340B Drug Pricing Program Database


CHC12886-04 LOWER LIGHTS CHRISTIAN HEALTH CENTER INC (Terminated) - information as of 4/25/2025 6:32:24 PM

Main Details
LOWER LIGHTS CHRISTIAN HEALTH CENTER INC
Lower Lights Christian Health Center, Inc.
HRSA-Funded Health Center
BPS-H80-008258
CHC12886-04
H80CS12886


Additional Details
Terminated
7/9/2015
10/1/2015
7/20/2015
2/6/2019

4/1/2020
Site closure

Contacts

Lower Lights Christian Health Center
Tracy Cloud, CEO
(614) 274-1455 Ext: 6000

Lower Lights Christian Health Center
Melodie Gee, CQO
(614) 274-1455 Ext: 6400

Addresses

1251 West Broad St.
Columbus, OH 43222-1359

Same as Street Address


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

Yes
StateMedicaid NumberNPI Number
  1275999724,1427492735
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC12886-00ActiveBPS-H80-011298LOWER LIGHTS CHRISTIAN HEALTH CENTER INCLower Lights Christian Health Center1160 W Broad St ColumbusOH
CHC12886-01ActiveBPS-H80-010705LOWER LIGHTS CHRISTIAN HEALTH CENTER INCThe Nursing Center for Family Health777 W State St STE 201 ColumbusOH
CHC12886-02ActiveBPS-H80-013197LOWER LIGHTS CHRISTIAN HEALTH CENTER INCWalnut Street Health Center773 S Walnut St MarysvilleOH
CHC12886-03ActiveBPS-H80-014020LOWER LIGHTS CHRISTIAN HEALTH CENTER INCGerman Village1560 S HIGH ST COLUMBUSOH
CHC12886-04TerminatedBPS-H80-008258LOWER LIGHTS CHRISTIAN HEALTH CENTER INCLower Lights Christian Health Center, Inc.1251 West Broad St. ColumbusOH
CHC12886-05ActiveBPS-H80-031947LOWER LIGHTS CHRISTIAN HEALTH CENTER INCLower Lights Linden2028 Cleveland Avenue COLUMBUSOH
CHC12886-06ActiveBPS-H80-015069LOWER LIGHTS CHRISTIAN HEALTH CENTER INCVineyard Cooper Road6000 COOPER RD WESTERVILLEOH
CHC12886-07ActiveBPS-H80-036324LOWER LIGHTS CHRISTIAN HEALTH Center IncLower Lights Health Newark69 S. Terrace Avenue NewarkOH
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC12886-00ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750201/01/2024  
CHC12886-00ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201001/01/2024  
CHC12886-00ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884901/01/2024  
CHC12886-00ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282201/01/2024  
CHC12886-00ACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607501/01/2024  
CHC12886-00ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349201/01/2024  
CHC12886-00ACCREDO HEALTH GROUP, INC.WHOLESALE DIVISION 1680 CENTURY CENTER PARKWAY, SUITE 8
SUITE 8 		MEMPHISTN3813404/01/2024  
CHC12886-00ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280904/01/2024  
CHC12886-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267004/01/2024  
CHC12886-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526104/01/2024  
CHC12886-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771304/01/2024  
CHC12886-00CARDINAL HEALTH 133, INC.D.B.A DAVE'S PHARMACY 411 W. 5TH ST.
MARYSVILLEOH4304004/01/2021 07/22/2024
CHC12886-00CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2022  
CHC12886-00CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2022  
CHC12886-01CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/01/2025  
CHC12886-00CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/01/2022  
CHC12886-00CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2022  
CHC12886-00CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2022  
CHC12886-05CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808307/01/2025  
CHC12886-00CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2022  
CHC12886-00CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2022  
CHC12886-00CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813301/01/2022  
CHC12886-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237401/01/2022  
CHC12886-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/01/2022  
CHC12886-00CHARITABLE PHARMACY OF CENTRAL OHIO1160 W BROAD ST
COLUMBUSOH4322207/01/2013 08/17/2018
CHC12886-01CHARITABLE PHARMACY OF CENTRAL OHIO1160 W BROAD ST
COLUMBUSOH4322201/01/2014 10/11/2022
CHC12886-03CHARITABLE PHARMACY OF CENTRAL OHIO@LOWER LIGHTS CHRISTIAN HEALTH CTR 1160 W. BROAD STREET
COLUMBUSOH4322210/01/2014 10/11/2022
CHC12886-00CHARITABLE PHARMACY OF CENTRAL OHIO, INC.200 LIVINGSTON AVENUE
COLUMBUSOH43215-571511/15/2012 03/25/2016
CHC12886-01CHARITABLE PHARMACY OF CENTRAL OHIO, INC.200 LIVINGSTON AVENUE
COLUMBUSOH43215-571501/01/2014 03/25/2016
CHC12886-03CHARITABLE PHARMACY OF CENTRAL OHIO, INC.200 LIVINGSTON AVENUE
COLUMBUSOH43215-571510/01/2014 03/25/2016
CHC12886-00CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/01/2022  
CHC12886-00CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/01/2022  
CHC12886-00CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2022  
CHC12886-02CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502807/01/2025  
CHC12886-00CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503304/01/2024  
CHC12886-00DAVE'S PHARMACY411 W 5TH ST
MARYSVILLEOH43040-101901/01/2020 04/01/2021
CHC12886-00DOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K 		GREENVILLESC29607-654104/01/2024  
CHC12886-00ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111201/01/2024  
CHC12886-00EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313401/01/2024  
CHC12886-00EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801601/01/2024  
CHC12886-00EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607501/01/2024  
CHC12886-00GENOA HEALTHCARE LLC1301 NORTH HIGH STREET
COLUMBUSOH4320104/01/2025  
CHC12886-00GENOA HEALTHCARE LLC1744 PAYNE AVE STE P1
CLEVELANDOH4411404/01/2025  
CHC12886-00GENOA HEALTHCARE LLC3556 SULLIVANT AVE, ROOM 201
COLUMBUSOH4320404/01/2025  
CHC12886-00GENOA HEALTHCARE LLC110 BEAVERCREEK RD, STE 102
OREGON CITYOR9704504/01/2025  
CHC12886-00GENOA HEALTHCARE LLC701 BROOKSEDGE PLAZA DR STE C
WESTERVILLEOH4308104/01/2025  
CHC12886-00GENOA HEALTHCARE LLC1832 ADAMS STREET, SUITE P
TOLEDOOH4360404/01/2025  
CHC12886-00GENOA HEALTHCARE LLC700 BROOKSEDGE BLVD, STE 100
WESTERVILLEOH4308104/01/2025  
CHC12886-00GIANT EAGLE PHARMACY # 65194780 W. BROAD STREET
COLUMBUSOH4322807/01/2020  
CHC12886-00GIANT EAGLE PHARMACY #022120160 CENTER RIDGE ROAD, SUITE 201
ROCKY RIVEROH4411607/01/2020  
CHC12886-00GIANT EAGLE PHARMACY #65262173 STRINGTOWN RD
GROVE CITYOH4312307/01/2020  
CHC12886-00GIANT EAGLE PHARMACY #89912500 LOVI RD
FREEDOMPA1504207/01/2020  
CHC12886-00HEALTHLAND PHARMACY LLC1979 CLEVELAND AVE
COLUMBUSOH4321101/01/2022 07/12/2024
CHC12886-00KROGER #N-926910 HEBRON ROAD
HEATHOH4305601/01/2022 01/05/2023
CHC12886-00KROGER COLUMBUS CENTRAL FILL #0192270 RICKENBACKER PKWY W
COLUMBUSOH4321701/01/2020  
CHC12886-00KROGER PHARMACY2161 EAKIN RD
COLUMBUSOH4322301/01/2020  
CHC12886-00KROGER PHARMACY5800 W. BROAD STREET
GALLOWAYOH4311901/01/2020  
CHC12886-00KROGER PHARMACY1441 PARSONS AVE
COLUMBUSOH43207-124707/01/2020  
CHC12886-00KROGER PHARMACY #0165143588 GENDER RD
CANAL WINCHESTEROH4311007/01/2020  
CHC12886-00KROGER PHARMACY #16621600 E MAIN ST
HEBRONOH4302501/01/2022 01/05/2023
CHC12886-00KROGER PHARMACY #5491501 WEST 5TH ST
MARYSVILLEOH4304004/01/2023  
CHC12886-00KROGER PHARMACY #569150 WEST SYCAMORE ST.
COLUMBUSOH4321507/01/2020  
CHC12886-00KROGER PHARMACY #5931745 MORSE ROAD
COLUMBUSOH4322904/01/2024  
CHC12886-00KROGER PHARMACY N-5871350 NORTH HIGH ST
COLUMBUSOH4320101/01/2020  
CHC12886-00KROGER PHARMACY N-5983600 SOLDANO BLVD
COLUMBUSOH4322801/01/2020  
CHC12886-00KROGER SAV-ON PHARMACY N-8153637 S HIGH STREET
COLUMBUSOH4320707/01/2020  
CHC12886-00MEMORIAL HEALTHDBA: DAVE'S PHARMACY 411 W 5TH ST
MARYSVILLEOH4304004/01/2025  
CHC12886-00NEWARK RX LLCD.B.A NEWARK PHARMACY 57 W MAIN ST
NEWARKOH4305507/01/2024  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06198 2020 EAKIN RD.
COLUMBUSOH4322301/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03412 3307 E BROAD ST
COLUMBUSOH4321301/01/2020 08/15/2022
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 04223 3100 CLEVELAND AVE.
COLUMBUSOH4322401/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03238 1500 LOCKBOURNE RD
COLUMBUSOH4320601/01/2020 12/12/2023
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06953 6659 E. MAIN ST.
REYNOLDSBURGOH4306801/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06182 3499 CLIME RD
COLUMBUSOH4322301/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06178 143 E. SANDUSKY AVE.
BELLEFONTAINEOH4331101/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06158 1211 MORSE RD.
COLUMBUSOH4322901/01/2020 04/01/2022
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 04621 1001 NORTON RD.
GALLOWAYOH4311901/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06946 4548 E. MAIN ST.
WHITEHALLOH4321301/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06159 1515 W. BROAD ST.
COLUMBUSOH4322201/01/2020 11/01/2022
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03481 969 WEST 5TH STREET
MARYSVILLEOH4304001/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA CVS/PHARMACY # 5060 3424 S. HIGH STREET
COLUMBUSOH4320701/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03405 109 S. HIGH ST.
COLUMBUSOH4321501/01/2020 04/01/2022
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06153 2532 E. MAIN ST.
COLUMBUSOH4320901/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 02540 4961 ROBERTS ROAD
HILLIARDOH4302601/01/2020 04/01/2022
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06192 2120 STRINGTOWN RD.
GROVE CITYOH4312301/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03413 4400 CLEVELAND AVE
COLUMBUSOH4322401/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06949 4801 W. BROAD ST.
COLUMBUSOH4322801/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03193 1400 PARSONS AVE.
COLUMBUSOH4320601/01/2020 08/01/2023
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05436 2100 EAST DUBLIN-GRANVILLE ROAD
COLUMBUSOH4322901/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05715 3355 EAST LIVINGSTON AVE
COLUMBUSOH4322701/01/2020 03/15/2023
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 01223 3575 BROADWAY
GROVE CITYOH4312301/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03484 591 E. LIVINGSTON AVE.
COLUMBUSOH4321501/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06147 1495 WEST 5TH AVE.
COLUMBUSOH4321210/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03992 620 S. CLEVELAND AVE.
WESTERVILLEOH4308110/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05949 775 NEIL AVE
COLUMBUSOH4321510/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06188 111 SOUTH MEMORIAL DRIVE
LANCASTEROH4313010/01/2020 04/01/2022
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03410 60 N. STYGLER RD.
COLUMBUSOH4323010/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03461 3920 LINDEN AVE.
DAYTONOH4543210/01/2020 04/01/2022
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06950 2680 N. HIGH ST.
COLUMBUSOH4320210/01/2020  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05717 3506 GENDER RD.
CANAL WINCHESTEROH4311001/01/2022  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06191 214 LAFAYETTE ST.
LONDONOH4314001/01/2022  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06148 190 S. SANDUSKY ST.
DELAWAREOH4301501/01/2022  
CHC12886-00OHIO CVS STORES, L.L.C.CVS PHARMACY # 16383 270 AIRPORT PKWY
HEATHOH4305601/01/2022  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 02405 955 N. 21ST STREET
NEWARKOH4305501/01/2022  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 02518 2160 N. HIGH ST.
COLUMBUSOH4320101/01/2022  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05918 933 BETHEL ROAD
COLUMBUSOH4321401/01/2022  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06163 711 PARK RD.
WORTHINGTONOH4308501/01/2022 11/25/2024
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03094 379 E. MAIN ST
NEWARKOH4305501/01/2022  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 09898 2929 STELZER RD.
COLUMBUSOH4321901/01/2022  
CHC12886-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03174 1370 WEST MAIN STREET
NEWARKOH4305501/01/2022  
CHC12886-00OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713001/01/2022  
CHC12886-03OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713007/01/2025  
CHC12886-00OPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729801/01/2022  
CHC12886-00OPTUM PHARMACY 705, LLC1893 GENERAL GEORGE PATTON DR STE 106
FRANKLINTN37067-265501/01/2022  
CHC12886-00OPTUM PHARMACY 706, INC.30-30 47TH AVENUE SUITE 410
LONG ISLAND CITYNY1110101/01/2022  
CHC12886-06OPTUM PHARMACY 706, INC.30-30 47TH AVENUE SUITE 410
LONG ISLAND CITYNY1110107/01/2025  
CHC12886-00PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/01/2022  
CHC12886-07PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514607/01/2025  
CHC12886-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920301/01/2022  
CHC12886-00PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523301/01/2023  
CHC12886-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #11338 10160 INTERNATIONAL BLVD.
WEST CHESTEROH4524607/01/2025  
CHC12886-00RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255004/01/2024  
CHC12886-00RIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500204/01/2024  
CHC12886-00SANTA BARBARA SPECIALTY PHARMACYSANTA BARBARA SPECIALTY PHARMACY LLC DBA 4690 CARPINTERIA AVE STE B
CARPINTERIACA93013-187504/01/2024  
CHC12886-00THE KROGER CO2000 E MAIN STREET N315
COLUMBUSOH4320507/01/2020  
CHC12886-00THE KROGER COKROGER SAV-ON #128 1155 N 21ST ST
NEWARKOH4305501/01/2022 01/05/2023
CHC12886-00TWC PHARMACY AND WELLNESS CENTER LLC273A W SCHROCK RD
WESTERVILLEOH4308111/15/2012 03/25/2016
CHC12886-01TWC PHARMACY AND WELLNESS CENTER LLC273A W SCHROCK RD
WESTERVILLEOH4308101/01/2014 03/25/2016
CHC12886-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2020 06/26/2024
CHC12886-00WAL-MART PHARMACY 10-1594911 HEBRON RD
HEATHOH4305601/01/2022 06/26/2024
CHC12886-00WAL-MART PHARMACY 10-1595555 COLEMANS CROSSING BLVD
MARYSVILLEOH4304001/01/2020 06/26/2024
CHC12886-00WAL-MART PHARMACY 10-26663579 SO. HIGH ST (US23)
COLUMBUS (SOUTH)OH4320701/01/2020 06/26/2024
CHC12886-00WAL-MART PHARMACY 10-51851221 GEORGESVILLE RD
COLUMBUS(WSW)OH4322801/01/2020 06/26/2024
CHC12886-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2020 06/26/2024
CHC12886-00WALGREEN CO.DBA: WALGREENS # 07523 5690 W BROAD STREET
GALLOWAYOH4311910/01/2020  
CHC12886-00WALGREEN CO.DBA: WALGREENS # 07942 4617 E MAIN ST
WHITEHALLOH43213-321910/01/2020  
CHC12886-00WALGREEN CO.DBA: WALGREENS # 06981 1280 DEMOREST ROAD
COLUMBUSOH4320410/01/2020  
CHC12886-00WALGREEN CO.WALGREENS SPECIALTY PHARMACY #16422 114 W 3RD AVE STE 114
COLUMBUSOH4320110/01/2020  
CHC12886-00WALGREEN CO.DBA: WALGREENS # 07973 2110 STRINGTOWN RD
GROVE CITYOH43123-293110/01/2020  
CHC12886-00WALGREEN CO.DBA: WALGREENS # 06273 3015 E LIVINGSTON AVE
COLUMBUSOH43209-304710/01/2020  
CHC12886-00WALGREEN CO.DBA: WALGREENS # 06378 2770 W BROAD ST
COLUMBUSOH4320410/01/2020  
CHC12886-00WALGREEN CO.DBA: WALGREENS # 01317 3445 S HIGH ST
COLUMBUSOH4320710/01/2020  
CHC12886-00WALGREEN CO.DBA: WALGREENS # 07525 2150 E DUBLIN GRANVILLE ROAD
COLUMBUSOH43229-351310/01/2020  
CHC12886-00WALGREEN CO.DBA: WALGREENS # 09138 1162 HARRISBURG PIKE
COLUMBUSOH43223-284710/01/2020 02/28/2023
CHC12886-00WALGREEN CO.DBA: WALGREENS # 07113 3093 CLEVELAND AVE
COLUMBUSOH4322410/01/2020 03/26/2025
CHC12886-00WALGREEN CO.DBA: WALGREENS #11966 180 COLEMANS XING
MARYSVILLEOH4304010/01/2020  
CHC12886-00WALGREEN CO.W002 DBA: WALGREENS #10915 101 E. SANDUSKY AVE.
BELLEFONTAINEOH43311-201601/01/2022  
CHC12886-00WALGREEN CO.DBA: WALGREENS # 07541 1425 N 21ST STREET
NEWARKOH43055-306901/01/2022  
CHC12886-00Walgreens #21423Walgreens Central Fill #21423 6275 Winchester Blvd
Canal WInchesterOH43110-653701/01/2024  
CHC12886-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503304/01/2024  
CHC12886-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818804/01/2024  
CHC12886-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527504/01/2024  
CHC12886-00WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/01/2023 06/26/2024
CHC12886-00Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024 06/26/2024
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsPrimary ContactUpdateProfile Change RequestGee, Melodie CQO Lower Lights Christian Health Center 6142741455-301Gee, Melodie CQO Lower Lights Christian Health Center 6142741455-640010/29/2021 9:01 AM
ContactsAuthorizing OfficialUpdateNew RegistrationCloud, Tracy CEO Lower Lights Christian Health Center 6142741455Cloud, Tracy CEO Lower Lights Christian Health Center 6142741455-600010/14/2021 11:48 AM
DetailsStateUpdate To Be TerminatedTerminated4/1/2020 12:05 AM
DatesLast Date That 340B Drugs PurchasedUpdateRecertification 3/1/2019 12:00:00 AM1/28/2020 2:12 PM
DetailsStateUpdateRecertificationActiveTo Be Terminated1/28/2020 2:12 PM
TerminationsTermination CommentsUpdateRecertification Site closed. Providers moved to other locations.1/28/2020 2:12 PM
TerminationsTermination DateUpdateRecertification 4/1/2020 12:00:00 AM1/28/2020 2:12 PM
TerminationsTermination Effective DateUpdateRecertification 3/1/2019 12:00:00 AM1/28/2020 2:12 PM
TerminationsTermination ReasonUpdateRecertification Site closure1/28/2020 2:12 PM
DetailsLast Recertification DateUpdateRecertification2/26/2018 11:20:16 AM2/6/2019 12:27:41 PM2/6/2019 12:27 PM
DetailsLast Recertification DateUpdateRecertification2/17/2017 12:00:00 AM2/26/2018 11:20:16 AM2/26/2018 11:20 AM
ContactsAuthorizing OfficialUpdateAO Change RequestVallangeon, Dana S. CEO Lower Lights Christian Health Center 6142741455-300Cloud, Tracy CEO Lower Lights Christian Health Center 61427414552/23/2018 2:42 PM
ContactsAuthorizing OfficialUpdate Vallangeon, Dana S. CEO 6142741455-300Vallangeon, Dana S. CEO Lower Lights Christian Health Center 6142741455-3002/19/2018 2:49 PM
ContactsSigned ByUpdate Vallangeon, Dana S. CEO 6142741455-300Vallangeon, Dana S. CEO Lower Lights Christian Health Center 6142741455-3002/19/2018 2:49 PM
ContactsPrimary ContactUpdate Gee, Melodie CQO 6142741455-301Gee, Melodie CQO Lower Lights Christian Health Center 6142741455-3012/19/2018 8:49 AM
AddressesMain AddressInsert   1251 West Broad St. Columbus, OH 43222-13592/17/2017 2:17 PM
ContactsPrimary ContactUpdate Fingerlow, Brenda COO 6142741455-310Gee, Melodie CQO 6142741455-3012/17/2017 2:17 PM
ContactsAuthorizing OfficialInsert  Vallangeon, Dana S. CEO 6142741455-3002/17/2017 2:17 PM
ContactsSigned ByInsert  Vallangeon, Dana S. CEO 6142741455-3002/17/2017 2:17 PM
DetailsLast Recertification DateUpdate 2/25/2016 12:00:00 AM2/17/2017 12:00:00 AM2/17/2017 2:16 PM
Medicaid BillingNPI: NumberInsert  14274927353/25/2016 8:56 PM
DetailsLast Recertification DateUpdate  2/25/2016 12:00:00 AM2/25/2016 5:18 PM
Medicaid BillingNPI: NumberInsert  12759997241/13/2016 6:48 PM
ContactsPrimary ContactInsert  Fingerlow, Brenda COO 6142741455-3108/3/2015 1:19 PM
DatesParticipating Approval DateUpdate  7/20/2015 12:00:00 AM7/20/2015 11:26 AM
DetailsStateUpdate PendingActive7/20/2015 11:26 AM
DatesStart DateUpdate  10/1/2015 12:00:00 AM7/20/2015 11:26 AM
Details340B IDUpdate ONLINE_REG_52871CHC12886-047/20/2015 11:15 AM
Details340B IDUpdate ONLINE_REGONLINE_REG_528717/9/2015 3:37 PM
DetailsLast Recertification DateInsert   7/9/2015 3:37 PM
DetailsGrant NumberInsert  H80CS128867/9/2015 3:37 PM
Details340B IDInsert  ONLINE_REG7/9/2015 3:37 PM
DetailsIs Authorizing Official EHB DataInsert  False7/9/2015 3:37 PM
DatesLast Date That 340B Drugs PurchasedInsert   7/9/2015 3:37 PM
DetailsMedicare Provider NumberInsert   7/9/2015 3:37 PM
DetailsEntity NameInsert  LOWER LIGHTS CHRISTIAN HEALTH CENTER INC7/9/2015 3:37 PM
DetailsProgram CodeInsert  CH7/9/2015 3:37 PM
DetailsEntity SubnameInsert  Lower Lights Christian Health Center, Inc.7/9/2015 3:37 PM
DatesParticipating Approval DateInsert   7/9/2015 3:37 PM
DetailsStateInsert  Pending7/9/2015 3:37 PM
DatesRegistration DateInsert  7/9/2015 12:00:00 AM7/9/2015 3:37 PM
DatesSigned By DateInsert  7/9/2015 12:00:00 AM7/9/2015 3:37 PM
DatesStart DateInsert   7/9/2015 3:37 PM
TerminationsTermination CommentsInsert   7/9/2015 3:37 PM
TerminationsTermination DateInsert   7/9/2015 3:37 PM
TerminationsTermination Effective DateInsert   7/9/2015 3:37 PM
TerminationsTermination ReasonInsert   7/9/2015 3:37 PM