Covered Entity Details

RWI33133 AIDS HEALTHCARE FOUNDATION (Active) - information as of 6/25/2025 12:52:44 AM

Main Details

Name

AIDS HEALTHCARE FOUNDATION

Subdivision Name

AHF Healthcare Center- Coconut Grove

Type

Ryan White Part A

340B ID

RWI33133

Grant Number

H89HA00005

Additional Details

Current Program Status

Active

Registration Date

7/14/2013

Participating Start Date

10/1/2013

Participating Approval Date

9/9/2013

Last Recertification Date

2/20/2025

Time Period the Assistance was Received

3/1/2025 - 2/28/2026

Contacts

Authorizing Official

AIDS Healthcare Foundation
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022

Primary Contact

AIDS Healthcare Foundation
Barry Altstaedter, Director of Pharmacy Finance
(631) 870-5169

Addresses

Street Address

3661 S. MIAMI AVENUE, SUITE 806
MIAMI, FL 33133

Billing Address

AIDS HEALTHCARE FOUNDATION
6255 W. SUNSET BLVD. 21ST FLOOR
LOS ANGELES, CA 90028

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

Shipping Address 1

AHF PHARMACY - JACKSONVILLE
2 SHIRCLIFF WAY SUITE 900
JACKSONVILLE, FL 32204

Shipping Address 2

AHF PHARMACY - ORLANDO
1701 N. MILLS AVENUE
ORLANDO, FL 32803

Shipping Address 3

AHF PHARMACY-ACC FORT LAUDERDALE
700 S.E. 3rd AVENUE SUITE 100
FORT LAUDERDALE, FL 33316

Shipping Address 4

AHF PHARMACY - SAFETY HARBOR
3135 SR 580 SUITE 1
SAFETY HARBOR, FL 34695

Shipping Address 5

AHF PHARMACY - PENSACOLA
4300 BAYOU BLVD SUITE 17D
PENSACOLA, FL 32503

Shipping Address 6

AHF PHARMACY - JACKSON NORTH
100 N.W. 170 STREET, SUITE 208
MIAMI, FL 33169-4518

Shipping Address 7

AHF PHARMACY - COCONUT GROVE
3661 S. MIAMI AVE. SUITE 806
MIAMI, FL 33133

Shipping Address 8

AHF Pharmacy - St. Petersburg
3400 26th Ave. S.
St. Petersburg, FL 33711

Shipping Address 9

AHF Pharmacy - Delray Beach
200 Congress Park Drive
Suite 210
Delray Beach, FL 33445

Shipping Address 10

AHF Pharmacy - San Francisco
518A Castro Street
San Francisco, CA 94114

Shipping Address 11

AHF Pharmacy - Downtown
1400 S. Grand Avenue
Suite 801
Los Angeles, CA 90015

Shipping Address 12

AHF Pharmacy - Long Beach
3500 E. Pacific Coast Highway
Long Beach, CA 90804

Shipping Address 13

AHF Pharmacy - Oakland
400 30th Street
Suite 300
Oakland, CA 94609

Shipping Address 14

AHF Pharmacy - Valley
4940 Van Nuys Blvd.
Suite 200
Sherman Oaks, CA 91403

Shipping Address 15

AHF Pharmacy - Lithonia
5700 Hillandale Drive
Suite 100
Lithonia, GA 30058

Shipping Address 16

AHF Pharmacy - Newnan
770 Greison Trail
Suite H
Newnan, GA 30263

Shipping Address 17

AHF Pharmacy - North Las Vegas
3201 S. Maryland Pkwy.
Suite 218
Las Vegas, NV 89109

Shipping Address 18

AHF Pharmacy - Brooklyn
475 Atlantic Ave.
Brooklyn, NY 11217

Shipping Address 19

AHF Pharmacy - Jamaica
91-30 Van Wyck Expressway
Jamaica, NY 11418

Shipping Address 20

AHF Pharmacy - Cleveland
2829 Euclid Avenue
Cleveland, OH 44115

Shipping Address 21

AHF Pharmacy - Columbia
3025 Farrow Road
Columbia, SC 29203

Shipping Address 22

AHF Pharmacy - Fort Worth
400 N. Beach Street
Suite 102
Fort Worth, TX 76111

Shipping Address 23

AHF Pharmacy - Pike Street
1016 East Pike Street
Suite 100
Seattle, WA 98122

Shipping Address 24

AHF Pharmacy - AHF Campus Fort Lauderdale
700 S.E. 3rd Avenue
Suite 100A
Fort Lauderdale, FL 33316

Shipping Address 25

AHF Pharmacy - Dallas (Medical City)
7777 Forest Lane
Suite B-A80
Dallas, TX 75230

Shipping Address 26

AHF Pharmacy - Piedmont
735 Piedmont Ave NE
Atlanta, GA 30308-1416

Shipping Address 27

AHF Pharmacy - Jackson
766 Lakeland Drive
Suite A
Jackson, MS 39216-4610

Shipping Address 28

AHF Pharmacy - West Palm Beach
1411 N. Flagler Drive
Suite 9300
West Palm Beach, FL 33401-3421

Shipping Address 29

AHF Pharmacy - Baltimore
2510 Saint Paul Street
Baltimore, MD 21218

Shipping Address 30

AHF Pharmacy - Chicago
3311 N. Halsted Street
Chicago, IL 60657-2412

Shipping Address 31

AHF Pharmacy - Philadelphia
1211 Chestnut Street
Suite 405
Philadelphia, PA 19107

Shipping Address 32

AHF Pharmacy - Houston (Binz)
1200 Binz Street
Suite 1040
Houston, TX 77004

Shipping Address 33

AHF Pharmacy - Bronx
655 Morris Avenue
#2
Bronx, NY 10451-4898

Shipping Address 34

AHF Pharmacy - Hollywood Flagship
4905 Hollywood Blvd.
Los Angeles, CA 90027

Shipping Address 35

AHF Pharmacy - Carolina
Paseo Del Prado Shopping Center, Primer Nivel
Suite 107
Carolina, PR 00987

Shipping Address 36

AHF Pharmacy - Baton Rouge
4890 Bluebonnet Blvd.
Baton Rouge, LA 70809

Shipping Address 37

AHF Pharmacy - Chelsea
352 7th Avenue
Suite 1206
New York, NY 10001

Shipping Address 38

AHF Pharmacy - Dallas Market Center
2600 N. Stemmons Fwy
Suite 141-A
Dallas, TX 75207-2113

Shipping Address 39

AHF PHARMACY- BISCAYNE
2400 BISCAYNE BLVD.
MIAMI, FL 33137

Shipping Address 40

AHF Pharmacy - Mi Farmacia San Ysidro
4630 Border Village Road
San Ysidro, CA 92173

Shipping Address 41

AHF Pharmacy - Priority
3580 5th Avenue
Suite 200
San Diego, CA 92103-5017

Shipping Address 42

AHF Pharmacy - Cheshire Bridge
659 Auburn Avenue NE
Suite 156
Atlanta, GA 30312

Shipping Address 43

AHF Pharmacy - North Point
6333 N. Federal Highway
Suite 301
Fort Lauderdale, FL 33308

Shipping Address 44

AHF Pharmacy - Oakland Park
2866 E Oakland Park Blvd
2nd FL
Ft Lauderdale, FL 33306

Shipping Address 45

AHF Pharmacy - Peachtree
1438 W. Peachtree NW
Atlanta, GA 30309

Shipping Address 46

AHF PHARMACY- MIAMI BEACH
4308 ALTON ROAD
SUITE 870
MIAMI BEACH, FL 33140

Shipping Address 47

AHF Pharmacy - Capitol Hill
650 Pennsylvania Ave
Suite 380
Washington, DC 20003

Shipping Address 48

AHF Pharmacy - Austin
2927 GUADALUPE ST
Austin, TX 78705-3721

Shipping Address 49

AHF Pharmacy- West
18421 South Main Street
Gardena, CA 90248

Shipping Address 50

AHF Pharmacy - Westside
8641 WILSHIRE BLVD
STE 200
BEVERLY HILLS, CA 90211

Shipping Address 51

AHF Pharmacy- Washington DC
1701 K Street N.W.
Suite 400
Washington, DC 20006

Shipping Address 52

AHF Pharmacy - Fort Myers
2320 Cleveland Ave
Fort Myers, FL 33901

Shipping Address 53

AHF Pharmacy- Cumberland
8425 Cumberland Pl
Baton Rouge, LA 70806

Shipping Address 54

AHF Pharmacy- Hollywood FL
3800 Johnson Street
Suite F
Hollywood, FL 33019

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/14/2020	07/01/2020		07/01/2020
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/14/2020	07/01/2020		07/01/2020
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/14/2020	07/01/2020		07/01/2020
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/14/2020	07/01/2020		07/01/2020
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/14/2020	07/01/2020	03/31/2024	04/12/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/14/2020	07/01/2020		07/01/2020
Contract Detail	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/12/2024	07/01/2024		07/01/2024
Contract Detail	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	04/12/2024	07/01/2024		07/01/2024
Contract Detail	AHF PHARMACY	PHARMACY4HUMANITY	3920 CEDAR SPRINGS RD	DALLAS	TX	75219	04/08/2024	07/01/2024		07/01/2024
Contract Detail	AHF PHARMACY	PHARMACY4HUMANITY	1435 WESTHEIMER RD	HOUSTON	TX	77006	01/15/2025	04/01/2025		04/01/2025
Contract Detail	AIDS HEALTHCARE FOUNDATION	DBA AHF PHARMACY	19300 S. HAMILTON AVE #170/180	GARDENA	CA	90248-4400	10/13/2023	01/01/2024	06/09/2024	06/28/2024
Contract Detail	AIDS HEALTHCARE FOUNDATION	DBA AHF PHARMACY	700 SE 3RD AVENUE SUITE 100	FT LAUDERDALE	FL	33316	10/13/2023	01/01/2024	03/31/2024	05/28/2024
Contract Detail	AIDS HEALTHCARE FOUNDATION, DBA AHF PHAR	1785 E. SUNRISE BLVD.		FORT LAUDERDALE	FL	33304	10/13/2023	01/01/2024	03/31/2024	05/28/2024
Contract Detail	BIOPLUS SPECIALTY PHARMACY CA	7373 LINCOLN WAY		GARDEN GROVE	CA	92841	10/15/2024	01/01/2025		01/01/2025
Contract Detail	BIOPLUS SPECIALTY PHARMACY LA, LLC	2731 MANHATTAN BLVD STE B17		HARVEY	LA	70058	10/15/2024	01/01/2025		01/01/2025
Contract Detail	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	10/15/2024	01/01/2025		01/01/2025
Contract Detail	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	145 S 79TH ST STE 70	CHANDLER	AZ	85226	10/15/2024	01/01/2025		01/01/2025
Contract Detail	BIOPLUS SPECIALTY PHARMACY, INC	3200 LAKE EMMA RD UNIT 1000		LAKE MARY	FL	32746	10/15/2024	01/01/2025		01/01/2025
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/15/2021	10/01/2021		10/01/2021
Contract Detail	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/15/2021	10/01/2021		10/01/2021
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/15/2021	10/01/2021		10/01/2021
Contract Detail	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	07/15/2021	10/01/2021		10/01/2021
Contract Detail	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	07/15/2021	10/01/2021		10/01/2021
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/15/2021	10/01/2021		10/01/2021
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	07/15/2021	10/01/2021		10/01/2021
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	07/15/2021	10/01/2021		10/01/2021
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	07/15/2021	10/01/2021		10/01/2021
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	07/15/2021	10/01/2021		10/01/2021
Contract Detail	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	01/17/2023	04/01/2023		04/01/2023
Contract Detail	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	01/17/2023	04/01/2023		04/01/2023
Contract Detail	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	07/15/2021	10/01/2021		10/01/2021
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/14/2020	07/01/2020		07/01/2020
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/14/2020	07/01/2020		07/01/2020
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/14/2020	07/01/2020		07/01/2020
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/14/2020	07/01/2020		07/01/2020
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00580	4800 BISCAYNE BLVD	MIAMI	FL	33137	07/13/2022	10/01/2022		10/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05118	28740 S DIXIE HWY	HOMESTEAD	FL	33033	07/13/2022	10/01/2022		10/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00327	6665 TAFT ST	HOLLYWOOD	FL	33024	07/13/2022	10/01/2022		10/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05174	1150 NE 26TH ST	WILTON MANORS	FL	33305	07/13/2022	10/01/2022		10/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04249	11890 BISCAYNE BLVD	MIAMI	FL	33181	10/10/2022	01/01/2023		01/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	NAVARRO DISCOUNT PHARMACY # 10696	5252 WEST FLAGLER ST.	MIAMI	FL	33134	10/10/2022	01/01/2023		01/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	NAVARRO DISCOUNT PHARMACY # 10723	13250 BISCAYNE BLVD	NORTH MIAMI	FL	33181	10/10/2022	01/01/2023		01/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03704	1421 ALTON RD	MIAMI BEACH	FL	33139	10/10/2022	01/01/2023		01/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03283	6888 N 9TH AVE	PENSACOLA	FL	32504	10/10/2022	01/01/2023		01/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 02893	4040 PRAIRIE AVE.	MIAMI BEACH	FL	33140	10/10/2022	01/01/2023		01/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04059	1160 S DIXIE HWY	CORAL GABLES	FL	33146	10/10/2022	01/01/2023		01/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	CVS/PHARMACY # 17753	1045 5TH ST, SUITE 201	MIAMI BEACH	FL	33139	10/10/2022	01/01/2023	03/31/2024	04/12/2024
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03327	3695 W FLAGLER ST	MIAMI	FL	33135	10/10/2022	01/01/2023		01/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA CVS/PHARMACY # 1126	2713 SW 8TH ST.	MIAMI	FL	33135	10/10/2022	01/01/2023		01/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03672	13749 SW 152ND ST	MIAMI	FL	33177	01/17/2023	04/01/2023		04/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03984	11299 S DIXIE HWY	PINECREST	FL	33156	01/17/2023	04/01/2023		04/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04994	3215 GRAND AVE.	COCONUT GROVE	FL	33133	01/17/2023	04/01/2023		04/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03887	4970 W. ATLANTIC AVENUE	DELRAY BEACH	FL	33445	10/13/2023	01/01/2024		01/01/2024
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 06732	8720 W. FLAGLER ST.	MIAMI	FL	33174	10/13/2023	01/01/2024		01/01/2024
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03627	1 N FEDERAL HWY	FORT LAUDERDALE	FL	33301	07/11/2024	10/01/2024		10/01/2024
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 01136	909 N HOMESTEAD BLVD	HOMESTEAD	FL	33030	10/12/2024	01/01/2025		01/01/2025
Contract Detail	HOLIDAY CVS, L.L.C.	DBA CVS/PHARMACY #02379	12180 SW 8TH STREET	MIAMI	FL	33184	10/12/2024	01/01/2025		01/01/2025
Contract Detail	OPTUM FRONTIER THERAPIES II, LLC	6425 SANTA MARGARITA ST UNIT 110		LAS VEGAS	NV	89118-1913	04/15/2020	07/01/2020	04/01/2021	04/01/2021
Contract Detail	OPTUM PHARMACY 700, LLC	5700 DOT COM CT, STE 1000		OVIEDO	FL	32765	04/15/2020	07/01/2020		07/01/2020
Contract Detail	OPTUM PHARMACY 700, LLC	19 CHAPIN RD BLDG D, STE D8		PINE BROOK	NJ	07058	01/14/2021	04/01/2021		04/01/2021
Contract Detail	OPTUM PHARMACY 701, LLC	4015 SHOPTON RD STE 600		CHARLOTTE	NC	28217-3025	01/14/2021	04/01/2021		04/01/2021
Contract Detail	OPTUM PHARMACY 701, LLC	8131 W BOSTIAN RD STE A350		WOODINVILLE	WA	98072-5029	01/14/2021	04/01/2021		04/01/2021
Contract Detail	OPTUM PHARMACY 701, LLC	1830 S HORNE		MESA	AZ	85204	07/05/2024	10/01/2024		10/01/2024
Contract Detail	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	04/15/2020	07/01/2020		07/01/2020
Contract Detail	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	01/14/2021	04/01/2021		04/01/2021
Contract Detail	OPTUM PHARMACY 706, INC.	30-30 47TH AVENUE	SUITE 410	LONG ISLAND CITY	NY	11101	04/15/2020	07/01/2020		07/01/2020
Contract Detail	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	01/14/2021	04/01/2021		04/01/2021
Contract Detail	OPTUMRX	2858 LOKER AVE E STE 100		CARLSBAD	CA	92010-6608	01/14/2021	04/01/2021	07/01/2024	07/05/2024
Contract Detail	PHARMACY4HUMANITY	AHF PHARMACY	700 SE 3RD AVE STE 100	FORT LAUDERDALE	FL	33316	03/18/2024	04/01/2024		04/01/2024
Contract Detail	PHARMACY4HUMANITY	AHF PHARMACY	1785 E SUNRISE BLVD	FORT LAUDERDALE	FL	33304	03/18/2024	04/01/2024		04/01/2024
Contract Detail	PHARMACY4HUMANITY	AHF PHARMACY	2097 WILTON DR	WILTON MANORS	FL	33305	04/08/2024	07/01/2024		07/01/2024
Contract Detail	PHARMACY4HUMANITY	AHF PHARMACY	19300 S HAMILTON AVE STE 170-180	GARDENA	CA	90248	06/07/2024	06/10/2024	12/31/2024	04/07/2025
Contract Detail	PHARMACY4HUMANITY	AHF PHARMACY	901 BOREN AVE., STE. 800	SEATTLE	WA	98104	01/15/2025	04/01/2025		04/01/2025
Contract Detail	PHARMACY4HUMANITY	AHF PHARMACY	8212 SANTA MONICA BLVD	WEST HOLLYWOOD	CA	90046	01/15/2025	04/01/2025		04/01/2025
Contract Detail	PHARMACY4HUMANITY	AHF PHARMACY	5356 WHITTIER BLVD	LOS ANGELES	CA	90022	01/15/2025	04/01/2025		04/01/2025
Contract Detail	PHARMACY4HUMANITY	AHF PHARMACY	1988 HACIENDA DR	VISTA	CA	92081	01/15/2025	04/01/2025		04/01/2025
Contract Detail	PHARMACY4HUMANITY	AHF PHARMACY	120 UNIVERSITY AVE	SAN DIEGO	CA	92103	01/15/2025	04/01/2025		04/01/2025
Contract Detail	PHARMACY4HUMANITY	AHF PHARMACY	1349 N MILLS AVE	ORLANDO	FL	32803	01/15/2025	04/01/2025		04/01/2025
Contract Detail	PHARMACY4HUMANITY	AHF PHARMACY	23-07 ASTORIA BLVD	ASTORIA	NY	11102	01/15/2025	04/01/2025		04/01/2025
Contract Detail	PHARMACY4HUMANITY	AHF PHARMACY	619 MAIN ST	FARMINGDALE	NY	11735	01/15/2025	04/01/2025		04/01/2025
Contract Detail	PHARMACY4HUMANITY	AHF PHARMACY	1230 N HIGH ST	COLUMBUS	OH	43201	01/15/2025	04/01/2025		04/01/2025
Contract Detail	PHARMACY4HUMANITY	AHF PHARMACY	18421 S MAIN ST	GARDENA	CA	90248	01/15/2025	04/01/2025		04/01/2025
Contract Detail	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	10/12/2020	01/01/2021	10/01/2022	05/20/2025
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/15/2021	10/01/2021		10/01/2021
Contract Detail	PROCARE PHARMACY, L.L.C.	NAVARRO SPECIALTY SERVICES # 10727	7205 CORPORATE CENTER DRIVE SUITE 104	MIAMI	FL	33126	07/15/2021	10/01/2021		10/01/2021
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	07/15/2021	10/01/2021		10/01/2021
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	07/15/2021	10/01/2021		10/01/2021
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	07/15/2021	10/01/2021		10/01/2021
Contract Detail	PUBLIX SUPER MARKETS	PUBLIX PHARMACY #0850	601 SOUTH ANDREWS AVENUE	FORT LAUDERDALE	FL	33301	07/15/2024	10/01/2024		10/01/2024
Contract Detail	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	07/15/2024	10/01/2024		10/01/2024
Contract Detail	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	07/15/2024	10/01/2024		10/01/2024
Contract Detail	SINA DRUG LLC	D/B/A ONCO 360	13410 EASTPOINT CENTRE DR STE 101	LOUISVILLE	KY	40223	03/30/2023	04/01/2023		04/01/2023
Contract Detail	SINA DRUG LLC	DBA ONCO360	1985 MARCUS AVE STE 120	NEW HYDE PARK	NY	11042	03/30/2023	04/01/2023		04/01/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03943	200 SW 13TH ST	MIAMI	FL	33130	10/12/2020	01/01/2021		01/01/2021
Contract Detail	WALGREEN CO.	DBA: WALGREENS #15994	801 SW 8TH ST	MIAMI	FL	33130	10/12/2020	01/01/2021		01/01/2021
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04809	3595 CORAL WAY	MIAMI	FL	33145	10/12/2020	01/01/2021		01/01/2021
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #15299	1201 NE 26TH ST STE 110	WILTON MANORS	FL	33305	10/12/2020	01/01/2021		01/01/2021
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03105	11920 NW 27TH AVENUE	MIAMI	FL	33167	01/10/2022	04/01/2022	02/28/2024	04/12/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03173	9020 BISCAYNE BLVD	MIAMI SHORES	FL	33138	01/10/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03316	2700 W. FLAGLER STREET	MIAMI	FL	33135	01/10/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03566	4451 W. 12TH AVE.	HIALEAH	FL	33012	01/10/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	WALGREENS #16541	1400 NW 12TH AVE STE 2002	MIAMI	FL	33136	01/10/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21359	275 NE 35TH ST	MIAMI	FL	33137	01/10/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06012	655 NW 57TH AVE	MIAMI	FL	33126	07/13/2022	10/01/2022		10/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 10900	3490 BIRD RD	MIAMI	FL	33133	07/13/2022	10/01/2022		10/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04955	18665 BISCAYNE BLVD	AVENTURA	FL	33180	07/13/2022	10/01/2022		10/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04569	3895 W BROWARD BLVD	FORT LAUDERDALE	FL	33312-1017	07/13/2022	10/01/2022		10/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03318	11690 SW 72ND ST	MIAMI	FL	33173	10/13/2022	01/01/2023		01/01/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03784	3655 S DIXIE HWY	MIAMI	FL	33133	10/13/2022	01/01/2023		01/01/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 12285	780 EAST 9TH STREET	HIALEAH	FL	33010	10/13/2022	01/01/2023		01/01/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02743	998 SW 67TH AVE	MIAMI	FL	33144	01/16/2023	04/01/2023		04/01/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05742	14190 SW 26TH STREET	MIAMI	FL	33175	01/16/2023	04/01/2023		04/01/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03782	5701 NW 183RD ST	HIALEAH	FL	33015	01/16/2023	04/01/2023		04/01/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05250	1699 NW 7TH ST	MIAMI	FL	33125	01/16/2023	04/01/2023		04/01/2023
Contract Detail	WALGREEN CO.	WALGREENS SPECIALTY PHARMACY #15106	1250 NW 7TH STREET SUITE 205	MIAMI	FL	33125	01/16/2023	04/01/2023		04/01/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06416	960 S POWERLINE RD	POMPANO BEACH	FL	33069	01/16/2023	04/01/2023		04/01/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04178	700 W. BROWARD BLVD.	FT LAUDERDALE	FL	33312	01/16/2023	04/01/2023		04/01/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05050	1610 W 49TH ST	HIALEAH	FL	33012	01/16/2023	04/01/2023		04/01/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04387	2104 W OAKLAND PARK BLVD	OAKLAND PARK	FL	33311	01/16/2023	04/01/2023	02/29/2024	04/12/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS #11920	12711 SW 200TH ST	MIAMI	FL	33177	01/16/2023	04/01/2023		04/01/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS #10983	1011 ALTON RD.	MIAMI BEACH	FL	33139	01/16/2023	04/01/2023		04/01/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02790	3103 BISCAYNE BLVD	MIAMI	FL	33137	04/03/2025	07/01/2025		04/03/2025
Contract Detail	Walgreens #21395	Walgreens Central Fill #21395	5710 Young Pine Rd	Orlando	FL	32829	10/10/2022	01/01/2023		01/01/2023
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/12/2020	01/01/2021		01/01/2021

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Shipping Address	Delete	Group Change Request	AHF Pharmacy - Washington DC 2141 K Street NW Suite 707 Washington, DC 20037		5/29/2025 12:16 PM
Addresses	Shipping Address	Insert	Group Change Request		AHF Pharmacy- Washington DC 1701 K Street N.W. Suite 400 Washington, DC 20006	5/29/2025 12:16 PM
Addresses	Shipping Address	Insert	Group Change Request		AHF Pharmacy - Fort Myers 2320 Cleveland Ave Fort Myers, FL 33901	5/29/2025 12:16 PM
Addresses	Shipping Address	Insert	Group Change Request		AHF Pharmacy- Cumberland 8425 Cumberland Pl Baton Rouge, LA 70806	5/29/2025 12:16 PM
Addresses	Shipping Address	Insert	Group Change Request		AHF Pharmacy- Hollywood FL 3800 Johnson Street Suite F Hollywood, FL 33019	5/29/2025 12:16 PM
Addresses	Shipping Address	Delete	Change Request	AHF Pharmacy - East Los Angeles 5356 Whittier Blvd. Los Angeles, CA 90022		5/16/2025 6:55 AM
Addresses	Shipping Address	Delete	Change Request	AHF Pharmacy - Gardena 19300 S. Hamilton Avenue Suite 170/180 Gardena, CA 90248		5/16/2025 6:55 AM
Addresses	Shipping Address	Delete	Change Request	AHF Pharmacy - West Hollywood 8212 Santa Monica Blvd. West Hollywood, CA 90046		5/16/2025 6:55 AM
Addresses	Shipping Address	Delete	Change Request	AHF Pharmacy - Westside 99 N. La Cienega Suite 200 Beverly Hills, CA 90211		5/16/2025 6:55 AM
Addresses	Shipping Address	Update	Change Request	AHF Pharmacy - Jamaica 161-21 Jamaica Avenue 7th Floor Jamaica, NY 11432	AHF Pharmacy - Jamaica 91-30 Van Wyck Expressway Jamaica, NY 11418	5/16/2025 6:55 AM
Addresses	Shipping Address	Delete	Change Request	AHF Pharmacy - Dallas 3920 Cedar Springs Rd. Dallas, TX 75219		5/16/2025 6:55 AM
Addresses	Shipping Address	Delete	Change Request	AHF Pharmacy - City View 2307 Astoria Blvd. Astoria, NY 11102		5/16/2025 6:55 AM
Addresses	Shipping Address	Delete	Change Request	AHF PHARMACY - WILTON MANORS 2097 WILTON DRIVE WILTON MANORS, FL 33305		5/16/2025 6:55 AM
Addresses	Main Address	Update	Change Request	3661 S. MIAMI AVENUE, SUITE 806 MIAMI BEACH, FL 33133	3661 S. MIAMI AVENUE, SUITE 806 MIAMI, FL 33133	5/14/2025 7:55 AM
Details	Entity Subname	Update	Change Request	AHF KINDER MEDICAL GROUP	AHF Healthcare Center- Coconut Grove	5/14/2025 7:55 AM
Addresses	Shipping Address	Insert	Group Change Request		AHF Pharmacy - Westside 8641 WILSHIRE BLVD STE 200 BEVERLY HILLS, CA 90211	4/15/2025 11:28 AM
Details	Assistance Received From Date	Update	Group Change Request	3/1/2024 12:00:00 AM	3/1/2025 12:00:00 AM	3/17/2025 1:48 PM
Details	Assistance Received To Date	Update	Group Change Request	2/28/2025 12:00:00 AM	2/28/2026 12:00:00 AM	3/17/2025 1:48 PM
Details	Last Recertification Date	Update	Recertification	2/29/2024 11:26:22 AM	2/20/2025 5:15:21 PM	2/20/2025 5:15 PM
Addresses	Shipping Address	Delete	Group Change Request	AHF Pharmacy - Hillcrest Pharmacy 120 University Avenue San Diego, CA 92103		12/19/2024 12:51 PM
Addresses	Shipping Address	Delete	Group Change Request	AHF Pharmacy - Hillcrest North 1988 Hacienda Drive VIsta, CA 92081		12/19/2024 12:51 PM
Addresses	Shipping Address	Delete	Group Change Request	AHF Pharmacy - Farmingdale 619 Main Street Farmingdale, NY 11735		11/25/2024 8:38 AM
Addresses	Shipping Address	Delete	Group Change Request	AHF Pharmacy - Columbus 1230 N. High Street Columbus, OH 43201		11/25/2024 8:38 AM
Addresses	Shipping Address	Delete	Group Change Request	AHF Pharmacy - Cabrini 901 Boren Avenue Suite 800 Seattle, WA 98104		11/25/2024 8:38 AM
Addresses	Shipping Address	Delete	Group Change Request	AHF Pharmacy - Houston OTC 1435 Westheimer Rd. Houston, TX 77006-2616		11/25/2024 8:38 AM
Addresses	Shipping Address	Delete	Group Change Request	AHF Pharmacy - Orlando OTC 1349 N Mills Avenue Orlando, FL 32803-2542		11/25/2024 8:38 AM
Addresses	Shipping Address	Insert	Group Change Request		AHF Pharmacy- West 18421 South Main Street Gardena, CA 90248	11/25/2024 8:38 AM
Addresses	Shipping Address	Delete	Group Change Request	AHF PHARMACY - SUNRISE 1785 E. SUNRISE BLVD FORT LAUDERDALE, FL 33304		11/25/2024 8:38 AM
Addresses	Shipping Address	Update	Change Request	AHF Pharmacy - Castro 4071 18th Street San Francisco, CA 94114	AHF Pharmacy - San Francisco 518A Castro Street San Francisco, CA 94114	8/5/2024 6:48 AM
Addresses	Shipping Address	Update	Change Request	AHF Pharmacy - Oakland Park 2866 E Oakland Park 2nd FL Ft Lauderdale, FL 33306	AHF Pharmacy - Oakland Park 2866 E Oakland Park Blvd 2nd FL Ft Lauderdale, FL 33306	8/5/2024 6:48 AM
Addresses	Shipping Address	Delete	Change Request	AHF PHARMACY - OAKLAND PARK 1164 E. OAKLAND PARK BLVD. 3RD FLOOR OAKLAND PARK, FL 33334		8/5/2024 6:48 AM
Details	Assistance Received From Date	Update	Change Request	3/1/2023 12:00:00 AM	3/1/2024 12:00:00 AM	6/24/2024 10:42 AM
Details	Assistance Received To Date	Update	Change Request	2/29/2024 12:00:00 AM	2/28/2025 12:00:00 AM	6/24/2024 10:42 AM
Addresses	Shipping Address	Insert	Group Change Request		AHF Pharmacy - Austin 2927 GUADALUPE ST Austin, TX 78705-3721	4/1/2024 6:28 AM
Addresses	Shipping Address	Insert	Recertification		AHF PHARMACY- MIAMI BEACH 4308 ALTON ROAD SUITE 870 MIAMI BEACH, FL 33140	2/29/2024 11:26 AM
Addresses	Shipping Address	Insert	Recertification		AHF Pharmacy - Capitol Hill 650 Pennsylvania Ave Suite 380 Washington, DC 20003	2/29/2024 11:26 AM
Addresses	Shipping Address	Delete	Recertification	AHF PHARMACY- MIAMI BEACH 4308 ALTON ROAD, SUITE 950 MIAMI BEACH, FL 33140		2/29/2024 11:26 AM
Details	Assistance Received To Date	Update	Recertification	2/28/2024 12:00:00 AM	2/29/2024 12:00:00 AM	2/29/2024 11:26 AM
Details	Last Recertification Date	Update	Recertification	2/15/2023 5:10:30 PM	2/29/2024 11:26:22 AM	2/29/2024 11:26 AM
Details	NOFO Number	Update		HRSA-22-018		12/16/2023 10:34 AM
Addresses	Shipping Address	Delete	Group Change Request	AHF Pharmacy - Midtown 1605 Peachtree Street NE Atlanta, GA 30309		7/21/2023 8:26 AM
Addresses	Shipping Address	Insert	Group Change Request		AHF Pharmacy - Oakland Park 2866 E Oakland Park 2nd FL Ft Lauderdale, FL 33306	7/21/2023 8:26 AM
Addresses	Shipping Address	Insert	Group Change Request		AHF Pharmacy - Peachtree 1438 W. Peachtree NW Atlanta, GA 30309	7/21/2023 8:26 AM
Addresses	Shipping Address	Delete	Change Request	AHF Pharmacy - Hollywood 1300 N. Vermont Avenue Suite 407 Los Angeles, CA 90027		3/29/2023 12:43 PM
Addresses	Shipping Address	Update	Change Request	AHF Pharmacy - Baltimore 11 E. Lexington Street Suite 100 Baltimore, MD 21202	AHF Pharmacy - Baltimore 2510 Saint Paul Street Baltimore, MD 21218	3/29/2023 12:43 PM
Addresses	Shipping Address	Update	Change Request	AHF Pharmacy - New Hollywood 4905 Hollywood Blvd. Los Angeles, CA 90027	AHF Pharmacy - Hollywood Flagship 4905 Hollywood Blvd. Los Angeles, CA 90027	3/29/2023 12:43 PM
Addresses	Shipping Address	Update	Change Request	AHF Pharmacy - San Juan Carr. 848 KM 1.0 Saint Just Trujillo Alto, PR 00978	AHF Pharmacy - Carolina Paseo Del Prado Shopping Center, Primer Nivel Suite 107 Carolina, PR 00987	3/23/2023 11:05 AM
Details	Assistance Received From Date	Update	Change Request	3/1/2022 12:00:00 AM	3/1/2023 12:00:00 AM	3/23/2023 11:05 AM
Details	Assistance Received To Date	Update	Change Request	2/28/2023 12:00:00 AM	2/28/2024 12:00:00 AM	3/23/2023 11:05 AM
Details	Last Recertification Date	Update	Recertification	2/10/2022 11:25:08 AM	2/15/2023 5:10:30 PM	2/15/2023 5:10 PM
Addresses	Shipping Address	Insert	Group Change Request		AHF Pharmacy - North Point 6333 N. Federal Highway Suite 301 Fort Lauderdale, FL 33308	6/3/2022 12:13 PM
Addresses	Shipping Address	Delete	Group Change Request	AHF PHARMACY - NORTH POINT 6405 N. FEDERAL HIGHWAY SUITE 205 FORT LAUDERDALE, FL 33308		6/3/2022 12:13 PM
Details	Assistance Received From Date	Update	Change Request	3/1/2021 12:00:00 AM	3/1/2022 12:00:00 AM	5/26/2022 11:23 AM
Details	Assistance Received To Date	Update	Change Request	2/28/2022 12:00:00 AM	2/28/2023 12:00:00 AM	5/26/2022 11:23 AM
Details	NOFO Number	Update	Change Request	HRSA-21-055	HRSA-22-018	5/26/2022 11:23 AM
Addresses	Shipping Address	Delete	Group Change Request	AHF Pharmacy - Cheshire Bridge 1858 Cheshire Bridge Road NE Atlanta, GA 30324		5/3/2022 7:03 AM
Addresses	Shipping Address	Insert	Group Change Request		AHF Pharmacy - Cheshire Bridge 659 Auburn Avenue NE Suite 156 Atlanta, GA 30312	5/3/2022 7:03 AM
Details	Last Recertification Date	Update	Recertification	2/18/2021 8:46:09 AM	2/10/2022 11:25:08 AM	2/10/2022 11:25 AM
Addresses	Shipping Address	Delete	Group Change Request	AHF Pharmacy - Priority 3940 4th Avenue Suite 150 San Diego, CA 92103		12/7/2021 1:45 PM
Addresses	Shipping Address	Insert	Group Change Request		AHF Pharmacy - Priority 3580 5th Avenue Suite 200 San Diego, CA 92103-5017	12/7/2021 1:45 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Orlando OTC 1349 N Mills Avenue Orlando, FL 32803-2542	4/30/2021 5:06 PM
Contacts	Authorizing Official	Update	Change Request	Ho, Philip Senior Director of Pharmacy and 340B Compliance AIDS Healthcare Foundation 3238605323	DeStefano, Rena Director of Pharmacy Finance AIDS Healthcare Foundation 6313702022	3/11/2021 9:27 AM
Details	Assistance Received From Date	Update	Change Request	3/1/2020 12:00:00 AM	3/1/2021 12:00:00 AM	3/3/2021 7:31 AM
Details	Assistance Received To Date	Update	Change Request	2/28/2021 12:00:00 AM	2/28/2022 12:00:00 AM	3/3/2021 7:31 AM
Details	NOFO Number	Update	Change Request	HRSA-20-063	HRSA-21-055	3/3/2021 7:31 AM
Details	Assistance Received From Date	Update	Recertification		3/1/2020 12:00:00 AM	2/18/2021 8:46 AM
Details	Assistance Received To Date	Update	Recertification		2/28/2021 12:00:00 AM	2/18/2021 8:46 AM
Details	Last Recertification Date	Update	Recertification	2/19/2020 11:50:13 AM	2/18/2021 8:46:09 AM	2/18/2021 8:46 AM
Details	NOFO Number	Update	Recertification		HRSA-20-063	2/18/2021 8:46 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Hillcrest Pharmacy 120 University Avenue San Diego, CA 92103	1/28/2021 8:23 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Hillcrest North 1988 Hacienda Drive VIsta, CA 92081	1/28/2021 8:23 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Mi Farmacia San Ysidro 4630 Border Village Road San Ysidro, CA 92173	1/28/2021 8:23 AM
Addresses	Shipping Address	Delete	Change Request	AHF PHARMACY- BISCAYNE 2900 N.BISCAYNE BLVD. MIAMI, FL 33137		11/2/2020 7:27 AM
Addresses	Shipping Address	Insert	Change Request		AHF PHARMACY- BISCAYNE 2400 BISCAYNE BLVD. MIAMI, FL 33137	11/2/2020 7:27 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Dallas Market Center 2600 N. Stemmons Fwy Suite 141-A Dallas, TX 75207-2113	9/2/2020 11:18 AM
Addresses	Shipping Address	Delete	Change Request	AHF Pharmacy - Chelsea 365A W. 28th Street New York, NY 10001		8/18/2020 1:31 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Chelsea 352 7th Avenue Suite 1206 New York, NY 10001	8/18/2020 1:31 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Baton Rouge 4890 Bluebonnet Blvd. Baton Rouge, LA 70809	7/23/2020 9:33 AM
Addresses	Shipping Address	Insert	Recertification		AHF Pharmacy - Houston OTC 1435 Westheimer Rd. Houston, TX 77006-2616	2/19/2020 11:50 AM
Details	Last Recertification Date	Update	Recertification	2/25/2019 7:23:19 AM	2/19/2020 11:50:13 AM	2/19/2020 11:50 AM
Details	Grant Number	Update	Recertification	EMA-Miami	H89HA00005	2/19/2020 11:50 AM
Addresses	Shipping Address	Delete	Change Request	AHF Pharmacy - Sunset 6210 W. Sunset Blvd. Los Angeles, CA 90028		12/12/2019 8:13 AM
Addresses	Shipping Address	Delete	Change Request	AHF Pharmacy - San Juan Calle 848 KM 1.0 Saint Just Trujillo Alto, PR 00978		12/12/2019 8:13 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - New Hollywood 4905 Hollywood Blvd. Los Angeles, CA 90027	12/12/2019 8:13 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - San Juan Carr. 848 KM 1.0 Saint Just Trujillo Alto, PR 00978	12/12/2019 8:13 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Houston (Binz) 1200 Binz Street Suite 1040 Houston, TX 77004	11/21/2019 1:07 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Bronx 655 Morris Avenue #2 Bronx, NY 10451-4898	11/21/2019 1:07 PM
Contacts	Authorizing Official	Update	AO Change Request	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER aidshealth 3238605200-5266	Ho, Philip Senior Director of Pharmacy and 340B Compliance AIDS Healthcare Foundation 3238605323	11/13/2019 11:04 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Philadelphia 1211 Chestnut Street Suite 405 Philadelphia, PA 19107	7/17/2019 8:26 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - San Juan Calle 848 KM 1.0 Saint Just Trujillo Alto, PR 00978	7/17/2019 8:26 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Baltimore 11 E. Lexington Street Suite 100 Baltimore, MD 21202	6/10/2019 7:52 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Chicago 3311 N. Halsted Street Chicago, IL 60657-2412	6/10/2019 7:52 AM
Addresses	Shipping Address	Delete	Change Request	AHF Pharmacy - Washington DC 2141 K Street NW Suite 606-RX Washington, DC 20037		3/25/2019 11:57 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Washington DC 2141 K Street NW Suite 707 Washington, DC 20037	3/25/2019 11:57 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - West Palm Beach 1411 N. Flagler Drive Suite 9300 West Palm Beach, FL 33401-3421	3/25/2019 11:57 AM
Addresses	Shipping Address	Delete	Recertification	City View Pharmacy 2307 Astoria Blvd. Astoria, NY 11102		2/25/2019 7:23 AM
Addresses	Shipping Address	Insert	Recertification		AHF Pharmacy - City View 2307 Astoria Blvd. Astoria, NY 11102	2/25/2019 7:23 AM
Details	Last Recertification Date	Update	Recertification	2/21/2018 10:29:13 AM	2/25/2019 7:23:19 AM	2/25/2019 7:23 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Jackson 766 Lakeland Drive Suite A Jackson, MS 39216-4610	9/6/2018 1:28 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Piedmont 735 Piedmont Ave NE Atlanta, GA 30308-1416	7/5/2018 2:55 PM
Addresses	Shipping Address	Delete	Change Request	AHF Pharmacy - Dallas (Medical City) 7777 Forest Lane Suite B-A80 Dallas, TX 75251		5/30/2018 4:56 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Dallas (Medical City) 7777 Forest Lane Suite B-A80 Dallas, TX 75230	5/30/2018 4:56 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - AHF Campus Fort Lauderdale 700 S.E. 3rd Avenue Suite 100A Fort Lauderdale, FL 33316	4/23/2018 9:18 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Dallas (Medical City) 7777 Forest Lane Suite B-A80 Dallas, TX 75251	4/23/2018 9:18 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Castro 4071 18th Street San Francisco, CA 94114	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Downtown 1400 S. Grand Avenue Suite 801 Los Angeles, CA 90015	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - East Los Angeles 5356 Whittier Blvd. Los Angeles, CA 90022	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Gardena 19300 S. Hamilton Avenue Suite 170/180 Gardena, CA 90248	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Hollywood 1300 N. Vermont Avenue Suite 407 Los Angeles, CA 90027	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Long Beach 3500 E. Pacific Coast Highway Long Beach, CA 90804	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Oakland 400 30th Street Suite 300 Oakland, CA 94609	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Priority 3940 4th Avenue Suite 150 San Diego, CA 92103	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Sunset 6210 W. Sunset Blvd. Los Angeles, CA 90028	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Valley 4940 Van Nuys Blvd. Suite 200 Sherman Oaks, CA 91403	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - West Hollywood 8212 Santa Monica Blvd. West Hollywood, CA 90046	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Westside 99 N. La Cienega Suite 200 Beverly Hills, CA 90211	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Washington DC 2141 K Street NW Suite 606-RX Washington, DC 20037	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Cheshire Bridge 1858 Cheshire Bridge Road NE Atlanta, GA 30324	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Lithonia 5700 Hillandale Drive Suite 100 Lithonia, GA 30058	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Midtown 1605 Peachtree Street NE Atlanta, GA 30309	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Newnan 770 Greison Trail Suite H Newnan, GA 30263	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - North Las Vegas 3201 S. Maryland Pkwy. Suite 218 Las Vegas, NV 89109	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Chelsea 365A W. 28th Street New York, NY 10001	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Brooklyn 475 Atlantic Ave. Brooklyn, NY 11217	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Jamaica 161-21 Jamaica Avenue 7th Floor Jamaica, NY 11432	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Farmingdale 619 Main Street Farmingdale, NY 11735	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		City View Pharmacy 2307 Astoria Blvd. Astoria, NY 11102	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Cleveland 2829 Euclid Avenue Cleveland, OH 44115	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Columbus 1230 N. High Street Columbus, OH 43201	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Columbia 3025 Farrow Road Columbia, SC 29203	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Dallas 3920 Cedar Springs Rd. Dallas, TX 75219	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Fort Worth 400 N. Beach Street Suite 102 Fort Worth, TX 76111	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Cabrini 901 Boren Avenue Suite 800 Seattle, WA 98104	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - Pike Street 1016 East Pike Street Suite 100 Seattle, WA 98122	3/30/2018 12:35 PM
Addresses	Shipping Address	Insert	Recertification		AHF Pharmacy - Delray Beach 200 Congress Park Drive Suite 210 Delray Beach, FL 33445	2/21/2018 10:29 AM
Details	Last Recertification Date	Update	Recertification	2/11/2017 12:00:00 AM	2/21/2018 10:29:13 AM	2/21/2018 10:29 AM
Contacts	Authorizing Official	Update	OPA Edit Contract Pharmacy	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER Aidshealth 3238605200-5266	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER aidshealth 3238605200-5266	12/21/2017 11:33 AM
Contacts	Signed By	Update	OPA Edit Contract Pharmacy	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER Aidshealth 3238605200-5266	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER aidshealth 3238605200-5266	12/21/2017 11:33 AM
Contacts	Authorizing Official	Update	OPA Edit Contract Pharmacy	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER Aids Health 3238605200-5266	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER Aidshealth 3238605200-5266	12/21/2017 11:26 AM
Contacts	Signed By	Update	OPA Edit Contract Pharmacy	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER Aids Health 3238605200-5266	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER Aidshealth 3238605200-5266	12/21/2017 11:26 AM
Contacts	Authorizing Official	Update	OPA Edit Contract Pharmacy	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER AHF Pharmacy 3238605200-5266	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER Aids Health 3238605200-5266	12/21/2017 11:22 AM
Contacts	Signed By	Update	OPA Edit Contract Pharmacy	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER AHF Pharmacy 3238605200-5266	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER Aids Health 3238605200-5266	12/21/2017 11:22 AM
Addresses	Shipping Address	Insert	Change Request		AHF Pharmacy - St. Petersburg 3400 26th Ave. S. St. Petersburg, FL 33711	12/5/2017 8:30 AM
Contacts	Primary Contact	Insert	Change Request		Altstaedter, Barry Director of Pharmacy Finance AIDS Healthcare Foundation 6318705169	11/8/2017 12:29 PM
Contacts	Authorizing Official	Update	Contract Pharmacy Registration	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER 3238605200-5266	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER AHF Pharmacy 3238605200-5266	10/5/2017 2:47 PM
Contacts	Signed By	Update	Contract Pharmacy Registration	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER 3238605200-5266	CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER AHF Pharmacy 3238605200-5266	10/5/2017 2:47 PM
Contacts	Authorizing Official	Insert			CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER 3238605200-5266	8/2/2017 1:52 PM
Contacts	Signed By	Insert			CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER 3238605200-5266	8/2/2017 1:52 PM
Addresses	Main Address	Insert			3661 S. MIAMI AVENUE, SUITE 806 MIAMI BEACH, FL 33133	2/11/2017 10:33 AM
Details	Last Recertification Date	Update		2/25/2016 12:00:00 AM	2/11/2017 12:00:00 AM	2/11/2017 10:33 AM
Addresses	Billing Address	Insert			AIDS HEALTHCARE FOUNDATION 6255 W. SUNSET BLVD. 21ST FLOOR LOS ANGELES, CA 90028	11/15/2016 10:55 AM
Addresses	Shipping Address	Insert			AHF PHARMACY- MIAMI BEACH 4308 ALTON ROAD, SUITE 950 MIAMI BEACH, FL 33140	11/15/2016 10:55 AM
Addresses	Shipping Address	Insert			AHF PHARMACY - JACKSON NORTH 100 N.W. 170 STREET, SUITE 208 MIAMI, FL 33169-4518	11/15/2016 10:55 AM
Addresses	Shipping Address	Insert			AHF PHARMACY- BISCAYNE 2900 N.BISCAYNE BLVD. MIAMI, FL 33137	11/15/2016 10:55 AM
Addresses	Shipping Address	Insert			AHF PHARMACY - JACKSONVILLE 2 SHIRCLIFF WAY SUITE 900 JACKSONVILLE, FL 32204	11/15/2016 10:55 AM
Addresses	Shipping Address	Insert			AHF PHARMACY - WILTON MANORS 2097 WILTON DRIVE WILTON MANORS, FL 33305	11/15/2016 10:55 AM
Addresses	Shipping Address	Insert			AHF PHARMACY - NORTH POINT 6405 N. FEDERAL HIGHWAY SUITE 205 FORT LAUDERDALE, FL 33308	11/15/2016 10:55 AM
Addresses	Shipping Address	Insert			AHF PHARMACY - ORLANDO 1701 N. MILLS AVENUE ORLANDO, FL 32803	11/15/2016 10:55 AM
Addresses	Shipping Address	Insert			AHF PHARMACY - SAFETY HARBOR 3135 SR 580 SUITE 1 SAFETY HARBOR, FL 34695	11/15/2016 10:55 AM
Addresses	Shipping Address	Insert			AHF PHARMACY - PENSACOLA 4300 BAYOU BLVD SUITE 17D PENSACOLA, FL 32503	11/15/2016 10:55 AM
Addresses	Shipping Address	Insert			AHF PHARMACY - OAKLAND PARK 1164 E. OAKLAND PARK BLVD. 3RD FLOOR OAKLAND PARK, FL 33334	11/15/2016 10:55 AM
Addresses	Shipping Address	Insert			AHF PHARMACY - SUNRISE 1785 E. SUNRISE BLVD FORT LAUDERDALE, FL 33304	11/15/2016 10:55 AM
Addresses	Shipping Address	Insert			AHF PHARMACY - COCONUT GROVE 3661 S. MIAMI AVE. SUITE 806 MIAMI, FL 33133	11/15/2016 10:55 AM
Addresses	Shipping Address	Insert			AHF PHARMACY-ACC FORT LAUDERDALE 700 S.E. 3rd AVENUE SUITE 100 FORT LAUDERDALE, FL 33316	11/15/2016 10:55 AM
Details	Last Recertification Date	Update		2/16/2015 12:00:00 AM	2/25/2016 12:00:00 AM	2/25/2016 2:45 PM
Details	Last Recertification Date	Update		2/13/2014 12:00:00 AM	2/16/2015 12:00:00 AM	2/16/2015 10:13 PM
Details	Last Recertification Date	Update			2/13/2014 12:00:00 AM	2/13/2014 4:43 PM
Dates	Participating Approval Date	Update			9/9/2013 12:00:00 AM	9/9/2013 11:22 AM
Details	State	Update		Pending	Active	9/9/2013 11:22 AM
Dates	Start Date	Update			10/1/2013 12:00:00 AM	9/9/2013 11:22 AM
Details	Grant Number	Update		BU3AHF23	EMA-Miami	8/1/2013 3:44 PM
Details	340B ID	Update		ONLINE_REG	RWI33133	8/1/2013 3:44 PM
Details	Last Recertification Date	Insert				7/14/2013 7:27 PM
Details	Grant Number	Insert			BU3AHF23	7/14/2013 7:27 PM
Details	340B ID	Insert			ONLINE_REG	7/14/2013 7:27 PM
Details	Is Authorizing Official EHB Data	Insert				7/14/2013 7:27 PM
Dates	Last Date That 340B Drugs Purchased	Insert				7/14/2013 7:27 PM
Details	Medicare Provider Number	Insert				7/14/2013 7:27 PM
Details	Entity Name	Insert			AIDS HEALTHCARE FOUNDATION	7/14/2013 7:27 PM
Details	Program Code	Insert			RWI	7/14/2013 7:27 PM
Details	Entity Subname	Insert			AHF KINDER MEDICAL GROUP	7/14/2013 7:27 PM
Dates	Participating Approval Date	Insert				7/14/2013 7:27 PM
Details	State	Insert			Pending	7/14/2013 7:27 PM
Dates	Registration Date	Insert			7/14/2013 12:00:00 AM	7/14/2013 7:27 PM
Dates	Signed By Date	Insert			7/14/2013 12:00:00 AM	7/14/2013 7:27 PM
Dates	Start Date	Insert				7/14/2013 7:27 PM
Terminations	Termination Comments	Insert				7/14/2013 7:27 PM
Terminations	Termination Date	Insert				7/14/2013 7:27 PM
Terminations	Termination Effective Date	Insert				7/14/2013 7:27 PM
Terminations	Termination Reason	Insert				7/14/2013 7:27 PM

340B Drug Pricing Program Database

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Medicaid Billing

Shipping Addresses

Contract Pharmacies

History