Covered Entity Details

STD342871 CAN Community Health, Inc. (Active) - information as of 6/23/2025 12:35:19 AM

Main Details

Name

CAN Community Health, Inc.

Subdivision Name

North Port

Type

Sexually Transmitted Diseases

340B ID

STD342871

Grant Number

NU62PS924532

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

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.

1/1/2019

Additional Details

Current Program Status

Active

Registration Date

4/5/2019

Participating Start Date

4/5/2019

Participating Approval Date

4/5/2019

Last Recertification Date

5/28/2025

Notice of Funding Opportunity (NOFO) Number

PS24-0047

Contacts

Authorizing Official

CAN Community Health, Inc.
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127

Primary Contact

CAN Community Health, Inc.
Hemali Joshi, SVP, Chief Data Officer
(941) 300-4440 Ext: 10161

Addresses

Street Address

14243 Tamiami Trail
North Port, FL 34287

Billing Address

CAN Community Health, Inc.
2105 N. Nebraska Ave.
Tampa, FL 33602

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History

Comments

Comment	Last Updated On
Participated starting 1/1/2016, terminated 4/1/2019. Reinstated 4/5/2019.	04/05/2019

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Shipping Address 1

CAN Community Health Pharmacy of Clearwater
2349 Sunset Point Road
Ste 404
Clearwater, FL 33765

Shipping Address 2

CAN Community Health Pharmacy of Jacksonville
4615 Philips Hwy
Ste 3
Jacksonville, FL 32207

Shipping Address 3

CAN Community Health Pharmacy of Ft. Lauderdale
4101 NW 3rd Court
Ste 9
Plantation, FL 33317

Shipping Address 4

CAN Community Health Pharmacy of Arlington
603 Matlock Centre Cir
Arlington, TX 76015

Shipping Address 5

JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy
2692 Oak Ridge Ct
Fort Myers, FL 33901

Shipping Address 6

Tampa Family Pharmacy
12470 Telecom Dr
Ste 110W
Temple Terrace, FL 33637

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	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/25/2016	07/01/2016	04/01/2019	04/01/2019
Contract Detail	ACCREDO HEALTH GROUP INC	201 GREAT CIRCLE ROAD		NASHVILLE	TN	37228	04/25/2016	07/01/2016	04/06/2018	04/13/2018
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/25/2016	07/01/2016	04/01/2019	04/01/2019
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/07/2017	07/01/2017	04/01/2019	04/01/2019
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/05/2019	04/08/2019		04/08/2019
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/05/2019	04/08/2019		04/08/2019
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/05/2019	04/08/2019		04/08/2019
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/25/2016	07/01/2016	04/01/2019	04/01/2019
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/25/2016	07/01/2016	04/01/2019	04/01/2019
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/25/2016	07/01/2016	04/01/2019	04/01/2019
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/05/2019	04/08/2019		04/08/2019
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/05/2019	04/08/2019		04/08/2019
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/05/2019	04/08/2019	06/01/2023	12/11/2023
Contract Detail	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	10/15/2024	01/01/2025		01/01/2025
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	10/18/2016	01/01/2017	04/01/2019	04/01/2019
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/05/2019	04/08/2019		04/08/2019
Contract Detail	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	10/18/2016	01/01/2017	04/01/2019	04/01/2019
Contract Detail	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/05/2019	04/08/2019		04/08/2019
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	10/20/2016	01/01/2017	04/01/2019	04/01/2019
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/05/2019	04/08/2019		04/08/2019
Contract Detail	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	10/18/2016	01/01/2017	04/01/2019	04/01/2019
Contract Detail	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/05/2019	04/08/2019		04/08/2019
Contract Detail	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	10/18/2016	01/01/2017	04/01/2019	04/01/2019
Contract Detail	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/05/2019	04/08/2019		04/08/2019
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	10/18/2016	01/01/2017	04/01/2019	04/01/2019
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/05/2019	04/08/2019		04/08/2019
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	10/20/2016	01/01/2017	04/01/2019	04/01/2019
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/05/2019	04/08/2019		04/08/2019
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	10/20/2016	01/01/2017	04/01/2019	04/01/2019
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/05/2019	04/08/2019		04/08/2019
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	10/18/2016	01/01/2017	04/01/2019	04/01/2019
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/05/2019	04/08/2019		04/08/2019
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	10/18/2021	01/01/2022		01/01/2022
Contract Detail	COMMCARE PHARMACY-FTL, LLC	855 SW 78TH AVE STE C100		PLANTATION	FL	33324-3223	07/14/2016	10/01/2016	04/01/2019	04/01/2019
Contract Detail	COMMCARE PHARMACY-FTL, LLC	855 SW 78TH AVE STE C100		PLANTATION	FL	33324-3223	04/05/2019	04/08/2019	01/01/2020	11/07/2023
Contract Detail	COMMCARE PHARMACY-MIA, LLC		1801 CORAL WAY SUITE 115	MIAMI	FL	33145-2784	07/14/2016	10/01/2016	10/21/2016	12/01/2016
Contract Detail	COMMCARE PHARMACY-WPB, LLC		1689 FORUM PLACE	WEST PALM BEACH	FL	33401	07/14/2016	10/01/2016	10/21/2016	12/01/2016
Contract Detail	CRESCENT HEALTHCARE, INC.	1352 W. 15TH ST.	SUITE 8	PANAMA CITY	FL	32401-7411	04/26/2016	07/01/2016	04/01/2019	04/01/2019
Contract Detail	CRESCENT HEALTHCARE, INC.	5431 SW 35TH DR STE 200		GAINESVILLE	FL	32608	04/26/2016	07/01/2016	04/01/2019	04/01/2019
Contract Detail	CRESCENT HEALTHCARE, INC.	5431 SW 35TH DR STE 200		GAINESVILLE	FL	32608	04/05/2019	04/08/2019		04/08/2019
Contract Detail	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	10/18/2021	01/01/2022		01/01/2022
Contract Detail	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/15/2019	04/01/2019	04/01/2019	04/01/2019
Contract Detail	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	04/05/2019	04/08/2019		04/08/2019
Contract Detail	DIPLOMAT SPECIALTY PHARMACY	4100 S SAGINAW ST	STE D	FLINT	MI	48507-2683	04/15/2021	07/01/2021	01/24/2022	12/13/2023
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/17/2020	07/01/2020		07/01/2020
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/17/2020	07/01/2020		07/01/2020
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	10/22/2018	01/01/2019	04/01/2019	04/01/2019
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	10/22/2018	01/01/2019	04/01/2019	04/01/2019
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/05/2019	04/08/2019		04/08/2019
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/05/2019	04/08/2019		04/08/2019
Contract Detail	GENOA HEALTHCARE LLC	6075 BATHEY LANE, SUITE D-5		NAPLES	FL	34116	04/15/2021	07/01/2021		07/01/2021
Contract Detail	GENOA HEALTHCARE LLC	4300 SW 13TH ST, ROOM 27		GAINESVILLE	FL	32608	04/15/2021	07/01/2021		07/01/2021
Contract Detail	GENOA HEALTHCARE LLC	1700 EDUCATION AVE	BUILDING A, STE P	PUNTA GORDA	FL	33950	04/15/2021	07/01/2021		07/01/2021
Contract Detail	HEDGES PRESCRIPTION SHOP INC	HEDGES PRESCRIPTION SHOP INC	24 N LIME AVE	SARASOTA	FL	34237-6120	11/03/2015	01/01/2016	04/01/2019	04/01/2019
Contract Detail	HEDGES PRESCRIPTION SHOP INC	HEDGES PRESCRIPTION SHOP INC	24 N LIME AVE	SARASOTA	FL	34237-6120	04/05/2019	04/08/2019		04/08/2019
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03258	14998 S. TAMIAMI TRAIL	NORTH PORT	FL	34287	04/15/2021	07/01/2021		07/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03107	24 S. BREVARD AVE.	ARCADIA	FL	34266	04/15/2021	07/01/2021		07/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 01120	215 JACARANDA BLVD.	VENICE	FL	34292	04/15/2021	07/01/2021		07/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00406	2400 TAMIAMI TRL	PUNTA GORDA	FL	33950	07/26/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 01013	1760 S MCCALL RD	ENGLEWOOD	FL	34223	10/18/2021	01/01/2022		01/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04726	24200 VETERANS BLVD	PORT CHARLOTTE	FL	33954	07/27/2024	10/01/2024		10/01/2024
Contract Detail	JTJ MEDICAL SUPPLY, INC	DBA MAIL MEDS CLINICAL PHARMACY	2692 OAK RIDGE CT	FORT MYERS	FL	33901	11/03/2015	01/01/2016	04/01/2019	04/01/2019
Contract Detail	JTJ MEDICAL SUPPLY, INC	DBA MAIL MEDS CLINICAL PHARMACY	2692 OAK RIDGE CT	FORT MYERS	FL	33901	04/05/2019	04/08/2019	01/28/2025	01/28/2025
Contract Detail	OPTION CARE ENTERPRISES, INC.	D/B/A OPTION CARE	14580 GLOBAL PARKWAY SUITE 108	FORT MYERS	FL	33913-8887	04/15/2016	07/01/2016	04/01/2019	04/01/2019
Contract Detail	OPTION CARE ENTERPRISES, INC.	D/B/A OPTION CARE	6401 W WATERS AVE	TAMPA	FL	33634	04/25/2016	07/01/2016	04/01/2019	04/01/2019
Contract Detail	OPTION CARE ENTERPRISES, INC.	DBA OPTION CARE	11650 MIRAMAR PARKWAY SUITE 100	MIRAMAR	FL	33025-5823	04/25/2016	07/01/2016	04/01/2019	04/01/2019
Contract Detail	OPTION CARE ENTERPRISES, INC.	D/B/A OPTION CARE	11403 BLUEGRASS PARKWAY SUITE 400	LOUISVILLE	KY	40299-2398	04/25/2016	07/01/2016	04/01/2019	04/01/2019
Contract Detail	OPTION CARE ENTERPRISES, INC.	DBA OPTION CARE	11650 MIRAMAR PARKWAY SUITE 100	MIRAMAR	FL	33025-5823	04/05/2019	04/08/2019		04/08/2019
Contract Detail	OPTION CARE ENTERPRISES, INC.	D/B/A OPTION CARE	14580 GLOBAL PARKWAY SUITE 108	FORT MYERS	FL	33913-8887	04/05/2019	04/08/2019		04/08/2019
Contract Detail	OPTION CARE ENTERPRISES, INC.	D/B/A OPTION CARE	11403 BLUEGRASS PARKWAY SUITE 400	LOUISVILLE	KY	40299-2398	04/05/2019	04/08/2019		04/08/2019
Contract Detail	OPTION CARE ENTERPRISES, INC.	D/B/A OPTION CARE	6401 W WATERS AVE	TAMPA	FL	33634	04/05/2019	04/08/2019		04/08/2019
Contract Detail	OPTUM FRONTIER THERAPIES II, LLC	6425 SANTA MARGARITA ST UNIT 110		LAS VEGAS	NV	89118-1913	07/15/2020	10/01/2020	10/01/2020	12/13/2023
Contract Detail	OPTUM PHARMACY 701, LLC	4100 S SAGINAW ST STE D		FLINT	MI	48507	01/23/2022	01/24/2022		01/26/2022
Contract Detail	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	07/15/2020	10/01/2020		10/01/2020
Contract Detail	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	07/15/2020	10/01/2020		10/01/2020
Contract Detail	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	07/15/2020	10/01/2020		10/01/2020
Contract Detail	OPTUM PHARMACY 705, LLC	3539 BLUECUTT RD		COLUMBUS	MS	39705	07/15/2020	10/01/2020		10/01/2020
Contract Detail	OPTUM PHARMACY 706, INC.	30-30 47TH AVENUE	SUITE 410	LONG ISLAND CITY	NY	11101	07/15/2020	10/01/2020		10/01/2020
Contract Detail	OPTUM PHARMACY 800, INC.	3016 GUADALUPE ST STE A		AUSTIN	TX	78705-2861	10/13/2020	01/01/2021		01/01/2021
Contract Detail	OPTUM PHARMACY 801, INC.	24416 N 19TH AVE	STE. 100	PHOENIX	AZ	85085	10/13/2020	01/01/2021		01/01/2021
Contract Detail	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	10/13/2020	01/01/2021		01/01/2021
Contract Detail	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	04/23/2018	07/01/2018	04/01/2019	04/01/2019
Contract Detail	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	04/05/2019	04/08/2019	05/13/2022	06/05/2022
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	10/18/2016	01/01/2017	04/01/2019	04/01/2019
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/05/2019	04/08/2019		04/08/2019
Contract Detail	PROCARE PHARMACY, L.L.C.	NAVARRO SPECIALTY SERVICES # 10727	7205 CORPORATE CENTER DRIVE SUITE 104	MIAMI	FL	33126	07/15/2020	10/01/2020		10/01/2020
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	10/18/2021	01/01/2022		01/01/2022
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	10/18/2021	01/01/2022		01/01/2022
Contract Detail	TAMPA FAMILY PHARMACY	12470 TELECOM DR STE 110W		TEMPLE TERRACE	FL	33637	11/03/2015	01/01/2016	04/01/2019	04/01/2019
Contract Detail	TAMPA FAMILY PHARMACY	12470 TELECOM DR STE 110W		TEMPLE TERRACE	FL	33637	04/05/2019	04/08/2019	01/28/2025	01/28/2025
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/18/2024	04/01/2024		04/01/2024
Contract Detail	WAL-MART PHARMACY 10-0769	4150 S. TAMIAMI TRAIL		VENICE	FL	34293	01/18/2024	04/01/2024		04/01/2024
Contract Detail	WAL-MART PHARMACY 10-2459	4381 CATTLEMEN RD		SARASOTA	FL	34233	01/18/2024	04/01/2024		04/01/2024
Contract Detail	WAL-MART PHARMACY 10-5264	13140 S TAMIAMI TRAIL		OSPREY	FL	34229	01/18/2024	04/01/2024		04/01/2024
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/18/2024	04/01/2024		04/01/2024
Contract Detail	WALGREEN CO	DBA: WALGREENS #10668	2575 NE HWY 70	ARCADIA	FL	34266	01/21/2024	04/01/2024		04/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 01077	3550 FRUITVILLE RD	SARASOTA	FL	34237-9026	01/06/2016	04/01/2016	04/13/2018	04/13/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #02085	1700 N LOCKWOOD RIDGE RD	SARASOTA	FL	34234	01/06/2016	04/01/2016	04/13/2018	04/13/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03264	1224 S. TAMIAMI TRAIL	SARASOTA	FL	34239	01/06/2016	04/01/2016	04/01/2019	04/01/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03332	3601 BEE RIDGE ROAD	SARASOTA	FL	34233	01/06/2016	04/01/2016	04/13/2018	04/13/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03830	1947 FRUITVILLE RD	SARASOTA	FL	34236	01/06/2016	04/01/2016	04/13/2018	04/13/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04033	1490 US HIGHWAY 41 BYPASS SOUTH	VENICE	FL	34285	01/06/2016	04/01/2016	04/13/2018	04/13/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04700	4340 S. FLORIDA AVE.	LAKELAND	FL	33813	01/06/2016	04/01/2016	04/13/2018	04/13/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04841	4210 STATE ROAD 64 EAST	BRADENTON	FL	34208	01/06/2016	04/01/2016	04/13/2018	04/13/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05575	5800 BEE RIDGE ROAD	SARASOTA	FL	34233-5067	01/06/2016	04/01/2016	04/13/2018	04/13/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07875	1800 TAMIAMI TRAIL	PORT CHARLOTTE	FL	33948-1043	01/06/2016	04/01/2016	04/13/2018	04/13/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #09170	12600 SOUTH TAMIAMI TRAIL	NORTH PORT	FL	34287	01/06/2016	04/01/2016	08/24/2016	09/26/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS #12698	3001 TAMIAMI TRAIL	PORT CHARLOTTE	FL	33952	01/06/2016	04/01/2016	04/13/2018	04/13/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #13578	1921 WALDEMERE ST STE 201	SARASOTA	FL	34239	01/06/2016	04/01/2016	04/13/2018	04/13/2018
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #15301	3030 1ST AVE N	ST PETERSBURG	FL	33713	01/06/2016	04/01/2016	10/15/2018	10/22/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03264	1224 S. TAMIAMI TRAIL	SARASOTA	FL	34239	04/05/2019	04/08/2019		04/08/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09317	1009 N SUMTER BLVD	NORTH PORT	FL	34286-8073	07/15/2020	10/01/2020		10/01/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06164	15180 TAMIAMI TRAILS	NORTH PORT	FL	34287	04/15/2021	07/01/2021		07/01/2021
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06515	5945 US HIGHWAY 301 N	ELLENTON	FL	34222	04/15/2021	07/01/2021		07/01/2021
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #15299	1201 NE 26TH ST STE 110	WILTON MANORS	FL	33305	04/15/2021	07/01/2021		07/01/2021
Contract Detail	Walgreens #21395	Walgreens Central Fill #21395	5710 Young Pine Rd	Orlando	FL	32829	07/18/2023	10/01/2023		10/01/2023
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/15/2019	04/01/2019	04/01/2019	04/01/2019
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/15/2019	04/01/2019	04/01/2019	04/01/2019
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	01/15/2019	04/01/2019	04/01/2019	04/01/2019
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/15/2019	04/01/2019	04/01/2019	04/01/2019
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	04/05/2019	04/08/2019		04/08/2019
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	04/05/2019	04/05/2019	10/01/2021	10/12/2021
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	04/05/2019	04/08/2019		04/08/2019
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	04/05/2019	04/08/2019		04/08/2019
Contract Detail	WALMART PHARMACY #10-7298	5401 PALMER CROSSING CR.		SARASOTA	FL	34233-3283	01/18/2024	04/01/2024		04/01/2024
Contract Detail	WALMART PHARMACY 10-3066	3500 N. TAMIAMI TRAIL		SARASOTA	FL	34234	01/18/2024	04/01/2024		04/01/2024
Contract Detail	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/18/2024	04/01/2024		04/01/2024
Contract Detail	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/18/2024	04/01/2024		04/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	5/27/2024 8:04:11 PM	5/28/2025 12:43:10 PM	5/28/2025 12:43 PM
Details	Nature of Support: In Kind Support Description	Insert	Change Request			4/30/2025 10:32 AM
Details	Nature Of Support	Insert	Change Request		Direct Funding (dollars received from CDC or an intermediate organization)	4/30/2025 10:32 AM
Details	Nature of Support: Support Received From Date	Insert	Change Request		1/1/2019 12:00:00 AM	4/30/2025 10:32 AM
Details	Nature of Support: Support Received To Date	Insert	Change Request			4/30/2025 10:32 AM
Details	Nature Of Support	Delete	Change Request	In-Kind products or services (see note below; must have been purchased with section 318 funds) (01/01/2019)-() Educational Materials		4/30/2025 10:32 AM
Details	Grant Number	Update	Change Request	1 NH25PS005131-01-00	NU62PS924532	4/30/2025 10:32 AM
Details	NOFO Number	Update	Change Request	PS19-1901	PS24-0047	4/30/2025 10:32 AM
Contacts	Authorizing Official	Update	Profile Change Request	Patel, Rishi President & CEO CAN Community Health, Inc. 9413660461-11127	Patel, Rishi President & CEO CAN Community Health, Inc. 9413004440-11127	1/28/2025 7:30 PM
Addresses	Billing Address	Update	Group Change Request	CAN Community Health, Inc. 4440 Fruitville Rd SARASOTA, FL 34232	CAN Community Health, Inc. 2105 N. Nebraska Ave. Tampa, FL 33602	6/20/2024 3:06 PM
Details	Last Recertification Date	Update	Recertification	5/17/2023 10:49:42 AM	5/27/2024 8:04:11 PM	5/27/2024 8:04 PM
Addresses	Shipping Address	Update	Change Request	Tampa Family Pharmacy 2919 W Swann Ave. Ste 101 Tampa, FL 33609	Tampa Family Pharmacy 12470 Telecom Dr Ste 110W Temple Terrace, FL 33637	12/11/2023 10:51 AM
Details	Last Recertification Date	Update	Recertification	6/5/2022 8:44:40 PM	5/17/2023 10:49:42 AM	5/17/2023 10:49 AM
Addresses	Shipping Address	Insert	Change Request		JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy 2692 Oak Ridge Ct Fort Myers, FL 33901	7/19/2022 9:48 AM
Addresses	Shipping Address	Insert	Change Request		Tampa Family Pharmacy 2919 W Swann Ave. Ste 101 Tampa, FL 33609	7/19/2022 9:48 AM
Contacts	Authorizing Official	Update	Profile Change Request	Patel, Rishi Interim President & CEO CAN Community Health, Inc. 9413660461-11127	Patel, Rishi President & CEO CAN Community Health, Inc. 9413660461-11127	7/5/2022 4:02 PM
Details	Last Recertification Date	Update	Recertification	6/4/2021 3:06:29 PM	6/5/2022 8:44:40 PM	6/5/2022 8:44 PM
Contacts	Primary Contact	Update	Profile Change Request	Joshi, Hemali VP Enterprise Systems & Pharmacy Analytics CAN Community Health, Inc. 9413004440-10161	Joshi, Hemali SVP, Chief Data Officer CAN Community Health, Inc. 9413004440-10161	4/8/2022 1:34 PM
Addresses	Shipping Address	Insert	Group Change Request		CAN Community Health Pharmacy of Arlington 603 Matlock Centre Cir Arlington, TX 76015	10/13/2021 8:27 AM
Contacts	Primary Contact	Update	Profile Change Request	Joshi, Hemali VP Quality, Analytics & Pharmacy Operations CAN Community Health, Inc. 9413004440-10161	Joshi, Hemali VP Enterprise Systems & Pharmacy Analytics CAN Community Health, Inc. 9413004440-10161	10/6/2021 12:58 PM
Contacts	Authorizing Official	Update	Change Request	Carlisle, Richard E. President & CEO CAN Community Health, Inc. 9413660134-11111	Patel, Rishi Interim President & CEO CAN Community Health, Inc. 9413660461-11127	6/23/2021 1:23 PM
Contacts	Primary Contact	Update	Change Request	Patel, Rishi Interim President & CEO CAN Community Health, Inc. 9413660461-11127	Joshi, Hemali VP Quality, Analytics & Pharmacy Operations CAN Community Health, Inc. 9413004440-10161	6/23/2021 1:23 PM
Contacts	Primary Contact	Update	Profile Change Request	Patel, Rishi Executive Vice President & Chief Operating Officer CAN Community Health, Inc. 9413660461-11127	Patel, Rishi Interim President & CEO CAN Community Health, Inc. 9413660461-11127	6/21/2021 12:48 PM
Details	Nature of Support: In Kind Support Description	Update	Recertification		Educational Materials	6/4/2021 3:06 PM
Details	Nature of Support: Support Received From Date	Update	Recertification		1/1/2019 12:00:00 AM	6/4/2021 3:06 PM
Details	Last Recertification Date	Update	Recertification	5/29/2020 3:34:39 PM	6/4/2021 3:06:29 PM	6/4/2021 3:06 PM
Details	NOFO Number	Update	Recertification		PS19-1901	6/4/2021 3:06 PM
Contacts	Primary Contact	Update	Profile Change Request	Patel, Rishi Senior Vice President of Pharmacy Services CAN Community Health, Inc. 9413660461-11127	Patel, Rishi Executive Vice President & Chief Operating Officer CAN Community Health, Inc. 9413660461-11127	10/1/2020 3:09 PM
Addresses	Shipping Address	Insert	Change Request		CAN Community Health Pharmacy of Clearwater 2349 Sunset Point Road Ste 404 Clearwater, FL 33765	9/23/2020 4:06 PM
Addresses	Shipping Address	Insert	Change Request		CAN Community Health Pharmacy of Jacksonville 4615 Philips Hwy Ste 3 Jacksonville, FL 32207	9/23/2020 4:06 PM
Addresses	Shipping Address	Insert	Change Request		CAN Community Health Pharmacy of Ft. Lauderdale 4101 NW 3rd Court Ste 9 Plantation, FL 33317	9/23/2020 4:06 PM
Details	Last Recertification Date	Update	Recertification	5/29/2019 10:15:41 AM	5/29/2020 3:34:39 PM	5/29/2020 3:34 PM
Addresses	Billing Address	Update	Change Request	CAN Community Health, Inc. 1231 N. Tuttle Ave. Sarasota, FL 34237	CAN Community Health, Inc. 4440 Fruitville Rd SARASOTA, FL 34232	4/17/2020 12:28 PM
Contacts	Primary Contact	Update	Profile Change Request	Patel, Rishi Chief Pharmacy Officer CAN Community Health, Inc. 9413660461-11127	Patel, Rishi Senior Vice President of Pharmacy Services CAN Community Health, Inc. 9413660461-11127	9/20/2019 1:41 PM
Details	Last Recertification Date	Update	Recertification		5/29/2019 10:15:41 AM	5/29/2019 10:15 AM
Details	Grant Number	Update	Recertification	NH25PS004342-04-01	1 NH25PS005131-01-00	5/29/2019 10:15 AM
Details	Entity Subname	Update	Recertification		North Port	5/29/2019 10:15 AM
Details	State	Update	OPA Edit	Approved	Active	4/5/2019 1:34 PM
Dates	Start Date	Update	OPA Edit	7/1/2019 12:00:00 AM	4/5/2019 12:00:00 AM	4/5/2019 1:34 PM
Addresses	Main Address	Insert	Reinstatement		14243 Tamiami Trail North Port, FL 34287	4/5/2019 1:29 PM
Addresses	Billing Address	Insert	Reinstatement		CAN Community Health, Inc. 1231 N. Tuttle Ave. Sarasota, FL 34237	4/5/2019 1:29 PM
Contacts	Signed By	Update	Reinstatement	Carlisle, Richard E. President & CEO CAN Community Health, Inc. 9413660461-11111	Carlisle, Richard E. President & CEO CAN Community Health, Inc. 9413660134-11111	4/5/2019 1:29 PM
Dates	Participating Approval Date	Update	Reinstatement		4/5/2019 1:29:15 PM	4/5/2019 1:29 PM
Details	State	Update	Reinstatement	Pending	Approved	4/5/2019 1:29 PM
Dates	Signed By Date	Update	Reinstatement	10/12/2015 12:00:00 AM	4/5/2019 11:01:38 AM	4/5/2019 1:29 PM
Dates	Start Date	Update	Reinstatement		7/1/2019 12:00:00 AM	4/5/2019 1:29 PM
Details	Comments Public	Insert	Reinstatement		Participated starting 1/1/2016, terminated 4/1/2019. Reinstated 4/5/2019.	4/5/2019 1:15 PM
Details	Last Recertification Date	Update	Reinstatement	5/18/2018 10:36:13 AM		4/5/2019 11:01 AM
Dates	Participating Approval Date	Update	Reinstatement	10/30/2015 12:00:00 AM		4/5/2019 11:01 AM
Details	State	Update	Reinstatement	Terminated	Pending	4/5/2019 11:01 AM
Dates	Registration Date	Update	Reinstatement	10/12/2015 12:00:00 AM	4/5/2019 11:01:35 AM	4/5/2019 11:01 AM
Dates	Start Date	Update	Reinstatement	1/1/2016 12:00:00 AM		4/5/2019 11:01 AM
Terminations	Termination Date	Update	Reinstatement	4/1/2019 12:00:00 AM		4/5/2019 11:01 AM
Terminations	Termination Effective Date	Update	Reinstatement	4/1/2019 12:00:00 AM		4/5/2019 11:01 AM
Terminations	Termination Reason	Update	Reinstatement	Loss of qualifying grant/support		4/5/2019 11:01 AM
Details	State	Update	OPA Terminate	Active	Terminated	4/1/2019 2:13 PM
Terminations	Termination Date	Update	OPA Terminate		4/1/2019 12:00:00 AM	4/1/2019 2:13 PM
Terminations	Termination Effective Date	Update	OPA Terminate		4/1/2019 12:00:00 AM	4/1/2019 2:13 PM
Terminations	Termination Reason	Update	OPA Terminate		Loss of qualifying grant/support	4/1/2019 2:13 PM
Contacts	Authorizing Official	Update	Change Request	Carlisle, Richard E. President & CEO CAN Community Health, Inc. 9413660461-11111	Carlisle, Richard E. President & CEO CAN Community Health, Inc. 9413660134-11111	7/17/2018 7:13 AM
Contacts	Authorizing Official	Update	Profile Change Request	Carlisle, Richard E. President & CEO Comprehensive Care Center, Inc. dab Community AIDS Network 9413660461-1020	Carlisle, Richard E. President & CEO CAN Community Health, Inc. 9413660461-11111	7/12/2018 3:06 PM
Contacts	Signed By	Update	Profile Change Request	Carlisle, Richard E. President & CEO Comprehensive Care Center, Inc. dab Community AIDS Network 9413660461-1020	Carlisle, Richard E. President & CEO CAN Community Health, Inc. 9413660461-11111	7/12/2018 3:06 PM
Contacts	Primary Contact	Update	Recertification	Patel, Rishi Chief Pharmacy Officer CAN Community Health, Inc. 9413660461-11127	Patel, Rishi Chief Pharmacy Officer CAN Community Health, Inc. 9413660461-11127	5/18/2018 10:36 AM
Details	Last Recertification Date	Update	Recertification	5/16/2017 12:00:00 AM	5/18/2018 10:36:13 AM	5/18/2018 10:36 AM
Addresses	Billing Address	Update	Change Request	Comprehensive Care Center, Inc. dba Community AIDS Network 1231 N. Tuttle Ave. Sarasota, FL 34237	CAN Community Health, Inc. 1231 N. Tuttle Ave. Sarasota, FL 34237	12/13/2017 6:38 AM
Details	Entity Name	Update	Change Request	Comprehensive Care Center, Inc. dba Community AIDS Network	CAN Community Health, Inc.	12/13/2017 6:38 AM
Contacts	Primary Contact	Update	Profile Change Request	Patel, Rishi Chief Pharmacy Officer Comprehensive Care Center, Inc. dba Community AIDS Network 9413660461-11127	Patel, Rishi Chief Pharmacy Officer CAN Community Health, Inc. 9413660461-11127	11/30/2017 3:58 PM
Contacts	Authorizing Official	Update		Carlisle, Richard E. President & CEO 9413660461-1020	Carlisle, Richard E. President & CEO Comprehensive Care Center, Inc. dab Community AIDS Network 9413660461-1020	10/15/2017 9:02 PM
Contacts	Signed By	Update		Carlisle, Richard E. President & CEO 9413660461-1020	Carlisle, Richard E. President & CEO Comprehensive Care Center, Inc. dab Community AIDS Network 9413660461-1020	10/15/2017 9:02 PM
Contacts	Primary Contact	Update		Patel, Rishi Chief Pharmacy Officer 9413660461-11127	Patel, Rishi Chief Pharmacy Officer Comprehensive Care Center, Inc. dba Community AIDS Network 9413660461-11127	9/19/2017 3:16 PM
Contacts	Authorizing Official	Insert			Carlisle, Richard E. President & CEO 9413660461-1020	8/9/2017 4:00 PM
Contacts	Signed By	Insert			Carlisle, Richard E. President & CEO 9413660461-1020	8/9/2017 4:00 PM
Contacts	Primary Contact	Insert			Patel, Rishi Chief Pharmacy Officer 9413660461-11127	8/9/2017 4:00 PM
Addresses	Main Address	Insert			14243 Tamiami Trail North Port, FL 34287	5/16/2017 8:31 AM
Details	Last Recertification Date	Update		3/3/2016 12:00:00 AM	5/16/2017 12:00:00 AM	5/16/2017 8:30 AM
Details	Grant Number	Update		5H25PS004342	NH25PS004342-04-01	5/16/2017 8:30 AM
Addresses	Billing Address	Insert			Comprehensive Care Center, Inc. dba Community AIDS Network 1231 N. Tuttle Ave. Sarasota, FL 34237	3/3/2016 2:58 PM
Details	Last Recertification Date	Update			3/3/2016 12:00:00 AM	3/3/2016 2:58 PM
Dates	Participating Approval Date	Update			10/30/2015 12:00:00 AM	10/30/2015 4:10 PM
Details	State	Update		Pending	Active	10/30/2015 4:10 PM
Dates	Start Date	Update			1/1/2016 12:00:00 AM	10/30/2015 4:10 PM
Details	340B ID	Update		ONLINE_REG_55047	STD342871	10/27/2015 1:17 PM
Details	Grant Number	Update			5H25PS004342	10/27/2015 10:00 AM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_55047	10/12/2015 2:02 PM
Details	Nature Of Support	Insert			In-Kind products or services (see note below; must have been purchased with section 318 funds)	10/12/2015 2:02 PM
Details	Last Recertification Date	Insert				10/12/2015 2:02 PM
Details	Grant Number	Insert				10/12/2015 2:02 PM
Details	340B ID	Insert			ONLINE_REG	10/12/2015 2:02 PM
Details	Is Authorizing Official EHB Data	Insert				10/12/2015 2:02 PM
Dates	Last Date That 340B Drugs Purchased	Insert				10/12/2015 2:02 PM
Details	Medicare Provider Number	Insert				10/12/2015 2:02 PM
Details	Entity Name	Insert			Comprehensive Care Center, Inc. dba Community AIDS Network	10/12/2015 2:02 PM
Details	Program Code	Insert			STD	10/12/2015 2:02 PM
Details	Entity Subname	Insert				10/12/2015 2:02 PM
Dates	Participating Approval Date	Insert				10/12/2015 2:02 PM
Details	State	Insert			Pending	10/12/2015 2:02 PM
Dates	Registration Date	Insert			10/12/2015 12:00:00 AM	10/12/2015 2:02 PM
Dates	Signed By Date	Insert			10/12/2015 12:00:00 AM	10/12/2015 2:02 PM
Dates	Start Date	Insert				10/12/2015 2:02 PM
Terminations	Termination Comments	Insert				10/12/2015 2:02 PM
Terminations	Termination Date	Insert				10/12/2015 2:02 PM
Terminations	Termination Effective Date	Insert				10/12/2015 2:02 PM
Terminations	Termination Reason	Insert				10/12/2015 2:02 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History