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02939	500 GRAND ST.	NEW YORK	NY	10002	07/01/2025
CH021630	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02940	500 W. 42ND ST.	NEW YORK	NY	10036	07/01/2025
CH021630	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 03224	130 LENOX AVE.	NEW YORK	NY	10026	07/01/2025
CH021630	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY #07576	3101 DITMARS BLVD.	ASTORIA	NY	11105	07/01/2025
CH021630	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY #8940	1688 WESTCHESTER AVE	BRONX	NY	10472	07/01/2025
CH021630	CVS ALBANY, L.L.C.	CVS/PHARMACY # 10826	1440 BROADWAY	NEW YORK	NY	10018	07/01/2025
CH021630	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY #11132	196 ORCHARD STREET	NEW YORK	NY	10002	07/01/2025
CH021630	CVS ALBANY, L.L.C.	CVS PHARMACY # 16740	519 GATEWAY DR	BROOKLYN	NY	11239	07/01/2025
CH021630	CVS ALBANY, L.L.C.	CVS PHARMACY # 17290	1598 FLATBUSH AVE	BROOKLYN	NY	11210	07/01/2025
CH021630	DB MEDICAL SUPPLIES INC	D/B/A CARE PHARMACY	979 WESTCHESTER AVE	BRONX	NY	10459	10/01/2015	12/02/2016
CH021630	DB MEDICAL SUPPLIES INC	D/B/A CARE PHARMACY	979 WESTCHESTER AVE	BRONX	NY	10459	07/01/2018
CH021630	DELIVER MY MEDS CORP.	380 OSER AVE		HAUPPAUGE	NY	11788-3608	07/01/2019	09/01/2021
CH021630	DOGWOOD PHARMACY LLC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER RD STE K	GREENVILLE	SC	29607-6541	07/01/2024	06/11/2025
CH02163G	DRUG SHOPPE LLC	2074 8TH AVENUE		NEW YORK	NY	10026	03/05/2010	07/28/2022
CH021630	DUANE READE	401 PARK AVENUE SOUTH		NEW YORK	NY	10016	04/01/2015
CH021630	DUANE READE		1181 LIBERTY AVE	BROOKLYN	NY	11208	04/01/2015	05/01/2019
CH021630	DUANE READE	2108 3RD AVENUE		NEW YORK	NY	10029-2103	04/01/2015	02/26/2020
CH021630	DUANE READE	724 FLATBUSH AVENUE		BROOKLYN	NY	11226	04/01/2015
CH021630	DUANE READE	100 DELANCEY STREET		NEW YORK	NY	10002-3202	04/01/2015
CH021630	DUANE READE		93-01 SUTPHIN BLVD	JAMAICA	NY	11435-4319	04/01/2015	12/01/2016
CH021630	DUANE READE		160-04 JAMAICA AVENUE	JAMAICA	NY	11432	04/01/2015	11/05/2015
CH021630	DUANE READE	320 W 145TH STREET		NEW YORK	NY	10039	04/01/2015
CH021630	DUANE READE	194 EAST 2ND STREET		NEW YORK	NY	10009	04/01/2015
CH021630	DUANE READE		1888 WESTCHESTER AVENUE	BRONX	NY	10472	04/01/2015	02/26/2020
CH021630	DUANE READE	941 SOUTHERN BLVD #943		BRONX	NY	10459	01/01/2017	10/07/2019
CH021630	DUANE READE	750 NEW YORK AVE		BROOKLYN	NY	11203	01/01/2017	03/04/2020
CH021630	DUANE READE	756 MYRTLE AVE		BROOKLYN	NY	11206	01/01/2017
CH021630	DUANE READE	224 W. 29TH STREET		NEW YORK	NY	10001	04/01/2017	10/03/2019
CH021630	DUANE READE	13602 ROOSEVELT AVENUE		FLUSHING	NY	11354	04/01/2022
CH021630	DUANE READE, INC.	DBA: DUANE READE	310 E 2ND ST	NEW YORK	NY	10009	01/01/2017	10/17/2019
CH021630	DULARI CORP.	QUEENS DRUGS & SURGICAL	146-14 JAMAICA AVE ATTN: SUPERVISING PHARMACIST	JAMAICA	NY	11435-3628	10/01/2015	01/01/2023
CH021630	DULARI CORP.	QUEENS DRUGS & SURGICAL	146-14 JAMAICA AVE ATTN: SUPERVISING PHARMACIST	JAMAICA	NY	11435-3628	07/01/2025
CH021630	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	01/01/2023
CH021630	ESTABLISHED DRUGS INC	D/B/A HEALTH-WISE PHARMACY	1233 NOSTRAND AVE	BROOKLYN	NY	11225	04/01/2020
CH021630	EVERS PHARMACY INC.	EVERS PHARMACY INC.	142-02 ROCKAWAY BLVD.	JAMAICA, NY	NY	11436-1419	04/01/2015	09/30/2021
CH02163D	EVERS PHARMACY INC.	EVERS PHARMACY INC.	142-02 ROCKAWAY BLVD.	JAMAICA, NY	NY	11436-1419	10/27/2012	09/30/2021
CH02163P	EVERS PHARMACY INC.	EVERS PHARMACY INC.	142-02 ROCKAWAY BLVD.	JAMAICA, NY	NY	11436-1419	10/27/2012	07/28/2022
CH021630	EVERS RX INC	226 E 144TH ST	2 FLOOR	BRONX	NY	10451-5909	10/01/2015	08/06/2018
CH021630	EXPRESS HEALTH MART PHARMACY CORP.	1173 NOSTRAND AVE		BROOKLYN	NY	11225	10/01/2015	05/28/2020
CH02163E	EXPRESS HEALTH MART PHARMACY CORP.	1173 NOSTRAND AVE		BROOKLYN	NY	11225	04/01/2015	05/28/2020
CH021630	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	01/01/2023
CH021630	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	01/01/2023
CH021630	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	01/01/2023
CH021630	F & B PHARMACY CORP	740 NEW LOTS AVENUE		BROOKLYN	NY	11207	10/01/2015	12/02/2016
CH021630	GHC PHARMACY INC.	DBA MERRICK PHARMACY	234-28 MERRICK BLVD	ROSEDALE	NY	11422	04/01/2018	12/15/2021
CH021630	GOVIND PHARM INC.	DBA: PARKSIDE CHEMISTS	1274 NOSTRAND AVE	BROOKLYN	NY	11226-1122	04/01/2017	12/15/2021
CH021630	HARLEM RX INC	102 D E F W. 116TH STREET		NEW YORK	NY	10026	10/01/2015
CH02163G	HARLEM RX INC	102 D E F W. 116TH STREET		NEW YORK	NY	10026	10/27/2012
CH021630	HEALTH RITE PHARMACY INC.	1988 AMSTERDAM AVE		NEW YORK	NY	10032	10/01/2015	12/02/2016
CH02163I	HEALTH RITE PHARMACY INC.	1988 AMSTERDAM AVE		NEW YORK	NY	10032	10/27/2012	01/01/2016
CH021630	JAMAICA ECONOMY DRUG INC	221-21 JAMAICA AVE.		QUEENS VILLAGE	NY	11428	10/01/2015	09/23/2016
CH02163A	JAMAICA ECONOMY DRUG INC	221-21 JAMAICA AVE.		QUEENS VILLAGE	NY	11428	10/16/2009	08/04/2017
CH02163C	JAMAICA ECONOMY DRUG INC	221-21 JAMAICA AVE.		QUEENS VILLAGE	NY	11428	10/01/2014	08/04/2017
CH02163G	JAMAICA ECONOMY DRUG INC	221-21 JAMAICA AVE.		QUEENS VILLAGE	NY	11428	10/01/2014	08/04/2017
CH02163E	JAMAICA ECONOMY DRUG INC	221-21 JAMAICA AVE.		QUEENS VILLAGE	NY	11428	10/16/2009	08/04/2017
CH02163D	JAMAICA ECONOMY DRUG INC	221-21 JAMAICA AVE.		QUEENS VILLAGE	NY	11428	10/01/2014	08/04/2017
CH02163I	JAMAICA ECONOMY DRUG INC	221-21 JAMAICA AVE.		QUEENS VILLAGE	NY	11428	10/01/2014	08/04/2017
CH02163N	JAMAICA ECONOMY DRUG INC	221-21 JAMAICA AVE.		QUEENS VILLAGE	NY	11428	10/01/2014	08/04/2017
CH02163H	JAMAICA ECONOMY DRUG INC	221-21 JAMAICA AVE.		QUEENS VILLAGE	NY	11428	10/01/2014	08/04/2017
CH02163J	JAMAICA ECONOMY DRUG INC	221-21 JAMAICA AVE.		QUEENS VILLAGE	NY	11428	10/01/2014	08/04/2017
CH02163P	JAMAICA ECONOMY DRUG INC	221-21 JAMAICA AVE.		QUEENS VILLAGE	NY	11428	10/01/2014	08/04/2017
CH02163Q	JAMAICA ECONOMY DRUG INC	221-21 JAMAICA AVE.		QUEENS VILLAGE	NY	11428	10/01/2014	08/04/2017
CH021630	LINDENWOOD RX CENTER INC	LIRX	1380 LORING AVE C/O PHARMACY	BROOKLYN	NY	11208	04/01/2017	12/27/2021
CH021630	M AND S DRUGS INC	LONG ISLAND CITY CHEMISTS	30-12 36TH AVE	LONG ISLAND CITY	NY	11106	10/01/2015	12/15/2021
CH021630	MAGELLAN RX PHARMACY, LLC.	31-75 23RD STREET	SUITE 410	ASTORIA	NY	11106	10/01/2016	08/07/2018
CH021630	MARG PHARMACY	76 GRAHAM AVE.		BROOKLYN	NY	11206-4017	10/01/2015
CH02163C	MARG PHARMACY	76 GRAHAM AVE.		BROOKLYN	NY	11206-4017	10/31/2008
CH021630	MEDIEXPRESS PHARMACY CORP	78 CLINTON STREET	STORE SOUTH	NEW YORK	NY	10002	10/01/2015	12/02/2016
CH02163N	MEDIEXPRESS PHARMACY CORP	78 CLINTON STREET	STORE SOUTH	NEW YORK	NY	10002	04/22/2013	06/02/2016
CH021630	MEDLY PHARMACY INC.	DBA MEDLY PHARMACY	31 DEBEVOISE ST	BROOKLYN	NY	11206-4196	01/01/2019	09/01/2022
CH021630	METRO DRUGS INC	METRO DRUGS INC.	95-31 SUTPHIN BLVD	JAMAICA	NY	11435-4505	04/01/2017	01/12/2022
CH021630	METROCARE PHARMACY INC	2112B 36TH AVE		LONG ISLAND CITY	NY	11106	10/01/2015
CH02163J	METROCARE PHARMACY INC	2112B 36TH AVE		LONG ISLAND CITY	NY	11106	09/11/2009
CH021630	NEILAARSHI HEALTHCARE LLC D/B/A ANDY PHA	ANDY PHARMACY	3750 BROADWAY STORE # 4	NEW YORK	NY	10032	10/01/2015
CH021630	OPTUM PHARMACY 700, LLC	19 CHAPIN RD BLDG D, STE D8		PINE BROOK	NJ	07058	01/01/2023	04/11/2024
CH021630	OPTUM PHARMACY 701, LLC	4100 S SAGINAW ST STE D		FLINT	MI	48507	01/01/2023	04/11/2024
CH021630	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	01/01/2023	04/11/2024
CH021630	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	01/01/2023	04/11/2024
CH021630	OPTUM PHARMACY 705, LLC	3539 BLUECUTT RD		COLUMBUS	MS	39705	01/01/2023	04/11/2024
CH021630	OPTUM PHARMACY 706, INC.	30-30 47TH AVENUE	SUITE 410	LONG ISLAND CITY	NY	11101	01/01/2023	04/11/2024
CH021630	OPTUM PHARMACY 801, INC.	24416 N 19TH AVE	STE. 100	PHOENIX	AZ	85085	01/01/2023	04/11/2024
CH021630	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	01/01/2023	04/11/2024
CH021630	PD PHARMACY LLC	DBA RITE CARE PHARMACY	898 EAST 163RD STREET	BRONX	NY	10459-4108	10/01/2015	07/11/2022
CH02163H	PD PHARMACY LLC	DBA RITE CARE PHARMACY	898 EAST 163RD STREET	BRONX	NY	10459-4108	09/12/2008	07/11/2022
CH021630	PRIME CARE PHARMACY		1126 NOSTRAND AVENUE	BROOKLYN	NY	11225	01/01/2016	12/02/2016
CH021630	PRIME THERAPEUTICS PHARMACY LLC	6870 SHADOWRIDGE DR STE 111		ORLANDO	FL	32812	10/01/2016	08/07/2018
CH021630	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	07/01/2024	06/11/2025
CH021630	RAVENSVIEW PHARMACY INC	34-49 21ST STREET		LONG ISLAND CITY	NY	11106	10/01/2015	12/02/2016
CH021630	RITE AID DRUG PALACE, INC.	RITE AID #1711	408 GRAND STREET	NEW YORK	NY	10002	10/01/2019	10/24/2019
CH021630	RITE AID OF NEW YORK, INC.	RITE AID #3771	85 AVENUE D	NEW YORK	NY	10009	10/01/2019	10/24/2019
CH021630	RITE AID OF NEW YORK, INC.	RITE AID #2010	4046 BROADWAY	NEW YORK	NY	10032	07/01/2024	04/12/2025
CH021630	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	07/01/2024	06/11/2025
CH021630	SANTA BARBARA SPECIALTY PHARMACY LLC	4690 CARPINTERIA AVE STE B		CARPINTERIA	CA	93013	07/01/2024	06/11/2025
CH021630	WALGREEN EASTERN CO INC	DBA: WALGREENS # 02122	1230 NEPPERHAN AVE	YONKERS	NY	10703	01/01/2017
CH021630	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01180	3355 CRESCENT ST # 67	LONG ISLAND CITY	NY	11106	04/01/2015	11/08/2023
CH021630	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01918	755 BROADWAY	BROOKLYN	NY	11206-5320	04/01/2015
CH021630	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04363	210 UNION AVENUE	BROOKLYN	NY	11211	04/01/2015
CH021630	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04564	159-34 JAMAICA AVE	JAMAICA	NY	11432-6001	04/01/2015	11/07/2023
CH021630	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	1031 WESTCHESTER AVE.	BRONX	NY	10459	04/01/2015	08/10/2020
CH021630	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #16512	3462 JEROME AVE.	BRONX	NY	10467	04/01/2015	04/23/2018
CH021630	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #16078	205 8TH AVENUE	NEW YORK	NY	10011	04/01/2015
CH021630	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02650	5716 AVENUE U	BROOKLYN	NY	11234	01/01/2017
CH021630	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04445	119-02 ROCKAWAY BLVD.	SOUTH OZONE PARK	NY	11420	01/01/2017
CH021630	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04565	12704 GUY R BREWER BLVD	JAMAICA	NY	11434	01/01/2017
CH021630	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10092	2101 CHURCH AVE.	BROOKLYN	NY	11226-3909	01/01/2017	11/25/2019
CH021630	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10941	3000 CHURCH AVE.	BROOKLYN	NY	11226-4210	01/01/2017
CH021630	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	175-06 HILLSIDE AVE.	JAMAICA	NY	11432	01/01/2017	11/16/2022
CH021630	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	112-55 FARMERS BLVD.	JAMAICA	NY	11412	01/01/2017	10/17/2019
CH021630	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #16463	29 W. 116TH ST.	NEW YORK	NY	10026	01/01/2017
CH021630	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	3085 E TREMONT AVE	BRONX	NY	10461-5720	01/01/2017
CH021630	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10411	406 E. FORDHAM RD.	BRONX	NY	10458	01/01/2017
CH021630	WALGREEN EASTERN CO., INC.	WALGREENS # 17613	9001 SUTPHIN BLVD	JAMAICA	NY	11435	07/01/2019
CH021630	WALGREEN EASTERN CO., INC.	WALGREENS #19035	16219 HILLSIDE AVE	JAMAICA	NY	11432	04/01/2022
CH021630	WALGREEN EASTERN CO., INC.	WALGREENS #19195	650 E TREMONT AVE	BRONX	NY	10457	04/01/2022	11/09/2022
CH021630	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	04/01/2015	06/16/2015
CH021630	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	04/01/2015	06/16/2015
CH021630	WATSONS PHARMACY LLC	192-21 STATION RD		FLUSHING	NY	11358-2956	10/01/2016
CH021630	WELL GREEN PHARMACY INC.	1969 AMSTERDAM AVE		NEW YORK	NY	10032-5041	10/01/2015	12/15/2021

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/1/2024 2:09:05 PM	2/19/2025 10:42:41 AM	2/19/2025 10:42 AM
Details	Last Recertification Date	Update	Recertification	1/31/2023 10:38:35 AM	2/1/2024 2:09:05 PM	2/1/2024 2:09 PM
Addresses	Main Address	Update	Change Request	4215 3rd Ave New York, NY 10457-4501	1880 Bathgate Avenue Bronx, NY 10457	1/8/2024 1:13 PM
Details	Entity Subname	Update	Change Request	MIC - Tremont	Tremont Health Center	1/8/2024 1:13 PM
Details	Last Recertification Date	Update	Recertification	2/8/2022 1:46:05 PM	1/31/2023 10:38:35 AM	1/31/2023 10:38 AM
Contacts	Primary Contact	Update	Change Request	Benjamin, Taisha CMO COMMUNITH HEALTHCARE NETWORK 2125452400	Benjamin, Taisha CMO Community Healthcare Network 2125452400	10/7/2022 4:21 PM
Contacts	Primary Contact	Update	Recertification	Kathuria, Navneet CMO COMMUNITH HEALTHCARE NETWORK 2125452400	Benjamin, Taisha CMO COMMUNITH HEALTHCARE NETWORK 2125452400	2/8/2022 1:46 PM
Details	Last Recertification Date	Update	Recertification	2/3/2021 9:33:11 AM	2/8/2022 1:46:05 PM	2/8/2022 1:46 PM
Details	Last Recertification Date	Update	Recertification	1/31/2020 8:18:21 AM	2/3/2021 9:33:11 AM	2/3/2021 9:33 AM
Contacts	Primary Contact	Update	Recertification	Jain, Sachen CMO Community Healthcare network 2125452425	Kathuria, Navneet CMO COMMUNITH HEALTHCARE NETWORK 2125452400	1/31/2020 8:18 AM
Details	Last Recertification Date	Update	Recertification	2/4/2019 4:28:41 PM	1/31/2020 8:18:21 AM	1/31/2020 8:18 AM
Contacts	Primary Contact	Update	Recertification	Weissman, Matthew CMO Community Healthcare network 2125452425	Jain, Sachen CMO Community Healthcare network 2125452425	5/24/2019 3:22 PM
Details	Last Recertification Date	Update	Recertification	2/13/2018 5:30:33 PM	2/4/2019 4:28:41 PM	2/4/2019 4:28 PM
Contacts	Primary Contact	Update	Recertification	Wengrofsky, Alan CFO Community Healthcare Network 2125452481	Weissman, Matthew CMO Community Healthcare network 2125452425	2/13/2018 5:30 PM
Details	Last Recertification Date	Update	Recertification	1/25/2017 12:00:00 AM	2/13/2018 5:30:33 PM	2/13/2018 5:30 PM
Contacts	Authorizing Official	Update		Wengrofsky, Alan CFO 2125452481	Wengrofsky, Alan CFO Community Healthcare Network 2125452481	1/8/2018 11:50 AM
Contacts	Primary Contact	Update		Wengrofsky, Alan CFO 2125452481	Wengrofsky, Alan CFO Community Healthcare Network 2125452481	1/8/2018 11:50 AM
Contacts	Authorizing Official	Insert			Wengrofsky, Alan CFO 2125452481	8/4/2017 4:29 PM
Contacts	Primary Contact	Update		Molano, Freddy VP 2125452460	Wengrofsky, Alan CFO 2125452481	8/4/2017 4:29 PM
Addresses	Main Address	Insert			4215 3rd Ave New York, NY 10457-4501	1/25/2017 10:40 AM
Contacts	Signed By	Insert			Quiñones, Christopher VP of Administration 2125452421	1/25/2017 10:40 AM
Details	Last Recertification Date	Update		2/23/2016 12:00:00 AM	1/25/2017 12:00:00 AM	1/25/2017 10:40 AM
Contacts	Primary Contact	Insert			Molano, Freddy VP 2125452460	2/23/2016 12:17 PM
Details	Last Recertification Date	Update		3/3/2015 12:00:00 AM	2/23/2016 12:00:00 AM	2/23/2016 12:17 PM
Details	Last Recertification Date	Update		3/16/2014 12:00:00 AM	3/3/2015 12:00:00 AM	3/3/2015 8:29 AM
Addresses	Billing Address	Insert			Community Healthcare Network 60 Madison Ave 5th Floor New York, NY 10010	3/16/2014 11:08 AM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	3/16/2014 12:00:00 AM	3/16/2014 11:06 AM
Details	Entity Name	Update		Community Healthcare Network	COMMUNITY HEALTHCARE NETWORK, INC.	3/16/2014 11:06 AM
Details	Entity Subname	Update		Tremont Health Center	MIC - Tremont	3/16/2014 11:06 AM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	3/26/2013 10:32 AM
Details	340B ID	Update		IS-FF-CH02163Q	CH02163Q	9/10/2012 5:46 PM
Dates	Participating Approval Date	Update			9/10/2012 12:00:00 AM	9/10/2012 5:46 PM
Details	State	Update		Pending	Active	9/10/2012 5:46 PM
Dates	Start Date	Update			10/1/2012 12:00:00 AM	9/10/2012 5:46 PM
Details	Grant Number	Update			H80CS00597	8/30/2012 10:15 AM
Details	340B ID	Update		ONLINE_REG	IS-FF-CH02163Q	8/30/2012 10:15 AM
Details	Last Recertification Date	Insert				7/6/2012 11:31 AM
Details	Grant Number	Insert				7/6/2012 11:31 AM
Details	340B ID	Insert			ONLINE_REG	7/6/2012 11:31 AM
Details	Is Authorizing Official EHB Data	Insert				7/6/2012 11:31 AM
Dates	Last Date That 340B Drugs Purchased	Insert				7/6/2012 11:31 AM
Details	Medicare Provider Number	Insert				7/6/2012 11:31 AM
Details	Entity Name	Insert			Community Healthcare Network	7/6/2012 11:31 AM
Details	Program Code	Insert			CH	7/6/2012 11:31 AM
Details	Entity Subname	Insert			Tremont Health Center	7/6/2012 11:31 AM
Dates	Participating Approval Date	Insert				7/6/2012 11:31 AM
Details	State	Insert			Pending	7/6/2012 11:31 AM
Dates	Registration Date	Insert			7/6/2012 12:00:00 AM	7/6/2012 11:31 AM
Dates	Signed By Date	Insert			7/6/2012 12:00:00 AM	7/6/2012 11:31 AM
Dates	Start Date	Insert				7/6/2012 11:31 AM
Terminations	Termination Comments	Insert				7/6/2012 11:31 AM
Terminations	Termination Date	Insert				7/6/2012 11:31 AM
Terminations	Termination Effective Date	Insert				7/6/2012 11:31 AM
Terminations	Termination Reason	Insert				7/6/2012 11:31 AM

340B Drug Pricing Program Database