Covered Entity Details

CH05911E FRIEND FAMILY HEALTH CENTER, INC. (Terminated) - information as of 6/6/2025 12:42:02 PM

Main Details

Name

FRIEND FAMILY HEALTH CENTER, INC.

Subdivision Name

FFHC-Woodlawn

Type

HRSA-Funded Health Center

Site ID

BPS-H80-017401

340B ID

CH05911E

Grant Number

H80CS00120

Additional Details

Current Program Status

Terminated

Registration Date

7/13/2016

Participating Start Date

10/1/2016

Participating Approval Date

7/15/2016

Last Recertification Date

2/21/2022

Termination Date
Termination Reason

4/1/2023
Failure to recertify

Contacts

Authorizing Official

Friend Family Health Center Inc
Verneda Bachus, CEO
(312) 682-6110 Ext: 111001

Primary Contact

Friend Family Health Center
Sabrina G. Moore, CFO
(773) 702-2193

Addresses

Street Address

1522 East 63rd Street
Chicago, IL 60637

Billing Address

Friend Family Health Center, Inc
800 E 55th Street
Chicago, IL 60615

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
CH059110	Active	BPS-H80-005171	FRIEND FAMILY HEALTH CENTER, INC		800 EAST 55TH STREET	CHICAGO	IL
CH05911A	Active	BPS-H80-004723	FRIEND FAMILY HEALTH CENTER, INC		5843 S. WESTERN AVE	CHICAGO	IL
CH05911B	Active	BPS-H80-006732	FRIEND FAMILY HEALTH CENTER, INC		25 W. 47TH STREET	CHICAGO	IL
CH05911C	Active	BPS-H80-004519	FRIEND FAMILY HEALTH CENTER, INC		5635 S. PULASKI ROAD	CHICAGO	IL
CH05911D	Active	BPS-H80-012339	FRIEND FAMILY HEALTH CENTER, INC		4802 S Ashland Avenue	CHICAGO	IL
CH05911E	Terminated	BPS-H80-017401	FRIEND FAMILY HEALTH CENTER, INC.	FFHC-Woodlawn	1522 East 63rd Street	Chicago	IL
CH05911F	Terminated	BPS-H80-017950	FRIEND FAMILY HEALTH CENTER, INC.	The Burnham at Woodlawn Park	6134 S. Cottage Grove Ave	Chicago	IL
CH05911G	Active	BPS-H80-036655	Friend Family Health Center, Inc.	Friend Health - 6250	6250 S Cottage Grove Ave	Chicago	IL

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH059110	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	WALGREENS # 16525	5401 S WENTWORTH AVE SUITE 5A1	CHICAGO	IL	60609	10/01/2013
CH059110	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 02211	5036 S COTTAGE GROVE AVE	CHICAGO	IL	60615	10/01/2013
CH059110	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 04306	1633 W. 95TH STREET	CHICAGO	IL	60643	10/01/2013
CH059110	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 05034	6315 S KEDZIE AVE	CHICAGO	IL	60629	10/01/2013
CH059110	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 05089	7111 S WESTERN AVE	CHICAGO	IL	60636	10/01/2013
CH059110	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 05123	10300 S. MICHIGAN AVE.	CHICAGO	IL	60628	10/01/2013
CH059110	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 05234	5435 S KEDZIE AVE	CHICAGO	IL	60632	10/01/2013
CH059110	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 05356	4710 S WESTERN AVE	CHICAGO	IL	60609	10/01/2013
CH059110	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 05033	2015 E 79TH ST	CHICAGO	IL	60649	04/01/2015
CH059110	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 03074	4700 S. HALSTED ST	CHICAGO	IL	60609	07/01/2017
CH059110	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 04519	1320 E 47TH ST.	CHICAGO	IL	60653	07/01/2017
CH059110	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 04461	501 W ROOSEVELT RD	CHICAGO	IL	60607	04/01/2019	01/29/2021
CH059110	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 03928	18301 PULASKI AVE	HAZEL CREST	IL	60429	04/01/2019	01/29/2021
CH05911A	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 02211	5036 S COTTAGE GROVE AVE	CHICAGO	IL	60615	07/01/2025
CH05911B	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 04519	1320 E 47TH ST.	CHICAGO	IL	60653	07/01/2025
CH05911C	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 04306	1633 W. 95TH STREET	CHICAGO	IL	60643	07/01/2025
CH05911C	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 03074	4700 S. HALSTED ST	CHICAGO	IL	60609	07/01/2025
CH05911D	BOND DRUG COMPANY OF ILLINOIS, L.L.C.	DBA: WALGREENS # 05234	5435 S KEDZIE AVE	CHICAGO	IL	60632	07/01/2025
CH059110	CHRIST HOSPITAL INPATIENT PHARMACY	4440 W 95TH ST		OAK LAWN	IL	60453-2600	07/01/2019
CH059110	HIGHLAND PARK CVS, L.L.C.	DBA: CVS/PHARMACY # 02798	3951 W. 103RD ST.	CHICAGO	IL	60655	07/01/2025
CH059110	HIGHLAND PARK CVS, L.L.C.	DBA: CVS/PHARMACY # 02845	1930 W. 103RD ST.	CHICAGO	IL	60643	07/01/2025
CH059110	HIGHLAND PARK CVS, L.L.C.	DBA: CVS/PHARMACY # 02935	8712 SOUTH STONY ISLAND AVE.	CHICAGO	IL	60617	07/01/2025
CH059110	HIGHLAND PARK CVS, L.L.C.	DBA: CVS/PHARMACY # 04979	7855 S. WESTERN AVE.	CHICAGO	IL	60620	07/01/2025
CH059110	HIGHLAND PARK CVS, L.L.C.	DBA: CVS/PHARMACY # 05769	470 S. TORRENCE AVE.	CALUMET CITY	IL	60409	07/01/2025
CH059110	HIGHLAND PARK CVS, L.L.C.	DBA: CVS/PHARMACY # 05836	1228 E. 53RD ST.	CHICAGO	IL	60615	07/01/2025
CH059110	HIGHLAND PARK CVS, L.L.C.	DBA: CVS/PHARMACY # 08502	6315 S PULASKI RD STE 1	CHICAGO	IL	60629	07/01/2025
CH059110	HIGHLAND PARK CVS, L.L.C.	CVS PHARMACY # 17166	1940 W 33RD ST	CHICAGO	IL	60608	07/01/2025
CH059110	HIGHLAND PARK CVS, L.L.C.	CVS/PHARMACY # 17686	1346 E 53RD ST	CHICAGO	IL	60615	07/01/2025
CH059110	SURECARE 2 INC.	DBA SURECARE PHARMACY CHICAGO	4104 W 63RD ST	CHICAGO	IL	60629	10/13/2021
CH059110	SURECARE DISCOUNT PHARMACY 2 INC.	FRIEND HEALTH PHARMACY	6250 S COTTAGE GROVE AVE SUITE 1000	CHICAGO	IL	60637	01/01/2020
CH059110	SURECARE PHARMACY INC.	2001 S CALIFORNIA AVE	SUITE 103	CHICAGO	IL	60608-2486	04/01/2019	01/29/2021
CH059110	WALGREEN CO.	DBA: WALGREENS # 00162	1554 E 55TH ST	CHICAGO	IL	60615	10/01/2013
CH059110	WALGREEN CO.	DBA: WALGREENS # 00163	4000 W 59TH ST	CHICAGO	IL	60629	10/01/2013
CH059110	WALGREEN CO.	DBA: WALGREENS # 00226	4005 W 26TH STREET	CHICAGO	IL	60623	10/01/2013
CH059110	WALGREEN CO.	DBA: WALGREENS # 00232	3405 S KING DR	CHICAGO	IL	60616	10/01/2013
CH059110	WALGREEN CO.	DBA: WALGREENS # 02923	6330 S KING DR	CHICAGO	IL	60637	10/01/2013	01/10/2018
CH059110	WALGREEN CO.	DBA: WALGREENS # 03539	11 E 75TH STREET	CHICAGO	IL	60619	10/01/2013
CH059110	WALGREEN CO.	DBA: WALGREENS # 05124	8628 S COTTAGE GROVE AVE	CHICAGO	IL	60619	10/01/2013
CH059110	WALGREEN CO.	DBA: WALGREENS # 05825	1213 W 79TH STREET	CHICAGO	IL	60620-3706	10/01/2013
CH059110	WALGREEN CO.	DBA: WALGREENS # 07267	650 W 63RD ST	CHICAGO	IL	60621-2012	10/01/2013
CH059110	WALGREEN CO.	DBA: WALGREENS # 09357	833 W 115TH ST	CHICAGO	IL	60643-4619	10/01/2013	11/09/2023
CH059110	WALGREEN CO.	DBA: WALGREENS # 10350	7109 S JEFFERY BLVD	CHICAGO	IL	60649-2425	10/01/2013
CH059110	WALGREEN CO.	DBA: WALGREENS # 01101	1533 E 67TH ST	CHICAGO	IL	60637-4426	04/01/2015
CH059110	WALGREEN CO.	DBA: WALGREENS # 02387	1616 E 87TH STREET	CHICAGO	IL	60617-2727	04/01/2015
CH059110	WALGREEN CO.	DBA: WALGREENS # 06238	2011 E 95TH STREET	CHICAGO	IL	60617	04/01/2015	11/11/2019
CH059110	WALGREEN CO.	DBA: WALGREENS # 06641	1614 W 47TH STREET	CHICAGO	IL	60609-3245	04/01/2015
CH059110	WALGREEN CO.	DBA: WALGREENS # 07876	7544 S STONY ISLAND AVE	CHICAGO	IL	60649-3926	04/01/2015	01/10/2018
CH059110	WALGREEN CO.	DBA: WALGREENS # 05192	9148 S COMMERCIAL AVE	CHICAGO	IL	60617	07/01/2017
CH059110	WALGREEN CO.	DBA: WALGREENS # 05724	7045 S PULASKI ROAD	CHICAGO	IL	60629-5833	07/01/2017
CH059110	WALGREEN CO.	DBA: WALGREENS # 06376	8636 S ASHLAND AVE	CHICAGO	IL	60620-4829	07/01/2017	07/29/2017
CH059110	WALGREEN CO.	DBA: WALGREENS # 06564	522 TORRENCE AVE	CALUMET CITY	IL	60409	07/01/2017
CH059110	WALGREEN CO.	DBA: WALGREENS #10485	12854 S ASHLAND AVE	CALUMET PARK	IL	60827-6308	07/01/2017
CH059110	WALGREEN CO.	DBA: WALGREENS # 09141	8700 S KEDZIE AVE	EVERGREEN PARK	IL	60805-1024	04/01/2018
CH059110	WALGREEN CO.	WALGREENS SPECIALTY PHARMACY #16498	2351 E 71ST ST SUITE A	CHICAGO	IL	60649	04/01/2018
CH059110	WALGREEN CO.	DBA: WALGREENS # 06332	1150 E SIBLEY BLVD	DOLTON	IL	60419-2828	04/01/2019	01/29/2021
CH059110	WALGREEN CO.	DBA: WALGREENS # 06762	11833 S WESTERN AVE	CHICAGO	IL	60643-4734	04/01/2019	01/29/2021
CH059110	WALGREEN CO.	DBA: WALGREENS # 00147	3611 E 106TH ST	CHICAGO	IL	60617	07/01/2019
CH059110	WALGREEN CO.	WALGREENS SPECIALTY PHARMACY #13832	4339 DIPAOLO CENTER	GLENVIEW	IL	60025	07/01/2019
CH05911G	WALGREEN CO.	WALGREENS SPECIALTY PHARMACY #15305	912 W BELMONT AVE	CHICAGO	IL	60657	04/01/2024
CH05911G	WALGREEN CO.	DBA: WALGREENS #15506	3303 W. 26TH STREET SUITE 101	CHICAGO	IL	60623	04/01/2024
CH05911G	WALGREEN CO.	DBA: WALGREENS #15507	3800 W MADISON STREET SUITE 101	CHICAGO	IL	60624	04/01/2024
CH05911A	WALGREEN CO.	DBA: WALGREENS # 00162	1554 E 55TH ST	CHICAGO	IL	60615	07/01/2025
CH05911B	WALGREEN CO.	DBA: WALGREENS # 03539	11 E 75TH STREET	CHICAGO	IL	60619	07/01/2025
CH05911D	WALGREEN CO.	DBA: WALGREENS # 02387	1616 E 87TH STREET	CHICAGO	IL	60617-2727	07/01/2025
CH05911G	WALGREEN CO.	DBA: WALGREENS # 06641	1614 W 47TH STREET	CHICAGO	IL	60609-3245	07/01/2025
CH05911G	WALGREEN CO.	WALGREENS SPECIALTY PHARMACY #13832	4339 DIPAOLO CENTER	GLENVIEW	IL	60025	07/01/2025
CH059110	Walgreens Central Fill #21399	4132Plainfield Rd	Ste 110	Indianapolis	IN	46231-7021	10/01/2023
CH059110	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	10/01/2013	07/31/2015

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	4/1/2023 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		3/31/2023 12:00:00 AM	3/6/2023 2:17 PM
Details	State	Update	Recertification	Active	To Be Terminated	3/6/2023 2:17 PM
Terminations	Termination Date	Update	Recertification		4/1/2023 12:00:00 AM	3/6/2023 2:17 PM
Terminations	Termination Effective Date	Update	Recertification		4/1/2023 12:00:00 AM	3/6/2023 2:17 PM
Terminations	Termination Reason	Update	Recertification		Failure to recertify	3/6/2023 2:17 PM
Details	Last Recertification Date	Update	Recertification	2/9/2021 3:50:43 PM	2/21/2022 6:47:43 PM	2/21/2022 6:47 PM
Contacts	Authorizing Official	Update	AO Change Request	Bachus, Verneda CEO Friend Family Health Center Inc 7737022193	Bachus, Verneda CEO Friend Family Health Center Inc 3126826110-111001	9/28/2021 8:44 AM
Details	Last Recertification Date	Update	Recertification	2/3/2020 4:37:36 PM	2/9/2021 3:50:43 PM	2/9/2021 3:50 PM
Details	Last Recertification Date	Update	Recertification	2/6/2019 2:51:09 PM	2/3/2020 4:37:36 PM	2/3/2020 4:37 PM
Details	Last Recertification Date	Update	Recertification	3/1/2018 1:35:04 PM	2/6/2019 2:51:09 PM	2/6/2019 2:51 PM
Details	Last Recertification Date	Update	Recertification	2/13/2017 12:00:00 AM	3/1/2018 1:35:04 PM	3/1/2018 1:35 PM
Contacts	Authorizing Official	Update		Bachus, Verneda CEO 7737022193	Bachus, Verneda CEO Friend Family Health Center Inc 7737022193	1/10/2018 2:48 PM
Contacts	Signed By	Update		Bachus, Verneda CEO 7737022193	Bachus, Verneda CEO Friend Family Health Center Inc 7737022193	1/10/2018 2:48 PM
Contacts	Primary Contact	Update		Moore, Sabrina G. CFO 7737022193	Moore, Sabrina G. CFO Friend Family Health Center 7737022193	10/9/2017 11:31 AM
Contacts	Authorizing Official	Insert			Bachus, Verneda CEO 7737022193	4/3/2017 12:18 PM
Contacts	Signed By	Insert			Bachus, Verneda CEO 7737022193	4/3/2017 12:18 PM
Addresses	Main Address	Insert			1522 East 63rd Street Chicago, IL 60637	2/13/2017 1:17 PM
Addresses	Billing Address	Insert			Friend Family Health Center, Inc 800 E 55th Street Chicago, IL 60615	2/13/2017 1:17 PM
Contacts	Primary Contact	Insert			Moore, Sabrina G. CFO 7737022193	2/13/2017 1:17 PM
Details	Last Recertification Date	Update			2/13/2017 12:00:00 AM	2/13/2017 1:17 PM
Dates	Participating Approval Date	Update			7/15/2016 12:00:00 AM	7/15/2016 9:39 AM
Details	State	Update		Pending	Active	7/15/2016 9:39 AM
Dates	Start Date	Update			10/1/2016 12:00:00 AM	7/15/2016 9:39 AM
Details	340B ID	Update		ONLINE_REG_71619	CH05911E	7/14/2016 10:53 AM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_71619	7/13/2016 4:19 PM
Details	Last Recertification Date	Insert				7/13/2016 4:19 PM
Details	Grant Number	Insert			H80CS00120	7/13/2016 4:19 PM
Details	340B ID	Insert			ONLINE_REG	7/13/2016 4:19 PM
Details	Is Authorizing Official EHB Data	Insert			False	7/13/2016 4:19 PM
Dates	Last Date That 340B Drugs Purchased	Insert				7/13/2016 4:19 PM
Details	Medicare Provider Number	Insert				7/13/2016 4:19 PM
Details	Entity Name	Insert			FRIEND FAMILY HEALTH CENTER, INC.	7/13/2016 4:19 PM
Details	Program Code	Insert			CH	7/13/2016 4:19 PM
Details	Entity Subname	Insert			FFHC-Woodlawn	7/13/2016 4:19 PM
Dates	Participating Approval Date	Insert				7/13/2016 4:19 PM
Details	State	Insert			Pending	7/13/2016 4:19 PM
Dates	Registration Date	Insert			7/13/2016 12:00:00 AM	7/13/2016 4:19 PM
Dates	Signed By Date	Insert			7/13/2016 12:00:00 AM	7/13/2016 4:19 PM
Dates	Start Date	Insert				7/13/2016 4:19 PM
Terminations	Termination Comments	Insert				7/13/2016 4:19 PM
Terminations	Termination Date	Insert				7/13/2016 4:19 PM
Terminations	Termination Effective Date	Insert				7/13/2016 4:19 PM
Terminations	Termination Reason	Insert				7/13/2016 4:19 PM

340B Drug Pricing Program Database