Covered Entity Details

CH03702AB UNITY HEALTH CARE, INC. (Active) - information as of 4/25/2025 6:34:02 PM

Main Details

Name

UNITY HEALTH CARE, INC.

Subdivision Name

Friendship Place

Type

HRSA-Funded Health Center

Site ID

BPS-H80-006493

340B ID

CH03702AB

Grant Number

H80CS00070

Additional Details

Current Program Status

Active

Registration Date

4/2/2015

Participating Start Date

7/1/2015

Participating Approval Date

4/14/2015

Last Recertification Date

2/14/2025

Contacts

Authorizing Official

Unity Health Care
Jessica H. Boyd, CEO
(202) 672-3091

Primary Contact

Unity Health Care
Leamsi Regalado Borges, Vice President of Pharmacy Operations
(202) 258-0901

Addresses

Street Address

4713 Wisconsin Ave, NW
Washington, DC 20016-4609

Billing Address

Unity Health Care, Inc
Attn: Leamsi Regalado Borges
1100 New Jersey Ave, SE
Suite 500
Washington, DC 20003

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?
No

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
Contract Detail	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 00022	320 40TH STREET NE	WASHINGTON	DC	20019	04/16/2024	07/01/2024			07/01/2024

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH03702A	Active	BPS-H80-001303	UNITY HEALTH CARE INC	Upper Cardozo Health Center	3020 14th Street, NW	Washington	DC
CH03702AB	Active	BPS-H80-006493	UNITY HEALTH CARE, INC.	Friendship Place	4713 Wisconsin Ave, NW	Washington	DC
CH03702AC	Terminated	BPS-H80-006487	UNITY HEALTH CARE, INC.	Blair Shelter	635 I St NE	Washington	DC
CH03702AD	Active	BPS-H80-006930	UNITY HEALTH CARE, INC.	Harbor Light	2100 New York Ave, NE	Washington	DC
CH03702AE	Active	BPS-H80-012637	UNITY HEALTH CARE, INC.	Central Union Mission	65 Massachusetts Avenue, NW	Washington	DC
CH03702AF	Active	BPS-H80-005690	UNITY HEALTH CARE, INC.	Christ House	1717 Columbia Rd NW	Washington	DC
CH03702AG	Active	BPS-H80-004459	UNITY HEALTH CARE, INC.	New York Avenue Shelter	1355 New York Ave, NE	WASHINGTON	DC
CH03702AH	Terminated	BPS-H80-002539	UNITY HEALTH CARE, INC.	801 East Building Shelter	2700 Martin Luther King Jr Ave SE	Washington	DC
CH03702AJ	Active	BPS-H80-013797	UNITY HEALTH CARE, INC.	Cardozo Student Health Center	1200 Clifton St, NW	Washington	DC
CH03702AK	Active	BPS-H80-012902	UNITY HEALTH CARE, INC.	Parkside Health Center	765 Kenilworth Terrace, NE	Washington	DC
CH03702AL	Terminated	BPS-H80-013569	UNITY HEALTH CARE, INC.	Challenge Academy Student Health Center	3201 Oak Hill Dr	Laurel	MD
CH03702AM	Active	BPS-H80-003970	UNITY HEALTH CARE, INC.	Central Detention Facility	1901 D St, SE	Washington	DC
CH03702AN	Active	BPS-H80-002498	UNITY HEALTH CARE, INC.	Correctional Treatment Facility	1901 E St SE	Washington	DC
CH03702AP	Active	BPS-H80-005589	UNITY HEALTH CARE, INC.	So Others Might Eat (SOME)	60 O St NW	Washington	DC
CH03702AQ	Active	BPS-H80-007481	UNITY HEALTH CARE, INC.	Mobile Outreach Van	1717 Columbia Rd , NW	Washington	DC
CH03702AR	Active	BPS-H80-017782	UNITY HEALTH CARE, INC.	Patricia Handy Place	810 5th St NW	Washington	DC
CH03702AS	Terminated	BPS-H80-030659	Unity Health Care, Inc.	Temporary Site - ISAQ 1	1615 New York Ave NE	Washington	DC
CH03702AT	Terminated	BPS-H80-030657	Unity Health Care, Inc.	Temporary Site - PEP-V	2305 New York Ave NE	Washington	DC
CH03702AU	Terminated	BPS-H80-030656	Unity Health Care, Inc.	Temporary Site - ISAQ 2	1917 Bladensburg Rd NE	Washington	DC
CH03702AV	Terminated	BPS-H80-030658	Unity Health Care, Inc.	Temporary Site - ISAQ 3	4400 Connecticut Ave NW	Washington	DC
CH03702AW	Terminated	BPS-H80-030793	Unity Health Care, Inc.	Temporary Site - Pep-V 2	1501 Rhode Island Ave NW	Washington	DC
CH03702AX	Terminated	BPS-H80-030790	Unity Health Care, Inc.	Temporary Site - ISAQ 4	10 I St SW	Washington	DC
CH03702AY	Active	BPS-H80-028358	Unity Health Care, Inc.	Hope Has A Home	4515 Edson Pl NE	Washington	DC
CH03702AZ	Active	BPS-H80-027304	Unity Health Care, Inc.	Downtown BID	1313 New York Ave NW Bsmt # 1	Washington	DC
CH03702BA	Active	BPS-H80-032497	Unity Health Care, Inc.	Minnesota Ave Health Center	3946 Minnesota Ave NE	Washington	DC
CH03702BB	Active	BPS-H80-032118	Unity Health Care, Inc.	Southwest Health Center	850 Delaware Ave SW Ste B	Washington	DC
CH03702BC	Terminated	BPS-H80-035602	UNITY HEALTH CARE, INC.	ISAQ Hampton	501 New York Ave NE STE A	Washington	DC
CH03702H	Terminated	BPS-H80-009156	UNITY HEALTH CARE INC	Unity at DC General	1900 MASS AVENUE SE	WASHINGTON	DC
CH03702I	Active	BPS-H80-009248	UNITY HEALTH CARE INC	Anacostia Health Center	1500 Galen St SE	Washington	DC
CH03702L	Terminated	BPS-H80-007621	UNITY HEALTH CARE INC	WALKER-JONES HEALTH CENTER	40 PATTERSON STREET NE	WASHINGTON	DC
CH03702M	Terminated	BPS-H80-002484	UNITY HEALTH CARE INC	SOUTHWEST HEALTH CENTER	850 DELAWARE AVENUE SW	WASHINGTON	DC
CH03702N	Active	BPS-H80-009628	UNITY HEALTH CARE INC	Columbia Road Health Center	1660 Columbia Rd, NW	Washington	DC
CH03702P	Active	BPS-H80-007150	Unity Health Care	Stanton Road Health Center	3240 Stanton Road, SE	Washington	DC
CH03702Q	Terminated	BPS-H80-010198	Unity Health Care	Ballou Student Health Center	3401 4th Street, SE	Washington	DC
CH03702R	Active	BPS-H80-003106	UNITY HEALTH CARE, INC.	Federal City/CCNV Health Center	425 2nd Street, NW	Washington	DC
CH03702S	Terminated	BPS-H80-28121	UNITY HEALTH CARE, INC.	Pathways to Housing	828 Evarts St, NE	Washington	DC
CH03702T	Active	BPS-H80-011008	UNITY HEALTH CARE, INC.	H.D. Woodson Student Health Center	540 55th Street, NE	Washington	DC
CH03702U	Terminated	BPS-H80-000382	Unity Health Care	Eastern High School Student Health Center	1700 East Capitol Street NE	Washington	DC
CH03702V	Active	BPS-H80-009022	UNITY HEALTH CARE, INC.	N. Street Village	1333 N Street, NW	Washington	DC
CH03702W	Active	BPS-H80-014584	UNITY HEALTH CARE, INC.	Brentwood Health Center	1251 Saratoga Ave, NE	Washington	DC
CH03702X	Active	BPS-H80- 017912	UNITY HEALTH CARE, INC.	East of the River	4414 Benning Road, NE	Washington	DC
CH03702Y	Terminated	BPS-H80-010359	UNITY HEALTH CARE, INC.	Minnesota Avenue Health Center	3924 Minnesota Ave, NE	Washington	DC

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH03702A	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/01/2021
CH03702A	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/01/2021
CH03702A	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/01/2021
CH03702A	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/01/2021
CH03702A	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/01/2021
CH03702A	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	10/01/2021
CH03702A	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2021
CH03702A	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2021
CH03702A	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2021
CH03702A	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/01/2021
CH03702A	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	01/01/2021
CH03702A	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	01/01/2021
CH03702A	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	01/01/2021
CH03702A	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	01/01/2021
CH03702A	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2021
CH03702A	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2021
CH03702R	COLUMBIA HEIGHT PROFESS PHARM	SIERRA INT'L PHARMACEUTICAL	3316 14TH ST NW	WASHINGTON	DC	20010-2302	10/01/2024
CH03702A	COLUMBIA HEIGHT PROFESS PHARM	SIERRA INT'L PHARMACEUTICAL	3316 14TH ST NW	WASHINGTON	DC	20010-2302	10/01/2024
CH03702A	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	10/01/2021
CH03702A	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	10/01/2021
CH03702A	CVS TN DISTRIBUTION, LLC	10017 KINGSTON PIKE		KNOXVILLE	TN	37922	01/01/2015	03/13/2017
CH03702A	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/01/2021
CH03702A	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/01/2019
CH03702A	DIPLOMAT SPECIALTY PHARMACY	4100 S SAGINAW ST	STE D	FLINT	MI	48507-2683	04/01/2021
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 02834	3031 14TH ST., NW	WASHINGTON	DC	20009	04/01/2014	03/08/2024
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 00022	320 40TH STREET NE	WASHINGTON	DC	20019	07/01/2015
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01340	845 BLADENSBURG RD., N.E.	WASHINGTON	DC	20002	07/01/2015
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01348	1100 4TH STREET SW	WASHINGTON	DC	20024	07/01/2015	05/15/2024
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01360	2724 GOOD HOPE RD SE	WASHINGTON	DC	20020-3014	07/01/2015
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA CVS/PHARMACY # 7174	1200 1ST STREET NE	WASHINGTON	DC	20002	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01351	1755 COLUMBIA ROAD NW	WASHINGTON	DC	20009	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA CVS/PHARMACY # 10287	645 H STREET, NE	WASHINGTON	DC	20002	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA CCVS/PHARMACY # 5674	3700 NEWARK ST.N.W.	WASHINGTON	DC	20016	10/01/2019	09/17/2020
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 07074	2240 M ST NW	WASHINGTON	DC	20037	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01344	500 12TH STREET SE	WASHINGTON	DC	20003	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01355	2009 EIGHTH STREET NW	WASHINGTON	DC	20001	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 07218	400 MASSACHUSETTS AVE., NW	WASHINGTON	DC	20001	10/01/2019	02/27/2023
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01353	3327 CONNECTICUT AVENUE NW	WASHINGTON	DC	20008	10/01/2019	09/17/2020
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01363	2350 WASHINGTON PLACE SUITE 101-N	WASHINGTON	DC	20018	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01341	1199 VERMONT AVENUE NW	WASHINGTON	DC	20005	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 04546	2129 14TH STREET NW	WASHINGTON	DC	20009	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	CVS/PHARMACY # 1354	2601 CONNECTICUT AVE NW	WASHINGTON	DC	20008	10/01/2019	09/17/2020
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 02378	2226 WISCONSIN AVENUE NW	WASHINGTON	DC	20007	10/01/2019	09/17/2020
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01365	1637 P STREET NW	WASHINGTON	DC	20036	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 02204	4859 MACARTHUR BOULEVARD, NW	WASHINGTON	DC	20007	10/01/2019	09/17/2020
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01342	1901 PENNSYLVANIA AVENUE NW	WASHINGTON	DC	20006	10/01/2019	08/25/2021
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 07102	1100 NEW JERSEY AVE., S.E.	WASHINGTON	DC	20003	10/01/2019	12/31/2020
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 02787	3642 GEORGIA AVE.	WASHINGTON	DC	20010	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01347	6-7 DUPONT CIRCLE NW	WASHINGTON	DC	20036	10/01/2019	03/08/2024
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 02104	5013 CONNECTICUT AVENUE NW	WASHINGTON	DC	20008	10/01/2019	03/08/2024
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 02174	4555 WISCONSIN AVENUE, NW	WASHINGTON	DC	20016	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01338	661 PENNSYLVANIA AVENUE SE	WASHINGTON	DC	20003	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01839	1990 K STREET NW	WASHINGTON	DC	20006	10/01/2019	05/05/2022
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 02330	110 CARROLL STREET NW	WASHINGTON	DC	20012	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 00021	1117 10TH ST., UNIT C-1	WASHINGTON	DC	20001	10/01/2019	06/05/2024
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01333	3601 12TH STREET NE	WASHINGTON	DC	20017	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01346	5550 CONNECTICUT AVENUE NW	WASHINGTON	DC	20015	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	CVS PHARMACY # 17333	3100 14TH ST NW	WASHINGTON	DC	20010	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 02527	1025 CONNECTICUT AVENUE NW	WASHINGTON	DC	20036	10/01/2019	02/28/2022
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 06419	1000 U STREET NW	WASHINGTON	DC	20001	10/01/2019	10/30/2021
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01335	3250 PENNSYLVANIA AVE SE	WASHINGTON	DC	20020	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 02817	1418 P STREET NW	WASHINGTON	DC	20005	10/01/2019
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01349	5227 GEORGIA AVENUE NW	WASHINGTON	DC	20011	10/01/2019	09/15/2022
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01366	128 KENNEDY ST NW	WASHINGTON	DC	20011	01/01/2020	07/24/2024
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01334	717 14TH STREET NW	WASHINGTON	DC	20005	01/01/2020	09/17/2020
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01364	6514 GEORGIA AVENUE NW	WASHINGTON	DC	20012	01/01/2020
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01337	1403 WISCONSIN AVENUE NW	WASHINGTON	DC	20007	04/01/2020	09/17/2020
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01842	1275 PENNSYLVANIA AVENUE NW	WASHINGTON	DC	20004	10/01/2021
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	CVS/PHARMACY # 11231	15 I STREET SE	WASHINGTON	DC	20003	01/01/2022
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	CVS/PHARMACY # 10685	675 K STREET NW	WASHINGTON	DC	20001	01/01/2022
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	CVS/PHARMACY # 10833	1101 NEW YORK AVE, NW	WASHINGTON	DC	20005	01/01/2023
CH03702A	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01362	4309 CONNECTICUT AVENUE NW	WASHINGTON	DC	20008	01/01/2023
CH03702P	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 04546	2129 14TH STREET NW	WASHINGTON	DC	20009	07/01/2024
CH03702AE	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01351	1755 COLUMBIA ROAD NW	WASHINGTON	DC	20009	07/01/2024
CH03702W	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01344	500 12TH STREET SE	WASHINGTON	DC	20003	07/01/2024
CH03702BB	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01362	4309 CONNECTICUT AVENUE NW	WASHINGTON	DC	20008	07/01/2024
CH03702AG	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01364	6514 GEORGIA AVENUE NW	WASHINGTON	DC	20012	07/01/2024
CH03702T	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01348	1100 4TH STREET SW	WASHINGTON	DC	20024	07/01/2024
CH03702AK	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01340	845 BLADENSBURG RD., N.E.	WASHINGTON	DC	20002	07/01/2024
CH03702AD	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	CVS PHARMACY # 17333	3100 14TH ST NW	WASHINGTON	DC	20010	07/01/2024
CH03702AY	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01363	2350 WASHINGTON PLACE SUITE 101-N	WASHINGTON	DC	20018	07/01/2024
CH03702AJ	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01335	3250 PENNSYLVANIA AVE SE	WASHINGTON	DC	20020	07/01/2024
CH03702AR	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA CVS/PHARMACY # 10287	645 H STREET, NE	WASHINGTON	DC	20002	07/01/2024
CH03702BA	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01333	3601 12TH STREET NE	WASHINGTON	DC	20017	07/01/2024
CH03702AB	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 00022	320 40TH STREET NE	WASHINGTON	DC	20019	07/01/2024
CH03702AP	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 02787	3642 GEORGIA AVE.	WASHINGTON	DC	20010	07/01/2024
CH03702AF	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01360	2724 GOOD HOPE RD SE	WASHINGTON	DC	20020-3014	07/01/2024
CH03702R	DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C	DBA: CVS/PHARMACY # 01366	128 KENNEDY ST NW	WASHINGTON	DC	20011	07/01/2024
CH03702A	EXCEL PHARMACY	EXCEL PHARMACY	3923 S CAPITOL ST SW UNIT A	WASHINGTON	DC	20032	10/01/2021
CH03702N	EXCEL PHARMACY	EXCEL PHARMACY	3923 S CAPITOL ST SW UNIT A	WASHINGTON	DC	20032	10/01/2024
CH03702A	GIANT OF MARYLAND LLC	1345 PARK ROAD, N.W.		WASHINGTON	DC	20010-2307	04/01/2021
CH03702A	GIANT PHARMACY #375	1050 BRENTWOOD RD NE		WASHINGTON	DC	20018	04/01/2021
CH03702A	GIANT PHARMACY #384	GIANT OF MARYLAND LLC	1535 ALABAMA AVENUE S.E	WASHINGTON	DC	20032	04/01/2021
CH03702A	GIANT PHARMACY 341	20 AUDREY LANE		OXON HILL	MD	20745	04/01/2021
CH03702A	GOODCARE PHARMACY INC.	2910 MARTIN LUTHER KING JR AVE SE		WASHINGTON	DC	20032-2522	07/01/2014	07/01/2016
CH03702A	GRUBB'S PHARMACY SE, INC.	GRUBBS PHARMACY SE, INC.	1800 MARTIN LUTHER KING JR AVE SE	WASHINGTON	DC	20020-6900	07/01/2014	07/01/2016
CH03702A	GRUBB'S PHARMACY SE, INC.	GRUBBS PHARMACY SE, INC.	1800 MARTIN LUTHER KING JR AVE SE	WASHINGTON	DC	20020-6900	04/01/2020
CH03702A	GRUBBS CARE PHARMACY NW INC.	GRUBB'S NW SPECIALTY PHARMACY	1517 17TH ST NW FL 1	WASHINGTON	DC	20036-6230	04/01/2020	09/21/2021
CH03702A	GRUBBS CARE PHARMACY NW INC.	1517 17TH ST NW		WASHINGTON	DC	20036	07/01/2022	04/29/2024
CH03702A	GRUBBS PHARMACY OF D C INC	GRUBBS CARE PHARMACY	326 E CAPITOL ST NE	WASHINGTON	DC	20003-3809	07/01/2014	07/01/2016
CH03702A	GRUBBS PHARMACY OF D C INC	GRUBBS CARE PHARMACY	326 E CAPITOL ST NE	WASHINGTON	DC	20003-3809	04/01/2020
CH03702A	H STREET CARE PHARMACY AND WELLNESS CENT	812 H STREET, NE		WASHINGTON	DC	20002	07/01/2014	07/01/2016
CH03702A	HOMETECH ADVANCED THERAPIES	505 ELMWOOD AVE		SHARON HILL	PA	19079	01/01/2017	02/16/2018
CH03702A	KALORAMA PHARMACY INC.	1841 COLUMBIA ROAD NW		WASHINGTON	DC	20009	04/01/2021
CH03702A	MARYLAND CVS PHARMACY, L.L.C	DBA CVS/PHARMACY # 10835	24288 THREE NOTCH RD.	HOLLYWOOD	MD	20636	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01469	4901 INDIAN HEAD HIGHWAY	OXON HILL	MD	20745	07/01/2015	08/08/2023
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 3517	825 WAYNE AVE.	SILVER SPRING	MD	20910	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01491	8859 BRANCH AVENUE	CLINTON	MD	20735	10/01/2019	07/15/2022
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	CVS PHARMACY # 17102	10401 MARTIN LUTHER KING JR HWY	BOWIE	MD	20720	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02221	3715 UNIVERSITY BOULEVARD WEST	KENSINGTON	MD	20895	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01495	11729 BELTSVILLE DR CALVERTON S/C	BELTSVILLE	MD	20705	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01486	5621 SARGENT ROAD	HYATTSVILLE	MD	20782	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03974	5407-17 HARFORD RD	BALTIMORE	MD	21214	10/01/2019	07/15/2022
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01434	7939 NEW HAMPSHIRE AVE	HYATTSVILLE	MD	20783-4609	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	CVS PHARMACY # 16395	10500 CAMPUS WAY S	UPPER MARLBORO	MD	20774	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01461	15600 COLUMBIA PIKE	BURTONSVILLE	MD	20866	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01463	1301 LAMBERTON DRIVE	SILVER SPRING	MD	20902	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01488	6260 CRAIN HWY.	LA PLATA	MD	20646	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01457	11906 LIVINGSTON RD.	FORT WASHINGTON	MD	20744	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01795	5100 BROWN STATION ROAD	UPPER MARLBORO	MD	20772	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01501	19100 MONTGOMERY VILLAGE AVE.	GAITHERSBURG	MD	20886	10/01/2019	03/08/2024
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05460	19901 FREDERICK RD.,	GERMANTOWN	MD	20876	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01800	7041 MARTIN LUTHER KING JR HWY	HYATTSVILLE	MD	20785	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01448	8201 ANNAPOLIS RD.	NEW CARROLLTON	MD	20784	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02373	3605 EAST WEST HIGHWAY	HYATTSVILLE	MD	20782	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01511	6221 OXON HILL ROAD	OXON HILL	MD	20745	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01436	3130 QUEENS CHAPEL ROAD	HYATTSVILLE	MD	20782	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03789	4840 MARLBORO PIKE	CAPITOL HEIGHTS	MD	20743	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02239	8201 OXON HILL ROAD	FORT WASHINGTON	MD	20744	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01433	5922 MARTIN LUTHER KING JR. HGWY.	SEAT PLEASANT	MD	20743	10/01/2019	01/01/2022
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01796	4200 ALTAMONT PL.	WHITE PLAINS	MD	20695	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01472	3714 BRANCH AVE.	TEMPLE HILLS	MD	20748	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01459	12359 GEORGIA AVENUE	SILVER SPRING	MD	20906	10/01/2019	07/15/2022
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01439	10113 NEW HAMPSHIRE AVENUE	SILVER SPRING	MD	20903	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01454	1910 CRAIN HIGHWAY	BOWIE	MD	20716	10/01/2019	07/15/2022
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02005	5870 SILVER HILL RD SILVER HILL PLAZA	DISTRICT HEIGHTS	MD	20747	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01453	5707 RIVERDALE ROAD	RIVERDALE	MD	20737	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00452	7607 GREENBELT ROAD	GREENBELT	MD	20770	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01456	10692 CAMPUS WAY S KETTERING S/C	UPPER MARLBORO	MD	20774	10/01/2019	07/15/2022
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01468	10141 COLESVILLE ROAD	SILVER SPRING	MD	20901	10/01/2019	07/15/2022
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01496	7050 ALLENTOWN ROAD	CAMP SPRINGS	MD	20748	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01506	6200 CENTRAL AVENUE	SEAT PLEASANT	MD	20743	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01477	1290 EAST-WEST HIGHWAY	SILVER SPRING	MD	20910	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01451	6920 LAUREL-BOWIE ROAD	BOWIE	MD	20715	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01444	7300 BALTIMORE AVE	COLLEGE PARK	MD	20740	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01476	7012 MARLBORO PIKE	FORESTVILLE	MD	20747	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01431	3110 OLNEY SANDY SPRING RD.	OLNEY	MD	20832	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02016	5910 GREENBELT ROAD	GREENBELT	MD	20770	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	CVS PHARMACY # 17216	60 SHINING WILLOW WAY	LA PLATA	MD	20646	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01440	12209 VIERS MILL ROAD	WHEATON	MD	20906	10/01/2019	12/22/2021
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #3047	8601 MARTIN LUTHER KING JR HIGHWAY	LANHAM	MD	20706	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01443	7401 ANNAPOLIS RD.	LANDOVER HILLS	MD	20784	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01489	6516 LANDOVER ROAD	LANDOVER	MD	20785	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01505	28 WATKINS PARK DRIVE	UPPER MARLBORO	MD	20774	10/01/2019	12/31/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05875	6001 HIGH BRIDGE RD.	BOWIE	MD	20720	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	CVS PHARMACY # 17017	3101 DONNELL DR	DISTRICT HEIGHTS	MD	20747	10/01/2019	12/31/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	CVS PHARMACY # 16753	11160 VEIRS MILL RD	SILVER SPRING	MD	20902	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01514	3611 BLADENSBURG ROAD	COLMAR MANOR	MD	20722	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01515	26020 POINT LOOKOUT RD.	LEONARDTOWN	MD	20650	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06765	2003 DAVIDSONVILLE RD.	CROFTON	MD	21114	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	CVS PHARMACY # 17010	3500 EAST WEST HWY STE 1200	HYATTSVILLE	MD	20782	10/01/2019
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01481	3061 TECHNOLOGY PLACE	WALDORF	MD	20601	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02522	3300 BELAIR RD.	BALTIMORE	MD	21213	10/01/2019	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01621	3855 LEONARDTOWN RD.	WALDORF	MD	20601	01/01/2020	07/15/2022
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01838	7035 INDIAN HEAD HIGHWAY	BRYANS ROAD	MD	20616	04/01/2020	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04199	34 N. CANNON AVE.	HAGERSTOWN	MD	21740	04/01/2020	09/17/2020
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	CVS/PHARMACY # 10751	934 NORTH CHARLES ST.	BALTIMORE	MD	21201	04/01/2021	07/15/2022
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01790	15100 BALTIMORE AVE.	LAUREL	MD	20707	04/01/2021	07/15/2022
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	CVS PHARMACY # 16397	3300 WESTERN PKWY	WALDORF	MD	20603	10/01/2021	07/15/2022
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01465	2210 VIERS MILL ROAD	ROCKVILLE	MD	20851	10/01/2021	07/15/2022
CH03702A	MARYLAND CVS PHARMACY, L.L.C.	CVS PHARMACY # 16502	12000 CHERRY HILL RD	SILVER SPRING	MD	20904	07/01/2022	03/08/2024
CH03702N	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01434	7939 NEW HAMPSHIRE AVE	HYATTSVILLE	MD	20783-4609	07/01/2024
CH03702V	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01506	6200 CENTRAL AVENUE	SEAT PLEASANT	MD	20743	07/01/2024
CH03702AZ	MARYLAND CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03789	4840 MARLBORO PIKE	CAPITOL HEIGHTS	MD	20743	07/01/2024
CH03702A	MIRAMED, INC.	1613 RHODE ISLAND AVENUE NE		WASHINGTON	DC	20018	07/01/2017	09/19/2017
CH03702A	MOUNT PLEASANT PHARMACY INC	3169 MT PLEASANT ST NW		WASHINGTON	DC	20010	07/01/2021
CH03702P	MOUNT PLEASANT PHARMACY INC	3169 MT PLEASANT ST NW		WASHINGTON	DC	20010	10/01/2024
CH03702A	NAI SATURN EASTERN LLC	DBA SAFEWAY PHARMACY #2808	3830 GEORGIA AVE NW	WASHINGTON	DC	20011	04/01/2017	01/13/2025
CH03702A	NAI SATURN EASTERN LLC	DBA SAFEWAY PHARMACY #1276	6500 PINEY BRANCH RD NW	WASHINGTON	DC	20012	04/01/2017	02/15/2021
CH03702A	NAI SATURN EASTERN LLC	DBA SAFEWAY PHARMACY #2737	490 L ST NW	WASHINGTON	DC	20001	04/01/2017	01/13/2025
CH03702A	NAI SATURN EASTERN LLC	DBA SAFEWAY PHARMACY #4202	1747 COLUMBIA RD NW	WASHINGTON	DC	20009	04/01/2017	01/13/2025
CH03702A	NAI SATURN EASTERN LLC	DBA SAFEWAY PHARMACY #4872	6235 OXON HILL RD	OXON HILL	MD	20745	04/01/2017	11/18/2017
CH03702A	NAI SATURN EASTERN LLC	DBA SAFEWAY PHARMACY #1445	2845 ALABAMA AVE SE	WASHINGTON	DC	20020	04/01/2017	01/13/2025
CH03702A	NAI SATURN EASTERN LLC	DBA SAFEWAY PHARMACY #4270	1601 MARYLAND AVE NE	WASHINGTON	DC	20002	04/01/2017	01/13/2025
CH03702A	NAI SATURN EASTERN LLC	DBA SAFEWAY PHARMACY #2892	1100 4TH ST SW STE 150	WASHINGTON	DC	20024	04/01/2017	01/13/2025
CH03702A	NAI SATURN EASTERN LLC	DBA SAFEWAY PHARMACY #4205	415 14TH ST SE	WASHINGTON	DC	20003	04/01/2017	11/23/2022
CH03702A	NAI SATURN EASTERN LLC	DBA SAFEWAY PHARMACY #2912	1855 WISCONSIN AVE NW	WASHINGTON	DC	20007	04/01/2017	01/06/2019
CH03702A	NAI SATURN EASTERN LLC	DBA SAFEWAY PHARMACY #1276	6500 PINEY BRANCH RD NW	WASHINGTON	DC	20012	03/04/2021	05/01/2021
CH03702A	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03592	1702 EAST INNES STREET	SALISBURY	NC	28146	01/01/2023
CH03702A	OPTUM PHARMACY 701, LLC	4100 S SAGINAW ST STE D		FLINT	MI	48507	10/18/2022
CH03702A	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	04/01/2021
CH03702A	OPTUM PHARMACY 705, LLC	1893 GENERAL GEORGE PATTON DR	STE 106	FRANKLIN	TN	37067-2655	04/01/2021
CH03702A	OPTUM PHARMACY 706, INC.	30-30 47TH AVENUE	SUITE 410	LONG ISLAND CITY	NY	11101	04/01/2021
CH03702A	OPTUM PHARMACY 801, INC.	24416 N 19TH AVE	STE. 100	PHOENIX	AZ	85085	04/01/2021
CH03702A	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	01/01/2019	10/01/2022
CH03702A	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2021
CH03702A	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY#2733	1601 17TH STREET NW	WASHINGTON	DC	20009	04/01/2020
CH03702A	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	01/01/2021
CH03702A	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	01/01/2021
CH03702A	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	01/01/2021
CH03702A	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY# 11235	9555 KINGS CHARTER DR., SUITE D	ASHLAND	VA	23005	10/01/2021	05/15/2023
CH03702A	SIERRA INTERNATIONAL PHARM CO	NEIGHBORHOOD PHARMACY	1932 MARTIN LUTHER KING JR AVE SE	WASHINGTON	DC	20020	10/01/2024
CH03702A	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05531	2195 MAGNOLIA STREET	ORANGEBURG	SC	29115	04/01/2020	01/15/2020
CH03702A	TRIPLE ALLIANCE PHARMACY INC	1219 BRENTWOOD RD NE		WASHINGTON	DC	20018	07/01/2016	09/15/2018
CH03702A	VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01413	7859 HERITAGE DRIVE	ANNANDALE	VA	22003	10/01/2019	09/17/2020
CH03702A	VIRGINIA CVS PHARMACY, L.L.C.	CVS PHARMACY # 17013	5115 LEESBURG PIKE	FALLS CHURCH	VA	22041	10/01/2019
CH03702A	VIRGINIA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16456	3101 RICHMOND HWY	ALEXANDRIA	VA	22305	10/01/2019	09/17/2020
CH03702A	VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02278	6400 LANDSDOWNE CENTER	ALEXANDRIA	VA	22315	10/01/2019	09/17/2020
CH03702A	VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01385	1462 BEAUREGARD STREET	ALEXANDRIA	VA	22311	10/01/2019	09/17/2020
CH03702A	VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02491	2400 RICHMOND HWY	ARLINGTON	VA	22202	10/01/2019	09/17/2020
CH03702A	VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01383	7205 LITTLE RIVER TURNPIKE	ANNANDALE	VA	22003	10/01/2019	03/08/2024
CH03702A	VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01410	415 E MONROE AVE	ALEXANDRIA	VA	22301	01/01/2020	09/17/2020
CH03702A	VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01373	433 SOUTH WASHINGTON STREET	ALEXANDRIA	VA	22314	04/01/2020	03/08/2024
CH03702A	VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02343	5101 DUKE STREET	ALEXANDRIA	VA	22304	04/01/2020	09/17/2020
CH03702A	VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01833	4238 WILSON BLVD BALLSTON COMMONS #1831	ARLINGTON	VA	22203	10/01/2021
CH03702A	VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07002	112 S. MAIN ST. / P.O. BOX 1017	AMHERST	VA	24521	10/01/2021
CH03702A	VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02142	3301 COLUMBIA PIKE	ARLINGTON	VA	22204	10/01/2021
CH03702A	VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01832	4338 DALE BLVD.	DALE CITY	VA	22193	10/01/2021	07/15/2022
CH03702A	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2019
CH03702A	WAL-MART PHARMACY 10-1717	11930 ACTON LANE		WALDORF	MD	20601	04/01/2016	07/01/2016
CH03702A	WAL-MART PHARMACY 10-1893	3300 NW CRAIN HWY		BOWIE	MD	20716	04/01/2016	07/01/2016
CH03702A	WAL-MART PHARMACY 10-2194	5885 KINGSTOWNE BLVD		ALEXANDRIA	VA	22315	04/01/2016	07/01/2016
CH03702A	WAL-MART PHARMACY 10-2258	7910 RICHMOND HWY		ALEXANDRIA (EAST)	VA	22306	04/01/2016	07/01/2016
CH03702A	WAL-MART PHARMACY 10-2799	8745 BRANCH AVENUE		CLINTON	MD	20735	04/01/2016	07/01/2016
CH03702A	WAL-MART PHARMACY 10-5129	6210 ANNAPOLIS RD		LANDOVER HILLS	MD	20784	04/01/2016	07/01/2016
CH03702A	WAL-MART PHARMACY 10-5315	2354 COMMERCE PARK DR.		ORLANDO	FL	32819	01/01/2021
CH03702A	WAL-MART PHARMACY 10-5753	6303 RICHMOND HIGHWAY		ALEXANDRIA	VA	22306	04/01/2016	07/01/2016
CH03702A	WAL-MART PHARMACY 10-5880	11181 LEE HWY		FAIRFAX	VA	22030	04/01/2016	07/01/2016
CH03702A	WAL-MART PHARMACY 10-5936	1500 B CORNERSIDE BLVD		VIENNA	VA	22182	04/01/2016	07/01/2016
CH03702A	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2019
CH03702A	WALGREEN CO	COMMUNITY A WALGREENS PHARMACY #15298	1325 14TH STREET NW	WASHINGTON	DC	20005	01/01/2019
CH03702A	WALGREEN CO.	DBA: WALGREENS #12472	7008 MARLBORO PIKE	FORESTVILLE	MD	20747	01/01/2019
CH03702A	WALGREEN CO.	DBA: WALGREENS #15360	801 7TH ST NW	WASHINGTON	DC	20001	01/01/2019
CH03702A	WALGREEN CO.	COMMUNITY, A WALGREENS PHARMACY #16419	1117 GOOD HOPE RD. SE	WASHINGTON	DC	20020	01/01/2019	01/04/2023
CH03702A	WALGREEN CO.	DBA: WALGREENS #16049	2041 GEORGIA AVE NW #1-J10	WASHINGTON	DC	20060	10/01/2020
CH03702A	WALGREEN CO.	WALGREENS #19546	4635 S CAPITOL ST SW	WASHINGTON	DC	20032-2717	10/01/2021	02/20/2023
CH03702A	WALGREEN CO.	DBA: WALGREENS #15949	111 MICHIGAN AVE NW STE 1107	WASHINGTON	DC	20010	10/01/2021
CH03702A	WALGREEN CO.	WALGREENS #19268	1401 RHODE ISLAND AVE NE	WASHINGTON	DC	20018-3708	10/01/2021	04/10/2024
CH03702A	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	01/01/2019	10/01/2021
CH03702A	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2019
CH03702A	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/01/2019
CH03702A	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/01/2019
CH03702A	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	10/01/2023	04/01/2024
CH03702A	WALMART PHARMACY 10-5941	99 H STREET NW		WASHINGTON	DC	20001	04/01/2016	07/01/2016
CH03702A	WALMART PHARMACY 10-5941	99 H STREET NW		WASHINGTON	DC	20001	10/01/2019
CH03702A	WALMART PHARMACY 10-5968	5929 GEORGIA AVE NW		WASHINGTON	DC	20011	04/01/2016	07/01/2016
CH03702A	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	07/01/2024
CH03702A	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01427	45 S. MINERAL ST.	KEYSER	WV	26726	10/01/2019	09/17/2020

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/7/2024 8:17:24 AM	2/14/2025 4:51:03 PM	2/14/2025 4:51 PM
Details	Last Recertification Date	Update	Recertification	2/8/2023 7:53:23 AM	2/7/2024 8:17:24 AM	2/7/2024 8:17 AM
Addresses	Billing Address	Update	Recertification	Unity Health Care, Inc Attn: Sheilahn Davis-Wyatt 1100 New Jersey Ave, SE Suite 500 Washington, DC 20003	Unity Health Care, Inc Attn: Leamsi Regalado Borges 1100 New Jersey Ave, SE Suite 500 Washington, DC 20003	2/8/2023 7:53 AM
Details	Last Recertification Date	Update	Recertification	2/6/2022 7:59:16 PM	2/8/2023 7:53:23 AM	2/8/2023 7:53 AM
Contacts	Primary Contact	Update	Profile Change Request	Borges, Leamsi Regalado Director for Pharmacy Operations Unity Health Care 2022580901	Borges, Leamsi Regalado Vice President of Pharmacy Operations Unity Health Care 2022580901	4/1/2022 4:07 PM
Details	Last Recertification Date	Update	Recertification	2/5/2021 10:32:47 AM	2/6/2022 7:59:16 PM	2/6/2022 7:59 PM
Contacts	Authorizing Official	Update	Group Change Request	KEANE, VINCENT A. CEO Unity Health Care 2027156562	Boyd, Jessica H. CEO Unity Health Care 2026723091	12/15/2021 12:44 PM
Details	Last Recertification Date	Update	Recertification	2/20/2020 1:56:37 PM	2/5/2021 10:32:47 AM	2/5/2021 10:32 AM
Contacts	Primary Contact	Update	Profile Change Request	Borges, Leamsi Director for Pharmacy Operations Unity Health Care, Inc 2027157945	Borges, Leamsi Regalado Director for Pharmacy Operations Unity Health Care 2022580901	10/27/2020 3:23 PM
Contacts	Primary Contact	Update	Change Request	Baylor, Shanese A. Director for Grants Management Unity Health Care 2027156561	Borges, Leamsi Director for Pharmacy Operations Unity Health Care, Inc 2027157945	8/19/2020 12:00 PM
Contacts	Primary Contact	Update	New Registration	Baylor, Shanese Director for Grants Management Unity Health Care 2027156561	Baylor, Shanese A. Director for Grants Management Unity Health Care 2027156561	7/14/2020 5:59 PM
Details	Last Recertification Date	Update	Recertification	2/6/2019 12:30:08 PM	2/20/2020 1:56:37 PM	2/20/2020 1:56 PM
Addresses	Billing Address	Update	Change Request	Unity Health Care, Inc Attn: Michael Crawford 1100 New Jersey Ave, SE Suite 500 Washington, DC 20003	Unity Health Care, Inc Attn: Sheilahn Davis-Wyatt 1100 New Jersey Ave, SE Suite 500 Washington, DC 20003	7/15/2019 10:50 AM
Contacts	Authorizing Official	Update	Profile Change Request	KEANE, VINCENT A. CEO Unity Health Care 2025186409	KEANE, VINCENT A. CEO Unity Health Care 2027156562	5/1/2019 3:43 PM
Contacts	Signed By	Update	Profile Change Request	KEANE, VINCENT A. CEO Unity Health Care 2025186409	KEANE, VINCENT A. CEO Unity Health Care 2027156562	5/1/2019 3:43 PM
Details	Last Recertification Date	Update	Recertification	2/12/2018 9:54:50 AM	2/6/2019 12:30:08 PM	2/6/2019 12:30 PM
Addresses	Billing Address	Insert	Change Request		Unity Health Care, Inc Attn: Michael Crawford 1100 New Jersey Ave, SE Suite 500 Washington, DC 20003	7/27/2018 11:18 AM
Details	Is Authorizing Official EHB Data	Update	Change Request	False		7/27/2018 11:18 AM
Details	Last Recertification Date	Update	Recertification	2/1/2017 12:00:00 AM	2/12/2018 9:54:50 AM	2/12/2018 9:54 AM
Contacts	Authorizing Official	Update		KEANE, VINCENT A. CEO 2025186409	KEANE, VINCENT A. CEO Unity Health Care 2025186409	1/24/2018 12:21 PM
Contacts	Signed By	Update		KEANE, VINCENT A. CEO 2025186409	KEANE, VINCENT A. CEO Unity Health Care 2025186409	1/24/2018 12:21 PM
Contacts	Primary Contact	Update		Baylor, Shanese Director for Grants Management 2027156561	Baylor, Shanese Director for Grants Management Unity Health Care 2027156561	1/24/2018 12:11 PM
Contacts	Authorizing Official	Insert			KEANE, VINCENT A. CEO 2025186409	5/15/2017 10:20 PM
Contacts	Signed By	Insert			KEANE, VINCENT A. CEO 2025186409	5/15/2017 10:20 PM
Contacts	Primary Contact	Insert			Baylor, Shanese Director for Grants Management 2027156561	5/1/2017 5:17 PM
Addresses	Main Address	Insert			4713 WISCONSIN AVE, NW WASHINGTON, DC 20016-4609	2/1/2017 9:58 PM
Details	Last Recertification Date	Update		2/22/2016 12:00:00 AM	2/1/2017 12:00:00 AM	2/1/2017 9:58 PM
Details	Last Recertification Date	Update			2/22/2016 12:00:00 AM	2/22/2016 2:41 PM
Dates	Participating Approval Date	Update			4/14/2015 12:00:00 AM	4/14/2015 1:00 PM
Details	State	Update		Pending	Active	4/14/2015 1:00 PM
Dates	Start Date	Update			7/1/2015 12:00:00 AM	4/14/2015 1:00 PM
Details	340B ID	Update		ONLINE_REG_50473	CH03702AB	4/3/2015 2:18 PM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_50473	4/2/2015 3:00 PM
Details	Last Recertification Date	Insert				4/2/2015 3:00 PM
Details	Grant Number	Insert			H80CS00070	4/2/2015 3:00 PM
Details	340B ID	Insert			ONLINE_REG	4/2/2015 3:00 PM
Details	Is Authorizing Official EHB Data	Insert			False	4/2/2015 3:00 PM
Dates	Last Date That 340B Drugs Purchased	Insert				4/2/2015 3:00 PM
Details	Medicare Provider Number	Insert				4/2/2015 3:00 PM
Details	Entity Name	Insert			UNITY HEALTH CARE, INC.	4/2/2015 3:00 PM
Details	Program Code	Insert			CH	4/2/2015 3:00 PM
Details	Entity Subname	Insert			Friendship Place	4/2/2015 3:00 PM
Dates	Participating Approval Date	Insert				4/2/2015 3:00 PM
Details	State	Insert			Pending	4/2/2015 3:00 PM
Dates	Registration Date	Insert			4/2/2015 12:00:00 AM	4/2/2015 3:00 PM
Dates	Signed By Date	Insert			4/2/2015 12:00:00 AM	4/2/2015 3:00 PM
Dates	Start Date	Insert				4/2/2015 3:00 PM
Terminations	Termination Comments	Insert				4/2/2015 3:00 PM
Terminations	Termination Date	Insert				4/2/2015 3:00 PM
Terminations	Termination Effective Date	Insert				4/2/2015 3:00 PM
Terminations	Termination Reason	Insert				4/2/2015 3:00 PM

340B Drug Pricing Program Database