Covered Entity Details

CHC28355-01 UNION COMMUNITY HEALTH CENTER, INC. (Active) - information as of 4/28/2025 12:42:15 AM

Main Details

Name

UNION COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Union Community Health Center #5

Type

HRSA-Funded Health Center

Site ID

BPS-H80-014986

340B ID

CHC28355-01

Grant Number

H80CS28355

Additional Details

Current Program Status

Active

Registration Date

1/14/2016

Participating Start Date

4/1/2016

Participating Approval Date

2/10/2016

Last Recertification Date

2/27/2025

Contacts

Authorizing Official

Union COmmunity Health Center
Anne Spellman, Chief Operating Officer
(718) 618-8236

Primary Contact

UnionCommunity Health Center
Mary Hartnett, CFO
(718) 618-8435

Addresses

Street Address

2101 Quarry Rd
Bronx, NY 10457-1642

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

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

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
Contract Detail	MEDLY UCHC PHARMACY INC.	MEDLY PHARMACY	260 E 188TH ST	BRONX	NY	10458	02/19/2021	04/01/2021			04/01/2021

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC28355-00	Active	BPS-H80-014988	UNION COMMUNITY HEALTH CENTER, INC.	Union Community Health Center #1	260 E 188th St	Bronx	NY
CHC28355-01	Active	BPS-H80-014986	UNION COMMUNITY HEALTH CENTER, INC.	Union Community Health Center #5	2101 Quarry Rd	Bronx	NY
CHC28355-02	Terminated	BPS-H80-014981	UNION COMMUNITY HEALTH CENTER, INC.	Union Community Health Center #3	1 Fordham Plz	Bronx	NY
CHC28355-03	Active	BPS-H80-014992	UNION COMMUNITY HEALTH CENTER, INC.	Union Community Health Center #2	2021 Grand Concourse	Bronx	NY
CHC28355-04	Active	BPS-H80-014985	UNION COMMUNITY HEALTH CENTER, INC.	Union Community Health Center Rehabilitation Center	4487 3rd Ave	Bronx	NY
CHC28355-05	Active	BPS-H80-017128	UNION COMMUNITY HEALTH CENTER, INC.	Union Community Health Center #6	2016 Bronxdale Ave	Bronx	NY

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC28355-00	AVS PHARMACY	D/B/A LEROY PHARMACY	314 E 204TH ST	BRONX	NY	10467	04/01/2020	01/30/2020
CHC28355-00	CENTRAL PHARMACY GROUP INC	1ST AID PHARMACY & SURGICAL SUPPLIES	23 W FORDHAM RD	BRONX	NY	10468-5304	07/01/2020
CHC28355-00	FEINBERGS PHARMA INC	DBA-FEINBERGS PHARMACY	2021 GRAND CONCOURSE	BRONX	NY	10453	07/01/2020
CHC28355-00	FORDHAM ROAD RX INC.	FORDHAM ROAD PHARMACY	2 E FORDHAM RD	BRONX	NY	10468-5445	07/01/2020	10/06/2023
CHC28355-00	LEROY PHARMACY II LLC	239 E 198TH ST		BRONX	NY	10458-3147	07/01/2020
CHC28355-00	MEDLY PHARMACY INC.	DBA MEDLY PHARMACY	31 DEBEVOISE ST	BROOKLYN	NY	11206-4196	01/01/2019
CHC28355-00	MEDLY UCHC PHARMACY INC.	MEDLY PHARMACY	260 E 188TH ST	BRONX	NY	10458	04/01/2021	10/26/2022
CHC28355-01	MEDLY UCHC PHARMACY INC.	MEDLY PHARMACY	260 E 188TH ST	BRONX	NY	10458	04/01/2021
CHC28355-02	MEDLY UCHC PHARMACY INC.	MEDLY PHARMACY	260 E 188TH ST	BRONX	NY	10458	04/01/2021	04/01/2022
CHC28355-03	MEDLY UCHC PHARMACY INC.	MEDLY PHARMACY	260 E 188TH ST	BRONX	NY	10458	04/01/2021
CHC28355-04	MEDLY UCHC PHARMACY INC.	MEDLY PHARMACY	260 E 188TH ST	BRONX	NY	10458	04/01/2021
CHC28355-05	MEDLY UCHC PHARMACY INC.	MEDLY PHARMACY	260 E 188TH ST	BRONX	NY	10458	04/01/2021
CHC28355-00	MELBOURNE CHEMISTS INC	2021 GRAND CONCOURSE		BRONX	NY	10453	10/01/2017	10/01/2017
CHC28355-03	MELBOURNE CHEMISTS INC	2021 GRAND CONCOURSE		BRONX	NY	10453	10/01/2017
CHC28355-00	MT CARMEL PHARMACY INC	705 E 187TH ST		BRONX	NY	10458-6803	04/01/2020

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/20/2024 1:58:09 PM	2/27/2025 1:06:45 PM	2/27/2025 1:06 PM
Details	Last Recertification Date	Update	Recertification	2/9/2023 3:35:44 PM	2/20/2024 1:58:09 PM	2/20/2024 1:58 PM
Medicaid Billing	Medicaid: Number	Delete	Change Request	134074478 (NY)		10/6/2023 3:15 PM
Medicaid Billing	NPI: Number	Delete	Change Request	1437255155 (NY)		10/6/2023 3:15 PM
Details	Last Recertification Date	Update	Recertification	2/16/2022 3:15:59 PM	2/9/2023 3:35:44 PM	2/9/2023 3:35 PM
Details	Last Recertification Date	Update	Recertification	2/4/2021 11:21:22 AM	2/16/2022 3:15:59 PM	2/16/2022 3:15 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/4/2021 11:21 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		134074478	2/4/2021 11:21 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		NY	2/4/2021 11:21 AM
Medicaid Billing	NPI: State	Update	Recertification		NY	2/4/2021 11:21 AM
Details	Last Recertification Date	Update	Recertification	1/29/2020 10:23:14 AM	2/4/2021 11:21:22 AM	2/4/2021 11:21 AM
Details	Last Recertification Date	Update	Recertification	1/30/2019 9:40:44 AM	1/29/2020 10:23:14 AM	1/29/2020 10:23 AM
Details	Last Recertification Date	Update	Recertification	2/12/2018 1:03:46 PM	1/30/2019 9:40:44 AM	1/30/2019 9:40 AM
Contacts	Primary Contact	Update	Recertification	Spellman, Anne Chief Operating Officer Union COmmunity Health Center 7186188236	Hartnett, Mary CFO UnionCommunity Health Center 7186188435	2/12/2018 1:03 PM
Details	Last Recertification Date	Update	Recertification	2/3/2017 12:00:00 AM	2/12/2018 1:03:46 PM	2/12/2018 1:03 PM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/12/2018 1:03 PM
Contacts	Authorizing Official	Update		Spellman, Anne Chief Operating Officer 7186188236	Spellman, Anne Chief Operating Officer Union COmmunity Health Center 7186188236	2/12/2018 12:44 PM
Contacts	Primary Contact	Update		Spellman, Anne Chief Operating Officer 7186188236	Spellman, Anne Chief Operating Officer Union COmmunity Health Center 7186188236	2/12/2018 12:44 PM
Contacts	Signed By	Update		Spellman, Anne Chief Operating Officer 7186188236	Spellman, Anne Chief Operating Officer Union COmmunity Health Center 7186188236	2/12/2018 12:44 PM
Contacts	Authorizing Official	Insert			Spellman, Anne Chief Operating Officer 7186188236	8/7/2017 2:40 PM
Contacts	Primary Contact	Insert			Spellman, Anne Chief Operating Officer 7186188236	8/7/2017 2:40 PM
Contacts	Signed By	Insert			Spellman, Anne Chief Operating Officer 7186188236	8/7/2017 2:40 PM
Addresses	Main Address	Insert			2101 Quarry Rd Bronx, NY 10457-1642	2/3/2017 4:30 PM
Details	Last Recertification Date	Update			2/3/2017 12:00:00 AM	2/3/2017 4:30 PM
Dates	Participating Approval Date	Update			2/10/2016 12:00:00 AM	2/10/2016 5:18 PM
Details	State	Update		Pending	Active	2/10/2016 5:18 PM
Dates	Start Date	Update			4/1/2016 12:00:00 AM	2/10/2016 5:18 PM
Details	340B ID	Update		ONLINE_REG_57866	CHC28355-01	1/20/2016 10:47 AM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_57866	1/14/2016 10:32 AM
Medicaid Billing	NPI: Number	Insert			1437255155	1/14/2016 10:32 AM
Details	Last Recertification Date	Insert				1/14/2016 10:32 AM
Details	Grant Number	Insert			H80CS28355	1/14/2016 10:32 AM
Details	340B ID	Insert			ONLINE_REG	1/14/2016 10:32 AM
Details	Is Authorizing Official EHB Data	Insert			False	1/14/2016 10:32 AM
Dates	Last Date That 340B Drugs Purchased	Insert				1/14/2016 10:32 AM
Details	Medicare Provider Number	Insert				1/14/2016 10:32 AM
Details	Entity Name	Insert			UNION COMMUNITY HEALTH CENTER, INC.	1/14/2016 10:32 AM
Details	Program Code	Insert			CH	1/14/2016 10:32 AM
Details	Entity Subname	Insert			Union Community Health Center #5	1/14/2016 10:32 AM
Dates	Participating Approval Date	Insert				1/14/2016 10:32 AM
Details	State	Insert			Pending	1/14/2016 10:32 AM
Dates	Registration Date	Insert			1/14/2016 12:00:00 AM	1/14/2016 10:32 AM
Dates	Signed By Date	Insert			1/14/2016 12:00:00 AM	1/14/2016 10:32 AM
Dates	Start Date	Insert				1/14/2016 10:32 AM
Terminations	Termination Comments	Insert				1/14/2016 10:32 AM
Terminations	Termination Date	Insert				1/14/2016 10:32 AM
Terminations	Termination Effective Date	Insert				1/14/2016 10:32 AM
Terminations	Termination Reason	Insert				1/14/2016 10:32 AM

340B Drug Pricing Program Database