Covered Entity Details

CHC26191-00 Housing Works Health Services III, Inc. (Active) - information as of 6/27/2025 12:33:49 AM

Main Details

Name

Housing Works Health Services III, Inc.

Subdivision Name

East New York Community Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-012785

340B ID

CHC26191-00

Grant Number

H80CS26191

Additional Details

Current Program Status

Active

Registration Date

7/1/2014

Participating Start Date

10/1/2014

Participating Approval Date

7/22/2014

Last Recertification Date

2/14/2025

Contacts

Authorizing Official

Housing Works Health Services III, Inc.
Jessica Diamond, Executive Director
(914) 262-4617

Primary Contact

Housing Works Health Services III, Inc.
Magdoleen Saad, Healthcare Data and Project Manager
(929) 601-5387

Addresses

Street Address

2640 Pitkin Ave
Brooklyn, NY 11208-2629

Billing Address
Same as Street Address

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
NY	1826104	1114950151

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	BROOKDALE PHARMA INC	D/B/A BROOKDALE PHARMACY	2568 LINDEN BLVD	BROOKLYN	NY	11208-4904	04/18/2023	07/01/2023		07/01/2023
Contract Detail	CHELSEA PHARMACY INC.	171 SEVENTH AVENUE		NEW YORK	NY	10011	07/13/2015	10/01/2015	01/01/2016	11/09/2016
Contract Detail	DELIVER MY MEDS CORP.	380 OSER AVE		HAUPPAUGE	NY	11788-3608	04/16/2019	07/01/2019	08/18/2022	08/20/2022
Contract Detail	DRUG RITE 3 PHARMACY CORP	DBA-HOYT PHARMACY & SURGICAL SUPPLIES	3038 ATLANTIC AVE	BROOKLYN	NY	11208	04/18/2023	07/01/2023		07/01/2023
Contract Detail	DUANE READE	386 FULTON ST		BROOKLYN	NY	11201	07/13/2015	10/01/2015	01/01/2016	11/09/2016
Contract Detail	DUANE READE		1181 LIBERTY AVE	BROOKLYN	NY	11208	07/13/2015	10/01/2015	01/01/2016	11/09/2016
Contract Detail	DUANE READE	1 REMSEN AVENUE		BROOKLYN	NY	11212-1536	07/13/2015	10/01/2015	01/01/2016	11/09/2016
Contract Detail	DUANE READE	131 8TH AVE		NEW YORK	NY	10011	07/13/2015	10/01/2015	01/01/2016	11/09/2016
Contract Detail	DUANE READE, INC.	DBA: DUANE READE	310 E 2ND ST	NEW YORK	NY	10009	07/13/2015	10/01/2015	01/01/2016	11/09/2016
Contract Detail	EXPRESS HEALTH MART PHARMACY CORP.	1173 NOSTRAND AVE		BROOKLYN	NY	11225	04/13/2017	07/01/2017	09/20/2019	10/01/2019
Contract Detail	GREENE-VAN PHARMACY CORP	D/B/A PROSPECT DRUGS	94 GREENE AVE	BROOKLYN	NY	11238-1011	01/06/2015	04/01/2015		04/05/2018
Contract Detail	KARNABY CHEMISTS INC	DBA: LEVITT PHARMACY	407 GRAND ST	NEW YORK	NY	10002	07/09/2015	10/01/2015	01/17/2016	01/15/2016
Contract Detail	LENOX TERRACE PHARMACY INC	DBA: LENOX TERRACE DRUGS	20 W 135TH ST	NEW YORK	NY	10037-2534	01/06/2015	04/01/2015		04/05/2018
Contract Detail	MEDLY PHARMACY INC.	DBA MEDLY PHARMACY	31 DEBEVOISE ST	BROOKLYN	NY	11206-4196	10/16/2018	01/01/2019		01/01/2019
Contract Detail	NOVEL RX LLC	ERINS PHARMACY	360 E 4TH ST	NEW YORK	NY	10009	01/16/2024	04/01/2024		04/01/2024
Contract Detail	PHARMACY SPECIALIST GROUP II INC	DBA FAITH PHARMACY	743 E 9TH ST	NEW YORK	NY	10009-5335	12/23/2015	01/01/2016		04/05/2018
Contract Detail	PHARMACY SPECIALIST GROUP III, INC.	FAITH PHARMACY	52 WILLOUGHBY ST	BROOKLYN	NY	11201	12/23/2015	01/01/2016		04/05/2018
Contract Detail	PHARMACY SPECIALIST GROUP INC	DBA FAITH PHARMACY	2640 PITKIN AVE	BROOKLYN	NY	11208-2629	07/09/2015	10/01/2015		04/05/2018
Contract Detail	PHARMACY SPECIALIST GROUP IV, LLC	FAITH PHARMACY	326 W 48TH ST	NEW YORK	NY	10036-1314	04/15/2021	06/15/2021		06/15/2021
Contract Detail	PVR DRUGS, INC.	DBA HEALTHCARE PHARMACY	337 E 149TH ST	BRONX	NY	10451	04/18/2023	07/01/2023		07/01/2023
Contract Detail	SALAAM PHARMACY INC.	155 CRYSTAL ST		BROOKLYN	NY	11208	01/02/2015	04/01/2015	03/17/2024	04/15/2024
Contract Detail	SEVEN HILLS DRUGS INC	DBA: HARLEM CARE PHARMACY	165 W 127TH ST	NEW YORK	NY	10027-3720	04/18/2023	07/01/2023		07/01/2023
Contract Detail	SEVENTH ELM DRUG CORP.	D/B/A ELM DRUGS	56 SEVENTH AVE	NEW YORK	NY	10011	01/14/2015	04/01/2015		04/05/2018
Contract Detail	TOWN TOTAL HEALTH LLC	393 CENTRAL AVENUE		NEWARK	NJ	07103	04/15/2015	07/01/2015	01/01/2016	11/10/2016
Contract Detail	TOWN TOTAL HEALTH, LLC	728 MADISON AVE.	SUITE B1	ALBANY	NY	12208-3302	04/15/2015	07/01/2015	01/01/2016	11/10/2016
Contract Detail	TOWN TOTAL HEALTH, LLC	D/B/A MEIJER SPECIALTY PHARMACY	415 CROSSWAYS PARK DRIVE SUITE A	WOODBURY	NY	11797	04/15/2015	07/01/2015	01/01/2016	11/10/2016
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01918	755 BROADWAY	BROOKLYN	NY	11206-5320	07/13/2015	10/01/2015	01/01/2016	11/10/2016
Contract Detail	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #16078	205 8TH AVENUE	NEW YORK	NY	10011	07/13/2015	10/01/2015	01/01/2016	11/10/2016

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	Address Cont.	City	State
CHC26191-00	Active	BPS-H80-012785	Housing Works Health Services III, Inc.	East New York Community Health Center	2640 Pitkin Ave		Brooklyn	NY
CHC26191-01	Active	BPS-H80-014715	HOUSING WORKS HEALTH SERVICES III, INC.	Downtown Brooklyn Health Center	57 WILLOUGHBY ST		BROOKLYN	NY
CHC26191-02	Active	BPS-H80-014519	HOUSING WORKS HEALTH SERVICES III, INC.	Cylar House Community Health Center	743-749 E 9TH ST		NEW YORK	NY
CHC26191-03	Terminated	BPS-H80-014518	HOUSING WORKS HEALTH SERVICES III, INC.	West Village Community Health Center	320 W 13TH ST		NEW YORK	NY
CHC26191-04	Active	BPS-H80-021332	Housing Works Health Services III, Inc.	Kingsboro Men's MICA Shelter	681 Clarkson Avenue		Brooklyn	NY
CHC26191-05	Active	BPS-H80-029680	Housing Works Health Services III, Inc.	Housing Works Health Services III at W 37 Street	301 W 37th St Fl 4		New York	NY
CHC26191-06	Active	BPS-H80-038831	Housing Works Health Services III, Inc.	125th Street Health Center	145 East 125th Street Fl 3-4		New York	NY
CHC26191-07	Terminated	BPS-H80-032472	Housing Works Health Services III, Inc.	Temporary Site - Towne Marriott	38-42 11th St.		Long Island City	NY
CHC26191-08	Terminated	BPS-H80-032474	Housing Works Health Services III, Inc.	Temporary Site - Spring Hill Suites	112-15 Northern Blvd		Corona	NY
CHC26191-09	Terminated	BPS-H80-032471	Housing Works Health Services III, Inc.	Temporary Site - Howard Johnson	235 24th St		Brooklyn	NY
CHC26191-10	Terminated	BPS-H80-032470	Housing Works Health Services III, Inc.	Temporary Site - Holiday Inn Express	538 W 48th St		New York	NY
CHC26191-11	Active	BPS-H80-032704	Housing Works Health Services III, Inc.	Fresh Meadows	6127 186th St		Fresh Meadows	NY
CHC26191-12	Terminated	BPS-H80-032702	Housing Works Health Services III, Inc.	Temporary Site - Holiday Inn Express LaGuardia	113-10 Horace Harding Expressway		Queens	NY
CHC26191-13	Terminated	BPS-H80-032703	Housing Works Health Services III, Inc.	Temporary Site - Fairfield Inn & Suites	29-27 40th Road		Long Island City	NY
CHC26191-14	Terminated	BPS-H80-032705	Housing Works Health Services III, Inc.	Temporary Site - Hotel Wolcott	4 W 31st St		New York	NY
CHC26191-15	Terminated	BPS-H80-032946	Housing Works Health Services III, Inc.	Temporary Site - Alden Hotel	2008 Webster Ave		Bronx	NY
CHC26191-16	Terminated	BPS-H80-034123	Housing Works Health Services III, Inc.	Temporary Site - Tillary	85 Flatbush Avenue Ext		Brooklyn	NY
CHC26191-17	Terminated	BPS-H80-034124	Housing Works Health Services III, Inc.	Temporary Site - Howard Johnson	38-59 12th St		Long Island City	NY
CHC26191-18	Active	BPS-H80-036856	Housing Works Health Services III, Inc.	West 48th Street Health Center	326 W 48th St	Fl 1-4	New York	NY
CHC26191-19	Active	BPS-H80-038036	Housing Works Health Services III, Inc.	SHERO Providence House 2	701 Lexington Ave		Brooklyn	NY
CHC26191-20	Active	BPS-H80-036580	Housing Works Health Services III, Inc.	SHERO Housing Plus 1	180 W 135th St		New York	NY
CHC26191-21	Active	BPS-H80-038038	Housing Works Health Services III, Inc.	SHERO Hour Children 1	36-44 13th Street		Long Island City	NY
CHC26191-22	Active	BPS-H80-036582	Housing Works Health Services III, Inc.	SHERO Providence House 1	396 Lincoln Rd		Brooklyn	NY
CHC26191-23	Active	BPS-H80-038037	Housing Works Health Services III, Inc.	SHERO Housing Plus 2	297 Essex St		Brooklyn	NY

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC26191-11	BROOKDALE PHARMA INC	D/B/A BROOKDALE PHARMACY	2568 LINDEN BLVD	BROOKLYN	NY	11208-4904	07/01/2023
CHC26191-02	BROOKDALE PHARMA INC	D/B/A BROOKDALE PHARMACY	2568 LINDEN BLVD	BROOKLYN	NY	11208-4904	07/01/2023
CHC26191-12	BROOKDALE PHARMA INC	D/B/A BROOKDALE PHARMACY	2568 LINDEN BLVD	BROOKLYN	NY	11208-4904	07/01/2023	10/01/2023
CHC26191-06	BROOKDALE PHARMA INC	D/B/A BROOKDALE PHARMACY	2568 LINDEN BLVD	BROOKLYN	NY	11208-4904	07/01/2023
CHC26191-05	BROOKDALE PHARMA INC	D/B/A BROOKDALE PHARMACY	2568 LINDEN BLVD	BROOKLYN	NY	11208-4904	07/01/2023
CHC26191-04	BROOKDALE PHARMA INC	D/B/A BROOKDALE PHARMACY	2568 LINDEN BLVD	BROOKLYN	NY	11208-4904	07/01/2023
CHC26191-17	BROOKDALE PHARMA INC	D/B/A BROOKDALE PHARMACY	2568 LINDEN BLVD	BROOKLYN	NY	11208-4904	07/01/2023	10/01/2023
CHC26191-00	BROOKDALE PHARMA INC	D/B/A BROOKDALE PHARMACY	2568 LINDEN BLVD	BROOKLYN	NY	11208-4904	07/01/2023
CHC26191-01	BROOKDALE PHARMA INC	D/B/A BROOKDALE PHARMACY	2568 LINDEN BLVD	BROOKLYN	NY	11208-4904	07/01/2023
CHC26191-18	BROOKDALE PHARMA INC	D/B/A BROOKDALE PHARMACY	2568 LINDEN BLVD	BROOKLYN	NY	11208-4904	10/01/2023
CHC26191-00	CHELSEA PHARMACY INC.	171 SEVENTH AVENUE		NEW YORK	NY	10011	10/01/2015	01/01/2016
CHC26191-00	DELIVER MY MEDS CORP.	380 OSER AVE		HAUPPAUGE	NY	11788-3608	07/01/2019	08/18/2022
CHC26191-06	DELIVER MY MEDS CORP.	380 OSER AVE		HAUPPAUGE	NY	11788-3608	07/01/2020	08/18/2022
CHC26191-04	DELIVER MY MEDS CORP.	380 OSER AVE		HAUPPAUGE	NY	11788-3608	06/15/2021	08/18/2022
CHC26191-02	DELIVER MY MEDS CORP.	380 OSER AVE		HAUPPAUGE	NY	11788-3608	01/01/2022	08/18/2022
CHC26191-05	DELIVER MY MEDS CORP.	380 OSER AVE		HAUPPAUGE	NY	11788-3608	01/01/2022	08/18/2022
CHC26191-01	DELIVER MY MEDS CORP.	380 OSER AVE		HAUPPAUGE	NY	11788-3608	01/01/2022	08/18/2022
CHC26191-12	DRUG RITE 3 PHARMACY CORP	DBA-HOYT PHARMACY & SURGICAL SUPPLIES	3038 ATLANTIC AVE	BROOKLYN	NY	11208	07/01/2023	10/01/2023
CHC26191-02	DRUG RITE 3 PHARMACY CORP	DBA-HOYT PHARMACY & SURGICAL SUPPLIES	3038 ATLANTIC AVE	BROOKLYN	NY	11208	07/01/2023
CHC26191-00	DRUG RITE 3 PHARMACY CORP	DBA-HOYT PHARMACY & SURGICAL SUPPLIES	3038 ATLANTIC AVE	BROOKLYN	NY	11208	07/01/2023
CHC26191-05	DRUG RITE 3 PHARMACY CORP	DBA-HOYT PHARMACY & SURGICAL SUPPLIES	3038 ATLANTIC AVE	BROOKLYN	NY	11208	07/01/2023
CHC26191-17	DRUG RITE 3 PHARMACY CORP	DBA-HOYT PHARMACY & SURGICAL SUPPLIES	3038 ATLANTIC AVE	BROOKLYN	NY	11208	07/01/2023	10/01/2023
CHC26191-04	DRUG RITE 3 PHARMACY CORP	DBA-HOYT PHARMACY & SURGICAL SUPPLIES	3038 ATLANTIC AVE	BROOKLYN	NY	11208	07/01/2023
CHC26191-06	DRUG RITE 3 PHARMACY CORP	DBA-HOYT PHARMACY & SURGICAL SUPPLIES	3038 ATLANTIC AVE	BROOKLYN	NY	11208	07/01/2023
CHC26191-11	DRUG RITE 3 PHARMACY CORP	DBA-HOYT PHARMACY & SURGICAL SUPPLIES	3038 ATLANTIC AVE	BROOKLYN	NY	11208	07/01/2023
CHC26191-01	DRUG RITE 3 PHARMACY CORP	DBA-HOYT PHARMACY & SURGICAL SUPPLIES	3038 ATLANTIC AVE	BROOKLYN	NY	11208	07/01/2023
CHC26191-18	DRUG RITE 3 PHARMACY CORP	DBA-HOYT PHARMACY & SURGICAL SUPPLIES	3038 ATLANTIC AVE	BROOKLYN	NY	11208	10/01/2023
CHC26191-00	DUANE READE	386 FULTON ST		BROOKLYN	NY	11201	10/01/2015	01/01/2016
CHC26191-00	DUANE READE		1181 LIBERTY AVE	BROOKLYN	NY	11208	10/01/2015	01/01/2016
CHC26191-00	DUANE READE	1 REMSEN AVENUE		BROOKLYN	NY	11212-1536	10/01/2015	01/01/2016
CHC26191-00	DUANE READE	131 8TH AVE		NEW YORK	NY	10011	10/01/2015	01/01/2016
CHC26191-00	DUANE READE, INC.	DBA: DUANE READE	310 E 2ND ST	NEW YORK	NY	10009	10/01/2015	01/01/2016
CHC26191-00	EXPRESS HEALTH MART PHARMACY CORP.	1173 NOSTRAND AVE		BROOKLYN	NY	11225	07/01/2017	09/20/2019
CHC26191-02	EXPRESS HEALTH MART PHARMACY CORP.	1173 NOSTRAND AVE		BROOKLYN	NY	11225	07/01/2017	09/20/2019
CHC26191-01	EXPRESS HEALTH MART PHARMACY CORP.	1173 NOSTRAND AVE		BROOKLYN	NY	11225	07/01/2017	09/20/2019
CHC26191-05	EXPRESS HEALTH MART PHARMACY CORP.	1173 NOSTRAND AVE		BROOKLYN	NY	11225	01/01/2018	09/20/2019
CHC26191-00	GREENE-VAN PHARMACY CORP	D/B/A PROSPECT DRUGS	94 GREENE AVE	BROOKLYN	NY	11238-1011	04/01/2015
CHC26191-02	GREENE-VAN PHARMACY CORP	D/B/A PROSPECT DRUGS	94 GREENE AVE	BROOKLYN	NY	11238-1011	04/01/2017
CHC26191-01	GREENE-VAN PHARMACY CORP	D/B/A PROSPECT DRUGS	94 GREENE AVE	BROOKLYN	NY	11238-1011	04/01/2017
CHC26191-05	GREENE-VAN PHARMACY CORP	D/B/A PROSPECT DRUGS	94 GREENE AVE	BROOKLYN	NY	11238-1011	01/01/2018
CHC26191-06	GREENE-VAN PHARMACY CORP	D/B/A PROSPECT DRUGS	94 GREENE AVE	BROOKLYN	NY	11238-1011	07/01/2020
CHC26191-04	GREENE-VAN PHARMACY CORP	D/B/A PROSPECT DRUGS	94 GREENE AVE	BROOKLYN	NY	11238-1011	06/15/2021
CHC26191-18	GREENE-VAN PHARMACY CORP	D/B/A PROSPECT DRUGS	94 GREENE AVE	BROOKLYN	NY	11238-1011	10/01/2023
CHC26191-00	KARNABY CHEMISTS INC	DBA: LEVITT PHARMACY	407 GRAND ST	NEW YORK	NY	10002	10/01/2015	01/17/2016
CHC26191-00	LENOX TERRACE PHARMACY INC	DBA: LENOX TERRACE DRUGS	20 W 135TH ST	NEW YORK	NY	10037-2534	04/01/2015
CHC26191-02	LENOX TERRACE PHARMACY INC	DBA: LENOX TERRACE DRUGS	20 W 135TH ST	NEW YORK	NY	10037-2534	04/01/2017
CHC26191-01	LENOX TERRACE PHARMACY INC	DBA: LENOX TERRACE DRUGS	20 W 135TH ST	NEW YORK	NY	10037-2534	04/01/2017
CHC26191-05	LENOX TERRACE PHARMACY INC	DBA: LENOX TERRACE DRUGS	20 W 135TH ST	NEW YORK	NY	10037-2534	01/01/2018
CHC26191-06	LENOX TERRACE PHARMACY INC	DBA: LENOX TERRACE DRUGS	20 W 135TH ST	NEW YORK	NY	10037-2534	07/01/2020
CHC26191-04	LENOX TERRACE PHARMACY INC	DBA: LENOX TERRACE DRUGS	20 W 135TH ST	NEW YORK	NY	10037-2534	06/15/2021
CHC26191-18	LENOX TERRACE PHARMACY INC	DBA: LENOX TERRACE DRUGS	20 W 135TH ST	NEW YORK	NY	10037-2534	10/01/2023
CHC26191-02	MEDLY PHARMACY INC.	DBA MEDLY PHARMACY	31 DEBEVOISE ST	BROOKLYN	NY	11206-4196	01/01/2019
CHC26191-00	MEDLY PHARMACY INC.	DBA MEDLY PHARMACY	31 DEBEVOISE ST	BROOKLYN	NY	11206-4196	01/01/2019
CHC26191-05	MEDLY PHARMACY INC.	DBA MEDLY PHARMACY	31 DEBEVOISE ST	BROOKLYN	NY	11206-4196	01/01/2019
CHC26191-01	MEDLY PHARMACY INC.	DBA MEDLY PHARMACY	31 DEBEVOISE ST	BROOKLYN	NY	11206-4196	01/01/2019
CHC26191-06	MEDLY PHARMACY INC.	DBA MEDLY PHARMACY	31 DEBEVOISE ST	BROOKLYN	NY	11206-4196	07/01/2020
CHC26191-04	MEDLY PHARMACY INC.	DBA MEDLY PHARMACY	31 DEBEVOISE ST	BROOKLYN	NY	11206-4196	06/15/2021
CHC26191-02	NOVEL RX LLC	ERINS PHARMACY	360 E 4TH ST	NEW YORK	NY	10009	04/01/2024
CHC26191-00	NOVEL RX LLC	ERINS PHARMACY	360 E 4TH ST	NEW YORK	NY	10009	04/01/2024
CHC26191-01	NOVEL RX LLC	ERINS PHARMACY	360 E 4TH ST	NEW YORK	NY	10009	04/01/2024
CHC26191-04	NOVEL RX LLC	ERINS PHARMACY	360 E 4TH ST	NEW YORK	NY	10009	04/01/2024
CHC26191-05	NOVEL RX LLC	ERINS PHARMACY	360 E 4TH ST	NEW YORK	NY	10009	04/01/2024
CHC26191-06	NOVEL RX LLC	ERINS PHARMACY	360 E 4TH ST	NEW YORK	NY	10009	04/01/2024
CHC26191-11	NOVEL RX LLC	ERINS PHARMACY	360 E 4TH ST	NEW YORK	NY	10009	04/01/2024
CHC26191-18	NOVEL RX LLC	ERINS PHARMACY	360 E 4TH ST	NEW YORK	NY	10009	04/01/2024
CHC26191-00	PHARMACY SPECIALIST GROUP II INC	DBA FAITH PHARMACY	743 E 9TH ST	NEW YORK	NY	10009-5335	01/01/2016
CHC26191-02	PHARMACY SPECIALIST GROUP II INC	DBA FAITH PHARMACY	743 E 9TH ST	NEW YORK	NY	10009-5335	04/01/2017
CHC26191-01	PHARMACY SPECIALIST GROUP II INC	DBA FAITH PHARMACY	743 E 9TH ST	NEW YORK	NY	10009-5335	04/01/2017
CHC26191-05	PHARMACY SPECIALIST GROUP II INC	DBA FAITH PHARMACY	743 E 9TH ST	NEW YORK	NY	10009-5335	01/01/2018
CHC26191-06	PHARMACY SPECIALIST GROUP II INC	DBA FAITH PHARMACY	743 E 9TH ST	NEW YORK	NY	10009-5335	07/01/2020
CHC26191-04	PHARMACY SPECIALIST GROUP II INC	DBA FAITH PHARMACY	743 E 9TH ST	NEW YORK	NY	10009-5335	06/15/2021
CHC26191-18	PHARMACY SPECIALIST GROUP II INC	DBA FAITH PHARMACY	743 E 9TH ST	NEW YORK	NY	10009-5335	10/01/2023
CHC26191-00	PHARMACY SPECIALIST GROUP III, INC.	FAITH PHARMACY	52 WILLOUGHBY ST	BROOKLYN	NY	11201	01/01/2016
CHC26191-02	PHARMACY SPECIALIST GROUP III, INC.	FAITH PHARMACY	52 WILLOUGHBY ST	BROOKLYN	NY	11201	04/01/2017
CHC26191-01	PHARMACY SPECIALIST GROUP III, INC.	FAITH PHARMACY	52 WILLOUGHBY ST	BROOKLYN	NY	11201	04/01/2017
CHC26191-05	PHARMACY SPECIALIST GROUP III, INC.	FAITH PHARMACY	52 WILLOUGHBY ST	BROOKLYN	NY	11201	01/01/2018
CHC26191-06	PHARMACY SPECIALIST GROUP III, INC.	FAITH PHARMACY	52 WILLOUGHBY ST	BROOKLYN	NY	11201	07/01/2020
CHC26191-04	PHARMACY SPECIALIST GROUP III, INC.	FAITH PHARMACY	52 WILLOUGHBY ST	BROOKLYN	NY	11201	06/15/2021
CHC26191-18	PHARMACY SPECIALIST GROUP III, INC.	FAITH PHARMACY	52 WILLOUGHBY ST	BROOKLYN	NY	11201	10/01/2023
CHC26191-00	PHARMACY SPECIALIST GROUP INC	DBA FAITH PHARMACY	2640 PITKIN AVE	BROOKLYN	NY	11208-2629	10/01/2015
CHC26191-02	PHARMACY SPECIALIST GROUP INC	DBA FAITH PHARMACY	2640 PITKIN AVE	BROOKLYN	NY	11208-2629	07/01/2017
CHC26191-01	PHARMACY SPECIALIST GROUP INC	DBA FAITH PHARMACY	2640 PITKIN AVE	BROOKLYN	NY	11208-2629	07/01/2017
CHC26191-05	PHARMACY SPECIALIST GROUP INC	DBA FAITH PHARMACY	2640 PITKIN AVE	BROOKLYN	NY	11208-2629	01/01/2018
CHC26191-06	PHARMACY SPECIALIST GROUP INC	DBA FAITH PHARMACY	2640 PITKIN AVE	BROOKLYN	NY	11208-2629	07/01/2020
CHC26191-04	PHARMACY SPECIALIST GROUP INC	DBA FAITH PHARMACY	2640 PITKIN AVE	BROOKLYN	NY	11208-2629	06/15/2021
CHC26191-18	PHARMACY SPECIALIST GROUP INC	DBA FAITH PHARMACY	2640 PITKIN AVE	BROOKLYN	NY	11208-2629	10/01/2023
CHC26191-06	PHARMACY SPECIALIST GROUP IV, LLC	FAITH PHARMACY	326 W 48TH ST	NEW YORK	NY	10036-1314	06/15/2021
CHC26191-01	PHARMACY SPECIALIST GROUP IV, LLC	FAITH PHARMACY	326 W 48TH ST	NEW YORK	NY	10036-1314	06/15/2021
CHC26191-05	PHARMACY SPECIALIST GROUP IV, LLC	FAITH PHARMACY	326 W 48TH ST	NEW YORK	NY	10036-1314	06/15/2021
CHC26191-02	PHARMACY SPECIALIST GROUP IV, LLC	FAITH PHARMACY	326 W 48TH ST	NEW YORK	NY	10036-1314	06/15/2021
CHC26191-00	PHARMACY SPECIALIST GROUP IV, LLC	FAITH PHARMACY	326 W 48TH ST	NEW YORK	NY	10036-1314	06/15/2021
CHC26191-04	PHARMACY SPECIALIST GROUP IV, LLC	FAITH PHARMACY	326 W 48TH ST	NEW YORK	NY	10036-1314	06/15/2021
CHC26191-18	PHARMACY SPECIALIST GROUP IV, LLC	FAITH PHARMACY	326 W 48TH ST	NEW YORK	NY	10036-1314	10/01/2023
CHC26191-04	PVR DRUGS, INC.	DBA HEALTHCARE PHARMACY	337 E 149TH ST	BRONX	NY	10451	07/01/2023
CHC26191-05	PVR DRUGS, INC.	DBA HEALTHCARE PHARMACY	337 E 149TH ST	BRONX	NY	10451	07/01/2023
CHC26191-00	PVR DRUGS, INC.	DBA HEALTHCARE PHARMACY	337 E 149TH ST	BRONX	NY	10451	07/01/2023
CHC26191-01	PVR DRUGS, INC.	DBA HEALTHCARE PHARMACY	337 E 149TH ST	BRONX	NY	10451	07/01/2023
CHC26191-06	PVR DRUGS, INC.	DBA HEALTHCARE PHARMACY	337 E 149TH ST	BRONX	NY	10451	07/01/2023
CHC26191-12	PVR DRUGS, INC.	DBA HEALTHCARE PHARMACY	337 E 149TH ST	BRONX	NY	10451	07/01/2023	10/01/2023
CHC26191-02	PVR DRUGS, INC.	DBA HEALTHCARE PHARMACY	337 E 149TH ST	BRONX	NY	10451	07/01/2023
CHC26191-17	PVR DRUGS, INC.	DBA HEALTHCARE PHARMACY	337 E 149TH ST	BRONX	NY	10451	07/01/2023	10/01/2023
CHC26191-11	PVR DRUGS, INC.	DBA HEALTHCARE PHARMACY	337 E 149TH ST	BRONX	NY	10451	07/01/2023
CHC26191-18	PVR DRUGS, INC.	DBA HEALTHCARE PHARMACY	337 E 149TH ST	BRONX	NY	10451	10/01/2023
CHC26191-00	SALAAM PHARMACY INC.	155 CRYSTAL ST		BROOKLYN	NY	11208	04/01/2015	03/17/2024
CHC26191-02	SALAAM PHARMACY INC.	155 CRYSTAL ST		BROOKLYN	NY	11208	04/01/2017	03/17/2024
CHC26191-01	SALAAM PHARMACY INC.	155 CRYSTAL ST		BROOKLYN	NY	11208	04/01/2017	03/17/2024
CHC26191-04	SALAAM PHARMACY INC.	155 CRYSTAL ST		BROOKLYN	NY	11208	01/01/2018	03/17/2024
CHC26191-05	SALAAM PHARMACY INC.	155 CRYSTAL ST		BROOKLYN	NY	11208	01/01/2018	03/17/2024
CHC26191-06	SALAAM PHARMACY INC.	155 CRYSTAL ST		BROOKLYN	NY	11208	07/01/2020	03/17/2024
CHC26191-18	SALAAM PHARMACY INC.	155 CRYSTAL ST		BROOKLYN	NY	11208	10/01/2023	03/17/2024
CHC26191-02	SEVEN HILLS DRUGS INC	DBA: HARLEM CARE PHARMACY	165 W 127TH ST	NEW YORK	NY	10027-3720	07/01/2023
CHC26191-01	SEVEN HILLS DRUGS INC	DBA: HARLEM CARE PHARMACY	165 W 127TH ST	NEW YORK	NY	10027-3720	07/01/2023
CHC26191-11	SEVEN HILLS DRUGS INC	DBA: HARLEM CARE PHARMACY	165 W 127TH ST	NEW YORK	NY	10027-3720	07/01/2023
CHC26191-12	SEVEN HILLS DRUGS INC	DBA: HARLEM CARE PHARMACY	165 W 127TH ST	NEW YORK	NY	10027-3720	07/01/2023	10/01/2023
CHC26191-05	SEVEN HILLS DRUGS INC	DBA: HARLEM CARE PHARMACY	165 W 127TH ST	NEW YORK	NY	10027-3720	07/01/2023
CHC26191-06	SEVEN HILLS DRUGS INC	DBA: HARLEM CARE PHARMACY	165 W 127TH ST	NEW YORK	NY	10027-3720	07/01/2023
CHC26191-00	SEVEN HILLS DRUGS INC	DBA: HARLEM CARE PHARMACY	165 W 127TH ST	NEW YORK	NY	10027-3720	07/01/2023
CHC26191-17	SEVEN HILLS DRUGS INC	DBA: HARLEM CARE PHARMACY	165 W 127TH ST	NEW YORK	NY	10027-3720	07/01/2023	10/01/2023
CHC26191-04	SEVEN HILLS DRUGS INC	DBA: HARLEM CARE PHARMACY	165 W 127TH ST	NEW YORK	NY	10027-3720	07/01/2023
CHC26191-18	SEVEN HILLS DRUGS INC	DBA: HARLEM CARE PHARMACY	165 W 127TH ST	NEW YORK	NY	10027-3720	10/01/2023
CHC26191-00	SEVENTH ELM DRUG CORP.	D/B/A ELM DRUGS	56 SEVENTH AVE	NEW YORK	NY	10011	04/01/2015
CHC26191-02	SEVENTH ELM DRUG CORP.	D/B/A ELM DRUGS	56 SEVENTH AVE	NEW YORK	NY	10011	04/01/2017
CHC26191-01	SEVENTH ELM DRUG CORP.	D/B/A ELM DRUGS	56 SEVENTH AVE	NEW YORK	NY	10011	04/01/2017
CHC26191-05	SEVENTH ELM DRUG CORP.	D/B/A ELM DRUGS	56 SEVENTH AVE	NEW YORK	NY	10011	01/01/2018
CHC26191-06	SEVENTH ELM DRUG CORP.	D/B/A ELM DRUGS	56 SEVENTH AVE	NEW YORK	NY	10011	07/01/2020
CHC26191-04	SEVENTH ELM DRUG CORP.	D/B/A ELM DRUGS	56 SEVENTH AVE	NEW YORK	NY	10011	06/15/2021
CHC26191-18	SEVENTH ELM DRUG CORP.	D/B/A ELM DRUGS	56 SEVENTH AVE	NEW YORK	NY	10011	10/01/2023
CHC26191-00	TOWN TOTAL HEALTH LLC	393 CENTRAL AVENUE		NEWARK	NJ	07103	07/01/2015	01/01/2016
CHC26191-00	TOWN TOTAL HEALTH, LLC	728 MADISON AVE.	SUITE B1	ALBANY	NY	12208-3302	07/01/2015	01/01/2016
CHC26191-00	TOWN TOTAL HEALTH, LLC	D/B/A MEIJER SPECIALTY PHARMACY	415 CROSSWAYS PARK DRIVE SUITE A	WOODBURY	NY	11797	07/01/2015	01/01/2016
CHC26191-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01918	755 BROADWAY	BROOKLYN	NY	11206-5320	10/01/2015	01/01/2016
CHC26191-00	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #16078	205 8TH AVENUE	NEW YORK	NY	10011	10/01/2015	01/01/2016

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/30/2024 11:19:47 AM	2/14/2025 2:10:34 PM	2/14/2025 2:10 PM
Contacts	Authorizing Official	Update	Change Request	Troy, Patricia SVP, Healthcare Services Housing Works Health Services III, Inc. 3474737458	Diamond, Jessica Executive Director Housing Works Health Services III, Inc. 9142624617	4/22/2024 7:59 AM
Details	Last Recertification Date	Update	Recertification	2/1/2023 8:56:10 AM	1/30/2024 11:19:47 AM	1/30/2024 11:19 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	6/1/2023 10:39 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		1826104	6/1/2023 10:39 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		NY	6/1/2023 10:39 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1114950151	6/1/2023 10:39 AM
Medicaid Billing	NPI: State	Insert	Change Request		NY	6/1/2023 10:39 AM
Contacts	Primary Contact	Update	Change Request	Saunders, Gillian Director of Healthcare Compliance Housing Works Health Services, III 3476757689	Saad, Magdoleen Healthcare Data and Project Manager Housing Works Health Services III, Inc. 9296015387	6/1/2023 10:39 AM
Details	Last Recertification Date	Update	Recertification	2/10/2022 12:06:55 PM	2/1/2023 8:56:10 AM	2/1/2023 8:56 AM
Contacts	Primary Contact	Update	Group Change Request	Kot, Michelle Healthcare Data and Project Manager Housing Works Health Services, III 9292881169	Saunders, Gillian Director of Healthcare Compliance Housing Works Health Services, III 3476757689	6/2/2022 2:53 PM
Details	Last Recertification Date	Update	Recertification	2/5/2021 11:31:53 AM	2/10/2022 12:06:55 PM	2/10/2022 12:06 PM
Details	Last Recertification Date	Update	Recertification	1/29/2020 9:03:31 AM	2/5/2021 11:31:53 AM	2/5/2021 11:31 AM
Contacts	Primary Contact	Update	Change Request	Saunders, Gillian Director of Healthcare Compliance Housing Works Health Services, III 3476757689	Kot, Michelle Healthcare Data and Project Manager Housing Works Health Services, III 9292881169	10/8/2020 9:10 AM
Details	Last Recertification Date	Update	Recertification	2/7/2019 8:51:34 AM	1/29/2020 9:03:31 AM	1/29/2020 9:03 AM
Details	Last Recertification Date	Update	Recertification	2/12/2018 9:15:48 AM	2/7/2019 8:51:34 AM	2/7/2019 8:51 AM
Medicaid Billing	Medicaid: Number	Delete	Change Request	10826104 (NY)		3/30/2018 12:06 PM
Medicaid Billing	NPI: Number	Delete	Change Request	1114950151 ( )		3/30/2018 12:06 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/12/2018 9:15 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		10826104	2/12/2018 9:15 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		NY	2/12/2018 9:15 AM
Details	Last Recertification Date	Update	Recertification	1/26/2017 12:00:00 AM	2/12/2018 9:15:48 AM	2/12/2018 9:15 AM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/12/2018 9:15 AM
Contacts	Primary Contact	Update		Saunders, Gillian Director of Healthcare Compliance 3476757689	Saunders, Gillian Director of Healthcare Compliance Housing Works Health Services, III 3476757689	9/22/2017 3:10 PM
Contacts	Authorizing Official	Update		Troy, Patricia SVP, Healthcare Services 3474737458	Troy, Patricia SVP, Healthcare Services Housing Works Health Services III, Inc. 3474737458	9/22/2017 10:09 AM
Addresses	Main Address	Insert			2640 Pitkin Ave Brooklyn, NY 11208-2629	7/24/2017 2:10 PM
Contacts	Primary Contact	Insert			Saunders, Gillian Director of Healthcare Compliance 3476757689	7/24/2017 2:10 PM
Contacts	Signed By	Insert			Juste-Beckles, Nadine VP of Primary Care Operations 7188278700-4303	7/24/2017 2:10 PM
Contacts	Authorizing Official	Insert			Troy, Patricia SVP, Healthcare Services 3474737458	7/24/2017 2:10 PM
Details	Last Recertification Date	Update		2/25/2016 12:00:00 AM	1/26/2017 12:00:00 AM	1/26/2017 8:07 PM
Details	Entity Subname	Update		East New York	East New York Community Health Center	12/12/2016 7:11 AM
Details	Last Recertification Date	Update		2/10/2015 12:00:00 AM	2/25/2016 12:00:00 AM	2/25/2016 6:08 PM
Medicaid Billing	NPI: Number	Insert			1114950151	10/8/2015 11:43 AM
Details	Last Recertification Date	Update			2/10/2015 12:00:00 AM	2/10/2015 3:23 PM
Dates	Participating Approval Date	Update			7/22/2014 12:00:00 AM	7/22/2014 3:09 PM
Details	State	Update		Pending	Active	7/22/2014 3:09 PM
Dates	Start Date	Update			10/1/2014 12:00:00 AM	7/22/2014 3:09 PM
Details	340B ID	Update		ONLINE_REG_44110	CHC26191-00	7/22/2014 2:45 PM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_44110	7/1/2014 2:59 PM
Details	Last Recertification Date	Insert				7/1/2014 2:59 PM
Details	Grant Number	Insert			H80CS26191	7/1/2014 2:59 PM
Details	340B ID	Insert			ONLINE_REG	7/1/2014 2:59 PM
Details	Is Authorizing Official EHB Data	Insert			False	7/1/2014 2:59 PM
Dates	Last Date That 340B Drugs Purchased	Insert				7/1/2014 2:59 PM
Details	Medicare Provider Number	Insert				7/1/2014 2:59 PM
Details	Entity Name	Insert			Housing Works Health Services III, Inc.	7/1/2014 2:59 PM
Details	Program Code	Insert			CH	7/1/2014 2:59 PM
Details	Entity Subname	Insert			East New York	7/1/2014 2:59 PM
Dates	Participating Approval Date	Insert				7/1/2014 2:59 PM
Details	State	Insert			Pending	7/1/2014 2:59 PM
Dates	Registration Date	Insert			7/1/2014 12:00:00 AM	7/1/2014 2:59 PM
Dates	Signed By Date	Insert			7/1/2014 12:00:00 AM	7/1/2014 2:59 PM
Dates	Start Date	Insert				7/1/2014 2:59 PM
Terminations	Termination Comments	Insert				7/1/2014 2:59 PM
Terminations	Termination Date	Insert				7/1/2014 2:59 PM
Terminations	Termination Effective Date	Insert				7/1/2014 2:59 PM
Terminations	Termination Reason	Insert				7/1/2014 2:59 PM

340B Drug Pricing Program Database