Covered Entity Details

CH02013B HERITAGE HEALTH AND HOUSING, INC. (Terminated) - information as of 5/20/2025 12:45:47 AM

Main Details

Name

HERITAGE HEALTH AND HOUSING, INC.

Subdivision Name

Heritage HealthCare Center at Harlem Village Academy Elementary School

Type

HRSA-Funded Health Center

Site ID

BPS-H80-013872

340B ID

CH02013B

Grant Number

H80CS11285

Additional Details

Current Program Status

Terminated

Registration Date

1/9/2017

Participating Start Date

4/1/2017

Participating Approval Date

2/27/2017

Last Recertification Date

Termination Date
Termination Reason

4/1/2018
Site closure

Contacts

Authorizing Official

Heritage Health and Housing, Inc
Saundra Alexander, CEO
(212) 862-0054

Primary Contact

Heritage Health & Health Housing, Inc.
Arthur Smith, CIO
(212) 862-0054 Ext: 0890

Addresses

Street Address

35 W 124th St
New York, NY 10027-5634

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
Participating from (10/1/2006) until terminated effective date (4/1/2016), reinstated effective (04/01/17)	01/11/2017

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	7 HILLS RX INC.	DBA SMART AID PHARMACY	708 SAINT NICHOLAS AVE	NEW YORK	NY	10031-4002	10/13/2017	01/01/2018		04/01/2018	04/01/2018

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH020130	Active	BPS-H80-008127	HERITAGE HEALTH AND HOUSING, INC.	HERITAGE HEALTH AND HOUSING, INC.	1727 Amsterdam Ave	New York	NY
CH02013A	Terminated	BPS-H80-008128	HERITAGE HEALTH AND HOUSING, INC.	HERITAGE HEALTH CARE @ PS 192	500 WEST 138TH STREET; RM 123	NEW YORK	NY
CH02013B	Terminated	BPS-H80-013872	HERITAGE HEALTH AND HOUSING, INC.	Heritage HealthCare Center at Harlem Village Academy Elementary School	35 W 124th St	New York	NY

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH020130	2355 2ND AVE NYS LLC	2355 2ND AVE		NEW YORK	NY	10035	05/01/2020
CH020130	7 HILLS RX INC.	DBA SMART AID PHARMACY	708 SAINT NICHOLAS AVE	NEW YORK	NY	10031-4002	01/01/2018
CH02013B	7 HILLS RX INC.	DBA SMART AID PHARMACY	708 SAINT NICHOLAS AVE	NEW YORK	NY	10031-4002	01/01/2018	04/01/2018
CH020130	APTEKA RX INC	DBA-AMSTERDAM PHARMACY & SURGICAL SUPPLI	1743 AMSTERDAM AVE	NEW YORK	NY	10031-1003	10/01/2017
CH020130	DIN PHARMACY CORP	DBA-DIN PHARMACY	18 MOTT ST	NEW YORK	NY	10013	07/01/2022	04/05/2023
CH020130	DJ DRUGS & SURGICALS INC	AHMA RX	2381 FREDERICK DOUGLASS BLVD	NEW YORK	NY	10027	07/01/2018	01/29/2019
CH020130	DJ DRUGS & SURGICALS INC	AHMA RX	2381 FREDERICK DOUGLASS BLVD	NEW YORK	NY	10027	07/01/2018	01/29/2019
CH020130	DRUG MART SOLUTIONS LLC	D/B/A QUALITY RX	1611 UNIVERSITY AVENUE	BRONX	NY	10453	10/01/2016	01/10/2024
CH020130	DUANE READE	2522 BROADWAY		NEW YORK	NY	10025-6946	11/18/2011	07/15/2016
CH020130	DUANE READE	279 W 125TH STREET		NEW YORK	NY	10027-4408	11/18/2011	07/15/2016
CH020130	DUANE READE	2108 3RD AVENUE		NEW YORK	NY	10029-2103	11/18/2011	07/15/2016
CH020130	DUANE READE	300 WEST 135TH ST.		NEW YORK	NY	10030	11/18/2011	07/15/2016
CH020130	FIRST HEALTH SPECIALTY PHARMACY INC.	754 E 151ST ST		BRONX	NY	10455-3267	10/01/2022
CH020130	MISHKINS PHARMA LLC	DBA-MISHKINS PHARMACY	1714 AMSTERDAM AVE	NEW YORK	NY	10031-4602	07/01/2022
CH020130	RIVER PARK RX LLC	RIVER PARK PHARMACY	1818 CEDAR AVE	BRONX	NY	10453	01/01/2020	01/10/2024
CH020130	SHRINEETA PHARMACY INC	DBA-AMSTERDAM PHARMACY	1743 AMSTERDAM AVE	NEW YORK	NY	10031-4618	03/06/2009	01/10/2024
CH02013A	SHRINEETA PHARMACY INC	DBA-AMSTERDAM PHARMACY	1743 AMSTERDAM AVE	NEW YORK	NY	10031-4618	03/06/2009	04/01/2016
CH020130	TAINO TOWERS PHARMA INC	DBA-TAINO TOWERS PHARMACY	2253 3RD AVE FRNT 1	NEW YORK	NY	10035-2206	07/01/2022
CH020130	UPPER MANHATTAN PHARMA INC	DBA-UPPER MANHATTAN PHARMACY	1728 AMSTERDAM AVE	NEW YORK	NY	10031-4604	07/01/2022
CH020130	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10912	2575 BROADWAY	NEW YORK	NY	10025	11/18/2011	07/15/2016

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	4/1/2018 12:00 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		12/15/2017 12:00:00 AM	2/8/2018 10:15 AM
Details	State	Update	Recertification	Active	To Be Terminated	2/8/2018 10:15 AM
Terminations	Termination Date	Update	Recertification		4/1/2018 12:00:00 AM	2/8/2018 10:15 AM
Terminations	Termination Effective Date	Update	Recertification		12/15/2017 12:00:00 AM	2/8/2018 10:15 AM
Terminations	Termination Reason	Update	Recertification		Site closure	2/8/2018 10:15 AM
Contacts	Authorizing Official	Update	AO Change Request	Smith, Arthur CIO Heritage Health & Health Housing, Inc. 2128620054-0890	Alexander, Saundra CEO Heritage Health and Housing, Inc 2128620054	2/8/2018 9:10 AM
Contacts	Authorizing Official	Update		Smith, Arthur CIO 2128620054-0890	Smith, Arthur CIO Heritage Health & Health Housing, Inc. 2128620054-0890	10/13/2017 10:31 AM
Contacts	Primary Contact	Update		Smith, Arthur CIO 2128620054-0890	Smith, Arthur CIO Heritage Health & Health Housing, Inc. 2128620054-0890	10/13/2017 10:31 AM
Contacts	Signed By	Update		Smith, Arthur CIO 2128620054-0890	Smith, Arthur CIO Heritage Health & Health Housing, Inc. 2128620054-0890	10/13/2017 10:31 AM
Contacts	Authorizing Official	Insert			Smith, Arthur CIO 2128620054-0890	7/14/2017 7:52 PM
Contacts	Primary Contact	Insert			Smith, Arthur CIO 2128620054-0890	7/14/2017 7:52 PM
Contacts	Signed By	Insert			Smith, Arthur CIO 2128620054-0890	7/14/2017 7:52 PM
Addresses	Main Address	Insert			35 W 124th St New York, NY 10027-5634	3/15/2017 10:51 AM
Details	340B ID	Update		REINST_CH02013A	CH02013B	2/27/2017 9:48 AM
Dates	Participating Approval Date	Update			2/27/2017 12:00:00 AM	2/27/2017 9:48 AM
Details	State	Update		Pending	Active	2/27/2017 9:48 AM
Dates	Start Date	Update			4/1/2017 12:00:00 AM	2/27/2017 9:48 AM
Details	Comments Public	Insert			Participating from (10/1/2006) until terminated effective date (4/1/2016), reinstated effective (04/01/17)	1/11/2017 10:11 AM
Details	Last Recertification Date	Insert				1/9/2017 4:00 PM
Details	Grant Number	Insert			H80CS11285	1/9/2017 4:00 PM
Details	340B ID	Insert			REINST_CH02013A	1/9/2017 4:00 PM
Details	Is Authorizing Official EHB Data	Insert			False	1/9/2017 4:00 PM
Dates	Last Date That 340B Drugs Purchased	Insert				1/9/2017 4:00 PM
Details	Medicare Provider Number	Insert				1/9/2017 4:00 PM
Details	Entity Name	Insert			HERITAGE HEALTH AND HOUSING, INC.	1/9/2017 4:00 PM
Details	Program Code	Insert			CH	1/9/2017 4:00 PM
Details	Entity Subname	Insert			Heritage HealthCare Center at Harlem Village Academy Elementary School	1/9/2017 4:00 PM
Dates	Participating Approval Date	Insert				1/9/2017 4:00 PM
Details	State	Insert			Pending	1/9/2017 4:00 PM
Dates	Registration Date	Insert			1/9/2017 12:00:00 AM	1/9/2017 4:00 PM
Dates	Signed By Date	Insert			1/9/2017 12:00:00 AM	1/9/2017 4:00 PM
Dates	Start Date	Insert				1/9/2017 4:00 PM
Terminations	Termination Comments	Insert				1/9/2017 4:00 PM
Terminations	Termination Date	Insert				1/9/2017 4:00 PM
Terminations	Termination Effective Date	Insert				1/9/2017 4:00 PM
Terminations	Termination Reason	Insert				1/9/2017 4:00 PM

340B Drug Pricing Program Database