340B Drug Pricing Program Database


CH06236R BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC. (Active) - information as of 4/23/2025 10:51:59 PM

Main Details
BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.
CommuniCare Health Centers - Boerne
HRSA-Funded Health Center
BPS-H80-015210
CH06236R
H80CS00672


Additional Details
Active
10/14/2015
1/1/2016
10/20/2015
2/10/2025

Contacts

Barrio Comprehensive Family Health Care Center, Inc.
Paul Nguyen, President & CEO
(210) 233-7070 Ext: 7886

Barrio Comprehensive Family Health Care Centers, Inc.
Alexander Cantri, Director of Accounting
(210) 233-7086 Ext: 7821

Addresses

430 W. Bandera, Suite 9
Boerne, TX 78006

Communicare Health Centers
3066 E Commerce St.
San Antonio, TX 78220


  • 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
TX0929556011952690463
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH062360ActiveBPS-H80-003849BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - West1102 Barclay St San AntonioTX
CH06236AAActiveBPS-H80-035550BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.San Antonio Specialty Health & Sports Medicine1200 Brooklyn Ave. STE 320 San AntonioTX
CH06236ABActiveBPS-H80-034235BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Encino Park20306 Encino Ledge Ste 101 San AntonioTX
CH06236ACActiveBPS-H80-033954BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Alamo Ranch6838 Alamo Pkwy Ste 5 San AntonioTX
CH06236ADActiveBPS-H80-034420BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Stone Oak20642 Stone Oak Pkwy STE 105 San AntonioTX
CH06236AEActiveBPS-H80-035311BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare at The MAC5210 Thousand Oaks Dr STE 1203 San AntonioTX
CH06236AFActiveBPS-H80-036067BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Hallmark University9855 Westover Hills Blvd. STE 156 San AntonioTX
CH06236AGActiveBPS-H80-036685BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - South7355 Barlite Blvd, Ste 101 San AntonioTX
CH06236AHActiveBPS-H80-037168BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Westover Hills9022 Culebra Rd STE 101 San AntonioTX
CH06236AJActiveBPS-H80-036840BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.Apollo Wellness6511 West FM 1604 North STE 105 San AntonioTX
CH06236AKTerminatedBPS-H80-037168BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Westover Hills9022 Culebra Rd STE 101 San AntonioTX
CH06236ALActiveBPS-H80-037563BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Town & Country10350 Bandera Rd, Ste 210 San AntonioTX
CH06236AMActiveBPS-H80-039004Barrio Comprehensive Family Health Care Center, Inc.CommuniCare Health Centers - Mobile Health Unit3066 E Commerce St San AntonioTX
CH06236ANActiveBPS-H80-039005Barrio Comprehensive Family Health Care Center, Inc.CommuniCare Health Centers - Allergy Institute4456 Lockhill Selma Rd, Ste 103 San AntonioTX
CH06236APActiveBPS-H80-039301Barrio Comprehensive Family Health Care Center, Inc.CommuniCare Health Centers - Vital Life Wellness Broadway2520 Broadway St, Ste 100 San AntonioTX
CH06236AQActiveBPS-H80-039302Barrio Comprehensive Family Health Care Center, Inc.CommuniCare Health Centers - Vital Life Wellness Stone Oak418 N Loop 1604 W San AntonioTX
CH06236DActiveBPS-H80-024792BARRIO COMPREHENSIVE HEALTH CARE CENTER, INCCommuniCare Health Centers - San Marcos1941 S Interstate 35, Ste 101 San MarcosTX
CH06236IActiveBPS-H80-001887BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - East3066 E Commerce St San AntonioTX
CH06236JActiveBPS-H80-008672BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Kyle2810 Dacy Ln KyleTX
CH06236KActiveBPS-H80-010104BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Northwest8210 Callaghan San AntonioTX
CH06236LActiveBPS-H80-018765BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Potranco10002 Westover Blf San AntonioTX
CH06236MTerminatedBPS-H80-012854BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers-Downtown Campus311 Camden St. Suite #601 San AntonioTX
CH06236NActiveBPS-H80-014110BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Metropolitan1200 Brooklyn Ave, Ste 300 San AntonioTX
CH06236PActiveBPS-H80-029941BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Wimberley203 Stillwater, Ste 6 WimberleyTX
CH06236QTerminatedBPS-H80-014546BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Simon Middle School3839 E FM 150 KYLETX
CH06236RActiveBPS-H80-015210BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Boerne430 W. Bandera, Suite 9 BoerneTX
CH06236SActiveBPS-H80-017399BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Hill Country Village14811 San Pedro Ave San AntonioTX
CH06236TActiveBPS-H80-034876BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.Health Outcomes Centers4751 Hamilton Wolfe Rd, Ste 200 San AntonioTX
CH06236UActiveBPS-H80-027024BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Medical Center7220 Louis Pasteur Dr, Ste 140 San AntonioTX
CH06236VActiveBPS-H80-027437BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Leon Springs21195 W. Interstate 10 STE 2101 San AntonioTX
CH06236WActiveBPS-H80-028110BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Helotes12850 Bandera Rd Ste 106 HelotesTX
CH06236XActiveBPS-H80-030098BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Blvd Dental5138 Utsa Blvd Ste 116 San AntonioTX
CH06236YActiveBPS-H80-031315BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Luckey Ranch11930 W US Highway 90 Ste 110 San AntonioTX
CH06236ZActiveBPS-H80-020855BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.CommuniCare Health Centers - Navigation Center7420 Blanco Rd Ste 210 San AntonioTX
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH062360ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/01/2019  
CH062360ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/01/2019  
CH062360ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/01/2019  
CH062360ACCREDO HEALTH GROUP INC4343 W ROYAL LN STE 124
IRVINGTX75063-229907/01/2024  
CH062360ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/01/2019  
CH062360ACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/01/2019 06/14/2023
CH062360ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/01/2019  
CH062360ACCREDO HEALTH GROUP, INC.11411 STRANG LINE RD STE A
LENEXAKS6621504/01/2020 12/01/2023
CH062360ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280910/01/2024  
CH062360AETNA SPECIALTY PHARMACY, LLC503 SUNPORT LN
ORLANDOFL32809-787407/01/2019 10/05/2022
CH062360ASPCARES120 W ASHBY PL
SAN ANTONIOTX7821207/01/2019 10/11/2023
CH062360ASPCARES2414 BABCOCK RD STE 111
SAN ANTONIOTX7822907/01/2019 10/11/2023
CH062360BEST CARE PHARMACY INC.D/B/A ASPCARES 2657 NW 20TH ST
MIAMIFL3314207/01/2019 10/11/2023
CH062360BIOPLUS SPECIALTY PHARMACY LA, LLC2731 MANHATTAN BLVD STE B17
HARVEYLA7005810/01/2024  
CH062360BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526110/01/2016  
CH062360BIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267007/01/2022  
CH062360BIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771307/01/2022  
CH062360BIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620307/01/2024  
CH062360BIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522607/01/2024  
CH062360BIOPLUS SPECIALTY PHARMACY, INC3200 LAKE EMMA RD UNIT 1000
LAKE MARYFL3274610/01/2024  
CH062360CANYON MEDICAL PHARMACY, INC.7265 S REVERE PARKWAY, SUITE 902
CENTENNIALCO8011210/01/2017  
CH062360CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361407/01/2017  
CH062360CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/01/2017  
CH062360CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621907/01/2017  
CH062360CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175707/01/2017  
CH062360CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808307/01/2017  
CH062360CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700407/01/2017  
CH062360CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761707/01/2017  
CH062360CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813307/01/2017  
CH062360CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237407/01/2017  
CH062360CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/01/2021  
CH062360CRAWFORD PHARMACY145 W HART AVE STE 104
SAN ANTONIOTX78214-149110/01/2018 12/07/2022
CH062360CURANT HEALTH FLORIDA, LLC11001 ROOSEVELT BLVD STE 1400
ST PETERSBURGFL33716-233807/01/2015  
CH062360CURANT HEALTH GEORGIA LLCCURANT HEALTH 200 TECHNOLOGY CT SE BLDG 200
SUITE B 		SMYRNAGA30082-525007/01/2015  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07301 3027 NACOGDOCHES RD
SAN ANTONIOTX7821704/01/2020  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07460 14900 JONES MALTSBERGER RD
SAN ANTONIOTX7824704/01/2020  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01201 4730 FREDRICKSBURG RD.
SAN ANTONIOTX7822904/01/2020  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07551 2801 NOGALITOS
SAN ANTONIOTX7822504/01/2020 06/14/2023
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07832 9838 POTRANCO RD
SAN ANTONIOTX7825104/01/2020 06/21/2023
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07808 4805 MEDICAL DR
SAN ANTONIOTX7822904/01/2020  
CH062360CVS PHARMACY, INC.DBA CVS/PHARMACY # 10264 1118 SOUTH WW WHITE RD.
SAN ANTONIOTX7822004/01/2020  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05512 7208 FM 78
SAN ANTONIOTX7824404/01/2020  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07306 6915 W AVE
CASTLE HILLSTX7821304/01/2020  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07307 2018 CULEBRA ROAD
SAN ANTONIOTX7820104/01/2020  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07403 103 S.W. MILITARY DR.
SAN ANTONIOTX7822104/01/2020  
CH062360CVS PHARMACY, INC.DBA CVS/PHARMACY # 2391 15607 CHASE HILL BLVD.
SAN ANTONIOTX7825604/01/2020  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 08389 8602 HUEBNER RD
SAN ANTONIOTX7824004/01/2020  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07724 10225 WURZBACH RD
SAN ANTONIOTX7823004/01/2020  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07341 9285 CULEBRA AVE
SAN ANTONIOTX7825104/01/2020  
CH062360CVS PHARMACY, INC.DBA CVS/PHARMACY # 10051 2920 EAST SOUTHCROSS BLVD.
SAN ANTONIOTX7821107/01/2020 10/09/2023
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01057 9140 GUILBEAU
SAN ANTONIOTX7825007/01/2020  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06986 1240 SOUTH PORT AVE
CORPUS CHRISTITX7840507/01/2020 08/30/2023
CH062360CVS PHARMACY, INC.DBA CVS/PHARMACY #10347 9686 MARBACH ROAD
SAN ANTONIOTX7824507/01/2020  
CH062360CVS PHARMACY, INC.DBA CVS/PHARMACY # 10141 5975 OLD PEARSALL RD.
SAN ANTONIOTX7824207/01/2020  
CH062360CVS PHARMACY, INC.CVS/PHARMACY # 10179 300 EAST COMMERCE ST.
SAN ANTONIOTX7820507/01/2020  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 08990 12980 BANDERA RD
HELOTESTX7802307/01/2020  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 03505 102 NORTH US 81
KYLETX7864010/01/2021  
CH062360CVS PHARMACY, INC.DBA CVS/PHARMACY #10540 9089 FAIR OAKS PKWY
FAIR OAKS RANCHTX7801510/01/2021  
CH062360CVS PHARMACY, INC.DBA CVS/PHARMACY #10579 4600 BROADWAY STREET
ALAMO HEIGHTSTX7820910/01/2021  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07829 16580 HUEBNER RD
SAN ANTONIOTX7824810/01/2021  
CH062360CVS PHARMACY, INC.DBA CVS/PHARMACY #10905 13343 CULEBRA ROAD
SAN ANTONIOTX7825310/01/2021  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05776 105 WONDERWORLD DRIVE
SAN MARCOSTX7866610/01/2021  
CH062360CVS PHARMACY, INC.CVS PHARMACY # 17606 5188 KYLE CENTER DR
KYLETX7864010/01/2021  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02263 22202 BULVERDE RD.
SAN ANTONIOTX7826101/01/2022  
CH062360CVS PHARMACY, INC.DBA CVS/PHARMACY # 7000 5301 ALAMO PARKWAY
SAN ANTONIOTX7825301/01/2022  
CH062360CVS PHARMACY, INC.DBA CVS/PHARMACY # 5872 22135 IH-10 W
SAN ANTONIOTX7825701/01/2022  
CH062360CVS PHARMACY, INC.DBA CVS/PHARMACY # 4109 12835 POTRANCO RD
SAN ANTONIOTX7825301/01/2022  
CH062360CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05857 7603 CULEBRA
SAN ANTONIOTX7825101/01/2022  
CH062360CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2021  
CH062360CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503301/01/2020  
CH062360DOGWOOD PHARMACY, INCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER ROAD
SUITE K 		GREENVILLESC29607-654010/01/2017  
CH062360ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111210/01/2019 12/01/2023
CH062360EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313410/01/2019 12/01/2023
CH062360EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607510/01/2019 12/01/2023
CH062360EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/01/2019 12/01/2023
CH062360H E B FULFILLMENT CENTER  6520 FRATT ROAD
SAN ANTONIOTX7821807/01/2017 07/10/2023
CH062360H-E-B, LPH-E-B PHARMACY WAREHOUSE 6520 FRATT RD
SAN ANTONIOTX7821805/10/2023 07/10/2023
CH06236IHEB PHARMACY #0145401 SOUTH FM 1626
KYLETX7864001/01/2014 12/13/2019
CH062360HEB PHARMACY #0145401 SOUTH FM 1626
KYLETX7864001/01/2019  
CH062360HEB PHARMACY #025925 10TH STREET
FLORESVILLETX7811410/01/2024  
CH062360HEB PHARMACY #0264100 S. NEW BRAUNFELS
SAN ANTONIOTX7822304/01/2022  
CH062360HEB PHARMACY #0846818 S. ZARZAMORA
SAN ANTONIOTX7822410/01/2024  
CH062360HEB PHARMACY #08510718 POTRANCO RD.
SAN ANTONIOTX7825107/01/2022  
CH062360HEB PHARMACY #1061015 S. WW WHITE ROAD
SAN ANTONIOTX7822004/01/2016  
CH062360HEB PHARMACY #10820935 US HIGHWAY 281 N
SAN ANTONIOTX7825810/01/2024  
CH062360HEB PHARMACY #1892130 CULEBRA RD
SAN ANTONIOTX7822810/01/2017  
CH06236IHEB PHARMACY #205721 CASTROVILLE ROAD
SAN ANTONIOTX7823701/01/2014 12/13/2019
CH062360HEB PHARMACY #205721 CASTROVILLE ROAD
SAN ANTONIOTX7823701/01/2019  
CH062360HEB PHARMACY #211415 N. NEW BRAUNFELS
SAN ANTONIOTX7820210/01/2019  
CH062360HEB PHARMACY #243641 E. HOPKINS
SAN MARCOSTX7866610/01/2017  
CH062360HEB PHARMACY #2625601 BANDERA RD, STE 11
SAN ANTONIOTX7823804/01/2022  
CH062360HEB PHARMACY #4443323 SE MILITARY DR.
SAN ANTONIOTX7822304/01/2022  
CH062360HEB PHARMACY #466108 ROSILLO
SAN ANTONIOTX7820710/01/2017  
CH062360HEB PHARMACY #4809900 WURZBACH ROAD
SAN ANTONIOTX7823004/01/2022  
CH062360HEB PHARMACY #5562118 FREDERICKSBURG RD
SAN ANTONIOTX7820107/01/2019  
CH062360HEB PHARMACY #6138219 MARBACH RD
SAN ANTONIOTX7822707/01/2019  
CH062360HEB PHARMACY #6185910 BABCOCK
SAN ANTONIOTX7824010/01/2024  
CH062360HEB PHARMACY #621420 WEST BANDERA
BOERNETX7800607/01/2019  
CH062360HEB PHARMACY #6239238 NORTH LOOP 1604 WEST
SAN ANTONIOTX7824910/01/2024  
CH062360HEB PHARMACY #678302 VALLEY HI DR
SAN ANTONIOTX7822707/01/2019  
CH062360HEB PHARMACY #6991601 NOGALITOS ST.
SAN ANTONIOTX7820410/01/2024  
CH062360HEB Pharmacy #7016520 Fratt Road
San AntonioTX7821807/27/2017 01/12/2022
CH062360HEB PHARMACY #70814501 RANCH RD. 12
WIMBERLEYTX7867607/01/2019  
CH062360HEB PHARMACY #73312125 ALAMO RANCH PKWY
SAN ANTONIOTX7825307/01/2022  
CH062360HEB PHARMACY #77114325 POTRANCO RD
SAN ANTONIOTX7825307/01/2022  
CH062360HEB PHARMACY WAREHOUSE 208H-E-B, LP 5311 DIETRICH RD STE 100
SAN ANTONIOTX7821907/03/2023  
CH062360HEB SPECIALTY PHARMACY #7013503 FREDERICKSBURG RD STE 450
SAN ANTONIOTX7820110/01/2020  
CH06236IMEDPARK PHARMACYMED-TVZ PHARMACIES INC 2004 MEDICAL PKWY STE A
SAN MARCOSTX78666-758501/19/2008 10/15/2018
CH062360OPTUM FRONTIER THERAPIES II, LLC6425 SANTA MARGARITA ST UNIT 110
LAS VEGASNV89118-191307/06/2020 10/14/2021
CH062360OPTUM PHARMACY 700, LLC5700 DOT COM CT, STE 1000
OVIEDOFL3276510/01/2022  
CH062360OPTUM PHARMACY 700, LLC19 CHAPIN RD BLDG D, STE D8
PINE BROOKNJ0705801/01/2025  
CH062360OPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850710/01/2022  
CH062360OPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302507/01/2023  
CH062360OPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520401/01/2025  
CH062360OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713001/01/2020  
CH062360OPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824901/01/2020  
CH062360OPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729801/01/2020  
CH062360OPTUM PHARMACY 705, LLC1893 GENERAL GEORGE PATTON DR STE 106
FRANKLINTN37067-265507/06/2020  
CH062360OPTUM PHARMACY 705, LLC3539 BLUECUTT RD
COLUMBUSMS3970507/06/2020  
CH062360OPTUM PHARMACY 706, INC.30-30 47TH AVENUE SUITE 410
LONG ISLAND CITYNY1110110/01/2022  
CH062360OPTUM PHARMACY 707, INC4900 RIVERGRADE RD STE E110
IRWINDALECA91706-140107/01/2023  
CH062360OPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508510/01/2022  
CH062360OPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983801/01/2022  
CH062360OPTUMRX2858 LOKER AVE E STE 100
CARLSBADCA92010-660810/01/2022 04/11/2023
CH062360PREMIER PHARMACY2425 BABCOCK RD., STE. 108A
SAN ANTONIOTX7822907/01/2023 03/19/2024
CH062360PRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
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CH062360PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514607/01/2017  
CH062360PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681307/01/2017  
CH062360PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523301/01/2021  
CH062360PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920301/01/2021  
CH062360PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #3129 1002 EAST MCDOWELL ROAD
PHOENIXAZ8500601/01/2025  
CH062360PROCARE PHARMACY, L.L.C.CVS/PHARMACY #48637 2700 NORTHEAST EXPY NE STE B800
BUILDING B 		ATLANTAGA3034501/01/2025  
CH062360RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255010/01/2017  
CH062360RIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500210/01/2017  
CH062360SOUTHSIDE INFUSION7700 MAIN ST STE 210
HOUSTONTX77030-445707/01/2020 01/11/2023
CH062360SOUTHSIDE PHARMACY 36330 WEST LOOP S STE 700C
BELLAIRETX77401-292807/01/2020 01/11/2023
CH062360WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2017  
CH062360WAL-MART PHARMACY 10-04041015 HIGHWAY 80
SAN MARCOSTX7866607/01/2017  
CH062360WAL-MART PHARMACY 10-51451603 VANCE JACKSON RD
SAN ANTONIOTX7821307/01/2017  
CH062360WAL-MART PHARMACY 10-53152354 COMMERCE PARK DR.
ORLANDOFL3281901/01/2025  
CH062360WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2017  
CH062360WALGREEN CO.DBA: WALGREENS # 04552 4703 W. COMMERCE ST.
SAN ANTONIOTX7823710/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 04550 639 E. HOPKINS ST.
SAN MARCOSTX7866610/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 04160 2200 E. HOUSTON ST
SAN ANTONIOTX7820210/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS #12517 5781 KYLE PKWY.
KYLETX7864010/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS #12479 121 N. ZARZAMORA ST.
SAN ANTONIOTX78207-373910/11/2011 11/14/2023
CH062360WALGREEN CO.DBA: WALGREENS # 02755 3065 RIGSBY AVE
SAN ANTONIOTX7822210/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 02943 2710 NOGALITOS
SAN ANTONIOTX7822510/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 03141 1105 GOLIAD ROAD
SAN ANTONIOTX7822310/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 03354 1106 CULEBRA
SAN ANTONIOTX7820110/11/2011 06/27/2017
CH062360WALGREEN CO.DBA: WALGREENS # 03563 7103 MARBACH ROAD
SAN ANTONIOTX7822710/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS #11131 200 S. COLORADO ST.
LOCKHARTTX78644-273310/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS #12521 1700 RANCH ROAD 12
SAN MARCOSTX78666-250210/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS #15461 1560 BANDERA ROAD
SAN ANTONIOTX7822810/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 07371 7019 S ZARZAMORA ST
SAN ANTONIOTX78224-114110/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 03224 6901 SAN PEDRO AVE
SAN ANTONIOTX78216-620610/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 03634 3326 FREDERICKSBURG ROAD
SAN ANTONIOTX7820110/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 03996 5760 WALZEM RD
WINDCRESTTX7821810/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 03506 6363 RITTIMAN RD
SAN ANTONIOTX7821810/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 03734 8202 CULEBRA RD
SAN ANTONIOTX7825110/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 05424 138 SW MILITARY DRIVE
SAN ANTONIOTX7822110/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS #10841 1660 MAIN ST.
BUDATX7861010/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 04934 6017 INGRAM ROAD
SAN ANTONIOTX7823810/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 02458 7802 WURZBACH ROAD
SAN ANTONIOTX7822910/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 03562 9080 MARBACH ROAD
SAN ANTONIOTX7824510/11/2011  
CH062360WALGREEN CO.DBA: WALGREENS # 03140 410 W. CYPRESS ST.
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CH062360WALGREEN CO.DBA: WALGREENS #12520 300 E. HOUSTON ST.
SAN ANTONIOTX78205-181601/01/2014  
CH062360WALGREEN CO.DBA: WALGREENS # 07939 9903 POTRANCO RD
SAN ANTONIOTX7825101/01/2014  
CH062360WALGREEN CO.DBA: WALGREENS # 09180 11103 W MILITARY DR
SAN ANTONIOTX7825101/01/2014  
CH062360WALGREEN CO.DBA: WALGREENS # 01194 8530 FM 78
CONVERSETX7810907/01/2014  
CH062360WALGREEN CO.DBA: WALGREENS # 05964 3401 SAN PEDRO
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CH062360WALGREEN CO.DBA: WALGREENS #11276 502 NEW VALLEY HI
SAN ANTONIOTX7822707/01/2014  
CH062360WALGREEN CO.DBA: WALGREENS # 03368 1581 AUSTIN HIGHWAY
SAN ANTONIOTX7821807/01/2014  
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CH062360WALGREEN CO.DBA: WALGREENS #11521 10858 WURZBACH RD.
SAN ANTONIOTX78230-243410/01/2015  
CH062360WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #21214 660 N MAIN AVE STE 101
SAN ANTONIOTX7820510/01/2015  
CH062360WALGREEN CO.DBA: WALGREENS # 03505 6635 BANDERA RD
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CH062360WALGREEN CO.DBA: WALGREENS # 03083 10650 TOEPPERWEIN RD
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CH062360WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #16485 7302 LOUIS PASTEUR DR STE 104
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CH062360WALGREEN CO.DBA:WALGREENS #15621 25215 INTERSTATE10 W
SAN ANTONIOTX7825707/01/2017  
CH062360WALGREEN CO.DBA: WALGREENS # 04274 2425 THOUSAND OAKS DRIVE
SAN ANTONIOTX7823210/01/2017  
CH062360WALGREEN CO.DBA: WALGREENS # 03804 7655 TEZEL RD
SAN ANTONIOTX7825010/01/2017  
CH062360WALGREEN CO.DBA: WALGREENS # 06335 14025 NACOGDOCHES RD
SAN ANTONIOTX78247-191801/01/2018  
CH062360WALGREEN CO.DBA: WALGREENS #12716 12020 CULEBRA RD
SAN ANTONIOTX7825307/01/2022  
CH062360WALGREEN CO.DBA: WALGREENS # 07214 20800 US 281 NORTH
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CH062360WALGREEN CO.DBA: WALGREENS # 04838 19203 STONE OAK PKWY
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CH062360WALGREEN CO.DBA: WALGREENS # 02944 7423 BROADWAY ST
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CH062360WALGREEN CO.DBA: WALGREENS #11971 20226 STONE OAK PKWY.
SAN ANTONIOTX7825807/01/2025  
CH062360WALGREEN CO.DBA: WALGREENS # 03571 14505 NW MILITARY HWY
SHAVANO PARKTX7823107/01/2025  
CH062360Walgreens #21373Walgreens Central Fill #21373 4100 Dale Earnhardt Way
STE 200 		NorthlakeTX7626207/01/2022  
CH062360WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528401/01/2014 06/24/2015
CH062360WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527507/01/2015  
CH062360WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700807/01/2015 10/04/2021
CH062360WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818807/01/2015  
CH062360WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503307/01/2015  
CH062360WALMART PHARMACY 10-3058918 BANDERA RD.
SAN ANTONIOTX7822807/01/2017  
CH062360WALMART PHARMACY 10-41305754 KYLE PARKWAY
KYLETX7864007/01/2017  
CH062360WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275607/01/2023  
CH062360Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CH062360WELLPARTNER, INC20800 SW 115TH AVE SUITE 100
TUALATINOR9706201/01/2014 01/06/2020
CH06236IWELLPARTNER, INC20800 SW 115TH AVE SUITE 100
TUALATINOR9706201/01/2014 10/15/2018
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/30/2024 9:08:32 AM2/10/2025 9:39:17 AM2/10/2025 9:39 AM
DetailsLast Recertification DateUpdateRecertification1/30/2023 9:48:33 AM1/30/2024 9:08:32 AM1/30/2024 9:08 AM
DetailsLast Recertification DateUpdateRecertification1/31/2022 8:09:09 AM1/30/2023 9:48:33 AM1/30/2023 9:48 AM
AddressesBilling AddressUpdateGroup Change RequestCommunicare Health Centers C/O Concur Invoice Capture 10700 Prairie Lakes Drive Eden Prairie, MN 55344Communicare Health Centers 3066 E Commerce St. San Antonio, TX 7822012/16/2022 8:44 AM
DetailsLast Recertification DateUpdateRecertification2/3/2021 8:05:15 AM1/31/2022 8:09:09 AM1/31/2022 8:09 AM
ContactsPrimary ContactUpdateProfile Change RequestCantri, Alexander Accounting Manager Barrio Comprehensive Family Health Care Centers, Inc. 2102337086-7821Cantri, Alexander Director of Accounting Barrio Comprehensive Family Health Care Centers, Inc. 2102337086-782110/27/2021 11:37 AM
DetailsLast Recertification DateUpdateRecertification1/27/2020 10:29:32 AM2/3/2021 8:05:15 AM2/3/2021 8:05 AM
Medicaid BillingNPI: NumberInsertChange Request 195269046311/17/2020 8:44 AM
Medicaid BillingNPI: StateInsertChange Request TX11/17/2020 8:44 AM
Medicaid BillingNPI: NumberDeleteChange Request1952690463 ( ) 11/17/2020 8:44 AM
DetailsLast Recertification DateUpdateRecertification1/29/2019 1:07:32 PM1/27/2020 10:29:32 AM1/27/2020 10:29 AM
AddressesBilling AddressUpdateChange RequestCommunicare Health Centers 3066 East Commerce San Antonio, TX 78220Communicare Health Centers C/O Concur Invoice Capture 10700 Prairie Lakes Drive Eden Prairie, MN 5534412/13/2019 1:27 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False12/13/2019 1:27 PM
Medicaid BillingMedicaid: NumberInsertChange Request 09295560112/13/2019 1:27 PM
Medicaid BillingMedicaid: StateInsertChange Request TX12/13/2019 1:27 PM
DetailsLast Recertification DateUpdateRecertification2/7/2018 8:03:37 AM1/29/2019 1:07:32 PM1/29/2019 1:07 PM
Medicaid BillingNPI: NumberInsertChange Request 19526904639/13/2018 4:31 PM
DetailsIs Authorizing Official EHB DataUpdateChange RequestFalse 9/13/2018 4:31 PM
DetailsLast Recertification DateUpdateRecertification1/25/2017 12:00:00 AM2/7/2018 8:03:37 AM2/7/2018 8:03 AM
ContactsPrimary ContactUpdate Cantri, Alexander Accounting Manager 2102337086-7821Cantri, Alexander Accounting Manager Barrio Comprehensive Family Health Care Centers, Inc. 2102337086-782110/16/2017 2:12 PM
ContactsAuthorizing OfficialUpdate Nguyen, Paul President & CEO 2102337070-7886Nguyen, Paul President & CEO Barrio Comprehensive Family Health Care Center, Inc. 2102337070-788610/13/2017 1:29 PM
ContactsSigned ByUpdate Nguyen, Paul President & CEO 2102337070-7886Nguyen, Paul President & CEO Barrio Comprehensive Family Health Care Center, Inc. 2102337070-788610/13/2017 1:29 PM
ContactsAuthorizing OfficialInsert  Nguyen, Paul President & CEO 2102337070-78867/27/2017 12:24 PM
ContactsSigned ByInsert  Nguyen, Paul President & CEO 2102337070-78867/27/2017 12:24 PM
ContactsPrimary ContactInsert  Cantri, Alexander Accounting Manager 2102337086-78215/1/2017 6:00 PM
AddressesMain AddressInsert   430 W. Bandera, Suite 9 Boerne, TX 780061/25/2017 8:25 AM
DetailsLast Recertification DateUpdate 2/12/2016 12:00:00 AM1/25/2017 12:00:00 AM1/25/2017 8:25 AM
DetailsLast Recertification DateUpdate  2/12/2016 12:00:00 AM2/12/2016 10:15 AM
DatesParticipating Approval DateUpdate  10/20/2015 12:00:00 AM10/20/2015 5:19 PM
DetailsStateUpdate PendingActive10/20/2015 5:19 PM
DatesStart DateUpdate  1/1/2016 12:00:00 AM10/20/2015 5:19 PM
AddressesBilling AddressInsert  Communicare Health Centers 3066 East Commerce San Antonio, TX 7822010/20/2015 5:18 PM
Details340B IDUpdate ONLINE_REG_55542CH06236R10/15/2015 1:27 PM
Details340B IDUpdate ONLINE_REGONLINE_REG_5554210/14/2015 8:21 AM
DetailsLast Recertification DateInsert   10/14/2015 8:21 AM
DetailsGrant NumberInsert  H80CS0067210/14/2015 8:21 AM
Details340B IDInsert  ONLINE_REG10/14/2015 8:21 AM
DetailsIs Authorizing Official EHB DataInsert  False10/14/2015 8:21 AM
DatesLast Date That 340B Drugs PurchasedInsert   10/14/2015 8:21 AM
DetailsMedicare Provider NumberInsert   10/14/2015 8:21 AM
DetailsEntity NameInsert  BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.10/14/2015 8:21 AM
DetailsProgram CodeInsert  CH10/14/2015 8:21 AM
DetailsEntity SubnameInsert  CommuniCare Health Centers - Boerne10/14/2015 8:21 AM
DatesParticipating Approval DateInsert   10/14/2015 8:21 AM
DetailsStateInsert  Pending10/14/2015 8:21 AM
DatesRegistration DateInsert  10/14/2015 12:00:00 AM10/14/2015 8:21 AM
DatesSigned By DateInsert  10/14/2015 12:00:00 AM10/14/2015 8:21 AM
DatesStart DateInsert   10/14/2015 8:21 AM
TerminationsTermination CommentsInsert   10/14/2015 8:21 AM
TerminationsTermination DateInsert   10/14/2015 8:21 AM
TerminationsTermination Effective DateInsert   10/14/2015 8:21 AM
TerminationsTermination ReasonInsert   10/14/2015 8:21 AM