Covered Entity Details

CH02127AD COMMUNITY HEALTH CARE, INC. (Active) - information as of 4/29/2025 1:41:26 AM

Main Details

Name

COMMUNITY HEALTH CARE, INC.

Subdivision Name

CompleteCare Vineland Health Campus

Type

HRSA-Funded Health Center

Site ID

BPS-H80-014865

340B ID

CH02127AD

Grant Number

H80CS00164

Additional Details

Current Program Status

Active

Registration Date

4/8/2016

Participating Start Date

7/1/2016

Participating Approval Date

4/8/2016

Last Recertification Date

2/13/2025

Contacts

Authorizing Official

Community Health Care Inc.
James C. Edwards, CEO
(856) 451-4700 Ext: 2070

Primary Contact

Community Health Care Inc.
Richard Elwell, VP Business
(856) 391-4810

Addresses

Street Address

785 W. Sherman Ave
Vineland, NJ 08360

Billing Address

COMMUNITY HEALTH CARE, INC
14 N Pearl st
Bridgeton, NJ 08302

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
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH021270	Active	BPS-H80-032458	COMMUNITY HEALTH CARE, INC.	CompleteCare Adult & Specialty Medical Professionals	30 N Pearl St	BRIDGETON	NJ
CH02127A	Terminated	BPS-H80-004657	COMMUNITY HEALTH CARE, INC.	VINELAND HEALTH CENTER	319 LANDIS AVENUE	VINELAND	NJ
CH02127AA	Terminated	BPS-H80-012569	COMMUNITY HEALTH CARE, INC.	RiteCare RioGrande	1700 Route 47	Rio Grande	NJ
CH02127AB	Terminated	BPS-H80-012999	COMMUNITY HEALTH CARE, INC.	Upper Deerfield School Based Community Health Center	1369 Highway 77	Seabrook	NJ
CH02127AC	Active	BPS-H80-013762	COMMUNITY HEALTH CARE, INC.	CompleteCare Family Medicine Center at Inspira	75 W. Red Bank Ave	Woodbury	NJ
CH02127AD	Active	BPS-H80-014865	COMMUNITY HEALTH CARE, INC.	CompleteCare Vineland Health Campus	785 W. Sherman Ave	Vineland	NJ
CH02127AE	Active	BPS-H80-017765	COMMUNITY HEALTH CARE, INC.	Glassboro Medical Center	715-717 Delsea Drive, Units 3,4,5	Glassboro	NJ
CH02127AF	Approved	BPS-H80-038486	COMMUNITY HEALTH CARE INC	Men & Family Health Professionals	711 Marsha Ave	Williamstown	NJ
CH02127B	Active	BPS-H80-032546	COMMUNITY HEALTH CARE, INC.	COMPLETECARE MEDICAL AND DENTAL PROFESSIONALS	530 N High St	Millville	NJ
CH02127D	Active	BPS-H80-004594	COMMUNITY HEALTH CARE, INC.	CompleteCare Dental Professionals	335 Delsea Dr N	Glassboro	NJ
CH02127E	Terminated	BPS-H80-012802	COMMUNITY HEALTH CARE, INC.	Cape May Medical Professionals	3 Broadway	CAPE MAY COURT HOUSE	NJ
CH02127F	Active	BPS-H80-038970	COMMUNITY HEALTH CARE, INC.	CompleteCare Family Dental	351 Irving Ave.	Bridgeton	NJ
CH02127G	Active	BPS-H80-003728	COMMUNITY HEALTH CARE, INC.	CompleteCare Women's Medical Professionals	484 S Brewster Rd	Vineland	NJ
CH02127H	Terminated	BPS-H80-003267	COMMUNITY HEALTH CARE, INC.	WOMEN'S CARE	105 Manheim Ave	Bridgeton	NJ
CH02127K	Terminated	BPS-H80-002524	COMMUNITY HEALTH CARE, INC.	COMMUNITY HLTH CARE WOMEN'S CTR	1038 E Chestnut Ave	Vineland	NJ
CH02127U	Terminated	BPS-H80-007574	COMMUNITY HEALTH CARE, INC.	Deerfield Health Center	1000 N Pearl St	Bridgeton	NJ
CH02127V	Active	BPS-H80-008827	COMMUNITY HEALTH CARE, INC.	CompleteCare Pediatric and Family Medical professionals	265 Irving Ave	Bridgeton	NJ
CH02127W	Active	BPS-H80-001403	COMMUNITY HEALTH CARE, INC.	KID'S CORNER	251 WEST BROAD STREET	BRIDGETON	NJ
CH02127X	Active	BPS-H80-004925	COMMUNITY HEALTH CARE, INC.	TEEN CENTER	111 NW AVENUE	BRIDGETON	NJ
CH02127Y	Active	BPS-H80-012510	COMMUNITY HEALTH CARE, INC.	CompleteCare Medical & Dental Professionals	3700 New Jersey Ave	Wildwood	NJ
CH02127Z	Active	BPS-H80-012649	COMMUNITY HEALTH CARE, INC.	RiteCare at Vineland ShopRite	1255 Landis Avenue	Vineland	NJ

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH021270	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	01/01/2023
CH021270	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	01/01/2023
CH021270	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	01/01/2023
CH021270	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	01/01/2023
CH021270	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	01/01/2023
CH021270	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	01/01/2023
CH021270	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	01/01/2023
CH021270	ACME MARKETS INC	DBA SAV-ON PHARMACY DEPT 833	301 S. MAIN ROAD	VINELAND	NJ	08360-7897	10/01/2018
CH021270	ACME MARKETS INC	ACME PHARMACY #291	180 WEST GIRARD AVENUE	PHILADELPHIA	PA	19123	10/01/2018	08/16/2019
CH021270	ACME MARKETS INC	DBA SAV-ON PHARMACY DEPT 3920	857 ROUTE 45	PILESGROVE	NJ	08098	10/01/2018	08/16/2019
CH021270	ACME MARKETS INC	DBA SAV-ON PHARMACY DEPT 2995	251 N. BROADWAY	PENNSVILLE	NJ	08070	04/01/2020	10/11/2020
CH021270	ACME MARKETS INC	DBA SAV-ON PHARMACY DEPT 943	1619 CENTER SQUARE ROAD	SWEDESBORO	NJ	08085-1705	04/01/2020	01/30/2023
CH021270	ACME MARKETS INC	DBA SAV-ON PHARMACY DEPT 3970	631 MANTUA AVENUE	WEST DEPTFORD	NJ	08096-3234	04/01/2020	07/27/2021
CH021270	ACME MARKETS INC	DBA SAV-ON PHARMACY DEPT 2855	3845 BAYSHORE ROAD	NORTH CAPE MAY	NJ	08204-3261	04/01/2020	01/30/2023
CH021270	ACME MARKETS INC	DBA SAV-ON PHARMACY DEPT. 890	11 COURT HOUSE SOUTH DENNIS RD JAMESWAY SHOPPING PLAZA	CAPE MAY COURT HOUSE	NJ	08210-2150	04/01/2020
CH021270	AMAZON PHARMACY #001	4500 S PLEASANT VALLEY RD STE 201		AUSTIN	TX	78744-2911	01/01/2022
CH021270	AZ PHARMACY, LLC	DBA AMAZON PHARMACY #002	3809 E WATKINS ST	PHOENIX	AZ	85034	01/01/2022
CH021270	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	01/01/2022
CH021270	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	01/01/2022
CH021270	COMPLETECARE COMMUNITY PHARMACY	785 WEST SHERMAN AVENUE	SUITE 100	VINELAND	NJ	08360	10/01/2016
CH021270	COORDINATED CARE NETWORK	COORDINATED CARE NETWORK	300 PENN CENTER BLVD STE 405	PITTSBURGH	PA	15235-5511	09/30/2010	06/26/2017
CH021270	CYSTIC FIBROSIS SERVICES	CYSTIC FIBROSIS SERVICES, INC	10530 JOHN W ELLIOTT DR, STE 200	FRISCO	TX	75033	07/01/2016	08/14/2017
CH021270	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	07/01/2017
CH021270	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	01/01/2022
CH021270	ECKERD CORPORATION	RITE AID #10487	7 WEST LANDIS AVENUE	VINELAND	NJ	08360	10/26/2012
CH021270	ECKERD CORPORATION	RITE AID #10488	970 NORTH MAIN ROAD	VINELAND	NJ	08360	10/26/2012
CH021270	ECKERD CORPORATION	RITE AID #10490	1889 SOUTH LINCOLN AVENUE	VINELAND	NJ	08361	10/26/2012
CH021270	ECKERD CORPORATION	RITE AID #10486	1700 EAST MAIN STREET	MILLVILLE	NJ	08332	01/01/2014
CH021270	ECKERD CORPORATION	RITE AID #10484	1070 NORTH PEARL STREET	BRIDGETON	NJ	08302	01/01/2014
CH021270	ECKERD CORPORATION	RITE AID #10483	4201 ATLANTIC AVENUE	WILDWOOD	NJ	08260	01/01/2014	02/15/2018
CH021270	ECKERD CORPORATION	RITE AID #10475	3221 BAYSHORE ROAD	NORTH CAPE MAY	NJ	08204	01/01/2014	02/15/2018
CH021270	ECKERD CORPORATION	RITE AID #10442	695 NORTH DELSEA DRIVE	GLASSBORO	NJ	08028	01/01/2015
CH021270	ECKERD CORPORATION	RITE AID #10457	1 EAST BROAD STREET	PAULSBORO	NJ	08066	10/01/2018	05/25/2023
CH021270	ECKERD CORPORATION	RITE AID #10449	210 BRIDGETON PIKE	MANTUA	NJ	08051	10/01/2018	11/09/2023
CH021270	ECKERD CORPORATION	RITE AID #10469	865 ROUTE 45	PILESGROVE	NJ	08098	10/01/2024
CH021270	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	01/01/2023
CH021270	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	01/01/2023
CH021270	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	01/01/2023
CH021270	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	01/01/2023
CH021270	GENOA HEALTHCARE LLC	128 CREST HAVEN RD	SUITE 100	CAPE MAY COURT HOUSE	NJ	08210	01/01/2024
CH021270	GENOA HEALTHCARE LLC	200 HOLLY DELL DR STE P		SEWELL	NJ	08080	01/01/2024
CH021270	GENOA HEALTHCARE LLC	700 AIRPORT RD		LAKEWOOD	NJ	08701	01/01/2024
CH021270	GENOA HEALTHCARE LLC	400 MARKET STREET, STE 200		CAMDEN	NJ	08102	01/01/2024
CH021270	GENOA HEALTHCARE LLC	500 S PENNSVILLE AUBURN RD RM 300		CARNEYS POINT	NJ	08069	01/01/2024
CH021270	GENOA HEALTHCARE LLC	2038 CARMEL ROAD, ROOM 26	PO BOX 808	MILLVILLE	NJ	08332	01/01/2024
CH021270	GENOA HEALTHCARE LLC	312 E WHITE HORSE PIKE RM P		GALLOWAY	NJ	08205	01/01/2024
CH021270	GENOA HEALTHCARE LLC	93 WEST PALISADE AVE, ROOM 128		ENGLEWOOD	NJ	07631	01/01/2024
CH021270	GENOA HEALTHCARE LLC	270 STATE ROUTE 35		RED BANK	NJ	07701	01/01/2024
CH021270	GENOA HEALTHCARE LLC	25 E SALEM STREET		HACKENSACK	NJ	07601	01/01/2024
CH021270	GENOA HEALTHCARE LLC	160 ROUTE 9	ROOM 11	BAYVILLE	NJ	08721	01/01/2024
CH021270	GENOA HEALTHCARE LLC	1259 ROUTE 46 EAST	STE 100A	PARSIPPANY	NJ	07054	01/01/2024	05/10/2024
CH021270	HEALTH CARE PHARMACY	14 N PEARL ST	STE 101	BRIDGETON	NJ	08302	05/10/2023
CH021270	HEALTH FIRST PHARMACY	530 HIGH ST N		MILLVILLE	NJ	08332	07/01/2017
CH02127B	HEALTH FIRST PHARMACY	530 HIGH ST N		MILLVILLE	NJ	08332	07/01/2015
CH02127A	HERNANDO'S HOMETOWN PHARMACY	741 E LANDIS AVE STE B		VINELAND	NJ	08360-8016	10/01/2013	07/01/2017
CH021270	LA PHARMACY LLC	1048 S GARFIELD AVE	STE 101	ALHAMBRA	CA	91801	01/01/2022
CH021270	M.N. PHARMACY LLC	DBA AMAZON PHARMACY #003	6701 NW 7TH ST., STE. #199	MIAMI	FL	33126	01/01/2022
CH02127A	MAIN PHARMACY	80 S. MAIN RD		VINELAND	NJ	08360	01/19/2011	07/01/2017
CH02127D	MARONE PHARMACY		100 W. HIGH ST.	GLASSBORO	NJ	08028-2520	10/01/2006	04/15/2017
CH02127E	MILLVILLE FAMILY PAHRAMCY		604-606 N. HIGH ST	MILLVILLE	NJ	08332	03/05/2012	04/15/2017
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00228	25 EAST RED BANK AVENUE	WOODBURY	NJ	08096	07/01/2015
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00695	76 LANDIS AVENUE	VINELAND	NJ	08360	07/01/2015	05/01/2023
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00855	1060 NORTH DELSEA DRIVE BLDG. 3	GLASSBORO	NJ	08028	07/01/2015
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00864	455 S. BROADWAY	GLOUCESTER CITY	NJ	08030	07/01/2015
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02207	1209 NORTH HIGH ST.	MILLVILLE	NJ	08332	07/01/2015
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02684	2037 WEST BLVD.	MALAGA	NJ	08328	07/01/2015
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03759	121 CENTER SQUARE RD	SWEDESBORO	NJ	08085	07/01/2015
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05855	1163 E. CHESTNUT AVE.	VINELAND	NJ	08360	07/01/2015
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08951	3629 E. LANDIS AVE.	VINELAND	NJ	08361	07/01/2015
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00398	2506 DELAWARE AVE	NORTH WILDWOOD	NJ	08260	04/01/2020
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00429	11 COURT HOUSE SOUTH DENNIS RD., STE 9	CAPE MAY COURT HOUSE	NJ	08210	04/01/2020
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04125	1501 BAYSHORE RD.	VILLAS	NJ	08251	04/01/2020
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02014	139 MYRTLE AVENUE	WEST CAPE MAY	NJ	08204	04/01/2020
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02354	5100 PARK BOULEVARD	WILDWOOD	NJ	08260	04/01/2020
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00362	307 EGG HARBOR RD	SEWELL	NJ	08080	10/01/2021
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	CVS PHARMACY # 16728	1900 DEPTFORD CENTER RD	DEPTFORD	NJ	08096	10/01/2021
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02264	589 BERLIN CROSS KEYS ROAD	SICKLERVILLE	NJ	08081	10/01/2021
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01033	1 S NEW YORK RD	GALLOWAY	NJ	08205	10/01/2021
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05967	2078 ROUTE 9	OCEAN VIEW	NJ	08230	10/01/2021
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00462	69 S. WHITE HORSE PIKE	STRATFORD	NJ	08084	10/01/2021
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02300	231 WEST BROAD STREET	PAULSBORO	NJ	08066	10/01/2021
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00336	900 N. NEW RD.	PLEASANTVILLE	NJ	08232	10/01/2021
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02390	451 CEDAR ROAD	MULLICA HILL	NJ	08062	10/01/2021
CH021270	NEW JERSEY CVS PHARMACY, L.L.C.	CVS PHARMACY # 17250	2100 N 2ND ST	MILLVILLE	NJ	08332	10/01/2021
CH021270	OPTUM INFUSION SERVICES 550, LLC	20 COMMERCE WAY	SUITE 2	WOBURN	MA	01801	01/01/2024
CH021270	OPTUM PHARMACY 700, LLC	19 CHAPIN RD BLDG D, STE D8		PINE BROOK	NJ	07058	01/01/2024
CH021270	OPTUM PHARMACY 700, LLC	5700 DOT COM CT, STE 1000		OVIEDO	FL	32765	01/01/2024
CH021270	OPTUM PHARMACY 701, LLC	4015 SHOPTON RD STE 600		CHARLOTTE	NC	28217-3025	01/01/2024
CH021270	OPTUM PHARMACY 701, LLC	4100 S SAGINAW ST STE D		FLINT	MI	48507	01/01/2024
CH021270	OPTUM PHARMACY 701, LLC	1830 S HORNE		MESA	AZ	85204	01/01/2024
CH021270	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	10/01/2023
CH021270	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	01/01/2024
CH021270	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	01/01/2024
CH021270	OPTUM PHARMACY 705, LLC	1893 GENERAL GEORGE PATTON DR	STE 106	FRANKLIN	TN	37067-2655	01/01/2024
CH021270	OPTUM PHARMACY 705, LLC	3539 BLUECUTT RD		COLUMBUS	MS	39705	01/01/2024
CH021270	OPTUM PHARMACY 706, INC.	30-30 47TH AVENUE	SUITE 410	LONG ISLAND CITY	NY	11101	01/01/2024
CH021270	OPTUM PHARMACY 707, INC	4900 RIVERGRADE RD STE E110		IRWINDALE	CA	91706-1401	01/01/2024
CH021270	OPTUM PHARMACY 801, INC.	24416 N 19TH AVE	STE. 100	PHOENIX	AZ	85085	01/01/2024
CH021270	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	01/01/2024
CH021270	OVERLAKE PHARMACY, LLC	4124 148TH AVE NE STE JA		REDMOND	WA	98052	01/01/2022
CH021270	PILLPACK LLC	DBA PILLPACK BY AMAZON PHARMACY	250 COMMERCIAL ST STE 2012	MANCHESTER	NH	03101	01/01/2022
CH021270	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	01/01/2022
CH021270	REEF FAMILY PHARMACY LLC	1037 ROUTE 9 S		CAPE MAY COURT HOUSE	NJ	08210-2753	07/01/2017
CH02127E	REEF FAMILY PHARMACY LLC	1037 ROUTE 9 S		CAPE MAY COURT HOUSE	NJ	08210-2753	09/21/2010	04/01/2024
CH021270	RITE AID OF NEW JERSEY, INC.	RITE AID #116	907 NORTH HIGH STREET	MILLVILLE	NJ	08332	10/26/2012
CH021270	RITE AID OF NEW JERSEY, INC.	RITE AID #841	52 EAST BROAD STREET	BRIDGETON	NJ	08302	10/26/2012
CH021270	RITE AID OF NEW JERSEY, INC.	RITE AID #7822	2791 S DELSEA DRIVE	VINELAND	NJ	08360	01/01/2014	12/03/2023
CH021270	RITE AID OF NEW JERSEY, INC.	RITE AID #1917	236 SOUTH DELSEA DRIVE	CLAYTON	NJ	08312	01/01/2014
CH021270	RITE AID OF NEW JERSEY, INC.	RITE AID #990	343 S. BROAD STREET	WOODBURY	NJ	08096	01/01/2015
CH021270	RITE AID OF NEW JERSEY, INC.	RITE AID #1258	3400 NEW JERSEY AVENUE	WILDWOOD	NJ	08260	10/01/2018
CH021270	RITE AID OF NEW JERSEY, INC.	RITE AID #1866	375 WHITE HORSE PIKE	ATCO	NJ	08004	10/01/2024
CH021270	RITE AID OF NEW JERSEY, INC.	RITE AID #789	501 CLEMENTS BRIDGE ROAD	BARRINGTON	NJ	08007	10/01/2024
CH021270	RITE AID OF NEW JERSEY, INC.	RITE AID #1860	490 HURFVILLE-CROSS KEYS	SEWELL	NJ	08080	10/01/2024
CH021270	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	01/01/2022
CH021270	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	10/01/2018
CH021270	SHOPREITE PHARMACY	2130 NORTH 2ND STREET		MILVILLE	NJ	08332	07/01/2017
CH02127B	SHOPREITE PHARMACY	2130 NORTH 2ND STREET		MILVILLE	NJ	08332	08/04/2009
CH021270	SHOPRITE PHARMACY	1255 W. LANDIS AVE		VINELAND	NJ	08360	07/01/2017
CH021270	SHOPRITE PHARMACY	1000 NORTH PEARL ST.		UPPER DEERFIELD	NJ	08302	07/01/2017
CH02127A	SHOPRITE PHARMACY	1255 W. LANDIS AVE		VINELAND	NJ	08360	08/04/2009	07/01/2017
CH02127U	SHOPRITE PHARMACY	1000 NORTH PEARL ST.		UPPER DEERFIELD	NJ	08302	08/04/2009	04/01/2019
CH02127E	SHOPRITE PHARMACY OF RIO GRANDE	1700 ROUTE 47 SOUTH		RIO GRANDE	NJ	08242	10/01/2013	04/15/2017
CH021270	THRIFT DRUG, INC.	RITE AID #10468	860 COOPER STREET	DEPTFORD	NJ	08096	10/01/2018
CH021270	TRUEPILL	3121 DIABLO AVE		HAYWARD	CA	94545	01/01/2022
CH021270	TRUEPILL NY LLC	850 3RD AVE STE 404		BROOKLYN	NY	11232-1523	01/01/2022
CH02127E	VILLAGE PHARMACY	38 TUCKAHOE RD		MARMORA	NJ	08223-1206	07/01/2015	04/15/2017
CH02127A	VINELAND PHARMACY		315 WEST LANDIS AVENUE	VINELAND	NJ	08360	01/25/2012	07/01/2017
CH021270	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	07/01/2020
CH021270	WAL-MART PHARMACY 10-1742	3501 ROUTE 42		TURNERSVILLE	NJ	08012	07/01/2017
CH021270	WAL-MART PHARMACY 10-2108	4620 BLACK HORSE PIKE		MAYS LANDING	NJ	08330	07/01/2017
CH021270	WAL-MART PHARMACY 10-2109	2291 N. SECOND ST.		MILLVILLE	NJ	08332	10/26/2012
CH021270	WAL-MART PHARMACY 10-3337	3159 ROUTE 9 SOUTH		RIO GRANDE	NJ	08242	07/01/2017
CH021270	WAL-MART PHARMACY 10-3339	1070 WEST LANDIS AVE		VINELAND	NJ	08360	10/26/2012
CH021270	WAL-MART PHARMACY 10-3422	2000 CLEMENTS BRIDGE RD	SUITE 100	DEPTFORD	NJ	08096	07/01/2017
CH021270	WAL-MART PHARMACY 10-3774	1840 S BLACK HORSE PIKE		WILLIAMSTOWN	NJ	08094	07/01/2017
CH021270	WAL-MART PHARMACY 10-5384	1130 HIGHWAY 77		BRIDGETON	NJ	08302	07/01/2017
CH021270	WAL-MART PHARMACY 10-5476	820 COOPER ST		DEPTFORD	NJ	08096	07/01/2017
CH021270	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	07/01/2020
CH021270	WALGREEN EASTERN CO., INC	RITE AID #10483	4201 ATLANTIC AVE	WILDWOOD	NJ	08260	03/22/2018	06/12/2019
CH021270	WALGREEN EASTERN CO., INC	WALGREENS #19918	3221 BAYSHORE RD	NORTH CAPE MAY	NJ	08204	03/22/2018
CH021270	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10910	1015 N. MAIN RD.	VINELAND	NJ	08360-2538	09/27/2011
CH021270	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12048	221 DELSEA DR N	GLASSBORO	NJ	08028	09/27/2011
CH021270	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12003	5000 PARK BLVD.	WILDWOOD	NJ	08260-1428	09/27/2011
CH021270	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06902	1111 NORTH HIGH STREET	MILLVILLE	NJ	08332-2528	09/27/2011
CH021270	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06174	13 N BLACK HORSE PIKE	WILLIAMSTOWN	NJ	08094-1402	07/01/2014
CH021270	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05836	1408 DELSEA DRIVE	WOODBURY	NJ	08096	07/01/2014
CH021270	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06741	180 BRIDGETON PIKE	MANTUA	NJ	08051-1569	07/01/2014
CH021270	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07528	9 LANDIS AVENUE	BRIDGETON	NJ	08302	07/01/2014
CH021270	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09503	879 W. BAY AVE.	BARNEGAT	NJ	08005-2127	07/01/2014
CH021270	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10101	343 S. BROAD ST.	WOODBURY	NJ	08096-2406	07/01/2014	01/06/2016
CH021270	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10491	3300 ROUTE 9 S	RIO GRANDE	NJ	08242	07/01/2014
CH021270	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #07744	25 E. BROAD ST.	BRIDGETON	NJ	08302-2512	07/01/2014	02/20/2024
CH021270	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #13766	950 W. LANDIS AVENUE	VINELAND	NJ	08360	04/01/2015	11/06/2019
CH021270	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #15254	200 BOWMAN DR. SUITE E140	VOORHEES	NJ	08043	04/01/2016	07/13/2017
CH021270	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21171	900 CENTENNIAL BLVD BLDG 2 STE 205	VOORHEES	NJ	08043	10/01/2021
CH021270	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	07/01/2016
CH021270	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	07/01/2016	10/01/2021
CH021270	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	07/01/2016
CH021270	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	07/01/2016
CH021270	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2024
CH021270	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH021270	WOODBURY FAMILY PHARMACY	N H RAAHIL LLC.	160 N BROAD ST	WOODBURY	NJ	08096	10/01/2014	03/01/2017
CH021270	WOODRUFFS DRUGS	30 NORTH LAUREL STREET		BRIDGETON	NJ	08302-0830	01/01/2001	10/15/2019
CH02127A	WOODRUFFS DRUGS	30 NORTH LAUREL STREET		BRIDGETON	NJ	08302-0830	06/11/2012	07/01/2017
CH02127F	WOODRUFFS DRUGS	30 NORTH LAUREL STREET		BRIDGETON	NJ	08302-0830	01/01/2004
CH02127E	WOODRUFFS DRUGS	30 NORTH LAUREL STREET		BRIDGETON	NJ	08302-0830	03/02/2006	04/01/2024
CH02127K	WOODRUFFS DRUGS	30 NORTH LAUREL STREET		BRIDGETON	NJ	08302-0830	07/01/2006	07/01/2017
CH02127H	WOODRUFFS DRUGS	30 NORTH LAUREL STREET		BRIDGETON	NJ	08302-0830	01/01/2008	04/01/2025
CH02127G	WOODRUFFS DRUGS	30 NORTH LAUREL STREET		BRIDGETON	NJ	08302-0830	07/01/2008
CH02127V	WOODRUFFS DRUGS	30 NORTH LAUREL STREET		BRIDGETON	NJ	08302-0830	04/01/2010
CH02127W	WOODRUFFS DRUGS	30 NORTH LAUREL STREET		BRIDGETON	NJ	08302-0830	04/01/2010
CH02127X	WOODRUFFS DRUGS	30 NORTH LAUREL STREET		BRIDGETON	NJ	08302-0830	04/01/2010

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Primary Contact	Update	New Registration	Elwell, Richard VP Business Community Health Care Inc. 8563914810	Elwell, Richard VP Business Community Health Care Inc. 8563914810	4/1/2025 1:50 PM
Details	Last Recertification Date	Update	Recertification	2/6/2024 10:07:31 AM	2/13/2025 8:26:50 AM	2/13/2025 8:26 AM
Details	Entity Subname	Update	Recertification	CompleteCare Vineland Medical and Dental Campus	CompleteCare Vineland Health Campus	2/13/2025 8:26 AM
Details	Last Recertification Date	Update	Recertification	2/2/2023 1:30:23 PM	2/6/2024 10:07:31 AM	2/6/2024 10:07 AM
Details	Last Recertification Date	Update	Recertification	2/8/2022 9:58:53 AM	2/2/2023 1:30:23 PM	2/2/2023 1:30 PM
Details	Last Recertification Date	Update	Recertification	2/4/2021 9:56:06 AM	2/8/2022 9:58:53 AM	2/8/2022 9:58 AM
Addresses	Billing Address	Update	Group Change Request	Community Health Care Inc. 53 South Laurel St 2nd floor Bridgeton, NJ 08302	COMMUNITY HEALTH CARE, INC 14 N Pearl st Bridgeton, NJ 08302	10/26/2021 12:58 PM
Details	Last Recertification Date	Update	Recertification	2/19/2020 8:36:13 AM	2/4/2021 9:56:06 AM	2/4/2021 9:56 AM
Details	Last Recertification Date	Update	Recertification	2/4/2019 11:06:44 AM	2/19/2020 8:36:13 AM	2/19/2020 8:36 AM
Addresses	Billing Address	Update	Recertification	Community Health Care Inc. 53 South Laurel St Bridgeton, NJ 08302	Community Health Care Inc. 53 South Laurel St 2nd floor Bridgeton, NJ 08302	2/4/2019 11:06 AM
Details	Last Recertification Date	Update	Recertification	3/1/2018 11:21:44 AM	2/4/2019 11:06:44 AM	2/4/2019 11:06 AM
Contacts	Authorizing Official	Update	Profile Change Request	Edwards, James C. CEO CompleteCare Health Network 8564514700-2070	Edwards, James C. CEO Community Health Care Inc. 8564514700-2070	7/19/2018 10:50 AM
Contacts	Signed By	Update	Profile Change Request	Edwards, James C. CEO CompleteCare Health Network 8564514700-2070	Edwards, James C. CEO Community Health Care Inc. 8564514700-2070	7/19/2018 10:50 AM
Addresses	Billing Address	Update	Change Request	Completecare Healh Network 53 South Laurel St Bridgeton, NJ 08302	Community Health Care Inc. 53 South Laurel St Bridgeton, NJ 08302	3/7/2018 1:30 PM
Addresses	Billing Address	Insert	Recertification		Completecare Healh Network 53 South Laurel St Bridgeton, NJ 08302	3/1/2018 11:21 AM
Details	Last Recertification Date	Update	Recertification	2/17/2017 12:00:00 AM	3/1/2018 11:21:44 AM	3/1/2018 11:21 AM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		3/1/2018 11:21 AM
Contacts	Authorizing Official	Update		Edwards, James C. CEO 8564514700-2070	Edwards, James C. CEO CompleteCare Health Network 8564514700-2070	2/9/2018 8:25 AM
Contacts	Signed By	Update		Edwards, James C. CEO 8564514700-2070	Edwards, James C. CEO CompleteCare Health Network 8564514700-2070	2/9/2018 8:25 AM
Contacts	Primary Contact	Update		Elwell, Richard VP Business 8563914810	Elwell, Richard VP Business Community Health Care Inc. 8563914810	2/9/2018 6:59 AM
Contacts	Authorizing Official	Insert			Edwards, James C. CEO 8564514700-2070	6/28/2017 3:51 PM
Contacts	Signed By	Insert			Edwards, James C. CEO 8564514700-2070	6/28/2017 3:51 PM
Contacts	Primary Contact	Insert			Elwell, Richard VP Business 8563914810	4/25/2017 2:12 PM
Addresses	Main Address	Insert			785 W. Sherman Ave Vineland, NJ 08360	2/17/2017 8:29 AM
Details	Last Recertification Date	Update			2/17/2017 12:00:00 AM	2/17/2017 8:29 AM
Dates	Participating Approval Date	Update			4/8/2016 12:00:00 AM	4/8/2016 5:17 PM
Details	State	Update		Pending	Active	4/8/2016 5:17 PM
Dates	Start Date	Update			7/1/2016 12:00:00 AM	4/8/2016 5:17 PM
Details	340B ID	Update		ONLINE_REG_59329	CH02127AD	4/8/2016 9:05 AM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_59329	4/8/2016 7:57 AM
Details	Last Recertification Date	Insert				4/8/2016 7:57 AM
Details	Grant Number	Insert			H80CS00164	4/8/2016 7:57 AM
Details	340B ID	Insert			ONLINE_REG	4/8/2016 7:57 AM
Details	Is Authorizing Official EHB Data	Insert			False	4/8/2016 7:57 AM
Dates	Last Date That 340B Drugs Purchased	Insert				4/8/2016 7:57 AM
Details	Medicare Provider Number	Insert				4/8/2016 7:57 AM
Details	Entity Name	Insert			COMMUNITY HEALTH CARE, INC.	4/8/2016 7:57 AM
Details	Program Code	Insert			CH	4/8/2016 7:57 AM
Details	Entity Subname	Insert			CompleteCare Vineland Medical and Dental Campus	4/8/2016 7:57 AM
Dates	Participating Approval Date	Insert				4/8/2016 7:57 AM
Details	State	Insert			Pending	4/8/2016 7:57 AM
Dates	Registration Date	Insert			4/8/2016 12:00:00 AM	4/8/2016 7:57 AM
Dates	Signed By Date	Insert			4/8/2016 12:00:00 AM	4/8/2016 7:57 AM
Dates	Start Date	Insert				4/8/2016 7:57 AM
Terminations	Termination Comments	Insert				4/8/2016 7:57 AM
Terminations	Termination Date	Insert				4/8/2016 7:57 AM
Terminations	Termination Effective Date	Insert				4/8/2016 7:57 AM
Terminations	Termination Reason	Insert				4/8/2016 7:57 AM

340B Drug Pricing Program Database