Covered Entity Details

CH101340B YAKIMA NEIGHBORHOOD HEALTH SERVICES (Active) - information as of 6/5/2025 2:39:44 PM

Main Details

Name

YAKIMA NEIGHBORHOOD HEALTH SERVICES

Subdivision Name

YAKIMA NEIGHBORHOOD HEALTH SVS

Type

HRSA-Funded Health Center

Site ID

BPS-H80-004541

340B ID

CH101340B

Grant Number

H80CS06078

Additional Details

Current Program Status

Active

Registration Date

4/2/2013

Participating Start Date

7/1/2013

Participating Approval Date

5/23/2013

Last Recertification Date

2/12/2025

Contacts

Authorizing Official

Yakima Neighborhood Health Services
Rhonda Hauff, CEO
(509) 574-5552

Primary Contact

Yakima Neighborhood Health Services
Julie Huyett, Pharmacy Director
(509) 853-2357

Addresses

Street Address

617 Scoon Rd
Sunnyside, WA 98944-1031

Billing Address

Yakima Neighborhood Health Services
12 South 8th Street
PO Box 2605
Yakima, WA 98907

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
WA	1225085624	1225085624,1760073209,1669808945,1194819250

Shipping Addresses

Shipping Address 1

Yakima Neighborhood Health Services
12 South 8th Street
Yakima, WA 98901

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
CH101340	Active	BPS-H80-005555	YAKIMA NEIGHBORHOOD HEALTH SERVICES		12 SOUTH 8TH STREET	YAKIMA	WA
CH101340A	Active	BPS-H80-000618	YAKIMA NEIGHBORHOOD HEALTH SERVICES	YNHS Neighborhood Connections	102 S Naches Ave	Yakima	WA
CH101340B	Active	BPS-H80-004541	YAKIMA NEIGHBORHOOD HEALTH SERVICES	YAKIMA NEIGHBORHOOD HEALTH SVS	617 Scoon Rd	Sunnyside	WA
CH101340C	Terminated	BPS-H80-010049	YAKIMA NEIGHBORHOOD HEALTH SERVICES	YNHS at Comprehensive Mental Health	402 S 4th Ave	Yakima	WA
CH101340D	Active	BPS-H80-011955	YAKIMA NEIGHBORHOOD HEALTH SERVICES	YNHS @ Henry Beauchamp Community Center	1211 S 7th St	Yakima	WA
CH101340E	Active	BPS-H80-015718	YAKIMA NEIGHBORHOOD HEALTH SERVICES	Yakima Neighborhood Health Services - Granger Clinic	111 MAIN ST	GRANGER	WA
CH101340F	Active	BPS-H80-017380	YAKIMA NEIGHBORHOOD HEALTH SERVICES	YNHS Mobile Van	111 Main Street	Granger	WA
CH101340G	Terminated	BPS-H80-013614	YAKIMA NEIGHBORHOOD HEALTH SERVICES	YNHS Depot - Homeless Resource Center	602 E. Yakima	Yakima	WA
CH101340H	Active	BPS-H80-018164	YAKIMA NEIGHBORHOOD HEALTH SERVICES	Yakima Neighborhood Health Services Granger Dental	112 Main Street	Granger	WA
CH101340J	Active	BPS-H80-029964	YAKIMA NEIGHBORHOOD HEALTH SERVICES	Rhonda D Hauff Resource Center	201 S 6th St	Yakima	WA
CH101340K	Active	BPS-H80-031667	YAKIMA NEIGHBORHOOD HEALTH SERVICES	Neighborhood Health Services - Terrace Heights	2501 Business Ln	Yakima	WA
CH101340L	Active	BPS-H80-032560	YAKIMA NEIGHBORHOOD HEALTH SERVICES	YNHS Hinman Administration Building	610 E Yakima Ave	Yakima	WA
CH101340M	Active	BPS-H80-033033	YAKIMA NEIGHBORHOOD HEALTH SERVICES	YNHS Chuck Austin Place	1630 S 16th Ave Ste 10	Yakima	WA
CH101340N	Active	BPS-H80-033770	YAKIMA NEIGHBORHOOD HEALTH SERVICES	YNHS Training and Patient Education Center	9 S 6th St	Yakima	WA
CH101340P	Active	BPS-H80-039316	YAKIMA NEIGHBORHOOD HEALTH SERVICES	Neighborhood Connections Annex	421 E Chestnut Ave	Yakima	WA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH101340	ALBERTSON'S LLC	SAFEWAY PHARMACY #0149	1610 W LINCOLN AVE.	YAKIMA	WA	98902-2408	07/01/2017
CH101340	AMAZON PHARMACY #001	4500 S PLEASANT VALLEY RD STE 201		AUSTIN	TX	78744-2911	01/01/2022	02/28/2025
CH101340	AZ PHARMACY, LLC	DBA AMAZON PHARMACY #002	3809 E WATKINS ST	PHOENIX	AZ	85034	01/01/2022	02/28/2025
CH101340	LA PHARMACY LLC	1048 S GARFIELD AVE	STE 101	ALHAMBRA	CA	91801	01/01/2022	02/28/2025
CH101340	M.N. PHARMACY LLC	DBA AMAZON PHARMACY #003	6701 NW 7TH ST., STE. #199	MIAMI	FL	33126	01/01/2022	02/28/2025
CH101340	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	01/01/2022	02/28/2025
CH101340	OPTUM PHARMACY 705, LLC	3539 BLUECUTT RD		COLUMBUS	MS	39705	01/01/2022	02/28/2025
CH101340	OPTUM PHARMACY 705, LLC	1893 GENERAL GEORGE PATTON DR	STE 106	FRANKLIN	TN	37067-2655	01/01/2022	02/28/2025
CH101340	OPTUM PHARMACY 707, INC	4900 RIVERGRADE RD STE E110		IRWINDALE	CA	91706-1401	01/01/2022	02/28/2025
CH101340	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	07/01/2023	02/28/2025
CH101340	OVERLAKE PHARMACY, LLC	4124 148TH AVE NE STE JA		REDMOND	WA	98052	01/01/2022	02/28/2025
CH101340	PILLPACK LLC	DBA PILLPACK BY AMAZON PHARMACY	250 COMMERCIAL ST STE 2012	MANCHESTER	NH	03101	01/01/2022	02/28/2025
CH101340	SAFEWAY INC	SAFEWAY PHARMACY #1660	905 E MEAD AVE	YAKIMA	WA	98903	07/01/2013
CH101340	SAFEWAY INC	SAFEWAY PHARMACY #0462	205 NORTH 5TH AVENUE	YAKIMA	WA	98902	07/01/2013
CH101340	SAFEWAY INC	SAFEWAY PHARMACY #0563	613 S. 6TH ST.	SUNNYSIDE	WA	98944	07/01/2013	02/01/2016
CH101340	SAFEWAY INC	SAFEWAY PHARMACY #1593	610 E. WINE COUNTRY ROAD	GRANDVIEW	WA	98930	07/01/2017
CH101340	SAFEWAY INC	SAFEWAY PHARMACY #0584	711 W 1ST AVE	TOPPENISH	WA	98948	07/01/2017
CH101340	SAFEWAY INC	SAFEWAY PHARMACY #0502	5702 SUMMITVIEW AVENUE	YAKIMA	WA	98908	07/01/2017
CH101340	SAFEWAY INC	SAFEWAY PHARMACY #0563	613 S. 6TH ST.	SUNNYSIDE	WA	98944	04/01/2019
CH101340	SHOPKO PHARMACY #2073	2530 RUDKIN ROAD		UNION GAP	WA	98903	07/01/2017	01/08/2019
CH101340	SHOPKO PHARMACY #2081	5801 SUMMIT VIEW AVE		YAKIMA	WA	98908	07/01/2017	01/08/2019
CH101340	THRIFTY PAYLESS, INC.	RITE AID #4063	12 N 9TH AVENUE	YAKIMA	WA	98902	04/01/2013	06/30/2017
CH101340	THRIFTY PAYLESS, INC.	RITE AID #5296	2204-B W. NOB HILL BLVD.	YAKIMA	WA	98902	04/01/2013	06/30/2017
CH101340	THRIFTY PAYLESS, INC.	RITE AID #5300	2010 YAKIMA VALLEY HWY STE C1	SUNNYSIDE	WA	98944	04/01/2013	06/30/2017
CH101340	THRIFTY PAYLESS, INC.	RITE AID #5297	2519 MAIN STREET	UNION GAP	WA	98903	10/01/2013	06/30/2020
CH101340	TRUEPILL	3121 DIABLO AVE		HAYWARD	CA	94545	01/01/2022	02/28/2025
CH101340	TRUEPILL NY LLC	850 3RD AVE STE 404		BROOKLYN	NY	11232-1523	01/01/2022	02/28/2025
CH101340	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2017
CH101340	WAL-MART PHARMACY 10-2241	2675 EAST LINCOLN AVENUE		SUNNYSIDE	WA	98944	07/01/2013
CH101340	WAL-MART PHARMACY 10-2269	1600 EAST CHESTNUT AVE		YAKIMA	WA	98901	07/01/2013
CH101340	WAL-MART PHARMACY 10-5078	6600 W NOB HILL BLVD		YAKIMA	WA	98908	10/01/2017
CH101340	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2017
CH101340	WALGREEN CO.	DBA: WALGREENS # 09911	4001 SUMMITVIEW AVE STE 1	YAKIMA	WA	98908	04/01/2015
CH101340	WALGREEN CO.	DBA: WALGREENS #12053	6400 WEST NOB HILL BLVD.	YAKIMA	WA	98908	04/01/2015
CH101340	WALGREEN CO.	DBA: WALGREENS #12275	610 W. YAKIMA AVE.	YAKIMA	WA	98902	04/01/2015
CH101340	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	04/01/2015	06/15/2015
CH101340	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	04/01/2015	06/15/2015
CH101340	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	10/01/2023
CH101340	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	1/29/2024 2:46:56 PM	2/12/2025 10:32:31 AM	2/12/2025 10:32 AM
Contacts	Primary Contact	Update	Group Change Request	Stephenson, Sarah Ann Pharmacy Director Yakima Neighborhood Health Services 5098532354	Huyett, Julie Pharmacy Director Yakima Neighborhood Health Services 5098532357	12/2/2024 12:28 PM
Details	Last Recertification Date	Update	Recertification	2/14/2023 4:44:27 PM	1/29/2024 2:46:56 PM	1/29/2024 2:46 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1760073209	7/12/2023 6:20 PM
Medicaid Billing	NPI: State	Insert	Change Request		WA	7/12/2023 6:20 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1669808945	7/12/2023 6:20 PM
Medicaid Billing	NPI: State	Insert	Change Request		WA	7/12/2023 6:20 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1194819250	7/12/2023 6:20 PM
Medicaid Billing	NPI: State	Insert	Change Request		WA	7/12/2023 6:20 PM
Addresses	Billing Address	Update	Recertification	Yakima Neighborhood Health Services PO Box 2605 Yakima, WA 98901	Yakima Neighborhood Health Services 12 South 8th Street PO Box 2605 Yakima, WA 98907	2/14/2023 4:44 PM
Details	Last Recertification Date	Update	Recertification	2/1/2022 3:39:03 PM	2/14/2023 4:44:27 PM	2/14/2023 4:44 PM
Contacts	Primary Contact	Update	Profile Change Request	Stephenson, Sarah Neighborhood Pharmacy Director Yakima Neighborhood Health Services 5098532354	Stephenson, Sarah Ann Pharmacy Director Yakima Neighborhood Health Services 5098532354	1/31/2023 5:37 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	9/7/2022 12:49 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		1225085624	9/7/2022 12:49 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		WA	9/7/2022 12:49 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1225085624	9/7/2022 12:49 PM
Medicaid Billing	NPI: State	Insert	Change Request		WA	9/7/2022 12:49 PM
Contacts	Primary Contact	Update	Change Request	Sullivan, Michelle Chief Quality and Compliance Officer Yakima Neighborhood Health Services 5095744107	Stephenson, Sarah Neighborhood Pharmacy Director Yakima Neighborhood Health Services 5098532354	9/7/2022 12:49 PM
Addresses	Shipping Address	Update	Change Request	Yakima Neighborhood Health Services 617 Scoon Road Sunnyside, WA 98907-2605	Yakima Neighborhood Health Services 12 South 8th Street Yakima, WA 98901	9/5/2022 10:02 AM
Medicaid Billing	Medicaid: Number	Delete	Change Request	2033739 (WA)		9/5/2022 10:02 AM
Medicaid Billing	Medicaid: Number	Delete	Change Request	1005337 (WA)		9/5/2022 10:02 AM
Medicaid Billing	NPI: Number	Delete	Change Request	1194819250 (WA)		9/5/2022 10:02 AM
Medicaid Billing	NPI: Number	Delete	Change Request	1225085624 (WA)		9/5/2022 10:02 AM
Medicaid Billing	NPI: Number	Delete	Change Request	1669808945 (WA)		9/5/2022 10:02 AM
Details	Last Recertification Date	Update	Recertification	2/16/2021 11:48:05 AM	2/1/2022 3:39:03 PM	2/1/2022 3:39 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1669808945 ( )		2/16/2021 11:48 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1225085624 ( )		2/16/2021 11:48 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1194819250 ( )		2/16/2021 11:48 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1194819250	2/16/2021 11:48 AM
Medicaid Billing	NPI: State	Insert	Recertification		WA	2/16/2021 11:48 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1225085624	2/16/2021 11:48 AM
Medicaid Billing	NPI: State	Insert	Recertification		WA	2/16/2021 11:48 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1669808945	2/16/2021 11:48 AM
Medicaid Billing	NPI: State	Insert	Recertification		WA	2/16/2021 11:48 AM
Details	Last Recertification Date	Update	Recertification	1/29/2020 3:54:21 PM	2/16/2021 11:48:05 AM	2/16/2021 11:48 AM
Contacts	Authorizing Official	Update	AO Change Request	MONOIAN, ANITA CEO Yakima Neighborhood Health Services 5095745550	Hauff, Rhonda CEO Yakima Neighborhood Health Services 5095745552	2/16/2021 9:18 AM
Contacts	Primary Contact	Update	OPA Edit	Hauff, Rhonda COO Yakima Neighborhood Health Services 5095745552	Sullivan, Michelle Chief Quality and Compliance Officer Yakima Neighborhood Health Services 5095744107	1/13/2021 1:09 PM
Details	Is Authorizing Official EHB Data	Update	OPA Edit	False		1/13/2021 1:09 PM
Details	Last Recertification Date	Update	Recertification	1/29/2019 4:01:41 PM	1/29/2020 3:54:21 PM	1/29/2020 3:54 PM
Details	Last Recertification Date	Update	Recertification	2/8/2018 1:09:54 PM	1/29/2019 4:01:41 PM	1/29/2019 4:01 PM
Details	Last Recertification Date	Update	Recertification	2/1/2017 12:00:00 AM	2/8/2018 1:09:54 PM	2/8/2018 1:09 PM
Contacts	Authorizing Official	Update		MONOIAN, ANITA CEO 5095745550	MONOIAN, ANITA CEO Yakima Neighborhood Health Services 5095745550	2/8/2018 1:04 PM
Contacts	Signed By	Update		MONOIAN, ANITA CEO 5095745550	MONOIAN, ANITA CEO Yakima Neighborhood Health Services 5095745550	2/8/2018 1:04 PM
Contacts	Primary Contact	Update		Hauff, Rhonda COO 5095745552	Hauff, Rhonda COO Yakima Neighborhood Health Services 5095745552	2/8/2018 12:41 PM
Contacts	Authorizing Official	Insert			MONOIAN, ANITA CEO 5095745550	7/19/2017 11:14 PM
Contacts	Signed By	Insert			MONOIAN, ANITA CEO 5095745550	7/19/2017 11:14 PM
Addresses	Main Address	Insert			617 Scoon Rd Sunnyside, WA 98944-1031	2/1/2017 7:29 PM
Contacts	Primary Contact	Insert			Hauff, Rhonda COO 5095745552	2/1/2017 7:29 PM
Details	Last Recertification Date	Update		2/19/2016 12:00:00 AM	2/1/2017 12:00:00 AM	2/1/2017 7:29 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	2/19/2016 11:49 AM
Medicaid Billing	Medicaid: Number	Insert			1005337	2/19/2016 11:49 AM
Medicaid Billing	Medicaid: State	Insert			WA	2/19/2016 11:49 AM
Medicaid Billing	NPI: Number	Insert			1225085624	2/19/2016 11:49 AM
Medicaid Billing	NPI: Number	Insert			1194819250	2/19/2016 11:49 AM
Details	Last Recertification Date	Update		2/12/2015 12:00:00 AM	2/19/2016 12:00:00 AM	2/19/2016 11:49 AM
Medicaid Billing	Medicaid: Is Primary	Insert			False	2/12/2015 1:00 PM
Medicaid Billing	Medicaid: Number	Insert			2033739	2/12/2015 1:00 PM
Medicaid Billing	Medicaid: State	Insert			WA	2/12/2015 1:00 PM
Medicaid Billing	NPI: Number	Update		1225085624	1669808945	2/12/2015 1:00 PM
Details	Last Recertification Date	Update		2/14/2014 12:00:00 AM	2/12/2015 12:00:00 AM	2/12/2015 1:00 PM
Details	Is Authorizing Official EHB Data	Update			False	2/12/2015 1:00 PM
Details	Last Recertification Date	Update			2/14/2014 12:00:00 AM	2/14/2014 1:01 AM
Addresses	Billing Address	Insert			Yakima Neighborhood Health Services PO Box 2605 Yakima, WA 98901	10/17/2013 1:30 PM
Addresses	Shipping Address	Insert			Yakima Neighborhood Health Services 12 South 8th Street Yakima, WA 98901-3020	10/17/2013 1:30 PM
Addresses	Shipping Address	Update		Yakima Neighborhood Health Services 12 South 8th Street Yakima, WA 98901-3020	Yakima Neighborhood Health Services 617 Scoon Road Sunnyside, WA 98907-2605	10/17/2013 1:30 PM
Details	340B ID	Update		IS-FN-CH101340B	CH101340B	5/23/2013 3:51 PM
Details	Medicare Provider Number	Update		501941		5/23/2013 3:51 PM
Dates	Participating Approval Date	Update			5/23/2013 12:00:00 AM	5/23/2013 3:51 PM
Details	State	Update		Pending	Active	5/23/2013 3:51 PM
Dates	Start Date	Update			7/1/2013 12:00:00 AM	5/23/2013 3:51 PM
Details	340B ID	Update		ONLINE_REG	IS-FN-CH101340B	4/27/2013 3:54 PM
Medicaid Billing	NPI: Number	Insert			1225085624	4/2/2013 12:52 PM
Details	Last Recertification Date	Insert				4/2/2013 12:52 PM
Details	Grant Number	Insert			H80CS06078	4/2/2013 12:52 PM
Details	340B ID	Insert			ONLINE_REG	4/2/2013 12:52 PM
Details	Is Authorizing Official EHB Data	Insert				4/2/2013 12:52 PM
Dates	Last Date That 340B Drugs Purchased	Insert				4/2/2013 12:52 PM
Details	Medicare Provider Number	Insert			501941	4/2/2013 12:52 PM
Details	Entity Name	Insert			YAKIMA NEIGHBORHOOD HEALTH SERVICES	4/2/2013 12:52 PM
Details	Program Code	Insert			CH	4/2/2013 12:52 PM
Details	Entity Subname	Insert			YAKIMA NEIGHBORHOOD HEALTH SVS	4/2/2013 12:52 PM
Dates	Participating Approval Date	Insert				4/2/2013 12:52 PM
Details	State	Insert			Pending	4/2/2013 12:52 PM
Dates	Registration Date	Insert			4/2/2013 12:00:00 AM	4/2/2013 12:52 PM
Dates	Signed By Date	Insert			4/2/2013 12:00:00 AM	4/2/2013 12:52 PM
Dates	Start Date	Insert				4/2/2013 12:52 PM
Terminations	Termination Comments	Insert				4/2/2013 12:52 PM
Terminations	Termination Date	Insert				4/2/2013 12:52 PM
Terminations	Termination Effective Date	Insert				4/2/2013 12:52 PM
Terminations	Termination Reason	Insert				4/2/2013 12:52 PM

340B Drug Pricing Program Database