340B Drug Pricing Program Database


CHC11427-04 MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM CORPORATION (Terminated) - information as of 6/17/2025 2:57:36 AM

Main Details
MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM CORPORATION
MEHOP Clinic
HRSA-Funded Health Center
BPS-H80-008375
CHC11427-04
H80CS12889


Additional Details
Terminated
10/1/2015
1/1/2016
10/20/2015
2/15/2018

4/1/2019
Other

Contacts

Matagorda Episcopal Health Outreach Program
Eve Chen, CFO
(979) 245-2008 Ext: 300

Matagorda Episcopal Health Outreach Program
Eve Chen, CFO
(979) 245-2008 Ext: 300

Addresses

205 Ida
Bay City, TX 77414-3144

Matagorda Episcopal Health Outreach Program
101 Ave F N
Bay City, TX 77414


  • 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
TX347977603 
  1073703575
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC11427-00ActiveBPS-H80-008377Matagorda Episcopal Health Outreach ProgramMEHOP Administration and Outreach101 Ave F N Bay CityTX
CHC11427-01TerminatedBPS-H80-012472MEHOPMEHOP Behavioral Health2400 Avenue I Bay CityTX
CHC11427-02ActiveBPS-H80-012413MEHOPMEHOP Primary and Behavioral Health1700 Golden Ave Bay CItyTX
CHC11427-03ActiveBPS-H80-014670Matagorda Episcopal Health Outreach Program CorporationMEHOP Women and Children Center111 AVENUE F BAY CITYTX
CHC11427-04TerminatedBPS-H80-008375MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM CORPORATIONMEHOP Clinic205 Ida Bay CityTX
CHC11427-05ActiveBPS-H80-008651Matagorda Episcopal Health Outreach Program CorporationMEHOP Clinic Adminstration205B Ida Street Bay CityTX
CHC11427-06ActiveBPS-H80-036110Matagorda Episcopal Health Outreach Program CorporationMEHOP Health Services Wharton10119 US 59 Hwy WhartonTX
CHC11427-07TerminatedBPS-H80-028171Matagorda Episcopal Health Outreach Program CorporationMEHOP Palacios307 Green Ave Ste A PalaciosTX
CHC11427-08ActiveBPS-H80-030761Matagorda Episcopal Health Outreach Program CorporationMEHOP Wharton Specialty2112 Regional Medical Dr Ste 1313 WhartonTX
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC11427-00ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280910/01/2024  
CHC11427-00AMAZON PHARMACY #0014500 S PLEASANT VALLEY RD STE 201
AUSTINTX78744-291104/01/2018 02/10/2025
CHC11427-00ASPCARES3009 FANNIN ST
HOUSTONTX77004-280510/01/2017 04/01/2021
CHC11427-00ASPCARES12811 BEAMER RD STE 2A
HOUSTONTX77089-614010/01/2017 04/01/2021
CHC11427-00CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361410/01/2024  
CHC11427-00CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005610/01/2024  
CHC11427-00CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621910/01/2024  
CHC11427-00CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175710/01/2024  
CHC11427-00CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808310/01/2024  
CHC11427-00CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700410/01/2024  
CHC11427-00CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761710/01/2024  
CHC11427-00CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813310/01/2024  
CHC11427-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237410/01/2024  
CHC11427-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911910/01/2024  
CHC11427-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06723 2711 7TH ST.
BAY CITYTX7741407/01/2015 01/06/2022
CHC11427-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06738 1710 N RICHMOND RD
WHARTONTX7748801/01/2022  
CHC11427-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06723 2711 7TH ST.
BAY CITYTX7741404/01/2022  
CHC11427-00CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502810/01/2024  
CHC11427-00DELIVERCARERX PHARMACY LLCDELIVERCARERX PHARMACY LLC 1471 E BUSINESS CENTER DR
STE 200 		MT PROSPECTIL6005604/01/2018  
CHC11427-00H E B FULFILLMENT CENTER  6520 FRATT ROAD
SAN ANTONIOTX7821810/01/2018 01/06/2023
CHC11427-00H-E-B, LPH-E-B PHARMACY WAREHOUSE 6520 FRATT RD
SAN ANTONIOTX7821801/01/2019  
CHC11427-00HEB PHARMACY #2331616 N. ALABAMA
WHARTONTX7748804/01/2023  
CHC11427-00HEB PHARMACY #2922700 7TH ST
BAY CITYTX7741410/01/2017  
CHC11427-00HEB Pharmacy #7016520 Fratt Road
San AntonioTX7821804/01/2023  
CHC11427-00HEB PHARMACY WAREHOUSE 208H-E-B, LP 5311 DIETRICH RD STE 100
SAN ANTONIOTX7821907/03/2023  
CHC11427-00OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713001/01/2025  
CHC11427-00PILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310104/01/2018 02/10/2025
CHC11427-00PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514610/01/2024  
CHC11427-00PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523310/01/2024  
CHC11427-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920310/01/2024  
CHC11427-00RECEPT PHARMACY # 7510412 VISTA DEL SOL DR STE 1A
EL PASOTX7992507/01/2021 09/01/2022
CHC11427-00RECEPT PHARMACY #1800 8TH AVE STE 130
FORT WORTHTX7610407/01/2021 05/02/2022
CHC11427-00RECEPT PHARMACY #1800 8TH AVE STE 130
FORT WORTHTX7610407/01/2022 09/01/2022
CHC11427-00RECEPT PHARMACY #314703 RICHMOND AVE STE E
HOUSTONTX77027-661607/01/2021 09/01/2022
CHC11427-00THE MUECKE CO, INC. HIBBS PHARMACY1415 AVE. G
BAY CITYTX7741401/08/2010 02/01/2022
CHC11427-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738604/01/2017  
CHC11427-00WAL-MART PHARMACY 10-03443413 WEST LOOP
EL CAMPOTX7743707/01/2015 01/10/2024
CHC11427-00WAL-MART PHARMACY 10-0482301 N. COLUMBIA DR
WEST COLUMBIATX7748604/01/2021 01/10/2024
CHC11427-00WAL-MART PHARMACY 10-0808121 HIGHWAY 332 WEST
LAKE JACKSONTX7756607/01/2015 01/10/2024
CHC11427-00WAL-MART PHARMACY 10-14054600 7TH STREET
BAY CITYTX7741407/01/2015  
CHC11427-00WAL-MART PHARMACY 10-52461255 HWY 59 LOOP
WHARTONTX7748807/01/2015  
CHC11427-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283704/01/2017  
CHC11427-00WALGREEN CO.DBA: WALGREENS # 09440 3018 7TH STEET
BAY CITYTX7741401/01/2017  
CHC11427-00WALGREEN CO.DBA: WALGREENS # 09739 203 N MECHANIC ST
EL CAMPOTX77437-441704/01/2019  
CHC11427-00WALGREEN CO.DBA: WALGREENS #12052 100 E. BRAZOS AVE.
WEST COLUMBIATX77486-272607/01/2020  
CHC11427-00Walgreens #21373Walgreens Central Fill #21373 4100 Dale Earnhardt Way
STE 200 		NorthlakeTX7626201/01/2022  
CHC11427-00WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/01/2023  
CHC11427-00Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsStateUpdate To Be TerminatedTerminated4/1/2019 12:05 AM
DatesLast Date That 340B Drugs PurchasedUpdateRecertification 1/1/2019 12:00:00 AM1/29/2019 11:10 AM
DetailsStateUpdateRecertificationActiveTo Be Terminated1/29/2019 11:10 AM
TerminationsTermination CommentsUpdateRecertification Duplicate account1/29/2019 11:10 AM
TerminationsTermination DateUpdateRecertification 4/1/2019 12:00:00 AM1/29/2019 11:10 AM
TerminationsTermination Effective DateUpdateRecertification 1/1/2019 12:00:00 AM1/29/2019 11:10 AM
TerminationsTermination ReasonUpdateRecertification Other1/29/2019 11:10 AM
DetailsLast Recertification DateUpdateRecertification1/25/2017 12:00:00 AM2/15/2018 11:40:55 AM2/15/2018 11:40 AM
ContactsAuthorizing OfficialUpdate Chen, Eve CFO 9792452008-300Chen, Eve CFO Matagorda Episcopal Health Outreach Program 9792452008-3001/12/2018 3:16 PM
ContactsPrimary ContactUpdate Chen, Eve CFO 9792452008-300Chen, Eve CFO Matagorda Episcopal Health Outreach Program 9792452008-3001/12/2018 3:16 PM
ContactsSigned ByUpdate Chen, Eve CFO 9792452008-300Chen, Eve CFO Matagorda Episcopal Health Outreach Program 9792452008-3001/12/2018 3:16 PM
ContactsAuthorizing OfficialInsert  Chen, Eve CFO 9792452008-3007/17/2017 1:33 PM
ContactsPrimary ContactInsert  Chen, Eve CFO 9792452008-3007/17/2017 1:33 PM
ContactsSigned ByInsert  Chen, Eve CFO 9792452008-3007/17/2017 1:33 PM
AddressesMain AddressInsert   205 Ida Bay City, TX 77414-31441/25/2017 11:21 AM
DetailsLast Recertification DateUpdate 2/25/2016 12:00:00 AM1/25/2017 12:00:00 AM1/25/2017 11:21 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False2/25/2016 2:47 PM
Medicaid BillingMedicaid: NumberInsert  3479776032/25/2016 2:47 PM
Medicaid BillingMedicaid: StateInsert  TX2/25/2016 2:47 PM
DetailsLast Recertification DateUpdate  2/25/2016 12:00:00 AM2/25/2016 2:47 PM
DatesParticipating Approval DateUpdate  10/20/2015 12:00:00 AM10/20/2015 4:40 PM
DetailsStateUpdate PendingActive10/20/2015 4:40 PM
DatesStart DateUpdate  1/1/2016 12:00:00 AM10/20/2015 4:40 PM
AddressesBilling AddressInsert  Matagorda Episcopal Health Outreach Program 101 Ave F N Bay City, TX 7741410/20/2015 4:40 PM
Details340B IDUpdate ONLINE_REG_54215CHC11427-0410/16/2015 2:54 PM
Details340B IDUpdate ONLINE_REGONLINE_REG_5421510/1/2015 2:02 PM
Medicaid BillingNPI: NumberInsert  107370357510/1/2015 2:02 PM
DetailsLast Recertification DateInsert   10/1/2015 2:02 PM
DetailsGrant NumberInsert  H80CS1288910/1/2015 2:02 PM
Details340B IDInsert  ONLINE_REG10/1/2015 2:02 PM
DetailsIs Authorizing Official EHB DataInsert  False10/1/2015 2:02 PM
DatesLast Date That 340B Drugs PurchasedInsert   10/1/2015 2:02 PM
DetailsMedicare Provider NumberInsert   10/1/2015 2:02 PM
DetailsEntity NameInsert  MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM CORPORATION10/1/2015 2:02 PM
DetailsProgram CodeInsert  CH10/1/2015 2:02 PM
DetailsEntity SubnameInsert  MEHOP Clinic10/1/2015 2:02 PM
DatesParticipating Approval DateInsert   10/1/2015 2:02 PM
DetailsStateInsert  Pending10/1/2015 2:02 PM
DatesRegistration DateInsert  10/1/2015 12:00:00 AM10/1/2015 2:02 PM
DatesSigned By DateInsert  10/1/2015 12:00:00 AM10/1/2015 2:02 PM
DatesStart DateInsert   10/1/2015 2:02 PM
TerminationsTermination CommentsInsert   10/1/2015 2:02 PM
TerminationsTermination DateInsert   10/1/2015 2:02 PM
TerminationsTermination Effective DateInsert   10/1/2015 2:02 PM
TerminationsTermination ReasonInsert   10/1/2015 2:02 PM