340B Drug Pricing Program Database


CHC07502-09 Legacy Community Health Services, Inc. (Active) - information as of 4/23/2025 10:51:08 PM

Main Details
Legacy Community Health Services, Inc.
KIPP East End Campus
HRSA-Funded Health Center
BPS-H80-012630
CHC07502-09
H80CS07502


Additional Details
Active
10/14/2013
1/1/2014
10/23/2013
2/12/2025

Contacts

Legacy Community Health
Houng Pham, Sr. Director Pharmacy Financial Analytics and 340B compliance
(832) 548-5000

Legacy Community Health
Trina La, Sr. VP Pharmacy and Financial Support
(832) 548-5000

Addresses

5402 Lawndale St
Houston, TX 77023-3743

Legacy Community Health Services, Inc.
PO Box 66308
Houston, TX 77266


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
TX804627151437402781
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC07502-00ActiveBPS-H80-008619Legacy Community Health Services, Inc.Legacy Montrose Clinic1415 California St HoustonTX
CHC07502-02ActiveBPS-H80-009319Legacy Community Health Services, Inc.Legacy Baker Ripley6500 Rookin St. HoustonTX
CHC07502-04ActiveBPS-H80-010241Legacy Community Health Services, Inc.Legacy Southwest Clinic6441 High Star St. HoustonTX
CHC07502-05TerminatedBPS-H80-012025Legacy Community Health Services, Inc.Legacy Baytown Clinic6730 Independence Blvd STE 300 BaytownTX
CHC07502-06TerminatedBPS-H80-012206Legacy Community Health Services, Inc.Legacy Ubi Caritas Campus4450 Highland Ave BeaumontTX
CHC07502-07TerminatedBPS-H80-002999Legacy Community Health Services, Inc.LEGACY COMMUNITY HEALTH - LYONS5602 Lyons Ave HoustonTX
CHC07502-08TerminatedBPS-H80-012636Legacy Community Health Services, Inc.Legacy Mapleridge Clinic6550 Mapleridge St. STE 106 HoustonTX
CHC07502-09ActiveBPS-H80-012630Legacy Community Health Services, Inc.KIPP East End Campus5402 Lawndale St HoustonTX
CHC07502-10ActiveBPS-H80-012629Legacy Community Health Services, Inc.KIPP Third Ward Campus5400 Mlk Blvd HoustonTX
CHC07502-11ActiveBPS-H80-012625Legacy Community Health Services, Inc.KIPP Sunnyside Campus11000 Scott St HoustonTX
CHC07502-12ActiveBPS-H80-012623Legacy Community Health Services, Inc.KIPP North Campus500 Tidwell HoustonTX
CHC07502-13TerminatedBPS-H80-012102Legacy Community Health Services, Inc.KIPP North Campus4610 E Crosstimbers St HoustonTX
CHC07502-14ActiveBPS-H80-012100Legacy Community Health Services, Inc.KIPP Southwest Campus10711 KIPP Way HoustonTX
CHC07502-15ActiveBPS-H80-012099Legacy Community Health Services, Inc.KIPP SHARP8430 Westglen Dr HoustonTX
CHC07502-16ActiveBPS-H80-012097Legacy Community Health Services, Inc.KIPP Sharpstown8440 Westpark Dr HoustonTX
CHC07502-17ActiveBPS-H80-011434Legacy Community Health Services, Inc.KIPP Legacy Preparatory School9606 Mesa Dr HoustonTX
CHC07502-18ActiveBPS-H80-012880Legacy Community Health Services, Inc.Legacy San Jacinto4301 Garth Rd STE 400 BaytownTX
CHC07502-19ActiveBPS-H80-012878Legacy Community Health Services, Inc.Legacy Bissonnet Street12667 Bissonnet Street HoustonTX
CHC07502-20TerminatedBPS-H80-013030Legacy Community Health Services, Inc.Legacy San Jacinto4301 Garth Rd STE 306 BaytownTX
CHC07502-21TerminatedBPS-H80-013630Legacy Community Health Services, Inc.Legacy North Street Clinic3030 NORTH ST STE 310 BEAUMONTTX
CHC07502-22ActiveBPS-H80-018040LEGACY COMMUNITY HEALTH SERVICES, INC.Legacy Santa Clara Clinic5616 Lawndale Street, Suite A108 HoustonTX
CHC07502-23ToBeTerminatedBPS-H80-017187LEGACY COMMUNITY HEALTH SERVICES, INC.Montrose Center Clinic401 Branard Street Room 300-302 HoustonTX
CHC07502-24ActiveBPS-H80-017188LEGACY COMMUNITY HEALTH SERVICES, INC.Legacy Central Beaumont450 N. 11th Street BeaumontTX
CHC07502-25ActiveBPS-H80-017190LEGACY COMMUNITY HEALTH SERVICES, INC.YES Prep Gulfton6565 De Moss Dr HoustonTX
CHC07502-26ActiveBPS-H80-017189LEGACY COMMUNITY HEALTH SERVICES, INC.YES Prep Southside5515 South Loop E HoustonTX
CHC07502-27ActiveBPS-H80-017186LEGACY COMMUNITY HEALTH SERVICES, INC.KIPP CONNECT6700 Bellaire Boulevard HoustonTX
CHC07502-28TerminatedBPS-H80-018816LEGACY COMMUNITY HEALTH SERVICES, INC.YES Prep - East End8329 Lawndale Street HoustonTX
CHC07502-29ActiveBPS-H80-018800LEGACY COMMUNITY HEALTH SERVICES, INC.KIPP West - Unity8500 S Texas 6 HoustonTX
CHC07502-30TerminatedBPS-H80-019129LEGACY COMMUNITY HEALTH SERVICES, INC.Legacy San Jacinto Dental4301 Garth Rd Ste. 302 BaytownTX
CHC07502-31TerminatedBPS-H80-019109LEGACY COMMUNITY HEALTH SERVICES, INC.KIPP West - Unity8500 HIGHWAY 6 S HoustonTX
CHC07502-32TerminatedBPS-H80-019279LEGACY COMMUNITY HEALTH SERVICES, INC.Legacy Sharpstown Rookin6677 ROOKIN ST HoustonTX
CHC07502-33ActiveBPS-H80-019391LEGACY COMMUNITY HEALTH SERVICES, INC.Legacy Deer Park3430 CENTER ST DEER PARKTX
CHC07502-34ActiveBPS-H80-019580Legacy Community Health Services, Inc.Legacy Fifth Ward Lyons3811 LYONS AVE HOUSTONTX
CHC07502-35TerminatedBPS-H80-019502Legacy Community Health Services, Inc.Legacy SAC Site9401 Southwest Freeway, Suite 127 HoustonTX
CHC07502-36ActiveBPS-H80-021777Legacy Community Health Services, Inc.YES Prep Fifth Ward1305 Benson St HoustonTX
CHC07502-37ActiveBPS-H80-020924Legacy Community Health Services, Inc.Legacy Northside/Northline – North Freeway5598 North FWY A1 HoustonTX
CHC07502-38ActiveBPS-H80-021773Legacy Community Health Services, Inc.YES Prep - North Forest6602 Winfield Rd HoustonTX
CHC07502-39ActiveBPS-H80-021778Legacy Community Health Services, Inc.YES Prep - Brays Oaks9000 W Bellfort Ave HoustonTX
CHC07502-40ActiveBPS-H80-022290Legacy Community Health Services, Inc.Legacy Central Beaumont Stagg Dr.3455 Stagg Dr BeaumontTX
CHC07502-41ActiveBPS-H80-022301Legacy Community Health Services, Inc.YES Prep - White Oak5620 W Tidwell Rd HoustonTX
CHC07502-42ActiveBPS-H80-022296Legacy Community Health Services, Inc.YES Prep - Southwest4411 Anderson Rd HoustonTX
CHC07502-43ActiveBPS-H80-022292Legacy Community Health Services, Inc.KIPP - Climb8805 Ferndale HoustonTX
CHC07502-44ActiveBPS-H80-027896Legacy Community Health Services, Inc.Yes Prep - Southeast353 Crenshaw Rd HoustonTX
CHC07502-45ActiveBPS-H80-027930Legacy Community Health Services, Inc.KIPP Nexus4211 Watonga Blvd HoustonTX
CHC07502-46ActiveBPS-H80-027931Legacy Community Health Services, Inc.Yes Prep - Northside5215 Jensen Dr HoustonTX
CHC07502-47ActiveBPS-H80-031234Legacy Community Health Services, Inc.YES Prep North Central Elementary1900 Strawn Rd. 77039 HoustonTX
CHC07502-48ActiveBPS-H80-031252Legacy Community Health Services, Inc.YES Prep Northline5815 Airline Dr HoustonTX
CHC07502-49ActiveBPS-H80-031233Legacy Community Health Services, Inc.YES Prep North Central13703 Aldine Westfield Rd HoustonTX
CHC07502-50ActiveBPS-H80-031235Legacy Community Health Services, Inc.YES Prep Southeast Elementary507 Crenshaw Rd. HoustonTX
CHC07502-51ActiveBPS-H80-031127Legacy Community Health Services, Inc.North Shore Senior High School353 Castlegory Dr HoustonTX
CHC07502-52ActiveBPS-H80-031126Legacy Community Health Services, Inc.Green Valley Elementary13350 Woodforest Blvd HoustonTX
CHC07502-53ActiveBPS-H80-031355Legacy Community Health Services, Inc.Legacy Wellness Bar120 Westheimer Rd STE F HoustonTX
CHC07502-54ActiveBPS-H80-031929Legacy Community Health Services, Inc.Legacy Greater Third Ward Cleburne2222 Cleburne Street # 108 HoustonTX
CHC07502-55ActiveBPS-H80-032712Legacy Community Health Services, Inc.KIPP Journey14030 Florence Rd Sugar LandTX
CHC07502-56ActiveBPS-H80-032858Legacy Community Health Services, Inc.YES Prep West10535 Harwin Dr HoustonTX
CHC07502-57ActiveBPS-H80-032859Legacy Community Health Services, Inc.YES Prep Southside Elementary5515 South Loop E Ste B HoustonTX
CHC07502-58ActiveBPS-H80-032718Legacy Community Health Services, Inc.Galena Park Middle School400 Keene St Galena ParkTX
CHC07502-59ActiveBPS-H80-032861Legacy Community Health Services, Inc.Yes Prep - East End (New Campus)8401 Lawndale St. HoustonTX
CHC07502-60ActiveBPS-H80-032860Legacy Community Health Services, Inc.YES Prep North Forest Elementary6602 Winfield Rd Bldg A HoustonTX
CHC07502-61ActiveBPS-H80-033994Legacy Community Health Services, Inc.Legacy Sugardale Fountains12540 Sugardale Dr StaffordTX
CHC07502-62ActiveBPS-H80-034525Legacy Community Health Services, Inc.Legacy North Irvington3517 Irvington Blvd STE 200 HoustonTX
CHC07502-63ActiveBPS-H80-034536Legacy Community Health Services, Inc.Legacy Alief Bissonnet12345 Bissonnet St HoustonTX
CHC07502-64ActiveBPS-H80-035428Legacy Community Health Services, Inc.KIPP Mosaic12751 Hillcroft Ave HoustonTX
CHC07502-65ActiveBPS-H80-035433Legacy Community Health Services, Inc.Galena Park - ACT13940 Bonham St HoustonTX
CHC07502-66ActiveBPS-H80-035163Legacy Community Health Services, Inc.Legacy South Main St10021 Main St STE B3 HoustonTX
CHC07502-67ActiveBPS-H80-034422LEGACY COMMUNITY HEALTH SERVICES INCLegacy Texas Parkway3021 Texas Parkway Missouri CityTX
CHC07502-68ActiveBPS-H80-035853LEGACY COMMUNITY HEALTH SERVICES INCLegacy Beaumont North3030 North St STE 500 BeaumontTX
CHC07502-69ActiveBPS-H80-035855LEGACY COMMUNITY HEALTH SERVICES INCLegacy Gulfton Dashwood Ste 1025420 DASHWOOD DR STE 102 HoustonTX
CHC07502-70ActiveBPS-H80-036084LEGACY COMMUNITY HEALTH SERVICES INCLegacy Gulfton Dashwood Ste 1005420 Dashwood Dr. STE 100 HoustonTX
CHC07502-71ActiveBPS-H80-036749LEGACY COMMUNITY HEALTH SERVICES INCLegacy Baytown Garth3509 Garth Rd BaytownTX
CHC07502-72ActiveBPS-H80-037444LEGACY COMMUNITY HEALTH SERVICES INCYES Prep Northline Secondary441 Little York RD HoustonTX
CHC07502-73ActiveBPS-H80-037521LEGACY COMMUNITY HEALTH SERVICES INCYES Prep - East End8329 Lawndale St HoustonTX
CHC07502-74ActiveBPS-H80-038722LEGACY COMMUNITY HEALTH SERVICES INCLegacy Gulfton Dashwood 2005420 DASHWOOD DR STE 200 HoustonTX
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC07502-00ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884904/01/2019  
CHC07502-00ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750204/01/2019  
CHC07502-00ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201004/01/2019  
CHC07502-00ACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624104/01/2019  
CHC07502-00ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282204/01/2019  
CHC07502-00ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349204/01/2019  
CHC07502-00ACCREDO HEALTH GROUP, INC.11411 STRANG LINE RD STE A
LENEXAKS6621504/01/2019  
CHC07502-00ACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607501/01/2025  
CHC07502-00ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280907/01/2019  
CHC07502-00CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361407/01/2019  
CHC07502-00CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/01/2019  
CHC07502-00CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621907/01/2019  
CHC07502-00CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175707/01/2019  
CHC07502-00CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808307/01/2019  
CHC07502-00CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700407/01/2019  
CHC07502-00CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761707/01/2019  
CHC07502-00CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813307/01/2019  
CHC07502-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237407/01/2019  
CHC07502-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911910/01/2021  
CHC07502-00CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/01/2024  
CHC07502-00CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 03176 7102 BEECHNUT ST.
HOUSTONTX7707404/01/2016  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 03693 7950 S. GESSNER RD.
HOUSTONTX7703604/01/2016  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05882 10902 BISSONETT RD.
HOUSTONTX7709904/01/2016 05/13/2025
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05269 5510 W. OREM DR.
HOUSTONTX7708510/01/2017  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05273 5430 BISSONNET ST.
BELLAIRETX7740110/01/2017  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05388 3923 GARTH RD.
BAYTOWNTX7752110/01/2017  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06746 1514 N ALEXANDER
BAYTOWNTX7752010/01/2017  
CHC07502-00CVS PHARMACY, INC.DBA CVS/PHARMACY # 3156 9125 HILLCROFT ST.
HOUSTONTX7709601/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 03177 5204 RICHMOND AVE.
HOUSTONTX7705601/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 03181 11112 RICHMOND AVE.
HOUSTONTX7704201/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 04706 12601 TOMBALL PKWY.
HOUSTONTX7708601/01/2024 07/12/2024
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05320 8550 WEST AIRPORT BLVD.
HOUSTONTX7707101/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05662 4343 CYPRESSWOOD RD..
SPRINGTX7738801/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05685 4700 KIRBY DR.
HOUSTONTX7709801/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05840 1001 WAUGH DR.
HOUSTONTX7701901/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05877 2900 BROADWAY ST.
PEARLANDTX7758101/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06726 8201 KATY FREEWAY
HOUSTONTX7702401/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06728 11540 WESTHEIMER RD
HOUSTONTX7707701/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07106 3401 TIDWELL RD
HOUSTONTX7709301/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07476 5401 WASHINGTON AVE
HOUSTONTX7700701/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05968 402 GRAY ST.
HOUSTONTX7700201/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05981 2828 SPEARS RD.
HOUSTONTX7706701/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06240 3939 BELLAIRE BLVD
HOUSTONTX7702501/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06294 5212 ANTOINE DR
HOUSTONTX7709201/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06665 10222 EAST FWY
JACINTO CITYTX7702901/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07092 110 W. 20TH ST.
HOUSTONTX7700801/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07162 1003 RICHMOND AVE.
HOUSTONTX7700601/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07198 3811 OLD SPANISH TRAIL
HOUSTONTX7702101/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07291 1616 S MASON RD
KATYTX7745001/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07296 14630 FM 2100
CROSBYTX7753201/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07472 6850 EASTEX FWY.
BEAUMONTTX7770801/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07486 6532 SAN FELIPE RD.
HOUSTONTX7705701/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 08912 1002 GESSNER DRIVE
HOUSTONTX7705501/01/2024  
CHC07502-00CVS PHARMACY, INC.CVS/PHARMACY # 10178 10200 CULLEN BLVD.
HOUSTONTX7704701/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA CVS/PHARMACY # 10267 8789 FM 1960 BYPASS RD.,W
HUMBLETX7733801/01/2024  
CHC07502-00CVS PHARMACY, INC.CVS/PHARMACY #11066 5602 LYONS AVE
HOUSTONTX77020-472101/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA CVS/PHARMACY #11094 300 MILAM ST, SUITE A
HOUSTONTX7700201/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA CVS/PHARMACY #11202 2410 POLK STREET, SUITE 100
HOUSTONTX7700301/01/2024  
CHC07502-00CVS PHARMACY, INC.CVS PHARMACY # 16321 4510 GARTH RD
BAYTOWNTX7752101/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA CVS/PHARMACY #11326 110 E. RICHEY ROAD
HOUSTONTX7709001/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06241 4516 HARRISBURG BLVD.
HOUSTONTX7701101/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06242 6161 TELEPHONE RD
HOUSTONTX7708701/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05977 24802 ALDINE WESTFIELD
SPRINGTX7737307/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07038 6504 W LITTLE YORK
HOUSTONTX7704010/01/2024  
CHC07502-00CVS PHARMACY, INC.DBA CVS/PHARMACY #1996 24950 FRANZ ROAD
KATYTX7749304/01/2025  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05667 19715 TOMBALL PARKWAY
HOUSTONTX7707004/01/2025  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 04427 12585 RICHMOND AVE.
HOUSTONTX7708204/01/2025  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06239 806 S 75TH ST
HOUSTONTX7702304/01/2025  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06773 15411 WALLISVILLE RD.,
HOUSTONTX7704904/01/2025  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07108 25110 GROGANS MILL RD
SPRINGTX7738004/01/2025  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07120 11600 SHADOW CREEK PKWY.
PEARLANDTX7758404/01/2025  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07151 8000 N. SAM HOUSTON PKWY EAST.
HUMBLETX7739604/01/2025  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07390 1610 CARTWRIGHT RD
MISSOURI CITYTX7748904/01/2025  
CHC07502-00CVS PHARMACY, INC.CVS PHARMACY # 17181 2580 SHEARN ST
HOUSTONTX7700707/01/2025  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06650 1339 S. DAIRY ASHFORD ST.
HOUSTONTX7707707/01/2025  
CHC07502-00CVS PHARMACY, INC.DBA CVS/PHARMACY # 10301 1525 NORTH LOOP WEST
HOUSTONTX7700807/01/2025  
CHC07502-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07126 2910 WESTHEIMER RD
HOUSTONTX7709807/01/2025  
CHC07502-00CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502804/01/2020  
CHC07502-00CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503310/01/2020  
CHC07502-00ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111201/01/2025  
CHC07502-00EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313401/01/2025  
CHC07502-00EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801601/01/2025  
CHC07502-00EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607501/01/2025  
CHC07502-00HEB PHARMACY #6923590 COLLEGE ST.
BEAUMONTTX7770107/01/2024  
CHC07502-00HEB PHARMACY #7426430 GARTH RD
BAYTOWNTX7752107/01/2024  
CHC07502-00HEB PHARMACY WAREHOUSE 208H-E-B, LP 5311 DIETRICH RD STE 100
SAN ANTONIOTX7821901/01/2025  
CHC07502-00HEB SPECIALTY PHARMACY #7013503 FREDERICKSBURG RD STE 450
SAN ANTONIOTX7820101/01/2025  
CHC07502-00HEIGHTS COMPOUNDING PHARMACY670 W. ARAPAHO RD., STE 10A
RICHARDSONTX7508004/01/2016 10/04/2017
CHC07502-00KROGER PHARMACY #1506315 GARTH ROAD
BAYTOWNTX7752107/01/2024  
CHC07502-00KROGER PHARMACY #3551938 WEST GRAY
HOUSTONTX7701912/21/2020  
CHC07502-00KROGER PHRMACY #2433300 MONTROSE BLVD
HOUSTONTX7700610/01/2019 12/31/2020
CHC07502-00LEGACY COMM HEALTH SERVICES PHARMACY SHA6441 HIGH STAR DR STE 100
HOUSTONTX7707407/01/2020  
CHC07502-00MCMAKIN PHARMACY4225 GLADYS AVE
BEAUMONTTX7770604/01/2016 10/04/2017
CHC07502-00PRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDOFL32819-999210/01/2020 08/31/2022
CHC07502-00PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514607/01/2019  
CHC07502-00PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523307/01/2019  
CHC07502-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681307/01/2019  
CHC07502-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920310/01/2021  
CHC07502-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2020 06/17/2020
CHC07502-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2024 03/31/2025
CHC07502-00WAL-MART PHARMACY 10-01944900 GARTH RD
BAYTOWNTX7752004/01/2016 06/17/2020
CHC07502-00WAL-MART PHARMACY 10-01944900 GARTH RD
BAYTOWNTX7752001/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-02361225 EAST LOOP 304
CROCKETTTX7583501/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-03831100 NORTH HWY 96
SILSBEETX7765601/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-052214215 FM 2100
CROSBYTX7753204/01/2016 06/17/2020
CHC07502-00WAL-MART PHARMACY 10-052214215 FM 2100
CROSBYTX7753201/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-06514145 N. DOWLEN RD
BEAUMONTTX7770601/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-07525200 FAIRMONT PARKWAY
PASADENATX7750501/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-07723506 S HWY 6 SOUTH
HOUSTONTX7708201/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-113713750 I-10 EAST
HOUSTONTX7701501/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-127910411 NORTH FREEWAY 45
HOUSTON (NORTH)TX7703701/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-20662727 DUNVALE RD
HOUSTONTX7706301/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-27189555 SO. POST OAK ROAD
HOUSTONTX7709601/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-27241107 SOUTH SHAVER STREET
PASADENA (NW)TX7750601/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-34259598 ROWLETT RD
HOUSTONTX7707501/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-35005655 EAST SAM HOUSTON PKWY N
HOUSTONTX7701501/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-350911755 BEECHNUT STREET
HOUSTONTX7707201/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-354211242 SOUTH GESSNER ROAD
HOUSTONTX7707101/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-357210505 BROADWAY
PEARLANDTX7758401/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-36401118 SILBER ROAD
HOUSTONTX7705501/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-441613003 TOMBALL PARKWAY
HOUSTONTX7708601/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-45264412 NORTH FWY
HOUSTONTX7702201/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-50949700 HILLCROFT ST
HOUSTON (BRASSWOOD)TX7709601/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-5959111 YALE ST
HOUSTONTX7700701/01/2024 02/13/2025
CHC07502-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2020 06/17/2020
CHC07502-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2024 02/13/2025
CHC07502-00WALGREEN CO  15998 WALGREENS DRIVE
JUPITERFL3347807/04/2012 07/01/2015
CHC07502-00WALGREEN CO  710 OVILLA ROAD
WAXAHACHIETX7516707/04/2012 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS #15277 1415 CALIFORNIA ST
SUITE 100
HOUSTONTX7700610/14/2011 04/04/2018
CHC07502-00WALGREEN CO.DBA: WALGREENS # 01267 485 SAWDUST RD
SPRINGTX7738003/13/2012 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 02686 1515 LOCKWOOD DRIVE
HOUSTONTX7702003/13/2012  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 02844 5202 ALMEDA RD
HOUSTONTX7700403/13/2012 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 02981 8106 MARTIN LUTHER KING
HOUSTONTX7703303/13/2012 03/26/2025
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03370 13714 TOMBALL PARKWAY
HOUSTONTX7708603/13/2012 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03820 8590 LONG POINT RD
HOUSTONTX7705503/13/2012 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04021 8808 ANTOINE DRIVE
HOUSTONTX77088-162603/13/2012  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04161 8206 HIGHWAY 6 NORTH
HOUSTONTX7709503/13/2012  
CHC07502-00WALGREEN CO.DBA: WALGREENS #15942 6520 WESTHEIMER RD
HOUSTONTX7705703/13/2012  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04605 9200 CULLEN BLVD
HOUSTONTX7705103/13/2012 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04745 5280 BUFFALO SPEEDWAY
HOUSTONTX7700503/13/2012  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04927 6675 W BELLFORT ST
HOUSTONTX7703503/13/2012  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 05094 14616 MEMORIAL DRIVE
HOUSTONTX7707903/13/2012 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 05423 1413 WIRT ROAD
HOUSTONTX7705503/13/2012 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 05536 2808 GESSNER RD
HOUSTONTX7708003/13/2012  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 06566 1088 W MAIN STREET
LEAGUE CITYTX77573-202203/13/2012 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 06857 950 STUDEMONT STREET
HOUSTONTX77007-592303/13/2012  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 07251 11038 WESTHEIMER ROAD
HOUSTONTX77042-320603/13/2012  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 07348 8910 JONES ROAD
HOUSTONTX77065-450403/13/2012 10/09/2024
CHC07502-00WALGREEN CO.DBA: WALGREENS # 07561 11803 BARKER CYPRESS RD
CYPRESSTX7743303/13/2012 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 07839 3802 CEDAR SPRINGS ROAD
DALLASTX7521903/13/2012 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 09294 415 SHEPERD DR
HOUSTONTX77007-733503/13/2012 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 09602 6467 WOODLANDS PARKWAY
THE WOODLANDSTX7738103/13/2012 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 09946 14127 CYPRESS ROSEHILL ROAD
CYPRESSTX77429-270603/13/2012 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 00489 5560 WESLAYAN
HOUSTONTX7700504/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS #00553 5300 N BRAESWOOD BLVD
HOUSTONTX7709604/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 01580 6730 HILLCROFT ST
HOUSTONTX7708104/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS #15338 1515 N ALEXANDER DR
BAYTOWNTX7752004/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03138 3920 GARTH ROAD
BAYTOWNTX7752104/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03198 7634 BELLAIRE BLVD
HOUSTONTX7703604/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03271 3990 E. LUCAS DRIVE
BEAUMONTTX7770804/01/2013 08/20/2024
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03796 6795 CALDER AVE
BEAUMONTTX7770604/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03821 3605 COLLEGE ST
BEAUMONTTX7770104/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04027 5200 WESTHEIMER ROAD
HOUSTONTX7705604/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04328 8413 STELLA LINK .
HOUSTONTX7702504/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 05389 2000 GARTH ROAD
BAYTOWNTX7752004/01/2013 01/21/2025
CHC07502-00WALGREEN CO.DBA: WALGREENS # 05835 5002 BELLAIRE BLVD
BELLAIRETX7740104/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 06583 3885 N DOWLEN ROAD
BEAUMONTTX7770604/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 09164 3210 HILLCROFT STREET
HOUSTONTX7705704/01/2013 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 10138 4849 N HWY 146
BAYTOWNTX77520-870004/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS #12715 7216 GARTH RD.
BAYTOWNTX7752104/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 01518 14402 FM 2100 RD
CROSBYTX7753210/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 02135 6610 TIDWELL ROAD
HOUSTONTX77016-482410/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 02428 2717 FM 1960 RD
HOUSTONTX7707310/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 02692 14806 WOODFOREST BLVD
CHANNELVIEWTX7753010/01/2013 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 02809 220 SOUTH WAYSIDE
HOUSTONTX7701110/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03001 1102 SOUTH BROADWAY
LA PORTETX7757110/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03025 7440 FM 1960 E.
HUMBLETX7734610/01/2013 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03285 530 W LITTLE YORK
HOUSTONTX7709110/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03286 9705 W MAIN STREET
LA PORTETX7757110/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 16261 6486 W LITTLE YORK RD
HOUSTONTX7709110/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03444 11107 MARKET ST
JACINTO CITYTX7702910/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03717 4841 MOUNT HOUSTON RD
HOUSTONTX7709310/01/2013 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03760 2990 MARINA BAY DRIVE
LEAGUE CITYTX7757310/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03848 3300 CENTER ST
DEER PARKTX7753610/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04105 12611 S GESSNER RD
HOUSTONTX7707110/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04113 1620 S GORDON STREET
ALVINTX7751110/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04133 3707 SPENCER HWY.
PASADENATX7750410/01/2013 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04373 1001 LOOP 274
ANGLETONTX7751510/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04647 388 UVALDE ROAD
HOUSTONTX7701510/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04901 12407 GRANT ROAD
CYPRESSTX7742910/01/2013 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04999 1570 11TH STREET
HUNTSVILLETX7734010/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 05416 3201 FM 528 RD.
FRIENDSWOODTX7754610/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 05709 16590 EL CAMINO REAL
HOUSTONTX77062-572310/01/2013 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 05733 6302 FAIRMONT PKWY
PASADENATX7750510/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 05766 101 W SOUTHMORE AVE
PASADENATX7750210/01/2013 01/30/2025
CHC07502-00WALGREEN CO.DBA: WALGREENS # 05767 2204 SOUTHMORE AVE
PASADENATX7750210/01/2013 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 05833 1801 FM 1765
LA MARQUETX7756810/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 05960 1103 W FM 3040
LEWISVILLETX75067-790010/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 06089 4016 HWY 3
DICKINSONTX7753910/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 06182 15111 WALLISVILLE RD
HOUSTONTX7704910/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 06606 390 EDGEBROOK DRIVE
HOUSTONTX7703410/01/2013 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 06668 9450 HAMMERLY BLVD
HOUSTONTX77080-540010/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 06907 6600 AIRLINE DRIVE
HOUSTONTX7707610/01/2013 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 07073 4615 FAIRMONT PARKWAY
PASADENATX77504-331110/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 07103 1902 BAYPORT BLVD
SEABROOKTX77586-280710/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 07178 100 FM 646 ROAD NORTH
DICKINSONTX77539-302310/01/2013 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 07289 500 MAXEY RD
HOUSTONTX77013-502010/01/2013 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 07614 902 N MAIN
LUMBERTONTX7765710/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 07773 12959 ALDINE WESTFIELD ROAD
HOUSTONTX77039-530710/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 07878 209 W. HIGHWAY 90
DAYTONTX7753510/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 09062 2501 61ST STREET
GALVESTONTX77551-184910/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 09163 9885 BLACKHAWK BLVD
HOUSTONTX7707510/01/2013 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 09165 1832 FM 646 RD W
DICKINSONTX7753910/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 09203 9510 N SAM HOUSTON PKWY E
HUMBLETX7739610/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 09366 1211 N US HWY 281
MARBLE FALLSTX78654-450110/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 09604 156 FM 518 RD
KEMAHTX77565-321510/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 10259 10660 EASTEX FREEWAY
HOUSTONTX77093-432410/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS #10451 4902 W. MAIN ST.
LEAGUE CITYTX7757310/01/2013 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 10583 3103 PALMER HIGHWAY
TEXAS CITYTX77590-672110/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS #11275 4746 TWIN CITY HWY.
GROVESTX7761910/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS #11522 496 HIGHWAY 96 SOUTH
SILSBEETX7765610/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS #11814 101 S. WASHINGTON AVE.
CLEVELANDTX77327-441410/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS #11816 7610 MCPHERSON RD.
LAREDOTX7804110/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS #11854 1301 NASA PKWY.
HOUSTONTX7705810/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 12015 747 E CROSSTIMBERS ST.
HOUSTONTX7702210/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS #12357 2219 E. SAUNDERS ST.
LAREDOTX78041-543110/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS #12377 13631 TIDWELL RD.
HOUSTONTX7704410/01/2013  
CHC07502-00WALGREEN CO.DBA: WALGREENS #13116 4313 ANDREWS HWY.
MIDLANDTX7970310/01/2013 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 01953 8800 RICHMOND AVENUE
HOUSTONTX77063-563310/01/2014 07/06/2017
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03082 3900 REVEILLE
HOUSTONTX7708710/01/2014  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03095 6895 GRIGGS ROAD
HOUSTONTX7702310/01/2014  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03157 3317 MONTROSE BLVD.
HOUSTONTX7700610/01/2014  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03400 9150 S DAIRY ASHFORD RD
HOUSTONTX7709910/01/2014 03/03/2025
CHC07502-00WALGREEN CO.DBA: WALGREENS # 03661 6768 HIGHWAY 6 SOUTH
HOUSTONTX7708310/01/2014  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04316 10800 S POST OAK ROAD
HOUSTONTX7703510/01/2014  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 04514 8535 S BRAESWOOD BLVD
HOUSTONTX7707110/01/2014 03/24/2025
CHC07502-00WALGREEN CO.DBA: WALGREENS # 05390 8300 WILCREST
HOUSTONTX7707210/01/2014  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 05871 1838 S KIRKWOOD RD
HOUSTONTX7707710/01/2014 10/09/2024
CHC07502-00WALGREEN CO.DBA: WALGREENS # 06239 105 WEST ROAD
HOUSTONTX7703710/01/2014  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 07071 13196 BELLAIRE BLVD
HOUSTONTX77072-510210/01/2014 04/19/2016
CHC07502-00WALGREEN CO.DBA: WALGREENS # 07213 16244 S POST OAK ROAD
HOUSTONTX7705310/01/2014  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 09471 5501 WEST OREM DR
HOUSTONTX77085-125310/01/2014  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 11465 3822 OLD SPANISH TRAIL
HOUSTONTX7702110/01/2014 01/23/2025
CHC07502-00WALGREEN CO.DBA: WALGREENS #15155 107 W. RANKIN RD.
HOUSTONTX7709010/01/2014  
CHC07502-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15513 3080 COLLEGE ST STE 1
BEAUMONTTX7770110/01/2014  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 06702 3403 MANGUM ROAD
HOUSTONTX77092-741504/01/2015 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 07722 11994 RICHMOND AVE
HOUSTONTX77082-682704/01/2015 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 09808 2612 SMITH ST
HOUSTONTX7700604/01/2015 07/01/2015
CHC07502-00WALGREEN CO.DBA: WALGREENS # 13786 200 WEST 20TH ST
HOUSTONTX7700804/01/2015 07/01/2015
CHC07502-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15320 4101 GREENBRIAR DR STE 235
HOUSTONTX7709804/01/2017  
CHC07502-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #13778 6624 FANNIN ST STE 120
HOUSTONTX7703001/01/2025  
CHC07502-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15086 6560 FANNIN ST STE 260
HOUSTONTX7703001/01/2025  
CHC07502-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #21161 3701 KIRBY DR STE 1230
HOUSTONTX7709801/01/2025  
CHC07502-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #21239 3217 MONTROSE BLVD STE 120
HOUSTONTX7700601/01/2025  
CHC07502-00WALGREEN CO.DBA: WALGREENS # 07531 2203 TEXAS PARKWAY
MISSOURI CITYTX77489-400901/01/2025  
CHC07502-00Walgreens #21373Walgreens Central Fill #21373 4100 Dale Earnhardt Way
STE 200
NorthlakeTX7626201/01/2022  
CHC07502-00WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528407/01/2013 07/01/2015
CHC07502-00WALGREENS MAIL SERVICE, INC.  8337 S PARK CIRCLE
ORLANDOFL32819-904907/01/2013 07/01/2015
CHC07502-00WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700810/01/2020 12/31/2020
CHC07502-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818810/01/2020 12/31/2020
CHC07502-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503310/01/2020  
CHC07502-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527510/01/2020  
CHC07502-00WALMART PHARMACY 10-24398700 NORTH HIGHWAY 146
BAYTOWNTX7752301/01/2024 02/13/2025
CHC07502-00WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A
ROGERSAR7275601/01/2024 02/13/2025
CHC07502-00WALMART PHARMACY 10-56122391 S WAYSIDE DR
HOUSTONTX7702301/01/2024 02/13/2025
CHC07502-00Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024 02/13/2025
CHC07502-00WELLPARTNER, INC20800 SW 115TH AVE SUITE 100
TUALATINOR9706204/01/2014 05/12/2016
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/30/2024 10:37:22 AM2/12/2025 6:13:08 PM2/12/2025 6:13 PM
ContactsAuthorizing OfficialUpdateAO Change RequestHilliard, Robert CEO Legacy Community Health Services, Inc. 8325485277Pham, Houng Sr. Director Pharmacy Financial Analytics and 340B compliance Legacy Community Health 83254850002/7/2025 10:33 AM
ContactsPrimary ContactUpdateAO Change RequestJudy, Delayna VP of Accounting Legacy Community Health Services 8325485083La, Trina Sr. VP Pharmacy and Financial Support Legacy Community Health 83254850002/7/2025 10:33 AM
DetailsLast Recertification DateUpdateRecertification2/2/2023 11:08:15 AM1/30/2024 10:37:22 AM1/30/2024 10:37 AM
DetailsLast Recertification DateUpdateRecertification2/11/2022 10:06:53 AM2/2/2023 11:08:15 AM2/2/2023 11:08 AM
DetailsLast Recertification DateUpdateRecertification2/1/2021 6:58:15 PM2/11/2022 10:06:53 AM2/11/2022 10:06 AM
ContactsAuthorizing OfficialUpdateAO Change RequestCaldwell, Katy Executive Director Legacy Community Health Services 8325485050Hilliard, Robert CEO Legacy Community Health Services, Inc. 83254852772/8/2022 10:06 AM
DetailsLast Recertification DateUpdateRecertification1/28/2020 9:28:17 AM2/1/2021 6:58:15 PM2/1/2021 6:58 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False8/27/2020 10:24 AM
Medicaid BillingMedicaid: NumberInsertChange Request 804627158/27/2020 10:24 AM
Medicaid BillingMedicaid: StateInsertChange Request TX8/27/2020 10:24 AM
Medicaid BillingNPI: NumberInsertChange Request 14374027818/27/2020 10:24 AM
Medicaid BillingNPI: StateInsertChange Request TX8/27/2020 10:24 AM
DetailsIs Authorizing Official EHB DataUpdateChange RequestFalse 8/27/2020 10:24 AM
DetailsLast Recertification DateUpdateRecertification1/31/2019 2:59:15 PM1/28/2020 9:28:17 AM1/28/2020 9:28 AM
DetailsLast Recertification DateUpdateRecertification2/15/2018 2:58:50 PM1/31/2019 2:59:15 PM1/31/2019 2:59 PM
DetailsLast Recertification DateUpdateRecertification1/30/2017 12:00:00 AM2/15/2018 2:58:50 PM2/15/2018 2:58 PM
ContactsAuthorizing OfficialUpdate Caldwell, Katy Executive Director 8325485050Caldwell, Katy Executive Director Legacy Community Health Services 832548505010/4/2017 2:26 PM
ContactsSigned ByUpdate Caldwell, Katy Executive Director 8325485050Caldwell, Katy Executive Director Legacy Community Health Services 832548505010/4/2017 2:26 PM
ContactsPrimary ContactUpdate Judy, Delayna VP of Accounting 8325485083Judy, Delayna VP of Accounting Legacy Community Health Services 832548508310/4/2017 2:22 PM
ContactsAuthorizing OfficialInsert  Caldwell, Katy Executive Director 83254850508/3/2017 10:28 AM
ContactsSigned ByInsert  Caldwell, Katy Executive Director 83254850508/3/2017 10:28 AM
ContactsPrimary ContactInsert  Judy, Delayna VP of Accounting 83254850838/3/2017 10:28 AM
AddressesMain AddressInsert   5402 Lawndale St Houston, TX 77023-37431/30/2017 12:58 PM
DetailsLast Recertification DateUpdate 2/29/2016 12:00:00 AM1/30/2017 12:00:00 AM1/30/2017 12:58 PM
DetailsLast Recertification DateUpdate 1/29/2015 12:00:00 AM2/29/2016 12:00:00 AM2/29/2016 1:12 PM
DetailsLast Recertification DateUpdate 2/11/2014 12:00:00 AM1/29/2015 12:00:00 AM1/29/2015 10:35 AM
DetailsIs Authorizing Official EHB DataUpdate  False1/29/2015 10:35 AM
DetailsLast Recertification DateUpdate  2/11/2014 12:00:00 AM2/11/2014 3:13 PM
AddressesBilling AddressInsert  Legacy Community Health Services, Inc. PO Box 66308 Houston, TX 7726610/23/2013 5:08 PM
Details340B IDUpdate ONLINE_REGCHC07502-0910/23/2013 5:08 PM
DatesParticipating Approval DateUpdate  10/23/2013 12:00:00 AM10/23/2013 5:08 PM
DetailsStateUpdate PendingActive10/23/2013 5:08 PM
DatesStart DateUpdate  1/1/2014 12:00:00 AM10/23/2013 5:08 PM
DetailsLast Recertification DateInsert   10/14/2013 5:50 PM
DetailsGrant NumberInsert  H80CS0750210/14/2013 5:50 PM
Details340B IDInsert  ONLINE_REG10/14/2013 5:50 PM
DetailsIs Authorizing Official EHB DataInsert   10/14/2013 5:50 PM
DatesLast Date That 340B Drugs PurchasedInsert   10/14/2013 5:50 PM
DetailsMedicare Provider NumberInsert   10/14/2013 5:50 PM
DetailsEntity NameInsert  Legacy Community Health Services, Inc.10/14/2013 5:50 PM
DetailsProgram CodeInsert  CH10/14/2013 5:50 PM
DetailsEntity SubnameInsert  KIPP East End Campus10/14/2013 5:50 PM
DatesParticipating Approval DateInsert   10/14/2013 5:50 PM
DetailsStateInsert  Pending10/14/2013 5:50 PM
DatesRegistration DateInsert  10/14/2013 12:00:00 AM10/14/2013 5:50 PM
DatesSigned By DateInsert  10/14/2013 12:00:00 AM10/14/2013 5:50 PM
DatesStart DateInsert   10/14/2013 5:50 PM
TerminationsTermination CommentsInsert   10/14/2013 5:50 PM
TerminationsTermination DateInsert   10/14/2013 5:50 PM
TerminationsTermination Effective DateInsert   10/14/2013 5:50 PM
TerminationsTermination ReasonInsert   10/14/2013 5:50 PM