Covered Entity Details

RWI20020 Family and Medical Counseling Service, Inc. (Active) - information as of 5/20/2025 12:53:52 AM

Main Details

Name

Family and Medical Counseling Service, Inc.

Subdivision Name

Type

Ryan White Part A

340B ID

RWI20020

Grant Number

H89HA00012

Additional Details

Current Program Status

Active

Registration Date

9/26/2012

Participating Start Date

1/1/2013

Participating Approval Date

12/13/2012

Last Recertification Date

2/18/2025

Time Period the Assistance was Received

3/1/2024 - 2/28/2026

Contacts

Authorizing Official

Family and Medical Counseling Service, Inc
Flora Terrell Hamilton, CEO
(202) 889-7900 Ext: 217

Primary Contact

Family and Medical Counseling Service, Inc.
JaWaun Williams, Accountant
(202) 889-7900

Addresses

Street Address

2041 Martin Luther King, Jr. Avenue, SE
Suite 303
Washington, DC 20020

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	10/15/2024	01/01/2025		01/01/2025
Contract Detail	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	10/15/2024	01/01/2025		01/01/2025
Contract Detail	AVITA PHARMACY 1071	AVITA DRUGS LLC DBA AVITA PHARMACY 1071	600 PENNSYLVANIA AVE SE LOWER LEVEL SUITE A	WASHINGTON	DC	20003	10/15/2024	01/01/2025		01/01/2025
Contract Detail	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 00022	320 40TH STREET NE	WASHINGTON	DC	20019	07/14/2020	10/01/2020		10/01/2020
Contract Detail	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01341	1199 VERMONT AVENUE NW	WASHINGTON	DC	20005	07/14/2020	10/01/2020		10/01/2020
Contract Detail	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01342	1901 PENNSYLVANIA AVENUE NW	WASHINGTON	DC	20006	07/14/2020	10/01/2020		10/01/2020
Contract Detail	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01346	5550 CONNECTICUT AVENUE NW	WASHINGTON	DC	20015	07/14/2020	10/01/2020		10/01/2020
Contract Detail	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01348	1100 4TH STREET SW	WASHINGTON	DC	20024	07/14/2020	10/01/2020		10/01/2020
Contract Detail	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01360	2724 GOOD HOPE RD SE	WASHINGTON	DC	20020-3014	07/14/2020	10/01/2020		10/01/2020
Contract Detail	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01363	2350 WASHINGTON PLACE SUITE 101-N	WASHINGTON	DC	20018	07/14/2020	10/01/2020		10/01/2020
Contract Detail	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 02378	2226 WISCONSIN AVENUE NW	WASHINGTON	DC	20007	07/14/2020	10/01/2020		10/01/2020
Contract Detail	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 04546	2129 14TH STREET NW	WASHINGTON	DC	20009	07/14/2020	10/01/2020		10/01/2020
Contract Detail	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 07218	400 MASSACHUSETTS AVE., NW	WASHINGTON	DC	20001	07/14/2020	10/01/2020		10/01/2020
Contract Detail	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	CVS/PHARMACY # 10415	804 MAINE AVE. SW	WASHINGTON	DC	20024	04/14/2025	07/01/2025		04/14/2025
Contract Detail	EXCEL PHARMACY	EXCEL PHARMACY	3923 S CAPITOL ST SW UNIT A	WASHINGTON	DC	20032	01/18/2022	04/01/2022		04/01/2022
Contract Detail	GRUBB'S PHARMACY SE, INC.	GRUBBS PHARMACY SE, INC.	1800 MARTIN LUTHER KING JR AVE SE	WASHINGTON	DC	20020-6900	04/16/2018	07/01/2018		04/16/2018
Contract Detail	GRUBBS CARE PHARMACY NW INC.	GRUBB'S NW SPECIALTY PHARMACY	1517 17TH ST NW FL 1	WASHINGTON	DC	20036-6230	04/16/2018	07/01/2018	08/31/2021	07/15/2022
Contract Detail	GRUBBS CARE PHARMACY NW INC.	1517 17TH ST NW		WASHINGTON	DC	20036	07/15/2022	10/01/2022		10/01/2022
Contract Detail	GRUBBS PHARMACY OF D C INC	GRUBBS CARE PHARMACY	326 E CAPITOL ST NE	WASHINGTON	DC	20003-3809	04/16/2018	07/01/2018		04/16/2018
Contract Detail	INFINITY COMPOUNDING SOLUTIONS, LLC	DBA INFINITY CARE SOLUTIONS	1204 SE 28TH ST STE 2	BENTONVILLE	AR	72712-3887	10/14/2022	01/01/2023		01/01/2023
Contract Detail	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	10/15/2024	01/01/2025		01/01/2025
Contract Detail	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01433	5922 MARTIN LUTHER KING JR. HGWY.	SEAT PLEASANT	MD	20743	07/17/2018	10/01/2018		10/01/2018
Contract Detail	MARYLAND CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #3047	8601 MARTIN LUTHER KING JR HIGHWAY	LANHAM	MD	20706	07/17/2018	10/01/2018		10/01/2018
Contract Detail	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00452	7607 GREENBELT ROAD	GREENBELT	MD	20770	07/14/2020	10/01/2020		10/01/2020
Contract Detail	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01459	12359 GEORGIA AVENUE	SILVER SPRING	MD	20906	07/14/2020	10/01/2020		10/01/2020
Contract Detail	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01469	4901 INDIAN HEAD HIGHWAY	OXON HILL	MD	20745	07/14/2020	10/01/2020	07/31/2023	08/17/2023
Contract Detail	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02239	8201 OXON HILL ROAD	FORT WASHINGTON	MD	20744	07/14/2020	10/01/2020		10/01/2020
Contract Detail	PHARMBLUE LLC DBA AVITA PHARMACY 1059	1226 CHESTNUT ST		PHILADELPHIA	PA	19107	10/15/2024	01/01/2025		01/01/2025
Contract Detail	POLARIS PHARMACY SERVICES OF FT LAUDERDA	2900 NW 60TH ST		FT LAUDERDALE	FL	33309-1774	04/12/2024	07/01/2024		07/01/2024
Contract Detail	POLARIS PHARMACY SERVICES OF MARYLAND, L	7200 RUTHERFORD RD STE 170		WINDSOR MILL	MD	21244	04/12/2024	07/01/2024		07/01/2024
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY#2733	1601 17TH STREET NW	WASHINGTON	DC	20009	07/17/2018	10/01/2018		10/01/2018
Contract Detail	WALGREEN CO	DBA: WALGREENS #10071	1217 22ND ST. NW	WASHINGTON	DC	20037-1203	04/07/2015	07/01/2015		04/07/2015
Contract Detail	WALGREEN CO	COMMUNITY A WALGREENS PHARMACY #15298	1325 14TH STREET NW	WASHINGTON	DC	20005	04/07/2015	07/01/2015		04/07/2015
Contract Detail	WALGREEN CO.	DBA: WALGREENS #16049	2041 GEORGIA AVE NW #1-J10	WASHINGTON	DC	20060	10/10/2019	01/01/2020		01/01/2020

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Primary Contact	Update	Recertification	Wood, Angela F. COO Family and Medical Counseling Service, Inc. 2028897900-213	Williams, JaWaun Accountant Family and Medical Counseling Service, Inc. 2028897900	2/18/2025 12:05 PM
Details	Last Recertification Date	Update	Recertification	2/8/2024 5:19:04 PM	2/18/2025 12:05:27 PM	2/18/2025 12:05 PM
Details	Assistance Received From Date	Update	Change Request	3/1/2023 12:00:00 AM	3/1/2024 12:00:00 AM	7/12/2024 10:04 PM
Details	Assistance Received To Date	Update	Change Request	2/29/2024 12:00:00 AM	2/28/2026 12:00:00 AM	7/12/2024 10:04 PM
Details	Assistance Received From Date	Update	Recertification	3/1/2022 12:00:00 AM	3/1/2023 12:00:00 AM	2/8/2024 5:19 PM
Details	Assistance Received To Date	Update	Recertification	2/28/2023 12:00:00 AM	2/29/2024 12:00:00 AM	2/8/2024 5:19 PM
Details	Last Recertification Date	Update	Recertification	2/2/2023 4:24:05 PM	2/8/2024 5:19:04 PM	2/8/2024 5:19 PM
Details	NOFO Number	Update		HRSA-21-055		12/16/2023 10:34 AM
Details	Assistance Received From Date	Update	Recertification	3/1/2021 12:00:00 AM	3/1/2022 12:00:00 AM	2/2/2023 4:24 PM
Details	Assistance Received To Date	Update	Recertification	2/28/2022 12:00:00 AM	2/28/2023 12:00:00 AM	2/2/2023 4:24 PM
Details	Last Recertification Date	Update	Recertification	2/3/2022 10:50:09 AM	2/2/2023 4:24:05 PM	2/2/2023 4:24 PM
Contacts	Authorizing Official	Update	New Registration	Hamilton, Flora CEO Family and Medical Counseling Service, Inc 2028897900-217	Hamilton, Flora Terrell CEO Family and Medical Counseling Service, Inc 2028897900-217	10/14/2022 6:26 PM
Details	Last Recertification Date	Update	Recertification	3/1/2021 5:29:11 PM	2/3/2022 10:50:09 AM	2/3/2022 10:50 AM
Details	Assistance Received From Date	Update	Recertification		3/1/2021 12:00:00 AM	3/1/2021 5:29 PM
Details	Assistance Received To Date	Update	Recertification		2/28/2022 12:00:00 AM	3/1/2021 5:29 PM
Details	Last Recertification Date	Update	Recertification	1/27/2020 8:10:01 PM	3/1/2021 5:29:11 PM	3/1/2021 5:29 PM
Details	Grant Number	Update	Recertification	TGA-DC	H89HA00012	3/1/2021 5:29 PM
Details	NOFO Number	Update	Recertification		HRSA-21-055	3/1/2021 5:29 PM
Details	Last Recertification Date	Update	Recertification	1/28/2019 8:56:35 PM	1/27/2020 8:10:01 PM	1/27/2020 8:10 PM
Details	Last Recertification Date	Update	Recertification	3/5/2018 7:01:57 PM	1/28/2019 8:56:35 PM	1/28/2019 8:56 PM
Contacts	Primary Contact	Update	Recertification	Jenkins, Veronica Medical Director 2028897900-225	Wood, Angela F. COO Family and Medical Counseling Service, Inc. 2028897900-213	3/5/2018 7:01 PM
Details	Last Recertification Date	Update	Recertification	2/2/2017 12:00:00 AM	3/5/2018 7:01:57 PM	3/5/2018 7:01 PM
Contacts	Authorizing Official	Update		Hamilton, Flora CEO 2028897900-217	Hamilton, Flora CEO Family and Medical Counseling Service, Inc 2028897900-217	3/5/2018 4:43 PM
Addresses	Main Address	Insert			2041 Martin Luther King, Jr. Avenue, SE Suite 303 Washington, DC 20020	2/2/2017 11:47 AM
Contacts	Authorizing Official	Insert			Hamilton, Flora CEO 2028897900-217	2/2/2017 11:47 AM
Contacts	Primary Contact	Insert			Hamilton, Flora CEO 2028897900-217	2/2/2017 11:47 AM
Contacts	Primary Contact	Update		Hamilton, Flora CEO 2028897900-217	Jenkins, Veronica Medical Director 2028897900-225	2/2/2017 11:47 AM
Contacts	Signed By	Insert			Jenkins, Veronica Medical Director 2028897900-225	2/2/2017 11:47 AM
Details	Last Recertification Date	Update		2/18/2016 12:00:00 AM	2/2/2017 12:00:00 AM	2/2/2017 8:28 AM
Details	Last Recertification Date	Update		3/10/2015 12:00:00 AM	2/18/2016 12:00:00 AM	2/18/2016 10:13 AM
Details	Last Recertification Date	Update		3/13/2014 12:00:00 AM	3/10/2015 12:00:00 AM	3/10/2015 4:07 PM
Details	Last Recertification Date	Update			3/13/2014 12:00:00 AM	3/13/2014 8:42 PM
Details	340B ID	Update		IS-FF-RWI20020	RWI20020	12/13/2012 5:24 PM
Dates	Participating Approval Date	Update			12/13/2012 12:00:00 AM	12/13/2012 5:24 PM
Details	State	Update		Pending	Active	12/13/2012 5:24 PM
Dates	Start Date	Update			1/1/2013 12:00:00 AM	12/13/2012 5:24 PM
Details	Grant Number	Update			TGA-DC	12/13/2012 4:34 PM
Details	340B ID	Update		FF RWI20020	IS-FF-RWI20020	12/13/2012 4:34 PM
Details	340B ID	Update		ONLINE_REG	FF RWI20020	11/27/2012 2:43 PM
Details	Last Recertification Date	Insert				9/26/2012 2:54 PM
Details	Grant Number	Insert				9/26/2012 2:54 PM
Details	340B ID	Insert			ONLINE_REG	9/26/2012 2:54 PM
Details	Is Authorizing Official EHB Data	Insert				9/26/2012 2:54 PM
Dates	Last Date That 340B Drugs Purchased	Insert				9/26/2012 2:54 PM
Details	Medicare Provider Number	Insert				9/26/2012 2:54 PM
Details	Entity Name	Insert			Family and Medical Counseling Service, Inc.	9/26/2012 2:54 PM
Details	Program Code	Insert			RWI	9/26/2012 2:54 PM
Details	Entity Subname	Insert				9/26/2012 2:54 PM
Dates	Participating Approval Date	Insert				9/26/2012 2:54 PM
Details	State	Insert			Pending	9/26/2012 2:54 PM
Dates	Registration Date	Insert			9/26/2012 12:00:00 AM	9/26/2012 2:54 PM
Dates	Signed By Date	Insert			9/26/2012 12:00:00 AM	9/26/2012 2:54 PM
Dates	Start Date	Insert				9/26/2012 2:54 PM
Terminations	Termination Comments	Insert				9/26/2012 2:54 PM
Terminations	Termination Date	Insert				9/26/2012 2:54 PM
Terminations	Termination Effective Date	Insert				9/26/2012 2:54 PM
Terminations	Termination Reason	Insert				9/26/2012 2:54 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History