340B Drug Pricing Program Database


STD33713 Metropolitan Charities, Inc. (Active) - information as of 6/14/2025 10:08:43 AM

Main Details
Metropolitan Charities, Inc.
Sexually Transmitted Diseases
STD33713
NU62PS924698


Direct Funding (dollars received from CDC or an intermediate organization)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.

7/1/2021 - 6/30/2026


Additional Details
Active
4/10/2023
5/15/2023
5/15/2023
5/7/2025
PS21-2102

Contacts

Metropolitan Charities, Inc.
Priya Rajkumar, Chief Executive Officer
(727) 321-3854 Ext: 1230

Metropolitan Charities, Inc.
Samantha Legg, Vice President of Clinical Services and Compliance
(727) 321-3854 Ext: 1265

Addresses

701 94th Avenue North
Suite 250
Saint Petersburg, FL 33702

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • History
Comments
CommentLast Updated On 
Participated starting 1/1/2016, Terminated 4/1/2021, Reinstated 5/15/2023.06/12/2023
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailAB SPECIALTY PHARMACY INC.2311 SEVEN SPRINGS BLVD
NEW PORT RICHEYFL3465504/13/201607/01/2016 04/01/202104/01/2021
Contract DetailAB SPECIALTY PHARMACY INC.2311 SEVEN SPRINGS BLVD
NEW PORT RICHEYFL3465505/15/202306/12/2023  06/12/2023
Contract DetailADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280904/15/202007/01/2020 06/09/202006/26/2020
Contract DetailCAN COMMUNITY HEALTH, INC.CAN COMMUNITY HEALTH PHARMACY OF CLEARWA 2349 SUNSET POINT RD STE 404
CLEARWATERFL3376504/26/201807/01/2018 04/01/202104/01/2021
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361404/15/202007/01/2020 06/09/202006/26/2020
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361405/15/202306/12/2023  06/12/2023
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005604/15/202007/01/2020 06/09/202006/26/2020
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005605/15/202306/12/2023  06/12/2023
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621905/15/202306/12/2023  06/12/2023
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175705/15/202306/12/2023  06/12/2023
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808305/15/202306/12/2023  06/12/2023
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700405/15/202306/12/2023  06/12/2023
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761705/15/202306/12/2023  06/12/2023
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813305/15/202306/12/2023  06/12/2023
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237405/15/202306/12/2023  06/12/2023
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911905/15/202306/12/2023  06/12/2023
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870605/15/202307/01/2023  07/01/2023
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005605/15/202307/01/2023  07/01/2023
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502804/15/202007/01/2020 06/09/202006/26/2020
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502805/15/202306/12/2023  06/12/2023
Contract DetailCYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503304/15/202507/01/2025  04/15/2025
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00613 9202 N FLORIDA AVE
TAMPAFL3361205/15/202306/12/2023 09/11/202310/02/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 06007 6206 COMMERCE PALMS DR.
TAMPAFL3364705/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03814 4120 HENDERSON BLVD
TAMPAFL3362905/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 02874 4000 EAST BAY DRIVE
CLEARWATERFL3376405/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03811 2502 W HILLSBOROUGH AVE
TAMPAFL3361405/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05149 5502 E FOWLER AVE
TEMPLE TERRACEFL3361705/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03260 7325 STATE ROAD 54
NEW PORT RICHEYFL3465305/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA CVS/PHARMACY #10482 822 WEST PENSACOLA STREET
TALLAHASSEEFL32304-803605/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03466 5400 4TH ST N
SAINT PETERSBURGFL3370305/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05660 7120 RIDGE RD.
PORT RICHEYFL3466805/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00651 37943 EILAND BLVD
ZEPHYRHILLSFL3354205/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 02760 2911 E. FOWLER AVE.
TAMPAFL3361205/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03217 11938 US HWY 19 NORTH
PORT RICHEYFL3466805/15/202307/01/2023  07/01/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 01812 20019 CORTEZ BLVD
BROOKSVILLEFL3460105/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03579 3771 TAMPA RD
OLDSMARFL3467705/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00998 4401 W GANDY BLVD.
TAMPAFL3361105/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03804 2528 N MCMULLEN BOOTH RD
CLEARWATERFL3376105/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05251 8809 NEW TAMPA BLVD
TAMPAFL3364705/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04494 5345 66TH ST N
SAINT PETERSBURGFL3370905/15/202306/12/2023 05/25/202310/02/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03930 611 S HOWARD AVE
TAMPAFL3360605/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05253 8801 W LINEBAUGH AVE
TAMPAFL3362605/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05148 1904 W LUMSDEN RD
BRANDONFL3351105/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05485 5801 CENTRAL AVE.
SAINT PETERSBURGFL3371005/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 07917 3005 SR 540 WEST
WINTER HAVENFL3388005/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 08371 11500 RIDGE RD
NEW PORT RICHEYFL3465405/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03654 3501 54TH AVE S
SAINT PETERSBURGFL3371105/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00538 7351 W HILLSBOROUGH AVE
TAMPAFL3363405/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 02731 2200 GULF TO BAY BLVD.
CLEARWATERFL3376505/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03520 6202 US HWY 41 N
APOLLO BEACHFL3357205/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04701 6701 N. DALE MABRY HWY.
TAMPAFL3361405/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05110 105 S PEBBLE BEACH BLVD
SUN CITY CENTERFL3357305/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 02898 813 W. BEARSS AVE.
TAMPAFL3361305/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 02759 845 4TH ST. NORTH
SAINT PETERSBURGFL3370105/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 02873 2200 34TH STREET NORTH
SAINT PETERSBURGFL3371305/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03660 2109 STATE RD 60 E
VALRICOFL3359405/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 02802 3102 W. GANDY BLVD.
TAMPAFL3361105/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03650 625 W. DR. MARTIN LUTHER KING JR BLVD
TAMPAFL3360305/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03204 5010 S FLORIDA AVE
LAKELANDFL3381305/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.CVS/PHARMACY #11367 1120 E. KENNEDY BLVD, SUITE 126
TAMPAFL3360205/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 07944 3426 CENTRAL AVE.
SAINT PETERSBURGFL3371105/15/202306/12/2023 10/11/202310/11/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 02767 7101 PARK BLVD.
PINELLAS PARKFL3378105/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00160 4260 6TH ST S
SAINT PETERSBURGFL3370505/15/202307/01/2023  07/01/2023
Contract DetailHOLIDAY CVS, L.L.C.CVS PHARMACY # 17311 10150 BLOOMINGDALE AVE
RIVERVIEWFL3357805/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03755 5405 49TH STREET N
SAINT PETERSBURGFL3370905/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA CVS/PHARMACY #11236 15996 PRESERVE MARKETPLACE BLVD
ODESSAFL3355605/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05783 8603 WEST HILLSBOROUGH AVE
TAMPAFL3361505/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03638 10623 GIBSONTON DR
RIVERVIEWFL3357805/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00574 8001 9TH ST N
SAINT PETERSBURGFL3370205/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 08380 2077 COMMERCIAL WAY
SPRING HILLFL3460605/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05234 301 3RD ST S
SAINT PETERSBURGFL3370105/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 07225 5905 US HWY. 301 S.
RIVERVIEWFL3357805/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03583 12015 LITTLE RD
HUDSONFL3466705/15/202306/12/2023  06/12/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05815 102 S. DALE MABRY HIGHWAY
TAMPAFL3360905/15/202306/12/2023 02/28/202403/04/2024
Contract DetailHOLIDAY CVS, L.L.C.CVS PHARMACY # 17132 1544 N DALE MABRY HWY
TAMPAFL3360710/11/202301/01/2024  01/01/2024
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03547 2100 66TH ST N
SAINT PETERSBURGFL3371010/11/202301/01/2024  01/01/2024
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00306 5432 US HWY 19 N
NEW PORT RICHEYFL3465210/11/202301/01/2024  01/01/2024
Contract DetailJTJ MEDICAL SUPPLY, INCDBA MAIL MEDS CLINICAL PHARMACY 2692 OAK RIDGE CT
FORT MYERSFL3390112/30/201501/01/2016 04/01/202104/01/2021
Contract DetailJTJ MEDICAL SUPPLY, INCDBA MAIL-MEDS CLINICAL PHARMACY 3251 3RD AVE N
ST PETERSBURGFL3371307/01/201610/01/2016 04/01/202104/01/2021
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514604/15/202007/01/2020 06/09/202006/26/2020
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514605/15/202306/12/2023  06/12/2023
Contract DetailPROCARE PHARMACY, L.L.C.NAVARRO SPECIALTY SERVICES # 10727 7205 CORPORATE CENTER DRIVE
SUITE 104
MIAMIFL3312604/15/202007/01/2020 06/09/202006/26/2020
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681305/15/202306/12/2023  06/12/2023
Contract DetailPROCARE PHARMACY, L.L.C.NAVARRO SPECIALTY SERVICES # 10727 7205 CORPORATE CENTER DRIVE
SUITE 104
MIAMIFL3312605/15/202306/12/2023  06/12/2023
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920305/15/202306/12/2023  06/12/2023
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523305/15/202306/12/2023  06/12/2023
Contract DetailRX CARE OF TAMPA LLCMETRO INCLUSIVE PHARMACY, LLC 2235 CENTRAL AVE STE A
ST PETERSBURGFL3371310/10/202301/01/2024  01/01/2024
Contract DetailTAMPA FAMILY PHARMACY12470 TELECOM DR STE 110W
TEMPLE TERRACEFL3363704/13/201607/01/2016 04/01/202104/01/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 03597 3700 34TH STREET NORTH
ST PETERSBURGFL3371312/30/201501/01/2016 07/14/201604/26/2017
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15301 3030 1ST AVE N
ST PETERSBURGFL3371312/30/201501/01/2016 04/01/202104/01/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 02665 3350 CENTRAL AVE
ST PETERSBURGFL3371207/19/201610/01/2016 04/01/202104/01/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 05451 315 W. PLATT STREET
TAMPAFL3360605/15/202306/12/2023  06/12/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 15519 10801 ROOSEVELT BLVD NORTH
ST PETERSBURGFL33716-381805/15/202306/12/2023  06/12/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 03951 900 49TH STREET N
SAINT PETERSBURGFL33710-337105/15/202306/12/2023  06/12/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 03597 3700 34TH STREET NORTH
ST PETERSBURGFL3371305/15/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 02918 875 DR MARTIN LUTHER KING JR ST N
SAINT PETERSBURGFL3370105/15/202306/12/2023  06/12/2023
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #21226 1506 W KENNEDY BLVD STE A
TAMPAFL3360605/15/202306/12/2023  06/12/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 02665 3350 CENTRAL AVE
ST PETERSBURGFL3371205/15/202306/12/2023 03/26/202503/26/2025
Contract DetailWALGREEN CO.DBA: WALGREENS #09297 10427 BIG BEND RD
RIVERVIEWFL3357805/15/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 03428 6735 CENTRAL AVE
ST PETERSBURGFL3371005/15/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 06674 8706 W HILLSBOROUGH AVE
TAMPAFL33615-370505/15/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 07827 7610 4TH ST N
SAINT PETERSBURGFL3370205/15/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 03794 5701 GULFPORT BLVD S
GULFPORTFL3370705/15/202306/12/2023  06/12/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 09031 3851 4TH ST NORTH
ST PETERSBURGFL3370305/15/202306/12/2023  06/12/2023
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15301 3030 1ST AVE N
ST PETERSBURGFL3371305/15/202306/12/2023  06/12/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 03743 4651 W. KENNEDY BLVD.
TAMPAFL3360905/15/202306/12/2023  06/12/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 04573 9202 N. 56TH STREET
TEMPLE TERRACEFL3361705/15/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 06804 5767 38TH AVE N
ST PETERSBURGFL33710-192505/15/202307/01/2023  07/01/2023
Contract DetailWALGREEN CO.WALGREENS #16399 3100 E. FLETCHER AVE
SUITE A165
TAMPAFL3361307/09/202410/01/2024  10/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 04523 930 PROVIDENCE ROAD
BRANDONFL3351107/09/202410/01/2024  10/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 04962 128 E. BRANDON BLVD.
BRANDONFL3351107/09/202410/01/2024  10/01/2024
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #21155 5966 S DIXIE HWY STE 103B
SOUTH MIAMIFL3314307/09/202410/01/2024  10/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 03459 2117 E HILLSBOROUGH AVE
TAMPAFL3361010/03/202401/01/2025  01/01/2025
Contract DetailWALGREEN CO.DBA: WALGREENS #12673 2916 E. FLETCHER AVE.
TAMPAFL3361204/15/202507/01/2025  04/15/2025
Contract DetailWalgreens #21395Walgreens Central Fill #21395 5710 Young Pine Rd
OrlandoFL3282905/15/202307/01/2023  07/01/2023
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503304/15/202507/01/2025  04/15/2025
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527504/15/202507/01/2025  04/15/2025
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818804/15/202507/01/2025  04/15/2025
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification5/9/2024 7:07:08 PM5/7/2025 4:59:56 PM5/7/2025 4:59 PM
ContactsPrimary ContactUpdateProfile Change RequestLegg, Samantha Senior Director of Compliance and Health Center Services Metropolitan Charities, Inc. 7273213854-1265Legg, Samantha Vice President of Clinical Services and Compliance Metropolitan Charities, Inc. 7273213854-12652/20/2025 11:10 AM
DetailsLast Recertification DateUpdateRecertification 5/9/2024 7:07:08 PM5/9/2024 7:07 PM
ContactsPrimary ContactUpdateProfile Change RequestLegg, Samantha Senior Director of Health Center Services and Compliance Metropolitan Charities, Inc. 7273213854-1265Legg, Samantha Senior Director of Compliance and Health Center Services Metropolitan Charities, Inc. 7273213854-12655/8/2024 1:38 PM
ContactsPrimary ContactUpdateProfile Change RequestLegg, Samantha Vice President of Health Center Services Metropolitan Charities, Inc. 7273213854-1265Legg, Samantha Senior Director of Health Center Services and Compliance Metropolitan Charities, Inc. 7273213854-12655/8/2024 1:06 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestRajkumar, Priya Chief Operating Officer/Chief Program Officer Metropolitan Charities, Inc. 7273213854-1230Rajkumar, Priya Chief Executive Officer Metropolitan Charities, Inc. 7273213854-12303/18/2024 12:12 PM
ContactsSigned ByUpdateProfile Change RequestRajkumar, Priya Chief Operating Officer/Chief Program Officer Metropolitan Charities, Inc. 7273213854-1230Rajkumar, Priya Chief Executive Officer Metropolitan Charities, Inc. 7273213854-12303/18/2024 12:12 PM
AddressesMain AddressUpdateChange Request 3251 3rd Ave N Saint Petersburg, FL 33713-8506 701 94th Avenue North Suite 250 Saint Petersburg, FL 337021/11/2024 8:10 AM
ContactsPrimary ContactUpdatePC Change RequestMann, Mark A Director of Pharmacy Services Metropolitan Charities, Inc. 7273213854-1255Legg, Samantha Vice President of Health Center Services Metropolitan Charities, Inc. 7273213854-12659/25/2023 7:00 AM
DetailsComments PublicInsertOPA Edit Participated starting 1/1/2016, Terminated 4/1/2021, Reinstated 5/15/2023.6/12/2023 6:47 AM
DetailsStateUpdateOPA EditApprovedActive5/15/2023 1:59 PM
DatesStart DateUpdateOPA Edit7/1/2023 12:00:00 AM5/15/2023 12:00:00 AM5/15/2023 1:59 PM
AddressesMain AddressInsertReinstatement  3251 3rd Ave N Saint Petersburg, FL 33713-85065/15/2023 1:56 PM
DetailsNature of Support: Support Received From DateUpdateReinstatement 7/1/2021 12:00:00 AM5/15/2023 1:56 PM
DetailsNature of Support: Support Received To DateUpdateReinstatement 6/30/2026 12:00:00 AM5/15/2023 1:56 PM
ContactsSigned ByUpdateReinstatementLanglois, Lorraine CEO 7273213854Rajkumar, Priya Chief Operating Officer/Chief Program Officer Metropolitan Charities, Inc. 7273213854-12305/15/2023 1:56 PM
DetailsLast Recertification DateUpdateReinstatement5/6/2020 1:51:23 PM 5/15/2023 1:56 PM
DetailsGrant NumberUpdateReinstatement5 NU65PS004814-05-00NU62PS9246985/15/2023 1:56 PM
DatesLast Date That 340B Drugs PurchasedUpdateReinstatement6/30/2020 12:00:00 AM 5/15/2023 1:56 PM
DetailsNOFO NumberUpdateReinstatement PS21-21025/15/2023 1:56 PM
DatesParticipating Approval DateUpdateReinstatement10/30/2015 12:00:00 AM5/15/2023 1:56:11 PM5/15/2023 1:56 PM
DetailsStateUpdateReinstatementTerminatedApproved5/15/2023 1:56 PM
DatesRegistration DateUpdateReinstatement10/10/2015 12:00:00 AM4/10/2023 1:04:57 PM5/15/2023 1:56 PM
DatesSigned By DateUpdateReinstatement10/10/2015 12:00:00 AM4/10/2023 1:56:09 PM5/15/2023 1:56 PM
DatesStart DateUpdateReinstatement1/1/2016 12:00:00 AM7/1/2023 12:00:00 AM5/15/2023 1:56 PM
TerminationsTermination DateUpdateReinstatement4/1/2021 12:00:00 AM 5/15/2023 1:56 PM
TerminationsTermination Effective DateUpdateReinstatement6/30/2020 12:00:00 AM 5/15/2023 1:56 PM
TerminationsTermination ReasonUpdateReinstatementBusiness decision by the Covered Entity 5/15/2023 1:56 PM
DatesLast Date That 340B Drugs PurchasedUpdateOPA Edit Termination Info6/15/2020 12:00:00 AM6/30/2020 12:00:00 AM4/28/2021 2:44 PM
DetailsStateUpdate To Be TerminatedTerminated4/1/2021 12:01 AM
DatesLast Date That 340B Drugs PurchasedUpdateTermination Request 6/15/2020 12:00:00 AM2/23/2021 10:25 AM
DetailsStateUpdateTermination RequestActiveTo Be Terminated2/23/2021 10:25 AM
TerminationsTermination DateUpdateTermination Request 4/1/2021 12:00:00 AM2/23/2021 10:25 AM
TerminationsTermination Effective DateUpdateTermination Request 6/30/2020 12:00:00 AM2/23/2021 10:25 AM
TerminationsTermination ReasonUpdateTermination Request Business decision by the Covered Entity2/23/2021 10:25 AM
DetailsLast Recertification DateUpdateRecertification5/14/2019 7:01:33 AM5/6/2020 1:51:23 PM5/6/2020 1:51 PM
DetailsGrant NumberUpdateRecertification5NU65PS004814-05-005 NU65PS004814-05-005/6/2020 1:51 PM
ContactsPrimary ContactUpdateProfile Change RequestMann, Mark A Director of Pharmacy Services Metropolitan Charities, Inc. 7273243854-1255Mann, Mark A Director of Pharmacy Services Metropolitan Charities, Inc. 7273213854-12555/16/2019 4:46 PM
DetailsLast Recertification DateUpdateRecertification4/26/2018 10:09:59 AM5/14/2019 7:01:33 AM5/14/2019 7:01 AM
DetailsGrant NumberUpdateRecertification5NU65PS004814-02-005NU65PS004814-05-005/14/2019 7:01 AM
ContactsPrimary ContactUpdateProfile Change RequestMann, Mark A Director of Pharmacy Services Metropolitan Charities Inc. 7273243854-1255Mann, Mark A Director of Pharmacy Services Metropolitan Charities, Inc. 7273243854-12554/1/2019 10:24 AM
ContactsAuthorizing OfficialUpdateChange RequestLanglois, Lorraine Chief Executive Officer Metropolitan Charities, Inc. 7273213854Rajkumar, Priya Chief Operating Officer/Chief Program Officer Metropolitan Charities, Inc. 7273213854-12302/11/2019 10:24 AM
ContactsPrimary ContactUpdateChange RequestRajkumar, Priya Chief Operating Officer/Chief Program Officer Metropolitan Charities, Inc. 7273213854-1230Mann, Mark A Director of Pharmacy Services Metropolitan Charities Inc. 7273243854-12552/11/2019 10:24 AM
ContactsPrimary ContactUpdateProfile Change RequestRajkumar, Priya Chief Operating Officer/Chief Program Officer Metropolitan Charities, Inc. 7273213854Rajkumar, Priya Chief Operating Officer/Chief Program Officer Metropolitan Charities, Inc. 7273213854-12302/11/2019 9:40 AM
DetailsLast Recertification DateUpdateRecertification4/26/2017 12:00:00 AM4/26/2018 10:09:59 AM4/26/2018 10:09 AM
ContactsAuthorizing OfficialUpdate Langlois, Lorraine Chief Executive Officer 7273213854Langlois, Lorraine Chief Executive Officer Metropolitan Charities, Inc. 72732138541/17/2018 11:09 AM
ContactsPrimary ContactUpdate Rajkumar, Priya Chief Operating Officer/Chief Program Officer 7273213854Rajkumar, Priya Chief Operating Officer/Chief Program Officer Metropolitan Charities, Inc. 72732138541/17/2018 10:58 AM
ContactsAuthorizing OfficialInsert  Langlois, Lorraine Chief Executive Officer 72732138544/27/2017 12:37 PM
ContactsPrimary ContactInsert  Rajkumar, Priya Chief Operating Officer/Chief Program Officer 72732138544/27/2017 12:37 PM
AddressesMain AddressInsert   3251 3rd Avenue North St Petersburg, FL 337134/26/2017 1:59 PM
ContactsSigned ByInsert  Langlois, Lorraine CEO 72732138544/26/2017 1:59 PM
DetailsLast Recertification DateUpdate 2/22/2016 12:00:00 AM4/26/2017 12:00:00 AM4/26/2017 1:58 PM
DetailsGrant NumberUpdate 1U65PS004814-015NU65PS004814-02-008/3/2016 10:11 AM
DetailsLast Recertification DateUpdate  2/22/2016 12:00:00 AM2/22/2016 7:12 AM
DetailsGrant NumberUpdate 5H25PS0043421U65PS004814-012/22/2016 7:12 AM
DatesParticipating Approval DateUpdate  10/30/2015 12:00:00 AM10/30/2015 4:18 PM
DetailsStateUpdate PendingActive10/30/2015 4:18 PM
DatesStart DateUpdate  1/1/2016 12:00:00 AM10/30/2015 4:18 PM
Details340B IDUpdate ONLINE_REG_54949STD3371310/27/2015 10:53 AM
DetailsGrant NumberUpdate 1U65PS004814-015H25PS00434210/27/2015 9:58 AM
DetailsNature Of SupportInsert  Direct Funding (dollars received from CDC or an intermediate organization)10/10/2015 12:54 PM
Details340B IDUpdate ONLINE_REGONLINE_REG_5494910/10/2015 12:54 PM
DetailsLast Recertification DateInsert   10/10/2015 12:54 PM
DetailsGrant NumberInsert  1U65PS004814-0110/10/2015 12:54 PM
Details340B IDInsert  ONLINE_REG10/10/2015 12:54 PM
DetailsIs Authorizing Official EHB DataInsert   10/10/2015 12:54 PM
DatesLast Date That 340B Drugs PurchasedInsert   10/10/2015 12:54 PM
DetailsMedicare Provider NumberInsert   10/10/2015 12:54 PM
DetailsEntity NameInsert  Metropolitan Charities, Inc.10/10/2015 12:54 PM
DetailsProgram CodeInsert  STD10/10/2015 12:54 PM
DetailsEntity SubnameInsert   10/10/2015 12:54 PM
DatesParticipating Approval DateInsert   10/10/2015 12:54 PM
DetailsStateInsert  Pending10/10/2015 12:54 PM
DatesRegistration DateInsert  10/10/2015 12:00:00 AM10/10/2015 12:54 PM
DatesSigned By DateInsert  10/10/2015 12:00:00 AM10/10/2015 12:54 PM
DatesStart DateInsert   10/10/2015 12:54 PM
TerminationsTermination CommentsInsert   10/10/2015 12:54 PM
TerminationsTermination DateInsert   10/10/2015 12:54 PM
TerminationsTermination Effective DateInsert   10/10/2015 12:54 PM
TerminationsTermination ReasonInsert   10/10/2015 12:54 PM