340B Drug Pricing Program Database


CHC11332-06 COMMUNITY HEALTH CENTERS OF GREATER DAYTON (Active) - information as of 5/17/2025 10:56:21 PM

Main Details
COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Community Health Centers of Greater Dayton - Mobile Health Unit
HRSA-Funded Health Center
BPS-H80-018574
CHC11332-06
H80CS12882


Additional Details
Active
3/2/2017
4/1/2017
3/7/2017
2/21/2025

Contacts

Community Health Centers of Greater Dayton
GREGORY HOPKINS, EXECUTIVE DIRECTOR
(937) 586-9733 Ext: 1023

Charles Drew Health Center
Dori Moss, Practice Manager
(937) 461-4336 Ext: 1011

Addresses

4290 N James H McGee Blvd
Dayton, OH 45417-9536

Community Health Centers of Greater Dayton
1323 W 3rd St
Dayton, OH 45402-6714


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Community Health Centers of Greater Dayton Pharmacy
1323 W 3rd St.
Dayton, OH 45402-6714
Contract Pharmacies
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC11332-00ActiveBPS-H80-008312COMMUNITY HEALTH CENTERS OF GREATER DAYTONCommunity Health Centers of Greater Dayton - Charles Drew Health Center1323 W. 3rd St. DaytonOH
CHC11332-01ActiveBPS-H80-008314COMMUNITY HEALTH CENTERS OF GREATER DAYTONCORWIN NIXON HEALTH CENTER2351 STANLEY AVENUE DAYTONOH
CHC11332-02ActiveBPS-H80-008313COMMUNITY HEALTH CENTERS OF GREATER DAYTONEAST DAYTON HEALTH CENTER2132 E. 3RD STREET DAYTONOH
CHC11332-03TerminatedBPS-H80-010441COMMUNITY HEALTH CENTERS OF GREATER DAYTONVICTOR CASSANO HEALTH CENTER165 S. EDWIN C. MOSES BLVD DAYTONOH
CHC11332-04TerminatedBPS-H80-012328COMMUNITY HEALTH CENTERS OF GREATER DAYTONCommunity Health Centers of Greater Dayton - Southview Health Center25 Thorpe DaytonOH
CHC11332-05ActiveBPS-H80-012749COMMUNITY HEALTH CENTERS OF GREATER DAYTONCommunity Health Centers of Greater Dayton - Alex Central Health Center5 South Alex Road MiamisburgOH
CHC11332-06ActiveBPS-H80-018574COMMUNITY HEALTH CENTERS OF GREATER DAYTONCommunity Health Centers of Greater Dayton - Mobile Health Unit4290 N James H McGee Blvd DaytonOH
CHC11332-07TerminatedBPS-H80-024683COMMUNITY HEALTH CENTERS OF GREATER DAYTONCommunity Health Centers of Greater Dayton - Patterson Park Health Center1074 Patterson Rd. DaytonOH
CHC11332-08ActiveBPS-H80-033028Community Health Centers of Greater DaytonCommunity Health Centers of Greater Dayton - Chambersburg Health Center6255 Chambersburg Rd Huber HeightsOH
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC11332-00AHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271201/01/2019  
CHC11332-00AZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503404/01/2019  
CHC11332-00CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/2023  
CHC11332-00CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/2023  
CHC11332-00DAYTON OSTEOPATHIC HOSPITALDBA: KETTERING HEALTH PHARMACY - CASSANO 165 S EDWIN C MOSES BLVD
DAYTONOH4540208/09/2011  
CHC11332-00KROGER #9331934 NEEDMORE ROAD
DAYTONOH4541407/01/2017 09/01/2021
CHC11332-00KROGER COLUMBUS CENTRAL FILL #0192270 RICKENBACKER PKWY W
COLUMBUSOH4321707/01/2017  
CHC11332-00KROGER PHARMACY #0147544506 BRANDT PIKE
DAYTONOH4542407/01/2017  
CHC11332-05KROGER PHARMACY #0147544506 BRANDT PIKE
DAYTONOH4542410/01/2024  
CHC11332-00KROGER PHARMACY #0148363520 WEST SIEBENTHALER AVENUE
DAYTONOH4540607/01/2017  
CHC11332-00KROGER PHARMACY #765601 WOODMAN DR
DAYTONOH4543107/01/2017  
CHC11332-01KROGER PHARMACY #765601 WOODMAN DR
DAYTONOH4543110/01/2024  
CHC11332-00KROGER PHARMACY #770255 N. HEINCKE RD.
MIAMISBURGOH4534207/01/2017  
CHC11332-00KROGER PHARMACY #8252115 EAST DOROTHY LANE
KETTERINGOH4542007/01/2017  
CHC11332-00M.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312601/01/2019  
CHC11332-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03453 32 N. LUDLOW ST.
DAYTONOH4540210/01/2019  
CHC11332-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03462 4329 WEST 3RD ST
DAYTONOH4541710/01/2019  
CHC11332-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03467 1300 WILMINGTON AVENUE
DAYTONOH4542010/01/2019  
CHC11332-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03461 3920 LINDEN AVE.
DAYTONOH4543210/01/2019  
CHC11332-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03080 4996 BRANDT PIKE
HUBER HEIGHTSOH4542410/01/2019  
CHC11332-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03447 4901 N MAIN ST
DAYTONOH4541512/02/2020  
CHC11332-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 04401 5981 FAR HILLS AVENUE
DAYTONOH4542912/02/2020  
CHC11332-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06141 1001 E. MAIN ST.
TROTWOODOH4542612/02/2020  
CHC11332-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06143 900 N BROAD STREET
FAIRBORNOH4532412/02/2020 10/05/2022
CHC11332-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06144 2657 W. ALEX BELL RD
MORAINEOH4545912/02/2020 09/26/2022
CHC11332-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 07767 124 SOUTH MAIN STREET
UNIONOH4532212/02/2020  
CHC11332-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03411 200 E DAYTON YELLOW SPRINGS RD
FAIRBORNOH4532411/29/2022  
CHC11332-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY #06138 1205 EAST CENTRAL AVENUE
MIAMISBURGOH4534211/29/2022  
CHC11332-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03457 201 S. MAIN STREET
NEW CARLISLEOH4534407/01/2023  
CHC11332-06OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03462 4329 WEST 3RD ST
DAYTONOH4541710/01/2024  
CHC11332-08OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03461 3920 LINDEN AVE.
DAYTONOH4543210/01/2024  
CHC11332-00PELPHREYS PHARMACY7208 TAYLORSVILLE RD
HUBER HEIGHTSOH4542411/29/2022  
CHC11332-00PILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310101/01/2019  
CHC11332-00RITE AID OF OHIO, INC.RITE AID #4748 3875 SALEM AVENUE
DAYTONOH4540607/01/2014 05/14/2024
CHC11332-00RITE AID OF OHIO, INC.RITE AID #3246 2916 LINDEN AVENUE
DAYTONOH4541007/01/2014 07/22/2024
CHC11332-00RITE AID OF OHIO, INC.RITE AID #3134 3700 NORTH DIXIE DRIVE
DAYTONOH4541407/01/2014 07/08/2024
CHC11332-00RITE AID OF OHIO, INC.RITE AID #3088 4328 NORTH MAIN STREET
DAYTONOH4540507/01/2014 05/21/2024
CHC11332-00RITE AID OF OHIO, INC.RITE AID #3030 2532 EAST THIRD STREET
DAYTONOH4540307/01/2014 07/31/2024
CHC11332-00RITE AID OF OHIO, INC.RITE AID #3031 10 W. NATIONAL ROAD
VANDALIAOH4537707/01/2019 04/03/2023
CHC11332-00RITE AID OF OHIO, INC.RITE AID #4825 1158 WILMINGTON AVENUE
DAYTONOH4542007/01/2019 11/29/2023
CHC11332-00RITE AID OF OHIO, INC.RITE AID #3084 146 WOODMAN DRIVE
DAYTONOH4543107/01/2020 09/29/2023
CHC11332-00RITE AID OF OHIO, INC.RITE AID #1187 564 MCADAMS DRIVE
NEW CARLISLEOH4534407/01/2020 07/29/2024
CHC11332-00THE KROGER COKROGER PHARMACY #01400951 2921 W ALEX BELL RD
DAYTONOH4545907/01/2017 04/04/2023
CHC11332-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738607/01/2020  
CHC11332-00WAL-MART PHARMACY 10-146370 HOSPITALITY DRIVE
XENIAOH4538507/01/2025  
CHC11332-00WAL-MART PHARMACY 10-14957680 BRANDT PIKE
HUBER HEIGHTSOH4542407/01/2025  
CHC11332-00WAL-MART PHARMACY 10-15036244 WILMINGTON PIKE
CENTERVILLEOH4545907/01/2020 09/01/2021
CHC11332-00WAL-MART PHARMACY 10-15036244 WILMINGTON PIKE
CENTERVILLEOH4545907/01/2025  
CHC11332-00WAL-MART PHARMACY 10-15048800 KINGSRIDGE DR
DAYTONOH4545807/01/2025  
CHC11332-00WAL-MART PHARMACY 10-21243360 PENTAGON BLVD
BEAVERCREEKOH4543107/01/2020  
CHC11332-00WAL-MART PHARMACY 10-37833465 YORK COMMONS BOULEVARD
DAYTONOH4541407/01/2020  
CHC11332-00WAL-MART PHARMACY 10-51041701 W DOROTHY LN
MORAINEOH4543907/01/2020  
CHC11332-00WAL-MART PHARMACY 10-5374100A E. WASHINGTON JACKSON RD.
EATONOH4532007/01/2020  
CHC11332-00WAL-MART PHARMACY 10-54097725 HOKE ROAD
ENGLEWOODOH4531507/01/2020  
CHC11332-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283707/01/2020  
CHC11332-00WALGREEN CO.DBA: WALGREENS # 01548 5271 SALEM AVENUE
TROTWOODOH4542607/02/2012 07/28/2020
CHC11332-00WALGREEN CO.DBA: WALGREENS # 04520 1260 E CENTRAL
MIAMISBURGOH4534207/02/2012  
CHC11332-00WALGREEN CO.DBA: WALGREENS # 04521 6495 OLD TROY PIKE
HUBER HEIGHTSOH4542407/02/2012  
CHC11332-00WALGREEN CO.DBA: WALGREENS #21370 5045 N MAIN ST
DAYTONOH4541507/02/2012  
CHC11332-00WALGREEN CO.DBA: WALGREENS # 04975 1542 WAYNE AVE.
DAYTONOH4541007/02/2012  
CHC11332-00WALGREEN CO.DBA: WALGREENS # 04976 2710 SALEM AVE.
DAYTONOH4540607/02/2012  
CHC11332-00WALGREEN CO.DBA: WALGREENS # 05430 4121 HOOVER AVE
DAYTONOH4540207/02/2012 04/01/2024
CHC11332-00WALGREEN CO.DBA: WALGREENS # 05517 2600 S. SMITHVILLE RD.
DAYTONOH4542007/02/2012  
CHC11332-00WALGREEN CO.DBA: WALGREENS # 07256 2140 E DOROTHY LANE
KETTERINGOH45420-111407/02/2012  
CHC11332-00WALGREEN CO.DBA: WALGREENS # 07885 5901 SPRINGBORO PIKE
WEST CARROLLTONOH45449-324907/02/2012  
CHC11332-00WALGREEN CO.DBA: WALGREENS #11510 2269 N. FAIRFIELD RD.
BEAVERCREEKOH45431-252607/02/2012  
CHC11332-00WALGREEN CO.DBA: WALGREENS # 06990 183 E DAYTON YELLOW SPRINGS RD
FAIRBORNOH4532410/01/2013  
CHC11332-00WALGREEN CO.DBA: WALGREENS #10580 5000 BRANDT PIKE
HUBER HEIGHTSOH4542410/01/2013  
CHC11332-00WALGREEN CO.DBA: WALGREENS SPECIALTY PHARMACY #16523 1200 BROWN ST STE 160
DAYTONOH4540907/01/2019  
CHC11332-00WALGREEN CO.DBA: WALGREENS # 04639 4497 FAR HILLS AVE
KETTERINGOH4542904/01/2022  
CHC11332-00WALGREEN CO.DBA: WALGREENS # 04567 6485 WILMINGTON PIKE
CENTERVILLEOH4545904/01/2022  
CHC11332-00WALGREEN CO.DBA: WALGREENS # 07331 20 W MARKET STREET
TROYOH4537304/01/2022  
CHC11332-00WALGREEN CO.DBA: WALGREENS # 09873 911 S MAIN ST
CENTERVILLEOH45458-580104/01/2022  
CHC11332-00WALGREEN CO.DBA: WALGREENS #12832 775 W. WENGER RD.
ENGLEWOODOH4532204/01/2022  
CHC11332-02WALGREEN CO.DBA: WALGREENS # 04521 6495 OLD TROY PIKE
HUBER HEIGHTSOH4542410/01/2024  
CHC11332-00Walgreens Central Fill #213994132Plainfield Rd
Ste 110
IndianapolisIN46231-702104/01/2023  
CHC11332-00WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528410/01/2013 07/22/2015
CHC11332-00WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A
ROGERSAR7275604/01/2023  
CHC11332-00ZIKS FAMILY PHARMACY, INC #1001130 W 3RD ST,
DAYTONOH4540211/29/2022  
CHC11332-00ZIKS FAMILY PHARMACY, INC #1021120 W 3RD ST
DAYTONOH4540202/10/2023  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesShipping AddressDeleteRecertificationCommunity Health Centers of Greater Dayton 1074 Patterson Rd Dayton, OH 45420-1522 2/21/2025 7:28 AM
AddressesShipping AddressInsertRecertification Community Health Centers of Greater Dayton Pharmacy 1323 W 3rd St. Dayton, OH 45402-67142/21/2025 7:28 AM
DetailsLast Recertification DateUpdateRecertification2/5/2024 11:33:53 AM2/21/2025 7:28:50 AM2/21/2025 7:28 AM
ContactsPrimary ContactUpdateRecertificationMoss, Dori Practice Manager Alex Central Drew Health Center 9372470304-4000Moss, Dori Practice Manager Charles Drew Health Center 9374614336-10112/19/2025 3:06 PM
ContactsPrimary ContactUpdateRecertificationMoss, Dori Practice Manager Charles Drew Health Center 9374614336-1011Moss, Dori Practice Manager Alex Central Drew Health Center 9372470304-40002/19/2025 3:04 PM
ContactsPrimary ContactUpdateRecertificationMoss, Dori Practice Manager Alex Central Health Center 9372470304-4000Moss, Dori Practice Manager Charles Drew Health Center 9374614336-10112/19/2025 3:02 PM
DetailsLast Recertification DateUpdateRecertification2/10/2023 12:08:29 PM2/5/2024 11:33:53 AM2/5/2024 11:33 AM
ContactsPrimary ContactUpdateRecertificationGriffith, Bethany Practice Manager Patterson Park Health Center 9372586330-6000Moss, Dori Practice Manager Alex Central Health Center 9372470304-40002/10/2023 12:08 PM
DetailsLast Recertification DateUpdateRecertification2/18/2022 5:08:55 PM2/10/2023 12:08:29 PM2/10/2023 12:08 PM
DetailsLast Recertification DateUpdateRecertification2/12/2021 11:39:36 AM2/18/2022 5:08:55 PM2/18/2022 5:08 PM
DetailsLast Recertification DateUpdateRecertification2/7/2020 6:53:21 AM2/12/2021 11:39:36 AM2/12/2021 11:39 AM
AddressesShipping AddressDeleteRecertificationCommunity Health Centers of Greater Dayton 1323 W 3rd St Dayton, OH 45402-6714 2/7/2020 6:53 AM
AddressesShipping AddressInsertRecertification Community Health Centers of Greater Dayton 1074 Patterson Rd Dayton, OH 45420-15222/7/2020 6:53 AM
ContactsPrimary ContactUpdateRecertificationStokes, Carol Practice Manager Charles Drew Health Center 9374614336-1011Griffith, Bethany Practice Manager Patterson Park Health Center 9372586330-60002/7/2020 6:53 AM
DetailsLast Recertification DateUpdateRecertification2/13/2019 7:17:44 AM2/7/2020 6:53:21 AM2/7/2020 6:53 AM
AddressesShipping AddressInsertRecertification Community Health Centers of Greater Dayton 1323 W 3rd St Dayton, OH 45402-67142/13/2019 7:17 AM
DetailsLast Recertification DateUpdateRecertification2/23/2018 1:21:17 PM2/13/2019 7:17:44 AM2/13/2019 7:17 AM
DetailsLast Recertification DateUpdateRecertification 2/23/2018 1:21:17 PM2/23/2018 1:21 PM
DetailsIs Authorizing Official EHB DataUpdateRecertificationFalse 2/23/2018 1:21 PM
ContactsPrimary ContactUpdateRecertificationStokes, Carol Practice Manager 9374614336-1011Stokes, Carol Practice Manager Charles Drew Health Center 9374614336-10112/23/2018 1:21 PM
ContactsAuthorizing OfficialUpdate HOPKINS, GREGORY EXECUTIVE DIRECTOR 9375869733-1023HOPKINS, GREGORY EXECUTIVE DIRECTOR Community Health Centers of Greater Dayton 9375869733-10232/8/2018 1:10 PM
ContactsSigned ByUpdate HOPKINS, GREGORY EXECUTIVE DIRECTOR 9375869733-1023HOPKINS, GREGORY EXECUTIVE DIRECTOR Community Health Centers of Greater Dayton 9375869733-10232/8/2018 1:10 PM
ContactsAuthorizing OfficialInsert  HOPKINS, GREGORY EXECUTIVE DIRECTOR 9375869733-10234/27/2017 4:26 PM
ContactsSigned ByInsert  HOPKINS, GREGORY EXECUTIVE DIRECTOR 9375869733-10234/27/2017 4:26 PM
AddressesMain AddressInsert   4290 N James H McGee Blvd Dayton, OH 45417-95363/16/2017 3:05 PM
ContactsPrimary ContactInsert  Stokes, Carol Practice Manager 9374614336-10113/16/2017 3:05 PM
AddressesBilling AddressInsert  Community Health Centers of Greater Dayton 1323 W 3rd St Dayton, OH 45402-67143/7/2017 5:55 PM
DatesParticipating Approval DateUpdate  3/7/2017 12:00:00 AM3/7/2017 5:54 PM
DetailsStateUpdate PendingActive3/7/2017 5:54 PM
DatesStart DateUpdate  4/1/2017 12:00:00 AM3/7/2017 5:54 PM
Details340B IDUpdate ONLINE_REG_75672CHC11332-063/7/2017 2:35 PM
Details340B IDUpdate ONLINE_REGONLINE_REG_756723/2/2017 3:25 PM
DetailsLast Recertification DateInsert   3/2/2017 3:25 PM
DetailsGrant NumberInsert  H80CS128823/2/2017 3:25 PM
Details340B IDInsert  ONLINE_REG3/2/2017 3:25 PM
DetailsIs Authorizing Official EHB DataInsert  False3/2/2017 3:25 PM
DatesLast Date That 340B Drugs PurchasedInsert   3/2/2017 3:25 PM
DetailsMedicare Provider NumberInsert   3/2/2017 3:25 PM
DetailsEntity NameInsert  COMMUNITY HEALTH CENTERS OF GREATER DAYTON3/2/2017 3:25 PM
DetailsProgram CodeInsert  CH3/2/2017 3:25 PM
DetailsEntity SubnameInsert  Community Health Centers of Greater Dayton - Mobile Health Unit3/2/2017 3:25 PM
DatesParticipating Approval DateInsert   3/2/2017 3:25 PM
DetailsStateInsert  Pending3/2/2017 3:25 PM
DatesRegistration DateInsert  3/2/2017 12:00:00 AM3/2/2017 3:25 PM
DatesSigned By DateInsert  3/2/2017 12:00:00 AM3/2/2017 3:25 PM
DatesStart DateInsert   3/2/2017 3:25 PM
TerminationsTermination CommentsInsert   3/2/2017 3:25 PM
TerminationsTermination DateInsert   3/2/2017 3:25 PM
TerminationsTermination Effective DateInsert   3/2/2017 3:25 PM
TerminationsTermination ReasonInsert   3/2/2017 3:25 PM