Covered Entity Details

CHC16640-03 CONNECTICUT INSTITUTE FOR COMMUNITIES, INC. (Active) - information as of 5/2/2025 10:24:18 PM

Main Details

Name

CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.

Subdivision Name

Broadview Middle School

Type

HRSA-Funded Health Center

Site ID

BPS-H80-013443

340B ID

CHC16640-03

Grant Number

H80CS16640

Additional Details

Current Program Status

Active

Registration Date

7/8/2015

Participating Start Date

10/1/2015

Participating Approval Date

7/10/2015

Last Recertification Date

2/11/2025

Contacts

Authorizing Official

Connecticut Institute For Communities, Inc.
Katherine Curran, President & CEO
(203) 743-0100 Ext: 3421

Primary Contact

Connecticut Institute For Communities, Inc
Daniel Labrecque, Assoc General Counsel & Compliance/Risk Officer
(203) 743-9760 Ext: 403

Addresses

Street Address

72 Hospital Ave
Danbury, CT 06810-6021

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
CT	008004668,008050622,008058757	1215431234,1528499969,1780918045

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
CHC16640-00	Terminated	Admin	CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.	GREATER DANBURY COMMUNITY HEALTH CENTER	7 OLD SHERMAN TURNPIKE, SUITE 212	DANBURY	CT
CHC16640-01	Active	BPS-H80-014644	CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.	Newtown Middle School	11 QUEEN ST	NEWTOWN	CT
CHC16640-02	Active	BPS-H80-013445	CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.	Rogers Park Middle School	21 Memorial Drive	Danbury	CT
CHC16640-03	Active	BPS-H80-013443	CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.	Broadview Middle School	72 Hospital Ave	Danbury	CT
CHC16640-04	Active	BPS-H80-013441	CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.	Danbury High School	43 Clapboard Ridge	Danbury	CT
CHC16640-05	Active	BPS-H80-011978	CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.	GDCHC HATS Satellite Site	21 Hayestown Ave	Danbury	CT
CHC16640-06	Terminated	BPS-H80-010883	CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.	CIFC/CHCGD Mobile Health Unit	120 Main St	Danbury	CT
CHC16640-07	Terminated	BPS-H80-009169	CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.	Greater Danbury Community Health Center	57 North Street	Danbury	CT
CHC16640-08	Terminated	BPS-H80-016990	CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.	Danbury Head Start Center	37 FOSTER ST	DANBURY	CT
CHC16640-09	Active	BPS-H80-017582	CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.	GDCHC Main Street Satellite	70 Main Street	Danbury	CT
CHC16640-10	Active	BPS-H80-018371	CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.	Greater Danbury Community Health Center	120 Main St	Danbury	CT
CHC16640-11	Active	BPS-H80-021359	CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.	GDCHC West Street Satelite	152 West Street, Suite SE - 1	Danbury	CT
CHC16640-12	Active	BPS-H80-021408	Connecticut Institute for Communities, Inc.	Ellsworth Avenue Elementary School Dental Suite	53 Ellsworth Ave	Danbury	CT
CHC16640-13	Active	BPS-H80-034098	Connecticut Institute for Communities, Inc.	GDCHC	132 Main St	Danbury	CT
CHC16640-14	Active	BPS-H80-033690	Connecticut Institute for Communities, Inc.	New Milford High School	388 Danbury Rd	New Milford	CT
CHC16640-15	Active	BPS-H80-033691	Connecticut Institute for Communities, Inc.	Schaghticoke Middle School	23 Hipp Rd	New Milford	CT
CHC16640-16	Active	BPS-H80-034749	Connecticut Institute for Communities, Inc.	Sarah Noble Intermediate School	25 Sunny Valley Rd	New Milford	CT
CHC16640-17	Active	BPS-H80-035102	Connecticut Institute for Communities, Inc.	Northville Elementary School	22 Hipp Rd	New Milford	CT
CHC16640-18	Active	BPS-H80-034750	Connecticut Institute for Communities, Inc.	Hill and Plain Elementary School	60 Old Town Park Rd	New Milford	CT
CHC16640-19	Active	BPS-H80-036771	Connecticut Institute for Communities, Inc.	Brookfield High School	45 Long Meadow Hill Road	Brookfield	CT
CHC16640-20	Active	BPS-H80-037431	CONNECTICUT INSTITUTE FOR COMMUNITIES	Westside Middle School Academy	1 School Ridge Rd	Danbury	CT
CHC16640-21	Active	BPS-H80-038202	CONNECTICUT INSTITUTE FOR COMMUNITIES	CIFC Health Mobile Health Unit	120 Main St	Danbury	CT

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC16640-00	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	04/01/2017	04/01/2018
CHC16640-10	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	03/15/2018
CHC16640-10	AZ PHARMACY, LLC	DBA AMAZON PHARMACY #002	3809 E WATKINS ST	PHOENIX	AZ	85034	04/01/2019
CHC16640-10	BIG Y PHARMACY #56	1 KENT RD		NEW MILFORD	CT	06776-3405	04/01/2022
CHC16640-10	BIG Y PHARMACY #59	BIG Y FOODS, INC.	504 WINSTED RD	TORRINGTON	CT	06790	04/01/2022
CHC16640-10	BIG Y PHARMACY #82	81 STONY HILL RD		BETHEL	CT	06801-3038	04/01/2022
CHC16640-00	DELIVERCARERX PHARMACY LLC	DELIVERCARERX PHARMACY LLC	1471 E BUSINESS CENTER DR STE 200	MT PROSPECT	IL	60056	04/01/2017	04/01/2018
CHC16640-10	DELIVERCARERX PHARMACY LLC	DELIVERCARERX PHARMACY LLC	1471 E BUSINESS CENTER DR STE 200	MT PROSPECT	IL	60056	03/15/2018	02/04/2020
CHC16640-10	M.N. PHARMACY LLC	DBA AMAZON PHARMACY #003	6701 NW 7TH ST., STE. #199	MIAMI	FL	33126	07/01/2018
CHC16640-10	MAIN STREET PHARMACY #2	345 MAIN ST	STE 7	DANBURY	CT	06810-5847	01/01/2019
CHC16640-09	MAIN STREET PHARMACY #2	345 MAIN ST	STE 7	DANBURY	CT	06810-5847	07/01/2024
CHC16640-13	MAIN STREET PHARMACY #2	345 MAIN ST	STE 7	DANBURY	CT	06810-5847	07/01/2024
CHC16640-10	PILLPACK LLC	DBA PILLPACK BY AMAZON PHARMACY	250 COMMERCIAL ST STE 2012	MANCHESTER	NH	03101	07/01/2018
CHC16640-10	THE STOP & SHOP SUPERMARKT CO	DBA STOP & SHOP PHARMACY#644	44 LAKE AVE EXTENSION	DANBURY	CT	06811-5244	10/01/2021
CHC16640-13	THE STOP & SHOP SUPERMARKT CO	DBA STOP & SHOP PHARMACY#644	44 LAKE AVE EXTENSION	DANBURY	CT	06811-5244	07/01/2024
CHC16640-11	THE STOP & SHOP SUPERMARKT CO	DBA STOP & SHOP PHARMACY#644	44 LAKE AVE EXTENSION	DANBURY	CT	06811-5244	07/01/2024
CHC16640-10	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2021
CHC16640-10	WAL-MART PHARMACY 10-3543	67 NEWTOWN ROAD		DANBURY	CT	06810	10/01/2021
CHC16640-13	WAL-MART PHARMACY 10-3543	67 NEWTOWN ROAD		DANBURY	CT	06810	01/01/2024
CHC16640-09	WAL-MART PHARMACY 10-3543	67 NEWTOWN ROAD		DANBURY	CT	06810	07/01/2024
CHC16640-11	WAL-MART PHARMACY 10-3543	67 NEWTOWN ROAD		DANBURY	CT	06810	07/01/2024
CHC16640-10	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2021
CHC16640-00	WALGREEN EASTERN CO. INC	DBA: WALGREENS #15590	95 LOCUST AVENUE SUITE 100	DANBURY	CT	06810	01/01/2014	04/01/2018
CHC16640-10	WALGREEN EASTERN CO. INC	DBA: WALGREENS #15590	95 LOCUST AVENUE SUITE 100	DANBURY	CT	06810	03/15/2018
CHC16640-11	WALGREEN EASTERN CO. INC	DBA: WALGREENS #15590	95 LOCUST AVENUE SUITE 100	DANBURY	CT	06810	01/01/2024
CHC16640-09	WALGREEN EASTERN CO. INC	DBA: WALGREENS #15590	95 LOCUST AVENUE SUITE 100	DANBURY	CT	06810	07/01/2024
CHC16640-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03523	75 MAIN ST # 83	DANBURY	CT	06810	01/01/2014	04/01/2018
CHC16640-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #06968	101 FEDERAL ROAD	DANBURY	CT	06811	01/01/2015	04/01/2018
CHC16640-10	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03523	75 MAIN ST # 83	DANBURY	CT	06810	03/15/2018
CHC16640-10	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #06968	101 FEDERAL ROAD	DANBURY	CT	06811	03/15/2018
CHC16640-10	WALGREEN EASTERN CO., INC.	RITE AID #10385	1 PADANARAM RD. STE B	DANBURY	CT	06811	07/01/2018	05/21/2019
CHC16640-10	WALGREEN EASTERN CO., INC.	WALGREENS #19560	173 DANBURY RD	NEW MILFORD	CT	06776	10/01/2018
CHC16640-10	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07258	370 MAIN STREET S	SOUTHBURY	CT	06488-4200	01/01/2022
CHC16640-10	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12315	49 S. MAIN ST.	NEWTOWN	CT	06470	01/01/2022
CHC16640-09	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03523	75 MAIN ST # 83	DANBURY	CT	06810	01/01/2024
CHC16640-13	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03523	75 MAIN ST # 83	DANBURY	CT	06810	07/01/2024
CHC16640-09	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12315	49 S. MAIN ST.	NEWTOWN	CT	06470	07/01/2024
CHC16640-09	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #06968	101 FEDERAL ROAD	DANBURY	CT	06811	07/01/2024
CHC16640-11	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03523	75 MAIN ST # 83	DANBURY	CT	06810	07/01/2024
CHC16640-11	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #06968	101 FEDERAL ROAD	DANBURY	CT	06811	07/01/2024
CHC16640-00	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	01/01/2014	08/03/2015
CHC16640-10	WALGREENS MAIL SERVICE, LLC	WALGREENS MAIL SERVICE #03397	8350 S RIVER PARKWAY	TEMPE	AZ	85284	07/01/2018
CHC16640-10	WALGREENS.COM, INC.	DBA: WALGREENS	2225 S. PRICE ROAD	CHANDLER	AZ	85286	07/01/2018

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/8/2024 9:32:41 AM	2/11/2025 12:56:28 PM	2/11/2025 12:56 PM
Details	Last Recertification Date	Update	Recertification	1/31/2023 10:50:47 AM	2/8/2024 9:32:41 AM	2/8/2024 9:32 AM
Details	Last Recertification Date	Update	Recertification	2/3/2022 11:14:08 AM	1/31/2023 10:50:47 AM	1/31/2023 10:50 AM
Details	Last Recertification Date	Update	Recertification	2/2/2021 8:09:11 AM	2/3/2022 11:14:08 AM	2/3/2022 11:14 AM
Contacts	Authorizing Official	Update	Profile Change Request	Curran, Katherine Chief Operating Officer Connecticut Institute For Communities, Inc. 2037430100-121	Curran, Katherine President & CEO Connecticut Institute For Communities, Inc. 2037430100-3421	2/2/2022 6:30 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1215431234	2/2/2021 8:09 AM
Medicaid Billing	NPI: State	Insert	Recertification		CT	2/2/2021 8:09 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1528499969	2/2/2021 8:09 AM
Medicaid Billing	NPI: State	Insert	Recertification		CT	2/2/2021 8:09 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1780918045	2/2/2021 8:09 AM
Medicaid Billing	NPI: State	Insert	Recertification		CT	2/2/2021 8:09 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1780918045 ( )		2/2/2021 8:09 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1528499969 ( )		2/2/2021 8:09 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1215431234 ( )		2/2/2021 8:09 AM
Contacts	Primary Contact	Update	Recertification	MALONEY, JAMES H. PRESIDENT/CEO Connecticut Institute For Communities, Inc. 2037439760-202	Labrecque, Daniel Assoc General Counsel & Compliance/Risk Officer Connecticut Institute For Communities, Inc 2037439760-403	2/2/2021 8:09 AM
Details	Last Recertification Date	Update	Recertification	1/28/2020 10:23:23 AM	2/2/2021 8:09:11 AM	2/2/2021 8:09 AM
Details	Last Recertification Date	Update	Recertification	1/29/2019 12:01:41 PM	1/28/2020 10:23:23 AM	1/28/2020 10:23 AM
Details	Last Recertification Date	Update	Recertification	2/9/2018 10:47:12 AM	1/29/2019 12:01:41 PM	1/29/2019 12:01 PM
Addresses	Shipping Address	Delete	Change Request	Connecticut Institute For Communities, Inc. 120 Main Street Danbury, CT 06810		7/25/2018 2:23 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	7/25/2018 12:30 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		008004668	7/25/2018 12:30 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		CT	7/25/2018 12:30 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	7/25/2018 12:30 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		008050622	7/25/2018 12:30 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		CT	7/25/2018 12:30 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	7/25/2018 12:30 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		008058757	7/25/2018 12:30 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		CT	7/25/2018 12:30 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1780918045	7/25/2018 12:30 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1528499969	7/25/2018 12:30 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1215431234	7/25/2018 12:30 PM
Contacts	Primary Contact	Update	Recertification	Curran, Katherine Chief Operating Officer Connecticut Institute For Communities, Inc. 2037430100-121	MALONEY, JAMES H. PRESIDENT/CEO Connecticut Institute For Communities, Inc. 2037439760-202	2/9/2018 10:47 AM
Details	Last Recertification Date	Update	Recertification	2/17/2017 12:00:00 AM	2/9/2018 10:47:12 AM	2/9/2018 10:47 AM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/9/2018 10:47 AM
Contacts	Authorizing Official	Update		Curran, Katherine Chief Operating Officer 2037430100-121	Curran, Katherine Chief Operating Officer Connecticut Institute For Communities, Inc. 2037430100-121	11/13/2017 2:18 PM
Contacts	Primary Contact	Update		Curran, Katherine Chief Operating Officer 2037430100-121	Curran, Katherine Chief Operating Officer Connecticut Institute For Communities, Inc. 2037430100-121	11/13/2017 2:18 PM
Addresses	Main Address	Insert			72 Hospital Ave Danbury, CT 06810-6021	7/31/2017 8:11 AM
Contacts	Signed By	Insert			Trumbley, Diana GDCHC Practice Administrator & Deputy Finance Director 2037430100-305	7/31/2017 8:11 AM
Contacts	Authorizing Official	Insert			Curran, Katherine Chief Operating Officer 2037430100-121	7/31/2017 8:11 AM
Contacts	Primary Contact	Insert			Curran, Katherine Chief Operating Officer 2037430100-121	7/31/2017 8:11 AM
Addresses	Shipping Address	Insert			Connecticut Institute For Communities, Inc. 120 Main Street Danbury, CT 06810	2/17/2017 10:30 AM
Details	Last Recertification Date	Update		2/26/2016 12:00:00 AM	2/17/2017 12:00:00 AM	2/17/2017 10:30 AM
Details	Last Recertification Date	Update			2/26/2016 12:00:00 AM	2/26/2016 9:43 AM
Dates	Participating Approval Date	Update			7/10/2015 12:00:00 AM	7/10/2015 10:14 AM
Details	State	Update		Pending	Active	7/10/2015 10:14 AM
Dates	Start Date	Update			10/1/2015 12:00:00 AM	7/10/2015 10:14 AM
Details	340B ID	Update		ONLINE_REG_52578	CHC16640-03	7/9/2015 12:56 PM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_52578	7/8/2015 12:27 PM
Details	Last Recertification Date	Insert				7/8/2015 12:27 PM
Details	Grant Number	Insert			H80CS16640	7/8/2015 12:27 PM
Details	340B ID	Insert			ONLINE_REG	7/8/2015 12:27 PM
Details	Is Authorizing Official EHB Data	Insert			False	7/8/2015 12:27 PM
Dates	Last Date That 340B Drugs Purchased	Insert				7/8/2015 12:27 PM
Details	Medicare Provider Number	Insert				7/8/2015 12:27 PM
Details	Entity Name	Insert			CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.	7/8/2015 12:27 PM
Details	Program Code	Insert			CH	7/8/2015 12:27 PM
Details	Entity Subname	Insert			Broadview Middle School	7/8/2015 12:27 PM
Dates	Participating Approval Date	Insert				7/8/2015 12:27 PM
Details	State	Insert			Pending	7/8/2015 12:27 PM
Dates	Registration Date	Insert			7/8/2015 12:00:00 AM	7/8/2015 12:27 PM
Dates	Signed By Date	Insert			7/8/2015 12:00:00 AM	7/8/2015 12:27 PM
Dates	Start Date	Insert				7/8/2015 12:27 PM
Terminations	Termination Comments	Insert				7/8/2015 12:27 PM
Terminations	Termination Date	Insert				7/8/2015 12:27 PM
Terminations	Termination Effective Date	Insert				7/8/2015 12:27 PM
Terminations	Termination Reason	Insert				7/8/2015 12:27 PM

340B Drug Pricing Program Database