Covered Entity Details

CHC29025-00 SADLER HEALTH CENTER CORPORATION (Active) - information as of 5/25/2025 1:22:20 AM

Main Details

Name

SADLER HEALTH CENTER CORPORATION

Subdivision Name

Sadler Health Center Corporation

Type

HRSA-Funded Health Center

Site ID

BPS-H80-015688

340B ID

CHC29025-00

Grant Number

H80CS29025

Additional Details

Current Program Status

Active

Registration Date

10/1/2015

Participating Start Date

1/1/2016

Participating Approval Date

10/20/2015

Last Recertification Date

2/21/2025

Contacts

Authorizing Official

Sadler Health Center
Manal El Harrak, Chief Executive Officer
(717) 960-4330

Primary Contact

Sadler Health Center Corporation
Samantha Edenfield, 340B Manager
(717) 960-4341

Addresses

Street Address

100 N Hanover St
Carlisle, PA 17013-2421

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
PA		1508570581

Shipping Addresses

Shipping Address 1

Sadler Rx
5210 E. Trindle Rd, Suite 1
Mechanicsburg, PA 17050

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	01/11/2024	04/01/2024		04/01/2024
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	01/11/2024	04/01/2024		04/01/2024
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	01/11/2024	04/01/2024		04/01/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	01/11/2024	04/01/2024		04/01/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	11411 STRANG LINE RD	STE A	LENEXA	KS	66215	01/11/2024	04/01/2024		04/01/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	01/11/2024	04/01/2024		04/01/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	01/11/2024	04/01/2024		04/01/2024
Contract Detail	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	04/07/2025	07/01/2025		04/07/2025
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/07/2025	07/01/2025		04/07/2025
Contract Detail	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/07/2025	07/01/2025		04/07/2025
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/07/2025	07/01/2025		04/07/2025
Contract Detail	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/07/2025	07/01/2025		04/07/2025
Contract Detail	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/07/2025	07/01/2025		04/07/2025
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/07/2025	07/01/2025		04/07/2025
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/07/2025	07/01/2025		04/07/2025
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/07/2025	07/01/2025		04/07/2025
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/07/2025	07/01/2025		04/07/2025
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/07/2025	07/01/2025		04/07/2025
Contract Detail	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/07/2025	07/01/2025		04/07/2025
Contract Detail	ENCORE PHARMACY #1	800 8TH AVE STE 130		FORT WORTH	TX	76104	07/08/2022	08/08/2022		08/08/2022
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	01/11/2024	04/01/2024		04/01/2024
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	01/11/2024	04/01/2024		04/01/2024
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	01/11/2024	04/01/2024		04/01/2024
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	01/11/2024	04/01/2024		04/01/2024
Contract Detail	GIANT PHARMACY #6005	6560 CARLISLE PIKE	SUITE 100	MECHANICSBURG	PA	17050	05/03/2023	05/03/2023		05/03/2023
Contract Detail	GIANT PHARMACY #6112	255 S SPRING GARDEN ST		CARLISLE	PA	17013	05/03/2023	05/03/2023		05/03/2023
Contract Detail	GIANT PHARMACY #6310	830 NORTH US ROUTE 15		DILLSBURG	PA	17019	05/03/2023	05/03/2023		05/03/2023
Contract Detail	GIANT PHARMACY #6529	4510 MARKETPLACE WAY		ENOLA	PA	17025	05/03/2023	05/03/2023		05/03/2023
Contract Detail	GIANT PHARMACY #6542	950 WALNUT BOTTOM ROAD		CARLISLE	PA	17015	05/03/2023	05/03/2023		05/03/2023
Contract Detail	KPR PHARMACEUTICALS	233 E. HIGH STREET		CARLISLE	PA	17013	01/20/2016	01/20/2016		01/20/2016
Contract Detail	MEDICAL ARTS PHARMACY	220 WILSON ST	STE 100	CARLISLE	PA	17013	10/14/2019	01/01/2020	12/31/2024	12/31/2024
Contract Detail	MEDICAL ARTS PHARMACY II	223 PENROSE PL		CARLISLE	PA	17013	10/07/2024	01/01/2025		01/01/2025
Contract Detail	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01646	765 SOUTH WEST STREET	CARLISLE	PA	17013	07/19/2019	10/01/2019		10/01/2019
Contract Detail	PENNSYLVANIA CVS PHARMACY, L.L.C.	CVS PHARMACY # 17185	246 WESTMINSTER DR	CARLISLE	PA	17013	07/19/2019	10/01/2019		10/01/2019
Contract Detail	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01627	841 EAST HIGH STREET	CARLISLE	PA	17013	07/19/2019	10/01/2019	04/24/2023	04/24/2023
Contract Detail	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05991	6706 CARLISLE PIKE	MECHANICSBURG	PA	17050	01/13/2025	04/01/2025		04/01/2025
Contract Detail	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01639	105 S. SPORTING HILL RD.	MECHANICSBURG	PA	17050	01/13/2025	04/01/2025		04/01/2025
Contract Detail	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 2575	4035 N. GEORGE ST.	MANCHESTER	PA	17345	01/13/2025	04/01/2025		04/01/2025
Contract Detail	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01636	123 GETTYSBURG PIKE	MECHANICSBURG	PA	17055	01/13/2025	04/01/2025		04/01/2025
Contract Detail	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01626	30 E. SIMPSON ST	MECHANICSBURG	PA	17055	01/13/2025	04/01/2025		04/01/2025
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/07/2025	07/01/2025		04/07/2025
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY # 02553	1117 WALNUT ST.	PHILADELPHIA	PA	19107	04/07/2025	07/01/2025		04/07/2025
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/07/2025	07/01/2025		04/07/2025
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/07/2025	07/01/2025		04/07/2025
Contract Detail	RITE AID OF PENNSYLVANIA, LLC	RITE AID #3607	1814 SPRING ROAD	CARLISLE	PA	17013	01/20/2016	01/20/2016	05/01/2016	04/20/2016
Contract Detail	RITE AID OF PENNSYLVANIA, LLC	RITE AID #3607	1814 SPRING ROAD	CARLISLE	PA	17013	10/15/2019	01/01/2020		01/01/2020
Contract Detail	RITE AID OF PENNSYLVANIA, LLC	RITE AID #7884	320 YORK ROAD	CARLISLE	PA	17013	10/15/2019	01/01/2020		01/01/2020
Contract Detail	RITE AID OF PENNSYLVANIA, LLC	RITE AID #3611	455-K NORTH ENOLA ROAD	ENOLA	PA	17025	01/13/2025	04/01/2025		04/01/2025
Contract Detail	RITE AID OF PENNSYLVANIA, LLC	RITE AID #4260	4299 UNION DEPOSIT ROAD	HARRISBURG	PA	17111	01/13/2025	04/01/2025		04/01/2025
Contract Detail	RITE AID OF PENNSYLVANIA, LLC	RITE AID #3804	10 NEWPORT PLAZA	NEWPORT	PA	17074	01/13/2025	04/01/2025		04/01/2025
Contract Detail	RITE AID OF PENNSYLVANIA, LLC	RITE AID #1981	2604 LINGLESTOWN ROAD	HARRISBURG	PA	17110	01/13/2025	04/01/2025		04/01/2025
Contract Detail	THRIFT DRUG, INC.	RITE AID #11018	429 SOUTH HANOVER STREET	CARLISLE	PA	17013	01/20/2016	01/20/2016	05/01/2016	04/20/2016
Contract Detail	THRIFT DRUG, INC.	RITE AID #11018	429 SOUTH HANOVER STREET	CARLISLE	PA	17013	10/15/2019	01/01/2020	11/27/2023	01/11/2024
Contract Detail	THRIFT DRUG, INC.	RITE AID #11025	65 NEWBERRY PARKWAY	ETTERS	PA	17319	01/13/2025	04/01/2025		04/01/2025
Contract Detail	THRIFT DRUG, INC.	RITE AID #11023	300 S. FAYETTE STREET	SHIPPENSBURG	PA	17257	01/13/2025	04/01/2025		04/01/2025
Contract Detail	WAL-MART PHARMACY 10-1886	6520 CARLISLE PIKE, STE 550		MECHANICSBURG	PA	17050	01/05/2018	04/01/2018	07/01/2018	03/21/2019
Contract Detail	WAL-MART PHARMACY 10-2574	60 NOBLE BLVD		CARLISLE	PA	17013	01/05/2018	04/01/2018		01/05/2018
Contract Detail	WAL-MART PHARMACY 10-5358	100 SOUTH CONESTOGA DRIVE		SHIPPENSBURG	PA	17257	01/05/2018	04/01/2018	07/01/2018	03/21/2019
Contract Detail	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/11/2024	04/01/2024		04/01/2024
Contract Detail	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/11/2024	04/01/2024		04/01/2024

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC29025-00	Active	BPS-H80-015688	SADLER HEALTH CENTER CORPORATION	Sadler Health Center Corporation	100 N Hanover St	Carlisle	PA
CHC29025-01	Active	BPS-H80-015700	SADLER HEALTH CENTER CORPORATION	Sadler Health Center Corporation Perry County Dental	1104 MONTOUR RD	LOYSVILLE	PA
CHC29025-02	Active	BPS-H80-033742	SADLER HEALTH CENTER CORP	Sadler Health Center Corporation Mechanicsburg	5210 E Trindle Rd	Mechanicsburg	PA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC29025-00	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2024
CHC29025-02	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2024
CHC29025-02	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2024
CHC29025-00	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2024
CHC29025-00	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2024
CHC29025-02	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2024
CHC29025-02	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2024
CHC29025-00	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2024
CHC29025-00	ACCREDO HEALTH GROUP, INC.	11411 STRANG LINE RD	STE A	LENEXA	KS	66215	04/01/2024
CHC29025-02	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2024
CHC29025-02	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2024
CHC29025-00	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2024
CHC29025-00	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2024
CHC29025-02	ACCREDO HEALTH GROUP, INC.	11411 STRANG LINE RD	STE A	LENEXA	KS	66215	04/01/2024
CHC29025-00	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	07/01/2025
CHC29025-00	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/01/2025
CHC29025-00	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/01/2025
CHC29025-00	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/01/2025
CHC29025-00	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	07/01/2025
CHC29025-00	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	07/01/2025
CHC29025-00	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/01/2025
CHC29025-00	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	07/01/2025
CHC29025-00	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	07/01/2025
CHC29025-00	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	07/01/2025
CHC29025-00	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	07/01/2025
CHC29025-00	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	07/01/2025
CHC29025-00	ENCORE PHARMACY #1	800 8TH AVE STE 130		FORT WORTH	TX	76104	08/08/2022
CHC29025-01	ENCORE PHARMACY #1	800 8TH AVE STE 130		FORT WORTH	TX	76104	08/08/2022
CHC29025-02	ENCORE PHARMACY #1	800 8TH AVE STE 130		FORT WORTH	TX	76104	04/01/2024
CHC29025-00	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2024
CHC29025-02	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2024
CHC29025-00	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2024
CHC29025-02	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2024
CHC29025-02	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2024
CHC29025-00	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2024
CHC29025-02	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2024
CHC29025-00	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2024
CHC29025-00	GIANT PHARMACY #6005	6560 CARLISLE PIKE	SUITE 100	MECHANICSBURG	PA	17050	05/03/2023
CHC29025-02	GIANT PHARMACY #6005	6560 CARLISLE PIKE	SUITE 100	MECHANICSBURG	PA	17050	04/01/2024
CHC29025-00	GIANT PHARMACY #6112	255 S SPRING GARDEN ST		CARLISLE	PA	17013	05/03/2023
CHC29025-02	GIANT PHARMACY #6112	255 S SPRING GARDEN ST		CARLISLE	PA	17013	04/01/2024
CHC29025-00	GIANT PHARMACY #6310	830 NORTH US ROUTE 15		DILLSBURG	PA	17019	05/03/2023
CHC29025-02	GIANT PHARMACY #6310	830 NORTH US ROUTE 15		DILLSBURG	PA	17019	04/01/2024
CHC29025-00	GIANT PHARMACY #6529	4510 MARKETPLACE WAY		ENOLA	PA	17025	05/03/2023
CHC29025-02	GIANT PHARMACY #6529	4510 MARKETPLACE WAY		ENOLA	PA	17025	04/01/2024
CHC29025-00	GIANT PHARMACY #6542	950 WALNUT BOTTOM ROAD		CARLISLE	PA	17015	05/03/2023
CHC29025-02	GIANT PHARMACY #6542	950 WALNUT BOTTOM ROAD		CARLISLE	PA	17015	04/01/2024
CHC29025-00	KPR PHARMACEUTICALS	233 E. HIGH STREET		CARLISLE	PA	17013	01/20/2016
CHC29025-01	KPR PHARMACEUTICALS	233 E. HIGH STREET		CARLISLE	PA	17013	07/01/2025
CHC29025-00	MEDICAL ARTS PHARMACY	220 WILSON ST	STE 100	CARLISLE	PA	17013	01/01/2020	12/31/2024
CHC29025-00	MEDICAL ARTS PHARMACY II	223 PENROSE PL		CARLISLE	PA	17013	01/01/2025
CHC29025-00	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01646	765 SOUTH WEST STREET	CARLISLE	PA	17013	10/01/2019
CHC29025-00	PENNSYLVANIA CVS PHARMACY, L.L.C.	CVS PHARMACY # 17185	246 WESTMINSTER DR	CARLISLE	PA	17013	10/01/2019
CHC29025-00	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01627	841 EAST HIGH STREET	CARLISLE	PA	17013	10/01/2019	04/24/2023
CHC29025-02	PENNSYLVANIA CVS PHARMACY, L.L.C.	CVS PHARMACY # 17185	246 WESTMINSTER DR	CARLISLE	PA	17013	04/01/2024
CHC29025-02	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01646	765 SOUTH WEST STREET	CARLISLE	PA	17013	04/01/2024
CHC29025-00	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05991	6706 CARLISLE PIKE	MECHANICSBURG	PA	17050	04/01/2025
CHC29025-00	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01639	105 S. SPORTING HILL RD.	MECHANICSBURG	PA	17050	04/01/2025
CHC29025-00	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 2575	4035 N. GEORGE ST.	MANCHESTER	PA	17345	04/01/2025
CHC29025-00	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01636	123 GETTYSBURG PIKE	MECHANICSBURG	PA	17055	04/01/2025
CHC29025-00	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01626	30 E. SIMPSON ST	MECHANICSBURG	PA	17055	04/01/2025
CHC29025-01	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01646	765 SOUTH WEST STREET	CARLISLE	PA	17013	04/01/2025
CHC29025-00	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/01/2025
CHC29025-00	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY # 02553	1117 WALNUT ST.	PHILADELPHIA	PA	19107	07/01/2025
CHC29025-00	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	07/01/2025
CHC29025-00	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	07/01/2025
CHC29025-00	RITE AID OF PENNSYLVANIA, LLC	RITE AID #3607	1814 SPRING ROAD	CARLISLE	PA	17013	01/20/2016	05/01/2016
CHC29025-00	RITE AID OF PENNSYLVANIA, LLC	RITE AID #3607	1814 SPRING ROAD	CARLISLE	PA	17013	01/01/2020
CHC29025-00	RITE AID OF PENNSYLVANIA, LLC	RITE AID #7884	320 YORK ROAD	CARLISLE	PA	17013	01/01/2020
CHC29025-02	RITE AID OF PENNSYLVANIA, LLC	RITE AID #7884	320 YORK ROAD	CARLISLE	PA	17013	04/01/2024
CHC29025-02	RITE AID OF PENNSYLVANIA, LLC	RITE AID #3607	1814 SPRING ROAD	CARLISLE	PA	17013	04/01/2024
CHC29025-00	RITE AID OF PENNSYLVANIA, LLC	RITE AID #3611	455-K NORTH ENOLA ROAD	ENOLA	PA	17025	04/01/2025
CHC29025-00	RITE AID OF PENNSYLVANIA, LLC	RITE AID #4260	4299 UNION DEPOSIT ROAD	HARRISBURG	PA	17111	04/01/2025
CHC29025-00	RITE AID OF PENNSYLVANIA, LLC	RITE AID #3804	10 NEWPORT PLAZA	NEWPORT	PA	17074	04/01/2025
CHC29025-00	RITE AID OF PENNSYLVANIA, LLC	RITE AID #1981	2604 LINGLESTOWN ROAD	HARRISBURG	PA	17110	04/01/2025
CHC29025-00	THRIFT DRUG, INC.	RITE AID #11018	429 SOUTH HANOVER STREET	CARLISLE	PA	17013	01/20/2016	05/01/2016
CHC29025-00	THRIFT DRUG, INC.	RITE AID #11018	429 SOUTH HANOVER STREET	CARLISLE	PA	17013	01/01/2020	11/27/2023
CHC29025-00	THRIFT DRUG, INC.	RITE AID #11025	65 NEWBERRY PARKWAY	ETTERS	PA	17319	04/01/2025
CHC29025-00	THRIFT DRUG, INC.	RITE AID #11023	300 S. FAYETTE STREET	SHIPPENSBURG	PA	17257	04/01/2025
CHC29025-00	WAL-MART PHARMACY 10-1886	6520 CARLISLE PIKE, STE 550		MECHANICSBURG	PA	17050	04/01/2018	07/01/2018
CHC29025-00	WAL-MART PHARMACY 10-2574	60 NOBLE BLVD		CARLISLE	PA	17013	04/01/2018
CHC29025-02	WAL-MART PHARMACY 10-2574	60 NOBLE BLVD		CARLISLE	PA	17013	04/01/2024
CHC29025-00	WAL-MART PHARMACY 10-5358	100 SOUTH CONESTOGA DRIVE		SHIPPENSBURG	PA	17257	04/01/2018	07/01/2018
CHC29025-02	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2024
CHC29025-00	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2024
CHC29025-00	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	04/01/2024
CHC29025-02	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	04/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/8/2024 12:44:21 PM	2/21/2025 12:31:54 PM	2/21/2025 12:31 PM
Contacts	Primary Contact	Update	Change Request	Ellis, Connor 340B Coordinator Sadler Health Center 7179604341	Edenfield, Samantha 340B Manager Sadler Health Center Corporation 7179604341	9/23/2024 3:26 PM
Details	Last Recertification Date	Update	Recertification	2/24/2023 11:47:57 AM	2/8/2024 12:44:21 PM	2/8/2024 12:44 PM
Contacts	Primary Contact	Update	PC Change Request	Bitner, Jessica L Medical Program Development Manager Sadler Health Center 7172186670-4460	Ellis, Connor 340B Coordinator Sadler Health Center 7179604341	12/22/2023 10:08 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1508570581	11/14/2023 4:16 PM
Medicaid Billing	NPI: State	Insert	Change Request		PA	11/14/2023 4:16 PM
Contacts	Primary Contact	Update	Recertification	Roper, Carl COO Sadler Health Center 7179604363	Bitner, Jessica L Medical Program Development Manager Sadler Health Center 7172186670-4460	2/24/2023 11:47 AM
Details	Last Recertification Date	Update	Recertification	2/1/2022 10:42:55 AM	2/24/2023 11:47:57 AM	2/24/2023 11:47 AM
Addresses	Shipping Address	Update	Change Request	Sadler Rx 5210 E. Trindle Rd Mechanicsburg, PA 17050	Sadler Rx 5210 E. Trindle Rd, Suite 1 Mechanicsburg, PA 17050	1/23/2023 5:27 PM
Addresses	Shipping Address	Insert	Change Request		Sadler Rx 5210 E. Trindle Rd Mechanicsburg, PA 17050	1/9/2023 10:58 AM
Contacts	Primary Contact	Update	Change Request	Beissel, Theresa 340B Program Administrator Sadler Health Center 7179604341	Roper, Carl COO Sadler Health Center 7179604363	7/8/2022 12:07 PM
Details	Last Recertification Date	Update	Recertification	2/8/2021 3:55:17 PM	2/1/2022 10:42:55 AM	2/1/2022 10:42 AM
Details	Last Recertification Date	Update	Recertification	2/4/2020 10:55:36 AM	2/8/2021 3:55:17 PM	2/8/2021 3:55 PM
Contacts	Primary Contact	Update	Profile Change Request	Beissel, Theresa Pharmacy Services Coordinator Sadler Health Center 7179604341	Beissel, Theresa 340B Program Administrator Sadler Health Center 7179604341	2/4/2021 9:15 AM
Details	Last Recertification Date	Update	Recertification	2/5/2019 9:43:54 AM	2/4/2020 10:55:36 AM	2/4/2020 10:55 AM
Contacts	Authorizing Official	Update	Profile Change Request	El Harrak, Manal Interim Chief Executive Officer Sadler Health Center 7179604330	El Harrak, Manal Chief Executive Officer Sadler Health Center 7179604330	10/14/2019 1:48 PM
Contacts	Authorizing Official	Update	Change Request	Green, Kenneth M. Chief Executive Officer Sadler Health Center 7172186670-4321	El Harrak, Manal Interim Chief Executive Officer Sadler Health Center 7179604330	7/16/2019 7:30 AM
Details	Is Authorizing Official EHB Data	Update	Change Request	False		7/16/2019 7:30 AM
Details	Last Recertification Date	Update	Recertification	2/7/2018 10:15:00 AM	2/5/2019 9:43:54 AM	2/5/2019 9:43 AM
Contacts	Primary Contact	Update	Profile Change Request	Beissel, Theresa Healthy Rx Intake Worker Sadler Health Center 7179604341	Beissel, Theresa Pharmacy Services Coordinator Sadler Health Center 7179604341	3/5/2018 8:17 AM
Details	Last Recertification Date	Update	Recertification	1/25/2017 12:00:00 AM	2/7/2018 10:15:00 AM	2/7/2018 10:15 AM
Contacts	Primary Contact	Update		Beissel, Theresa Healthy Rx Intake Worker 7179604341	Beissel, Theresa Healthy Rx Intake Worker Sadler Health Center 7179604341	1/4/2018 11:45 AM
Contacts	Authorizing Official	Update		Green, Kenneth M. Chief Executive Officer 7172186670-4321	Green, Kenneth M. Chief Executive Officer Sadler Health Center 7172186670-4321	1/4/2018 11:30 AM
Contacts	Signed By	Update		Green, Kenneth M. Chief Executive Officer 7172186670-4321	Green, Kenneth M. Chief Executive Officer Sadler Health Center 7172186670-4321	1/4/2018 11:30 AM
Addresses	Main Address	Insert			100 N Hanover St Carlisle, PA 17013-2421	1/25/2017 8:23 AM
Contacts	Authorizing Official	Insert			Green, Kenneth M. Chief Executive Officer 7172186670-4321	1/25/2017 8:23 AM
Contacts	Signed By	Insert			Green, Kenneth M. Chief Executive Officer 7172186670-4321	1/25/2017 8:23 AM
Contacts	Primary Contact	Insert			Beissel, Theresa Healthy Rx Intake Worker 7179604341	1/25/2017 8:23 AM
Details	Last Recertification Date	Update		2/25/2016 12:00:00 AM	1/25/2017 12:00:00 AM	1/25/2017 8:23 AM
Details	Last Recertification Date	Update			2/25/2016 12:00:00 AM	2/25/2016 1:28 PM
Dates	Participating Approval Date	Update			10/20/2015 12:00:00 AM	10/20/2015 2:59 PM
Details	State	Update		Pending	Active	10/20/2015 2:59 PM
Dates	Start Date	Update			1/1/2016 12:00:00 AM	10/20/2015 2:59 PM
Details	340B ID	Update		ONLINE_REG_54221	CHC29025-00	10/14/2015 10:33 AM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_54221	10/1/2015 2:15 PM
Details	Last Recertification Date	Insert				10/1/2015 2:15 PM
Details	Grant Number	Insert			H80CS29025	10/1/2015 2:15 PM
Details	340B ID	Insert			ONLINE_REG	10/1/2015 2:15 PM
Details	Is Authorizing Official EHB Data	Insert			False	10/1/2015 2:15 PM
Dates	Last Date That 340B Drugs Purchased	Insert				10/1/2015 2:15 PM
Details	Medicare Provider Number	Insert				10/1/2015 2:15 PM
Details	Entity Name	Insert			SADLER HEALTH CENTER CORPORATION	10/1/2015 2:15 PM
Details	Program Code	Insert			CH	10/1/2015 2:15 PM
Details	Entity Subname	Insert			Sadler Health Center Corporation	10/1/2015 2:15 PM
Dates	Participating Approval Date	Insert				10/1/2015 2:15 PM
Details	State	Insert			Pending	10/1/2015 2:15 PM
Dates	Registration Date	Insert			10/1/2015 12:00:00 AM	10/1/2015 2:15 PM
Dates	Signed By Date	Insert			10/1/2015 12:00:00 AM	10/1/2015 2:15 PM
Dates	Start Date	Insert				10/1/2015 2:15 PM
Terminations	Termination Comments	Insert				10/1/2015 2:15 PM
Terminations	Termination Date	Insert				10/1/2015 2:15 PM
Terminations	Termination Effective Date	Insert				10/1/2015 2:15 PM
Terminations	Termination Reason	Insert				10/1/2015 2:15 PM

340B Drug Pricing Program Database