Covered Entity Details

CH02821T FINGER LAKES MIGRANT HEALTH CARE (Terminated) - information as of 4/29/2025 1:40:10 AM

Main Details

Name

FINGER LAKES MIGRANT HEALTH CARE

Subdivision Name

King Ferry Migrant Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-018254

340B ID

CH02821T

Grant Number

H80CS00849

Additional Details

Current Program Status

Terminated

Registration Date

1/5/2017

Participating Start Date

4/1/2017

Participating Approval Date

1/11/2017

Last Recertification Date

1/31/2019

Termination Date
Termination Reason

4/1/2020
Site closure

Contacts

Authorizing Official

Finger Lakes Community Health
Mary A Zelazny, CEO
(315) 531-9102

Primary Contact

Finger Lakes Migrant Health Care Project, Inc.
Anne Eileen Slack, CFO
(315) 531-9102

Addresses

Street Address

976 Route 34B
King Ferry, NY 13081

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
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH028210	Active	BPS-H80-004767	FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC.		14 Maiden Lane	PENN YAN	NY
CH02821B	Active	BPS-H80-022359	FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC.	Sodus Community Health	6341 Ridge Rd	SODUS	NY
CH02821C	Active	BPS-H80-008328	FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC.	PORT BYRON COMMUNITY HEALTH	60 MAIN STREET	PORT BYRON	NY
CH02821J	Active	BPS-H80-002518	FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC.	GENEVA COMMUNITY HEALTH	601B WASHINGTON STREET	GENEVA	NY
CH02821K	Active	BPS-H80-036955	Finger Lakes Migrant Health Care Project, Inc.	Bath Community Health	6890 County Route 113	Bath	NY
CH02821L	Active	BPS-H80-009218	Finger Lakes Migrant Health Care Project, Inc.	Penn Yan Community Health	160 Main Street	Penn Yan	NY
CH02821M	Active	BPS-H80-009219	Finger Lakes Migrant Health Care Project, Inc.	Keuka College Family Planning	141 Central Ave	Keuka Park	NY
CH02821N	Active	BPS-H80-012609	Finger Lakes Migrant Health Care	Ovid Community Health	7150 Main Street	Ovid	NY
CH02821P	Active	BPS-H80-013009	FINGER LAKES MIGRANT HEALTH CARE	Dundee Dental Center	6 Stoll St	Dundee	NY
CH02821Q	Active	BPS-H80-012557	FINGER LAKES MIGRANT HEALTH CARE	Penn Yan Community Health Medical Center	112 Kimball Ave	Penn Yan	NY
CH02821R	Active	BPS-H80-007295	FINGER LAKES MIGRANT HEALTH CARE	Mobile Medical Van	14 Maiden Ln	Penn Yan	NY
CH02821S	Active	BPS-H80-014787	FINGER LAKES MIGRANT HEALTH CARE	Newark Community Health	513 W UNION ST	NEWARK	NY
CH02821T	Terminated	BPS-H80-018254	FINGER LAKES MIGRANT HEALTH CARE	King Ferry Migrant Center	976 Route 34B	King Ferry	NY
CH02821U	Terminated	BPS-H80-018191	FINGER LAKES MIGRANT HEALTH CARE	BOCES Geneseo Migrant Center	3 Leicester Road	Leicester	NY
CH02821V	Active	BPS-H80-038083	Finger Lakes Migrant Health Care Project, Inc.	Penn Yan School-Based Health Center	3 School Dr	Penn Yan	NY
CH02821W	Active	BPS-H80-037086	Finger Lakes Migrant Health Care Project, Inc.	Mobile Health Unit	112 Kimball Ave	Penn Yan	NY

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH02821L	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/01/2024
CH02821C	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/01/2024
CH028210	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/01/2024
CH028210	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/01/2024
CH02821B	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/01/2024
CH028210	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/01/2024
CH02821N	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	10/01/2024
CH02821J	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/01/2024
CH02821K	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/01/2024
CH028210	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/01/2024
CH028210	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	10/01/2024
CH028210	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/01/2024
CH028210	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	04/01/2024
CH028210	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2024
CH028210	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/01/2024
CH028210	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/01/2024
CH028210	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/01/2024
CH028210	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/01/2024
CH028210	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/01/2024
CH028210	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/01/2024
CH028210	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2024
CH028210	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/01/2024
CH028210	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/01/2024
CH028210	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05078	34 W. MAIN ST.	SODUS	NY	14551	04/01/2024
CH028210	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05009	226 LAKE ST.	PENN YAN	NY	14527	04/01/2024
CH02821C	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05009	226 LAKE ST.	PENN YAN	NY	14527	04/01/2024
CH02821B	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05009	226 LAKE ST.	PENN YAN	NY	14527	04/01/2024
CH02821J	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05009	226 LAKE ST.	PENN YAN	NY	14527	04/01/2024
CH02821K	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05078	34 W. MAIN ST.	SODUS	NY	14551	04/01/2024
CH02821C	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05078	34 W. MAIN ST.	SODUS	NY	14551	04/01/2024
CH02821B	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05078	34 W. MAIN ST.	SODUS	NY	14551	04/01/2024
CH02821J	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05078	34 W. MAIN ST.	SODUS	NY	14551	04/01/2024
CH02821L	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05078	34 W. MAIN ST.	SODUS	NY	14551	04/01/2024
CH02821L	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05009	226 LAKE ST.	PENN YAN	NY	14527	04/01/2024
CH02821K	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05009	226 LAKE ST.	PENN YAN	NY	14527	04/01/2024
CH02821Q	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05078	34 W. MAIN ST.	SODUS	NY	14551	04/01/2024
CH02821S	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05009	226 LAKE ST.	PENN YAN	NY	14527	04/01/2024
CH02821N	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05078	34 W. MAIN ST.	SODUS	NY	14551	04/01/2024
CH02821R	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05078	34 W. MAIN ST.	SODUS	NY	14551	04/01/2024
CH02821S	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05078	34 W. MAIN ST.	SODUS	NY	14551	04/01/2024
CH02821R	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05009	226 LAKE ST.	PENN YAN	NY	14527	04/01/2024
CH02821N	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05009	226 LAKE ST.	PENN YAN	NY	14527	04/01/2024
CH02821P	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05009	226 LAKE ST.	PENN YAN	NY	14527	04/01/2024
CH02821Q	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05009	226 LAKE ST.	PENN YAN	NY	14527	04/01/2024
CH02821P	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05078	34 W. MAIN ST.	SODUS	NY	14551	04/01/2024
CH02821V	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05009	226 LAKE ST.	PENN YAN	NY	14527	07/01/2025
CH028210	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/01/2024
CH028210	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/01/2024
CH028210	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2024
CH028210	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	04/01/2024
CH028210	ECKERD CORPORATION	RITE AID #10849	101 S. MAIN STREET	NEWARK	NY	14513	04/01/2019
CH028210	ECKERD CORPORATION	RITE AID #10846	420 HAMILTON STREET	GENEVA	NY	14456	04/01/2019
CH02821L	ECKERD CORPORATION	RITE AID #10846	420 HAMILTON STREET	GENEVA	NY	14456	04/01/2024
CH02821K	ECKERD CORPORATION	RITE AID #10846	420 HAMILTON STREET	GENEVA	NY	14456	04/01/2024
CH02821B	ECKERD CORPORATION	RITE AID #10846	420 HAMILTON STREET	GENEVA	NY	14456	04/01/2024
CH02821C	ECKERD CORPORATION	RITE AID #10846	420 HAMILTON STREET	GENEVA	NY	14456	04/01/2024
CH02821N	ECKERD CORPORATION	RITE AID #10846	420 HAMILTON STREET	GENEVA	NY	14456	04/01/2024
CH02821J	ECKERD CORPORATION	RITE AID #10846	420 HAMILTON STREET	GENEVA	NY	14456	04/01/2024
CH02821P	ECKERD CORPORATION	RITE AID #10846	420 HAMILTON STREET	GENEVA	NY	14456	04/01/2024
CH02821Q	ECKERD CORPORATION	RITE AID #10846	420 HAMILTON STREET	GENEVA	NY	14456	04/01/2024
CH02821S	ECKERD CORPORATION	RITE AID #10846	420 HAMILTON STREET	GENEVA	NY	14456	04/01/2024
CH02821R	ECKERD CORPORATION	RITE AID #10846	420 HAMILTON STREET	GENEVA	NY	14456	04/01/2024
CH02821M	ECKERD CORPORATION	RITE AID #10849	101 S. MAIN STREET	NEWARK	NY	14513	07/01/2025
CH028210	HERBST PHARMACY INC	1 CHURCH ST		PORT BYRON	NY	13140-7701	04/01/2016
CH02821C	HERBST PHARMACY INC	1 CHURCH ST		PORT BYRON	NY	13140-7701	07/01/2015
CH02821M	HERBST PHARMACY INC	1 CHURCH ST		PORT BYRON	NY	13140-7701	07/01/2025
CH028210	KPH HEALTHCARE SERVICES, INC.	KINNEY DRUGS #111	7115 NORTH MAIN STREET P.O. BOX 369	OVID	NY	14521	04/01/2024
CH028210	KPH HEALTHCARE SERVICES, INC.	KINNEY DRUGS #66	20 FORGHAM ST	LYONS	NY	14489	04/01/2024
CH028210	KPH HEALTHCARE SERVICES, INC.	KINNEY DRUGS #65	2085 ROUTE 5&20	SENECA FALLS	NY	13148	07/01/2024
CH028210	KPH HEALTHCARE SERVICES, INC.	KINNEY DRUGS #106	471 EAST MAIN STREET SUITE 2	GOUVERNEUR	NY	13642	07/01/2024	11/15/2024
CH028210	KPH HEALTHCARE SERVICES, INC.	DBA: KINNEY DRUGS CF	471 E MAIN ST UNIT 5	GOUVERNEUR	NY	13642	01/01/2025
CH02821W	KPH HEALTHCARE SERVICES, INC.	KINNEY DRUGS #111	7115 NORTH MAIN STREET P.O. BOX 369	OVID	NY	14521	07/01/2025
CH028210	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/01/2024
CH028210	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/01/2024
CH028210	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/01/2024
CH028210	RITE AID OF NEW YORK, INC.	RITE AID #442	138 ELM STREET	PENN YAN	NY	14527	07/01/2016
CH028210	RITE AID OF NEW YORK, INC.	RITE AID #4967	5651 WHISKEY HILL ROAD	WOLCOTT	NY	14590	07/01/2016	02/13/2018
CH02821L	RITE AID OF NEW YORK, INC.	RITE AID #442	138 ELM STREET	PENN YAN	NY	14527	04/01/2024
CH02821K	RITE AID OF NEW YORK, INC.	RITE AID #442	138 ELM STREET	PENN YAN	NY	14527	04/01/2024
CH02821C	RITE AID OF NEW YORK, INC.	RITE AID #442	138 ELM STREET	PENN YAN	NY	14527	04/01/2024
CH02821J	RITE AID OF NEW YORK, INC.	RITE AID #442	138 ELM STREET	PENN YAN	NY	14527	04/01/2024
CH02821B	RITE AID OF NEW YORK, INC.	RITE AID #442	138 ELM STREET	PENN YAN	NY	14527	04/01/2024
CH02821P	RITE AID OF NEW YORK, INC.	RITE AID #442	138 ELM STREET	PENN YAN	NY	14527	04/01/2024
CH02821S	RITE AID OF NEW YORK, INC.	RITE AID #442	138 ELM STREET	PENN YAN	NY	14527	04/01/2024
CH02821N	RITE AID OF NEW YORK, INC.	RITE AID #442	138 ELM STREET	PENN YAN	NY	14527	04/01/2024
CH02821R	RITE AID OF NEW YORK, INC.	RITE AID #442	138 ELM STREET	PENN YAN	NY	14527	04/01/2024
CH02821Q	RITE AID OF NEW YORK, INC.	RITE AID #442	138 ELM STREET	PENN YAN	NY	14527	04/01/2024
CH028210	TRILLIUM HEALTH, INC.	TRILLIUM HEALTH PHARMACY	259 MONROE AVE LOWER LEVEL	ROCHESTER	NY	14607-3632	04/01/2015
CH028210	TRILLIUM HEALTH, INC.	TRILLIUM HEALTH PHARMACY	170 SCIENCE PKWY	ROCHESTER	NY	14620-4251	04/01/2015	02/15/2019
CH028210	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/01/2019
CH028210	WAL-MART PHARMACY 10-1705	1860 NORTH ROAD		WATERLOO	NY	13165	04/01/2019
CH028210	WAL-MART PHARMACY 10-1731	990 RT 5 & 20		GENEVA	NY	14456	04/01/2019
CH02821C	WAL-MART PHARMACY 10-1731	990 RT 5 & 20		GENEVA	NY	14456	04/01/2024
CH02821K	WAL-MART PHARMACY 10-1731	990 RT 5 & 20		GENEVA	NY	14456	04/01/2024
CH02821B	WAL-MART PHARMACY 10-1731	990 RT 5 & 20		GENEVA	NY	14456	04/01/2024
CH02821L	WAL-MART PHARMACY 10-1731	990 RT 5 & 20		GENEVA	NY	14456	04/01/2024
CH02821J	WAL-MART PHARMACY 10-1731	990 RT 5 & 20		GENEVA	NY	14456	04/01/2024
CH02821N	WAL-MART PHARMACY 10-1731	990 RT 5 & 20		GENEVA	NY	14456	04/01/2024
CH02821Q	WAL-MART PHARMACY 10-1731	990 RT 5 & 20		GENEVA	NY	14456	04/01/2024
CH02821S	WAL-MART PHARMACY 10-1731	990 RT 5 & 20		GENEVA	NY	14456	04/01/2024
CH02821P	WAL-MART PHARMACY 10-1731	990 RT 5 & 20		GENEVA	NY	14456	04/01/2024
CH02821R	WAL-MART PHARMACY 10-1731	990 RT 5 & 20		GENEVA	NY	14456	04/01/2024
CH028210	WAL-MART PHARMACY 10-1813	6788 ROUTE 31 EAST		VILLAGE OF NEWARK	NY	14513	04/01/2019
CH02821C	WAL-MART PHARMACY 10-1813	6788 ROUTE 31 EAST		VILLAGE OF NEWARK	NY	14513	04/01/2024
CH02821B	WAL-MART PHARMACY 10-1813	6788 ROUTE 31 EAST		VILLAGE OF NEWARK	NY	14513	04/01/2024
CH02821K	WAL-MART PHARMACY 10-1813	6788 ROUTE 31 EAST		VILLAGE OF NEWARK	NY	14513	04/01/2024
CH02821J	WAL-MART PHARMACY 10-1813	6788 ROUTE 31 EAST		VILLAGE OF NEWARK	NY	14513	04/01/2024
CH02821L	WAL-MART PHARMACY 10-1813	6788 ROUTE 31 EAST		VILLAGE OF NEWARK	NY	14513	04/01/2024
CH02821S	WAL-MART PHARMACY 10-1813	6788 ROUTE 31 EAST		VILLAGE OF NEWARK	NY	14513	04/01/2024
CH02821P	WAL-MART PHARMACY 10-1813	6788 ROUTE 31 EAST		VILLAGE OF NEWARK	NY	14513	04/01/2024
CH02821N	WAL-MART PHARMACY 10-1813	6788 ROUTE 31 EAST		VILLAGE OF NEWARK	NY	14513	04/01/2024
CH02821Q	WAL-MART PHARMACY 10-1813	6788 ROUTE 31 EAST		VILLAGE OF NEWARK	NY	14513	04/01/2024
CH028210	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/01/2019
CH028210	WAL-MART STORES EAST, LP	WAL-MART PHARMACY 10-1831	8770 DELL CENTER DRIVE	LIVERPOOL	NY	13090	04/01/2019	01/15/2019
CH028210	WALGREEN EASTERN CO.	DBA: WALGREENS #12381	10 N. MAIN ST.	WELLSVILLE	NY	14895-1232	04/01/2024
CH028210	WALGREEN EASTERN CO., INC	WALGREENS # 19919	609 E MAIN ST	PALMYRA	NY	14522	04/01/2024
CH028210	WALGREEN EASTERN CO., INC	WALGREENS #19548	6296 ONTARIO CENTER RD.	ONTARIO	NY	14519-8643	04/01/2024
CH028210	WALGREEN EASTERN CO., INC	WALGREENS # 19495	635 PITTSFORD VICTOR RD	PITTSFORD	NY	14534	04/01/2024
CH028210	WALGREEN EASTERN CO., INC	WALGREENS # 19816	2172 PENFIELD RD	PENFIELD	NY	14526-1736	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS #18076	4061 ROUTE 104	WILLIAMSON	NY	14589	07/01/2019
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS #19736	5651 WHISKEY HILL RD	WOLCOTT	NY	14590	07/01/2019
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS #19876	1929 US ROUTE 20	WATERLOO	NY	13165	07/01/2019
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09413	5206 W GENESSE ST	CAMILLUS	NY	13031-2202	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04968	5 N. TRANSIT ST.	LOCKPORT	NY	14094	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19739	128 N CENTER ST	PERRY	NY	14530	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11716	321 W. WASHINGTON ST.	BATH	NY	14810-1017	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09717	6785 TRANSIT RD	EAST AMHERST	NY	14051	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS #19725	1490 LAKE AVE	ROCHESTER	NY	14615	04/01/2024	11/18/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10864	402 N. MAIN ST.	ELMIRA	NY	14901-2104	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10697	431 HAMILTON ST.	GENEVA	NY	14456	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS #18364	135 W MAIN ST	HONEOYE FALLS	NY	14472	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS #18251	1422 S MAIN ST	MEDINA	NY	14103	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS #17195	79 NORTH ST P.O. BOX 47	DRYDEN	NY	13053-8510	04/01/2024	04/29/2025
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	6707 PITTSFORD PALMYRA RD.	FAIRPORT	NY	14450-3442	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS	100 E MAIN ST	ENDICOTT	NY	13760	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19549	4751 ONONDAGA BLVD	SYRACUSE	NY	13219	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09939	709 W UNION ST	NEWARK	NY	14513-1357	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10749	2231 DOWNER ST.	BALDWINSVILLE	NY	13027-6701	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS #19539	10 EAST AVE	ALBION	NY	14411	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10218	226 LIBERTY ST.	PENN YAN	NY	14527-1647	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09758	2100 RIDGE RD E	IRONDEQUOIT	NY	14622-2641	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #17396	21 E STATE ST	MOUNT MORRIS	NY	14510	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 10511	2665 E HENRIETTA RD	HENRIETTA	NY	14467	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS #17501	343 W PULTENEY ST	CORNING	NY	14830	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10380	18 EASTERN BLVD.	CANANDAIGUA	NY	14424-2219	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #17344	4175 STATE ROUTE 417	WELLSVILLE	NY	14895	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19370	615 S MEADOW ST	ITHACA	NY	14850	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS #17276	3588 STATE ROUTE 31	BALDWINSVILLE	NY	13027-8232	04/01/2024	11/06/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19766	9519 FOSTER WHEELER RD	DANSVILLE	NY	14437	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS #19777	153 MAIN ST	OWEGO	NY	13827	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS	1819 W GENESEE ST	SYRACUSE	NY	13204	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09872	1125 RIDGE RD.	WEBSTER	NY	14580-2909	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 10157	150 GRANT AVENUE	AUBURN	NY	13021-1502	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09992	1659 PENFIELD RD	ROCHESTER	NY	14625	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	8 W. MAIN ST.	LEROY	NY	14482	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS	2674 MAIN STREET	WHITNEY POINT	NY	13862	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS # 18074	73 N MAIN ST	BROCKPORT	NY	14420	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	WALGREENS #17389	201 W BROADWAY	FULTON	NY	13069	04/01/2024
CH028210	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19760	12 PARK DR	HORNELL	NY	14843	04/01/2024
CH02821J	WALGREEN EASTERN CO., INC.	WALGREENS #18076	4061 ROUTE 104	WILLIAMSON	NY	14589	04/01/2024
CH02821B	WALGREEN EASTERN CO., INC.	WALGREENS #18076	4061 ROUTE 104	WILLIAMSON	NY	14589	04/01/2024
CH02821K	WALGREEN EASTERN CO., INC.	WALGREENS #19736	5651 WHISKEY HILL RD	WOLCOTT	NY	14590	04/01/2024
CH02821L	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10697	431 HAMILTON ST.	GENEVA	NY	14456	04/01/2024
CH02821J	WALGREEN EASTERN CO., INC.	WALGREENS #19736	5651 WHISKEY HILL RD	WOLCOTT	NY	14590	04/01/2024
CH02821J	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10697	431 HAMILTON ST.	GENEVA	NY	14456	04/01/2024
CH02821B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10218	226 LIBERTY ST.	PENN YAN	NY	14527-1647	04/01/2024
CH02821B	WALGREEN EASTERN CO., INC.	WALGREENS #19736	5651 WHISKEY HILL RD	WOLCOTT	NY	14590	04/01/2024
CH02821K	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10218	226 LIBERTY ST.	PENN YAN	NY	14527-1647	04/01/2024
CH02821C	WALGREEN EASTERN CO., INC.	WALGREENS #18076	4061 ROUTE 104	WILLIAMSON	NY	14589	04/01/2024
CH02821J	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10218	226 LIBERTY ST.	PENN YAN	NY	14527-1647	04/01/2024
CH02821C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10218	226 LIBERTY ST.	PENN YAN	NY	14527-1647	04/01/2024
CH02821L	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10218	226 LIBERTY ST.	PENN YAN	NY	14527-1647	04/01/2024
CH02821L	WALGREEN EASTERN CO., INC.	WALGREENS #19736	5651 WHISKEY HILL RD	WOLCOTT	NY	14590	04/01/2024
CH02821L	WALGREEN EASTERN CO., INC.	WALGREENS #18076	4061 ROUTE 104	WILLIAMSON	NY	14589	04/01/2024
CH02821B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10697	431 HAMILTON ST.	GENEVA	NY	14456	04/01/2024
CH02821C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10697	431 HAMILTON ST.	GENEVA	NY	14456	04/01/2024
CH02821K	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10697	431 HAMILTON ST.	GENEVA	NY	14456	04/01/2024
CH02821C	WALGREEN EASTERN CO., INC.	WALGREENS #19736	5651 WHISKEY HILL RD	WOLCOTT	NY	14590	04/01/2024
CH02821K	WALGREEN EASTERN CO., INC.	WALGREENS #18076	4061 ROUTE 104	WILLIAMSON	NY	14589	04/01/2024
CH02821P	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10218	226 LIBERTY ST.	PENN YAN	NY	14527-1647	04/01/2024
CH02821Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10697	431 HAMILTON ST.	GENEVA	NY	14456	04/01/2024
CH02821S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10697	431 HAMILTON ST.	GENEVA	NY	14456	04/01/2024
CH02821Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10218	226 LIBERTY ST.	PENN YAN	NY	14527-1647	04/01/2024
CH02821N	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10218	226 LIBERTY ST.	PENN YAN	NY	14527-1647	04/01/2024
CH02821N	WALGREEN EASTERN CO., INC.	WALGREENS #18076	4061 ROUTE 104	WILLIAMSON	NY	14589	04/01/2024
CH02821S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10218	226 LIBERTY ST.	PENN YAN	NY	14527-1647	04/01/2024
CH02821S	WALGREEN EASTERN CO., INC.	WALGREENS #19736	5651 WHISKEY HILL RD	WOLCOTT	NY	14590	04/01/2024
CH02821R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10697	431 HAMILTON ST.	GENEVA	NY	14456	04/01/2024
CH02821P	WALGREEN EASTERN CO., INC.	WALGREENS #18076	4061 ROUTE 104	WILLIAMSON	NY	14589	04/01/2024
CH02821Q	WALGREEN EASTERN CO., INC.	WALGREENS #18076	4061 ROUTE 104	WILLIAMSON	NY	14589	04/01/2024
CH02821N	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10697	431 HAMILTON ST.	GENEVA	NY	14456	04/01/2024
CH02821N	WALGREEN EASTERN CO., INC.	WALGREENS #19736	5651 WHISKEY HILL RD	WOLCOTT	NY	14590	04/01/2024
CH02821R	WALGREEN EASTERN CO., INC.	WALGREENS #18076	4061 ROUTE 104	WILLIAMSON	NY	14589	04/01/2024
CH02821R	WALGREEN EASTERN CO., INC.	WALGREENS #19736	5651 WHISKEY HILL RD	WOLCOTT	NY	14590	04/01/2024
CH02821S	WALGREEN EASTERN CO., INC.	WALGREENS #18076	4061 ROUTE 104	WILLIAMSON	NY	14589	04/01/2024
CH02821R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10218	226 LIBERTY ST.	PENN YAN	NY	14527-1647	04/01/2024
CH02821R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09939	709 W UNION ST	NEWARK	NY	14513-1357	04/01/2024
CH02821Q	WALGREEN EASTERN CO., INC.	WALGREENS #19736	5651 WHISKEY HILL RD	WOLCOTT	NY	14590	04/01/2024
CH02821P	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10697	431 HAMILTON ST.	GENEVA	NY	14456	04/01/2024
CH02821P	WALGREEN EASTERN CO., INC.	WALGREENS #19736	5651 WHISKEY HILL RD	WOLCOTT	NY	14590	04/01/2024
CH028210	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	04/01/2024
CH028210	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	04/01/2024
CH028210	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	04/01/2024
CH028210	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CH028210	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH028210	WATER STREET PHARMACY INC	14 WATER ST		DUNDEE	NY	14837	07/01/2016	07/15/2020
CH028210	WATER STREET PHARMACY, INC.	DBA VILLAGE DRUG	126 MAIN ST	PENN YAN	NY	14527	07/01/2016	07/15/2020
CH028210	WEGMAN'S FOOD MARKETS, INC.	300 HAMILTON STREET	ATTN: PHARMACY	GENEVA	NY	14456	04/01/2024
CH02821K	WEGMAN'S FOOD MARKETS, INC.	300 HAMILTON STREET	ATTN: PHARMACY	GENEVA	NY	14456	04/01/2024
CH02821C	WEGMAN'S FOOD MARKETS, INC.	300 HAMILTON STREET	ATTN: PHARMACY	GENEVA	NY	14456	04/01/2024
CH02821J	WEGMAN'S FOOD MARKETS, INC.	300 HAMILTON STREET	ATTN: PHARMACY	GENEVA	NY	14456	04/01/2024
CH02821L	WEGMAN'S FOOD MARKETS, INC.	300 HAMILTON STREET	ATTN: PHARMACY	GENEVA	NY	14456	04/01/2024
CH02821B	WEGMAN'S FOOD MARKETS, INC.	300 HAMILTON STREET	ATTN: PHARMACY	GENEVA	NY	14456	04/01/2024
CH02821N	WEGMAN'S FOOD MARKETS, INC.	300 HAMILTON STREET	ATTN: PHARMACY	GENEVA	NY	14456	04/01/2024
CH02821P	WEGMAN'S FOOD MARKETS, INC.	300 HAMILTON STREET	ATTN: PHARMACY	GENEVA	NY	14456	04/01/2024
CH02821S	WEGMAN'S FOOD MARKETS, INC.	300 HAMILTON STREET	ATTN: PHARMACY	GENEVA	NY	14456	04/01/2024
CH02821Q	WEGMAN'S FOOD MARKETS, INC.	300 HAMILTON STREET	ATTN: PHARMACY	GENEVA	NY	14456	04/01/2024
CH02821R	WEGMAN'S FOOD MARKETS, INC.	300 HAMILTON STREET	ATTN: PHARMACY	GENEVA	NY	14456	04/01/2024
CH028210	WEGMANS FOOD MARKETS, INC.	C/O PHARMACY	800 W MILLER ST	NEWARK	NY	14513-1354	04/01/2024
CH02821C	WEGMANS FOOD MARKETS, INC.	C/O PHARMACY	800 W MILLER ST	NEWARK	NY	14513-1354	04/01/2024
CH02821L	WEGMANS FOOD MARKETS, INC.	C/O PHARMACY	800 W MILLER ST	NEWARK	NY	14513-1354	04/01/2024
CH02821B	WEGMANS FOOD MARKETS, INC.	C/O PHARMACY	800 W MILLER ST	NEWARK	NY	14513-1354	04/01/2024
CH02821K	WEGMANS FOOD MARKETS, INC.	C/O PHARMACY	800 W MILLER ST	NEWARK	NY	14513-1354	04/01/2024
CH02821J	WEGMANS FOOD MARKETS, INC.	C/O PHARMACY	800 W MILLER ST	NEWARK	NY	14513-1354	04/01/2024
CH02821N	WEGMANS FOOD MARKETS, INC.	C/O PHARMACY	800 W MILLER ST	NEWARK	NY	14513-1354	04/01/2024
CH02821P	WEGMANS FOOD MARKETS, INC.	C/O PHARMACY	800 W MILLER ST	NEWARK	NY	14513-1354	04/01/2024
CH02821R	WEGMANS FOOD MARKETS, INC.	C/O PHARMACY	800 W MILLER ST	NEWARK	NY	14513-1354	04/01/2024
CH02821Q	WEGMANS FOOD MARKETS, INC.	C/O PHARMACY	800 W MILLER ST	NEWARK	NY	14513-1354	04/01/2024
CH02821S	WEGMANS FOOD MARKETS, INC.	C/O PHARMACY	800 W MILLER ST	NEWARK	NY	14513-1354	04/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	New Registration	Zelazny, Mary CEO Finger Lakes Community Health 3155319102	Zelazny, Mary A CEO Finger Lakes Community Health 3155319102	1/7/2025 1:52 PM
Contacts	Signed By	Update	New Registration	Zelazny, Mary CEO Finger Lakes Community Health 3155319102	Zelazny, Mary A CEO Finger Lakes Community Health 3155319102	1/7/2025 1:52 PM
Details	State	Update		To Be Terminated	Terminated	4/1/2020 12:05 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		12/31/2019 12:00:00 AM	2/4/2020 12:35 PM
Details	State	Update	Recertification	Active	To Be Terminated	2/4/2020 12:35 PM
Terminations	Termination Date	Update	Recertification		4/1/2020 12:00:00 AM	2/4/2020 12:35 PM
Terminations	Termination Effective Date	Update	Recertification		12/31/2019 12:00:00 AM	2/4/2020 12:35 PM
Terminations	Termination Reason	Update	Recertification		Site closure	2/4/2020 12:35 PM
Details	Last Recertification Date	Update	Recertification	2/13/2018 4:33:37 PM	1/31/2019 9:56:56 PM	1/31/2019 9:56 PM
Contacts	Primary Contact	Update	Recertification	Zelazny, Mary CEO Finger Lakes Community Health 3155319102	Slack, Anne Eileen CFO Finger Lakes Migrant Health Care Project, Inc. 3155319102	2/13/2018 4:33 PM
Details	Last Recertification Date	Update	Recertification		2/13/2018 4:33:37 PM	2/13/2018 4:33 PM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/13/2018 4:33 PM
Contacts	Authorizing Official	Update		Zelazny, Mary CEO 3155319102	Zelazny, Mary CEO Finger Lakes Community Health 3155319102	9/29/2017 2:39 PM
Contacts	Primary Contact	Update		Zelazny, Mary CEO 3155319102	Zelazny, Mary CEO Finger Lakes Community Health 3155319102	9/29/2017 2:39 PM
Contacts	Signed By	Update		Zelazny, Mary CEO 3155319102	Zelazny, Mary CEO Finger Lakes Community Health 3155319102	9/29/2017 2:39 PM
Contacts	Authorizing Official	Insert			Zelazny, Mary CEO 3155319102	5/9/2017 11:05 AM
Contacts	Primary Contact	Insert			Zelazny, Mary CEO 3155319102	5/9/2017 11:05 AM
Contacts	Signed By	Insert			Zelazny, Mary CEO 3155319102	5/9/2017 11:05 AM
Addresses	Main Address	Insert			976 Route 34B King Ferry, NY 13081	3/16/2017 10:08 AM
Dates	Participating Approval Date	Update			1/11/2017 12:00:00 AM	1/11/2017 3:01 PM
Details	State	Update		Pending	Active	1/11/2017 3:01 PM
Dates	Start Date	Update			4/1/2017 12:00:00 AM	1/11/2017 3:01 PM
Details	340B ID	Update		ONLINE_REG_73992	CH02821T	1/11/2017 10:34 AM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_73992	1/5/2017 3:15 PM
Details	Last Recertification Date	Insert				1/5/2017 3:15 PM
Details	Grant Number	Insert			H80CS00849	1/5/2017 3:15 PM
Details	340B ID	Insert			ONLINE_REG	1/5/2017 3:15 PM
Details	Is Authorizing Official EHB Data	Insert			False	1/5/2017 3:15 PM
Dates	Last Date That 340B Drugs Purchased	Insert				1/5/2017 3:15 PM
Details	Medicare Provider Number	Insert				1/5/2017 3:15 PM
Details	Entity Name	Insert			FINGER LAKES MIGRANT HEALTH CARE	1/5/2017 3:15 PM
Details	Program Code	Insert			CH	1/5/2017 3:15 PM
Details	Entity Subname	Insert			King Ferry Migrant Center	1/5/2017 3:15 PM
Dates	Participating Approval Date	Insert				1/5/2017 3:15 PM
Details	State	Insert			Pending	1/5/2017 3:15 PM
Dates	Registration Date	Insert			1/5/2017 12:00:00 AM	1/5/2017 3:15 PM
Dates	Signed By Date	Insert			1/5/2017 12:00:00 AM	1/5/2017 3:15 PM
Dates	Start Date	Insert				1/5/2017 3:15 PM
Terminations	Termination Comments	Insert				1/5/2017 3:15 PM
Terminations	Termination Date	Insert				1/5/2017 3:15 PM
Terminations	Termination Effective Date	Insert				1/5/2017 3:15 PM
Terminations	Termination Reason	Insert				1/5/2017 3:15 PM

340B Drug Pricing Program Database