Covered Entity Details

CH05178H NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC. (Active) - information as of 4/25/2025 6:34:27 PM

Main Details

Name

NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.

Subdivision Name

Navarre Park Family Care Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-014239

340B ID

CH05178H

Grant Number

H80CS00110

Additional Details

Current Program Status

Active

Registration Date

1/12/2015

Participating Start Date

4/1/2015

Participating Approval Date

3/13/2015

Last Recertification Date

2/23/2025

Contacts

Authorizing Official

Neighborhood Health Association
DONI MILLER, CEO
(419) 720-7883 Ext: 216

Primary Contact

Neighborhood Health Association
Elizabeth Schwartz, Director of Pharmacy
(419) 214-5740

Addresses

Street Address

1020 VARLAND AVE
TOLEDO, OH 43605-3245

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
OH	0728403	1730214263

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH051780	Active	BPS-H80-001477	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO	313 Jefferson Ave	Toledo	OH
CH05178A	Terminated	BPS-H80-001225	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.	CORDELIA MARTIN AT LIBBEY	1250 Western Ave	Toledo	OH
CH05178B	Active	BPS-H80-006865	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.	HURON STREET WOMEN'S CENTER	923 N Huron St	Toledo	OH
CH05178C	Active	BPS-H80-005400	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.	THE ACCESS CENTER	117 Main St	Toledo	OH
CH05178D	Active	BPS-H80-004869	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.	CORDELIA MARTIN HEALTH CENTER	430 Nebraska	Toledo	OH
CH05178E	Active	BPS-H80-003538	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.	SOUTH SIDE COMMUNITY HEALTH CTR	732 South Ave	Toledo	OH
CH05178F	Active	BPS-H80-001113	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.	MILDRED BAYER CLINIC HOMELESS	2101 Jefferson Ave	Toledo	OH
CH05178G	Active	BPS-H80-000596	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.	NHA Pediatrics	1 Aurora L Gonzalez Dr	Toledo	OH
CH05178H	Active	BPS-H80-014239	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.	Navarre Park Family Care Center	1020 VARLAND AVE	TOLEDO	OH
CH05178J	Active	BPS-H80-017798	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.	Holland Health Care	225 N IRWIN RD	HOLLAND	OH
CH05178K	Active	BPS-H80-011393	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.	NEXUS HEALTH CARE	1415 Jefferson Ave	Toledo	OH
CH05178L	Terminated	BPS-H80-017716	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.	Zepf Community Mental Health Center	905 Nebraska Ave.	Toledo	OH
CH05178M	Active	BPS-H80-027945	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.	Unison Behavioral Health Center	1425 Starr Ave	Toledo	OH
CH05178N	Active	BPS-H80-027944	NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.	Unison Behavioral Health Center	544 E Woodruff Ave	Toledo	OH

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH051780	KROGER CO	DBA KROGER SAV-ON #938	3301 NAVARRE AVENUE	OREGON	OH	43616	01/01/2016
CH051780	KROGER PHARMACY	2555 GLENDALE AVENUE		TOLEDO	OH	43614	01/01/2016
CH051780	KROGER PHARMACY	4925 JACKMAN ROAD		TOLEDO	OH	43613	01/01/2016
CH051780	KROGER SAV-ON PHARMACY N-980		1920 WOODVILLE RD	OREGON	OH	43616	01/01/2016
CH051780	RITE AID OF OHIO, INC.	RITE AID #2314	1605 BROADWAY STREET	TOLEDO	OH	43609	01/01/2015
CH051780	RITE AID OF OHIO, INC.	RITE AID #2637	1525 CHERRY STREET	TOLEDO	OH	43608	01/01/2015
CH051780	THE KROGER COMPANY #957	4533 MONROE		TOLEDO	OH	43613	01/01/2016
CH051780	THE LANE DRUG COMPANY	RITE AID #2317	3013 MONROE STREET	TOLEDO	OH	43606	01/01/2015
CH051780	THE LANE DRUG COMPANY	RITE AID #2310	210 MAIN STREET	TOLEDO	OH	43605	01/01/2015
CH051780	TOLEDO CLINIC INC	DBA ADVANCED PHARMACY SERVICES	1200 MEDICAL CENTER PKWY STE 1100	MAUMEE	OH	43537	04/01/2020
CH051780	WALGREEN CO.	DBA: WALGREENS # 05319	925 WOODVILLE ROAD	TOLEDO	OH	43605	04/01/2014
CH051780	WALGREEN CO.	DBA: WALGREENS # 05324	1330 N REYNOLDS ROAD	TOLEDO	OH	43615	04/01/2014
CH051780	WALGREEN CO.	DBA: WALGREENS # 05906	2562 NAVARRE AVE	OREGON	OH	43616	04/01/2014
CH051780	WALGREEN CO.	DBA: WALGREENS # 06168	4580 MONROE ST	TOLEDO	OH	43613	04/01/2014
CH051780	Walgreens #21423	Walgreens Central Fill #21423	6275 Winchester Blvd	Canal WInchester	OH	43110-6537	07/01/2024
CH051780	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	04/01/2014	08/31/2015

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/7/2024 5:30:52 PM	2/23/2025 1:20:13 PM	2/23/2025 1:20 PM
Contacts	Primary Contact	Update	PC Change Request	LEVITAN, JOEL DIRECTOR OF PHARMACY NEIGHBORHOOD HEALTH ASSOCIATION 4192557883-171	Schwartz, Elizabeth Director of Pharmacy Neighborhood Health Association 4192145740	2/14/2025 12:30 PM
Details	Last Recertification Date	Update	Recertification	2/13/2023 3:56:45 PM	2/7/2024 5:30:52 PM	2/7/2024 5:30 PM
Details	Last Recertification Date	Update	Recertification	2/23/2022 3:27:13 PM	2/13/2023 3:56:45 PM	2/13/2023 3:56 PM
Details	Last Recertification Date	Update	Recertification	2/18/2021 11:02:05 AM	2/23/2022 3:27:13 PM	2/23/2022 3:27 PM
Medicaid Billing	NPI: State	Update	Recertification		OH	2/18/2021 11:02 AM
Details	Last Recertification Date	Update	Recertification	2/21/2020 1:42:59 PM	2/18/2021 11:02:05 AM	2/18/2021 11:02 AM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/18/2021 11:02 AM
Details	Last Recertification Date	Update	Recertification	2/14/2019 5:03:45 PM	2/21/2020 1:42:59 PM	2/21/2020 1:42 PM
Details	Last Recertification Date	Update	Recertification	2/27/2018 2:05:33 PM	2/14/2019 5:03:45 PM	2/14/2019 5:03 PM
Details	Last Recertification Date	Update	Recertification	2/14/2017 12:00:00 AM	2/27/2018 2:05:33 PM	2/27/2018 2:05 PM
Contacts	Authorizing Official	Update		MILLER, DONI CEO 4197207883-216	MILLER, DONI CEO Neighborhood Health Association 4197207883-216	10/15/2017 4:55 PM
Contacts	Signed By	Update		MILLER, DONI CEO 4197207883-216	MILLER, DONI CEO Neighborhood Health Association 4197207883-216	10/15/2017 4:55 PM
Contacts	Primary Contact	Update		LEVITAN, JOEL DIRECTOR OF PHARMACY 4192557883-171	LEVITAN, JOEL DIRECTOR OF PHARMACY NEIGHBORHOOD HEALTH ASSOCIATION 4192557883-171	10/12/2017 4:52 PM
Addresses	Main Address	Insert			1020 VARLAND AVE TOLEDO, OH 43605-3245	2/15/2017 7:17 PM
Contacts	Primary Contact	Insert			LEVITAN, JOEL DIRECTOR OF PHARMACY 4192557883-171	2/15/2017 7:17 PM
Contacts	Authorizing Official	Insert			MILLER, DONI CEO 4197207883-216	2/15/2017 7:17 PM
Contacts	Signed By	Insert			MILLER, DONI CEO 4197207883-216	2/15/2017 7:17 PM
Details	Last Recertification Date	Update		2/18/2016 12:00:00 AM	2/14/2017 12:00:00 AM	2/15/2017 7:17 PM
Details	Last Recertification Date	Update			2/18/2016 12:00:00 AM	2/18/2016 12:55 PM
Dates	Participating Approval Date	Update			3/13/2015 12:00:00 AM	3/13/2015 5:12 PM
Details	State	Update		Pending	Active	3/13/2015 5:12 PM
Dates	Start Date	Update			4/1/2015 12:00:00 AM	3/13/2015 5:12 PM
Details	340B ID	Update		ONLINE_REG_48726	CH05178H	1/12/2015 1:45 PM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_48726	1/12/2015 1:33 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	1/12/2015 1:33 PM
Medicaid Billing	Medicaid: Number	Insert			0728403	1/12/2015 1:33 PM
Medicaid Billing	Medicaid: State	Insert			OH	1/12/2015 1:33 PM
Medicaid Billing	NPI: Number	Insert			1730214263	1/12/2015 1:33 PM
Details	Last Recertification Date	Insert				1/12/2015 1:33 PM
Details	Grant Number	Insert			H80CS00110	1/12/2015 1:33 PM
Details	340B ID	Insert			ONLINE_REG	1/12/2015 1:33 PM
Details	Is Authorizing Official EHB Data	Insert			False	1/12/2015 1:33 PM
Dates	Last Date That 340B Drugs Purchased	Insert				1/12/2015 1:33 PM
Details	Medicare Provider Number	Insert				1/12/2015 1:33 PM
Details	Entity Name	Insert			NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.	1/12/2015 1:33 PM
Details	Program Code	Insert			CH	1/12/2015 1:33 PM
Details	Entity Subname	Insert			Navarre Park Family Care Center	1/12/2015 1:33 PM
Dates	Participating Approval Date	Insert				1/12/2015 1:33 PM
Details	State	Insert			Pending	1/12/2015 1:33 PM
Dates	Registration Date	Insert			1/12/2015 12:00:00 AM	1/12/2015 1:33 PM
Dates	Signed By Date	Insert			1/12/2015 12:00:00 AM	1/12/2015 1:33 PM
Dates	Start Date	Insert				1/12/2015 1:33 PM
Terminations	Termination Comments	Insert				1/12/2015 1:33 PM
Terminations	Termination Date	Insert				1/12/2015 1:33 PM
Terminations	Termination Effective Date	Insert				1/12/2015 1:33 PM
Terminations	Termination Reason	Insert				1/12/2015 1:33 PM

340B Drug Pricing Program Database