340B Drug Pricing Program Database


CH01516F EAST BAY COMMUNITY ACTION PROGRAM (Active) - information as of 6/6/2025 12:37:42 PM

Main Details
EAST BAY COMMUNITY ACTION PROGRAM
Adams-Farley Counseling Center
HRSA-Funded Health Center
BPS-H80-017342
CH01516F
H80CS02329


Additional Details
Active
1/15/2016
4/1/2016
2/10/2016
3/3/2025

Contacts

East Bay Community Action Program
Rilwan Feyisitan, President/CEO
(401) 437-1000 Ext: 1132

EBCAP
Gwen Redmond, Director of Strategic Initiatives
(401) 408-1085

Addresses

610 Wampanoag Trail
Riverside, RI 02915

East Bay Community Action Program
19 Broadway
Newport, RI 02840


  • 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
RIEB514071609925122,1609239920,1487916136,1861439705,1689732497,1598306383,1043455694,1972651529,1841355567,1528394525,1003249178,1649801564,1396728200,1013034016,1104279546,1336768027,1386328631,1396493243,1396925186,1407259260,1720066145,1790493732,1427833243,1245389576
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH015160ActiveBPS-H80-012983EAST BAY COMMUNITY ACTION PROGRAMNewport Health Center6 John H. Chafee Blvd. NewportRI
CH01516CActiveBPS-H80-002937EAST BAY COMMUNITY ACTION PROGRAMEAST BAY FAMILY HEALTH CENTER100 BULLOCKS POINT AVE RIVERSIDERI
CH01516DActiveBPS-H80-004164EAST BAY COMMUNITY ACTION PROGRAMEAST BAY COMMUNITY ACTION PROGRAM19 Broadway NewportRI
CH01516EActiveBPS-H80-017105EAST BAY COMMUNITY ACTION PROGRAM2 Old County Road2 Old Country Road BarringtonRI
CH01516FActiveBPS-H80-017342EAST BAY COMMUNITY ACTION PROGRAMAdams-Farley Counseling Center610 Wampanoag Trail RiversideRI
CH01516GActiveBPS-H80-018656EAST BAY COMMUNITY ACTION PROGRAMHead Start, Early Head Start & Child Care8 John H Chafee Blvd. NewportRI
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH015160AHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271204/01/2019  
CH015160AMAZON PHARMACY #0014500 S PLEASANT VALLEY RD STE 201
AUSTINTX78744-291104/01/2019  
CH015160AZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503404/01/2019  
CH015160GENOA HEALTHCARE LLC2 OLD COUNTY RD
BARRINGTONRI0280610/01/2020  
CH015160GENOA HEALTHCARE LLC6 JOHN H CHAFEE BLVD STE P
NEWPORTRI0284010/01/2021  
CH015160GENOA HEALTHCARE LLC100 BULLOCKS POINT AVE STE P
RIVERSIDERI0291504/01/2025  
CH015160M.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312604/01/2019  
CH015160PILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310104/01/2019  
CH015160RHODE ISLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00247 444 WILLETT AVENUE
RIVERSIDERI0291501/01/2018 10/03/2018
CH015160RHODE ISLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00493 99 EAST MAIN ROAD
MIDDLETOWNRI0284201/01/2018 10/03/2018
CH015160RHODE ISLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02347 640 WARREN AVENUE
EAST PROVIDENCERI0291401/01/2018 10/03/2018
CH015160RHODE ISLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02347 640 WARREN AVENUE
EAST PROVIDENCERI0291407/01/2021  
CH015160RHODE ISLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00247 444 WILLETT AVENUE
RIVERSIDERI0291507/01/2021  
CH015160RHODE ISLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00493 99 EAST MAIN ROAD
MIDDLETOWNRI0284207/01/2021  
CH015160RHODE ISLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00265 615 METACOM AVENUE, ROUTE 136
WARRENRI0288507/01/2021  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03000 12 E MAIN RD
MIDDLETOWNRI02842-491208/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03719 25 PUTNAM PIKE
JOHNSTONRI0291908/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS #09374 600 WARREN AVE.
EAST PROVIDENCERI0291408/03/2012 08/05/2019
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03468 100 BROAD ST
PAWTUCKETRI0286008/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS # 02850 1010 PARK AVE
CRANSTONRI0291008/03/2012 04/21/2025
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03737 1074 MINERAL SPRING AVE.
NORTH PROVIDENCERI02904-410408/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03491 1763 BROAD ST
CRANSTONRI0290508/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03704 3336 POST ROAD
WARWICKRI0288608/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS #10476 1583 ATWOOD AVE.
JOHNSTONRI0291908/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03204 295 ACADEMY AVENUE
PROVIDENCERI0290808/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03899 1387 PLAINFIELD ST
JOHNSTONRI0291908/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS # 04145 533 ELMWOOD AVE.
PROVIDENCERI0290708/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03703 354 ADMIRAL STREET
PROVIDENCERI0290808/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS #10099 333 ATWELLS AVE STE 1
PROVIDENCERI0290308/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS #11147 1 POCASSET AVE.
PROVIDENCERI02909-290708/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS # 06892 591 METACOM AVENUE
BRISTOLRI02809-513108/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03898 45 CUMBERLAND ST
WOONSOCKETRI0289508/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS #10256 1140 N. MAIN ST.
PROVIDENCERI02904-181908/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS # 06592 1560 WARWICK AVE
WARWICKRI02889-102008/03/2012  
CH015160WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03469 369 PLYMOUTH AVE
FALL RIVERMA0272104/01/2017  
CH015160WALGREEN EASTERN CO., INC.WALGREENS #18378 1086 WILLETT AVE.
RIVERSIDERI0291501/01/2020  
CH015160WALGREEN EASTERN CO., INC.WALGREENS #19849 655 WARREN AVE.
EAST PROVIDENCERI0291401/01/2020  
CH015160Walgreens Central Fill #2140044 Cabot Blvd.
MansfieldMA0204810/01/2023  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
Medicaid BillingNPI: NumberInsertChange Request 12453895764/21/2025 1:33 PM
Medicaid BillingNPI: StateInsertChange Request RI4/21/2025 1:33 PM
Medicaid BillingNPI: NumberInsertRecertification 14278332433/3/2025 4:27 PM
Medicaid BillingNPI: StateInsertRecertification RI3/3/2025 4:27 PM
DetailsLast Recertification DateUpdateRecertification2/7/2024 12:43:11 PM3/3/2025 4:27:40 PM3/3/2025 4:27 PM
Medicaid BillingNPI: NumberDeleteChange Request1063628717 (RI) 10/15/2024 9:47 AM
Medicaid BillingNPI: NumberDeleteChange Request1245389576 (RI) 10/15/2024 9:47 AM
Medicaid BillingNPI: NumberDeleteChange Request1396425427 (RI) 10/15/2024 9:47 AM
ContactsPrimary ContactUpdateProfile Change RequestRedmond, Gwen Manager of Strategic Initiatives EBCAP 4014081085Redmond, Gwen Director of Strategic Initiatives EBCAP 401408108510/8/2024 9:40 AM
Medicaid BillingNPI: NumberDeleteRecertification1235517913 (RI) 2/7/2024 12:43 PM
Medicaid BillingNPI: NumberDeleteRecertification1174931216 (RI) 2/7/2024 12:43 PM
Medicaid BillingNPI: NumberDeleteRecertification1356723548 (RI) 2/7/2024 12:43 PM
Medicaid BillingNPI: NumberDeleteRecertification1215085816 (RI) 2/7/2024 12:43 PM
Medicaid BillingNPI: NumberDeleteRecertification1447488259 (RI) 2/7/2024 12:43 PM
Medicaid BillingNPI: NumberDeleteRecertification1639716384 (RI) 2/7/2024 12:43 PM
Medicaid BillingNPI: NumberDeleteRecertification1467501882 (RI) 2/7/2024 12:43 PM
Medicaid BillingNPI: NumberDeleteRecertification1306995675 (RI) 2/7/2024 12:43 PM
Medicaid BillingNPI: NumberDeleteRecertification1013060391 (RI) 2/7/2024 12:43 PM
Medicaid BillingNPI: NumberDeleteRecertification1780051664 (RI) 2/7/2024 12:43 PM
Medicaid BillingNPI: NumberInsertRecertification 10130340162/7/2024 12:43 PM
Medicaid BillingNPI: StateInsertRecertification RI2/7/2024 12:43 PM
Medicaid BillingNPI: NumberInsertRecertification 11042795462/7/2024 12:43 PM
Medicaid BillingNPI: StateInsertRecertification RI2/7/2024 12:43 PM
Medicaid BillingNPI: NumberInsertRecertification 13367680272/7/2024 12:43 PM
Medicaid BillingNPI: StateInsertRecertification RI2/7/2024 12:43 PM
Medicaid BillingNPI: NumberInsertRecertification 13863286312/7/2024 12:43 PM
Medicaid BillingNPI: StateInsertRecertification RI2/7/2024 12:43 PM
Medicaid BillingNPI: NumberInsertRecertification 13964254272/7/2024 12:43 PM
Medicaid BillingNPI: StateInsertRecertification RI2/7/2024 12:43 PM
Medicaid BillingNPI: NumberInsertRecertification 13964932432/7/2024 12:43 PM
Medicaid BillingNPI: StateInsertRecertification RI2/7/2024 12:43 PM
Medicaid BillingNPI: NumberInsertRecertification 13969251862/7/2024 12:43 PM
Medicaid BillingNPI: StateInsertRecertification RI2/7/2024 12:43 PM
Medicaid BillingNPI: NumberInsertRecertification 14072592602/7/2024 12:43 PM
Medicaid BillingNPI: StateInsertRecertification RI2/7/2024 12:43 PM
Medicaid BillingNPI: NumberInsertRecertification 17200661452/7/2024 12:43 PM
Medicaid BillingNPI: StateInsertRecertification RI2/7/2024 12:43 PM
Medicaid BillingNPI: NumberInsertRecertification 17904937322/7/2024 12:43 PM
Medicaid BillingNPI: StateInsertRecertification RI2/7/2024 12:43 PM
DetailsLast Recertification DateUpdateRecertification2/23/2023 10:24:21 AM2/7/2024 12:43:11 PM2/7/2024 12:43 PM
ContactsAuthorizing OfficialUpdateChange RequestRoy, Dennis CEO EBCAP 4014371000-126Feyisitan, Rilwan President/CEO East Bay Community Action Program 4014371000-11327/13/2023 5:47 PM
ContactsPrimary ContactUpdateProfile Change RequestRedmond, Gwen Administrative Assistant EBCAP 4014081085Redmond, Gwen Manager of Strategic Initiatives EBCAP 40140810852/27/2023 11:44 AM
DetailsLast Recertification DateUpdateRecertification2/25/2022 1:26:53 PM2/23/2023 10:24:21 AM2/23/2023 10:24 AM
DetailsLast Recertification DateUpdateRecertification2/17/2021 3:53:48 PM2/25/2022 1:26:53 PM2/25/2022 1:26 PM
ContactsPrimary ContactUpdateChange RequestMIller, Virginia Administrative Assistant EBCAP 4014371008-165Redmond, Gwen Administrative Assistant EBCAP 40140810852/18/2021 5:00 PM
Medicaid BillingNPI: NumberDeleteRecertification1487916136 ( ) 2/17/2021 3:53 PM
Medicaid BillingNPI: NumberDeleteRecertification1861439705 ( ) 2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 16099251222/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 16092399202/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 14879161362/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 18614397052/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 16897324972/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 12355179132/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 15983063832/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 10636287172/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 11749312162/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 13567235482/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 10434556942/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 19726515292/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 18413555672/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 12150858162/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 12453895762/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 14474882592/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 16397163842/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 15283945252/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 10032491782/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 14675018822/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 16498015642/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 13069956752/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 10130603912/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 17800516642/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 13967282002/17/2021 3:53 PM
Medicaid BillingNPI: StateInsertRecertification RI2/17/2021 3:53 PM
Medicaid BillingNPI: NumberDeleteRecertification1609925122 ( ) 2/17/2021 3:53 PM
Medicaid BillingNPI: NumberDeleteRecertification1609239920 ( ) 2/17/2021 3:53 PM
DetailsLast Recertification DateUpdateRecertification2/4/2020 1:32:45 PM2/17/2021 3:53:48 PM2/17/2021 3:53 PM
Medicaid BillingNPI: NumberInsertRecertification 14879161362/4/2020 1:32 PM
Medicaid BillingNPI: NumberInsertRecertification 18614397052/4/2020 1:32 PM
DetailsLast Recertification DateUpdateRecertification1/30/2019 3:52:14 PM2/4/2020 1:32:45 PM2/4/2020 1:32 PM
AddressesBilling AddressInsertRecertification East Bay Community Action Program 19 Broadway Newport, RI 028401/30/2019 3:52 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False1/30/2019 3:52 PM
Medicaid BillingMedicaid: NumberInsertRecertification EB514071/30/2019 3:52 PM
Medicaid BillingMedicaid: StateInsertRecertification RI1/30/2019 3:52 PM
Medicaid BillingNPI: NumberInsertRecertification 16099251221/30/2019 3:52 PM
Medicaid BillingNPI: NumberInsertRecertification 16092399201/30/2019 3:52 PM
DetailsLast Recertification DateUpdateRecertification2/8/2018 11:40:01 AM1/30/2019 3:52:14 PM1/30/2019 3:52 PM
AddressesMain AddressUpdateChange Request 610 Wampanoag Trail East Providence, RI 02915 610 Wampanoag Trail Riverside, RI 0291510/25/2018 3:14 PM
ContactsPrimary ContactUpdateChange RequestOzanian, Bobbi Administrative Assistant EBCAP 4014371008-165MIller, Virginia Administrative Assistant EBCAP 4014371008-16510/25/2018 3:14 PM
DetailsIs Authorizing Official EHB DataUpdateChange RequestFalse 10/25/2018 3:14 PM
DetailsLast Recertification DateUpdateRecertification1/25/2017 12:00:00 AM2/8/2018 11:40:01 AM2/8/2018 11:40 AM
ContactsAuthorizing OfficialUpdate Roy, Dennis CEO 4014371000-126Roy, Dennis CEO EBCAP 4014371000-12610/13/2017 1:57 PM
ContactsSigned ByUpdate Roy, Dennis CEO 4014371000-126Roy, Dennis CEO EBCAP 4014371000-12610/13/2017 1:57 PM
ContactsPrimary ContactUpdate Ozanian, Bobbi Administrative Assistant 4014371008-165Ozanian, Bobbi Administrative Assistant EBCAP 4014371008-16510/13/2017 11:47 AM
AddressesMain AddressInsert   610 Wampanoag Trail East Providence, RI 029151/25/2017 9:04 AM
ContactsPrimary ContactInsert  Ozanian, Bobbi Administrative Assistant 4014371008-1651/25/2017 9:04 AM
ContactsAuthorizing OfficialInsert  Roy, Dennis CEO 4014371000-1261/25/2017 9:04 AM
ContactsSigned ByInsert  Roy, Dennis CEO 4014371000-1261/25/2017 9:04 AM
DetailsLast Recertification DateUpdate  1/25/2017 12:00:00 AM1/25/2017 9:04 AM
DatesParticipating Approval DateUpdate  2/10/2016 12:00:00 AM2/10/2016 5:09 PM
DetailsStateUpdate PendingActive2/10/2016 5:09 PM
DatesStart DateUpdate  4/1/2016 12:00:00 AM2/10/2016 5:09 PM
Details340B IDUpdate ONLINE_REG_58237CH01516F1/20/2016 7:51 AM
Details340B IDUpdate ONLINE_REGONLINE_REG_582371/15/2016 11:57 AM
DetailsLast Recertification DateInsert   1/15/2016 11:57 AM
DetailsGrant NumberInsert  H80CS023291/15/2016 11:57 AM
Details340B IDInsert  ONLINE_REG1/15/2016 11:57 AM
DetailsIs Authorizing Official EHB DataInsert  False1/15/2016 11:57 AM
DatesLast Date That 340B Drugs PurchasedInsert   1/15/2016 11:57 AM
DetailsMedicare Provider NumberInsert   1/15/2016 11:57 AM
DetailsEntity NameInsert  EAST BAY COMMUNITY ACTION PROGRAM1/15/2016 11:57 AM
DetailsProgram CodeInsert  CH1/15/2016 11:57 AM
DetailsEntity SubnameInsert  Adams-Farley Counseling Center1/15/2016 11:57 AM
DatesParticipating Approval DateInsert   1/15/2016 11:57 AM
DetailsStateInsert  Pending1/15/2016 11:57 AM
DatesRegistration DateInsert  1/15/2016 12:00:00 AM1/15/2016 11:57 AM
DatesSigned By DateInsert  1/15/2016 12:00:00 AM1/15/2016 11:57 AM
DatesStart DateInsert   1/15/2016 11:57 AM
TerminationsTermination CommentsInsert   1/15/2016 11:57 AM
TerminationsTermination DateInsert   1/15/2016 11:57 AM
TerminationsTermination Effective DateInsert   1/15/2016 11:57 AM
TerminationsTermination ReasonInsert   1/15/2016 11:57 AM