340B Drug Pricing Program Database


CH06287P EXCELTH, INCORPORATED (Active) - information as of 6/27/2025 3:26:56 AM

Main Details
EXCELTH, INCORPORATED
EXCELth Mobile Dental Unit
HRSA-Funded Health Center
BPS-H80-018221
CH06287P
H80CS00129


Additional Details
Active
7/11/2017
10/1/2017
7/13/2017
2/26/2025

Contacts

EXCELth, Inc.
MICHAEL A. ANDRY, CEO
(504) 524-1210 Ext: 4123

EXCELth, Inc.
Andy Belteau, Accountant
(504) 524-1210 Ext: 4122

Addresses

9900 Lake Forest Blvd
New Orleans, LA 70127

EXCELth, Inc.
1515 POYDRAS ST
STE 1070
NEW ORLEANS, LA 70112


  • 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

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH062870ActiveBPS-H80-003793EXCELTH, INCORPORATEDEXCELTH, INC., HEALTH CARE NETWORK1515 Poydras St New OrleansLA
CH06287AActiveBPS-H80-010581EXCELTH, INCORPORATEDEXCELth Family Health Center - Algiers4422 General Meyer Ave 103 New OrleansLA
CH06287KActiveBPS-H80-038785EXCELTH, INCORPORATEDEXCELth Family Health Center - Gentilly6600 FRANKLIN AVSuite A7New OrleansLA
CH06287LTerminatedBPS-H80-006558EXCELTH, INCORPORATEDEXCELth FAMILY HLTH CTR MOBILE VAN1515 Poydras St New OrleansLA
CH06287MActiveBPS-H80-012673EXCELTH, INCORPORATEDEXCELth Family Health Center - New Orleans East9900 Lake Forest Blvd. STE F New OrleansLA
CH06287NActiveBPS-H80-000481EXCELTH, INCORPORATEDEXCELth, Inc. Dental Clinic - Algiers1111 Newton St New OrleansLA
CH06287PActiveBPS-H80-018221EXCELTH, INCORPORATEDEXCELth Mobile Dental Unit9900 Lake Forest Blvd New OrleansLA
CH06287QTerminatedBPS-H80-004171EXCELTH, INCORPORATEDEXCELth, Inc. FHC - BATON ROUGE4560 North Blvd STE 104 Baton RougeLA
CH06287RActiveBPS-H80-036646EXCELTH, INCORPORATEDEXCELth, Inc. FHC - BATON ROUGE730 Colonial Dr. STE E BATON ROUGELA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH062870AVITA PHARMACY 1037AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC 2519 CANAL ST
NEW ORLEANSLA7011910/01/2013  
CH06287NAVITA PHARMACY 1037AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC 2519 CANAL ST
NEW ORLEANSLA7011907/01/2014  
CH062870AVITA PHARMACY 1038AVITA DRUGS LLC-NOLA 2 D/B/A AVITA PHARM 3308 TULANE AVE STE 102
NEW ORLEANSLA70119-717007/01/2016 09/01/2024
CH06287NAVITA PHARMACY 1038AVITA DRUGS LLC-NOLA 2 D/B/A AVITA PHARM 3308 TULANE AVE STE 102
NEW ORLEANSLA70119-717007/01/2016  
CH062870AVITA PHARMACY 10391631 ELYSIAN FIELDS AVE STE 200
NEW ORLEANSLA70117-820801/01/2025  
CH062870AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080810/01/2013  
CH062870GENERAL MEYER PHARMACY3510 GENERAL MEYER AVE SUITE B
NEW ORLEANSLA7011410/01/2022  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05324 3384 GOVERNMENT ST
BATON ROUGELA7080601/01/2020 09/18/2023
CH062870LOUISIANA CVS PHARMACY, L.L.C.CVS/PHARMACY # 10538 5000 NORTH CLAIBORNE AVE.
NEW ORLEANSLA7011701/01/2020  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10483 1600 ELYSIAN FIELDS AVE.
NEW ORLEANSLA7011701/01/2020  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 167 4401 S CLAIBORNE AVE.
NEW ORLEANSLA7012501/01/2020  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05615 2520 PLANK RD
BATON ROUGELA7080501/01/2020  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10058 1116 LOUISIANA AVE
NEW ORLEANSLA7011501/01/2020  
CH062870LOUISIANA CVS PHARMACY, L.L.C.CVS/PHARMACY # 10594 500 N. CARROLLTON AVE.
NEW ORLEANSLA7011901/01/2020  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 8266 2585 LEON C, SIMON DR.
NEW ORLEANSLA7012201/01/2020  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10108 5902 READ BLVD.
NEW ORLEANSLA7012701/01/2020  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05387 3621 GENERAL DEGAULLE DR.
NEW ORLEANSLA7013101/01/2020  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00763 800 - B CANAL ST
NEW ORLEANSLA7011207/01/2022  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01116 7777 BLUEBONNET BLVD,, SUITE 100
BATON ROUGELA7081007/01/2022  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY #03730 3700 S. CARROLLTON AVE.
NEW ORLEANSLA7011807/01/2022  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04752 1203 WESTBANK EXPRESSWAY
WESTWEGOLA7009407/01/2022  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05333 2242 WILLIAMS BLVD.,
KENNERLA7006207/01/2022  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05342 3535 SEVERN AVE
METAIRIELA7000207/01/2022  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05383 4950 W ESPLANADE AVE
METAIRIELA7000607/01/2022  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 5409 1950 BARATARIA BLVD.
MARREROLA7007207/01/2022  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10220 101 DAVID DR.
METAIRIELA7000307/01/2022 05/22/2023
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10559 939 GIROD ST., SUITE 160
NEW ORLEANSLA7011307/01/2022  
CH062870LOUISIANA CVS PHARMACY, L.L.C.CVS PHARMACY # 16783 1731 MANHATTAN BLVD
HARVEYLA7005807/01/2022  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05441 4301 AIRLINE DRIVE
METAIRIELA7000110/01/2024  
CH062870LOUISIANA CVS PHARMACY, L.L.C.CVS/PHARMACY #11427 2564 BARATARIA BLVD
MARREROLA7007210/01/2024  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05319 5889 AIRLINE HWY
BATON ROUGELA7080501/01/2025 04/04/2025
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05322 9608 JEFFERSON HWY
BATON ROUGELA7080901/01/2025  
CH062870LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY #06124 7411 FLORIDA BLVD.
BATON ROUGELA7080601/01/2025  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 02995 3550 GOVERNMENT ST
BATON ROUGELA7080611/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 02982 5450 PLANK ROAD
BATON ROUGELA7080511/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 09860 5955 AIRLINE HWY
BATON ROUGELA70805-320211/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 03889 4110 GENERAL DEGAULLE DR
NEW ORLEANSLA7013111/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 07836 3671 JOOR ROAD
BATON ROUGELA70814-310411/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 11498 5061 MAIN STREET
ZACHARYLA7079111/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #15200 2001 CAROL SUE AVE
GRETNALA70056-444511/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 05040 1801 SAINT CHARLES AVE
NEW ORLEANSLA7013011/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 04451 4400 S.CLAIBORNE AVE.
NEW ORLEANSLA7012511/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 03610 12881 PERKINS RD.
BATON ROUGELA7081011/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 02980 4747 S SHERWOOD FOREST
BATON ROUGELA7081611/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #11414 3216 GENTILLY BLVD
NEW ORLEANSLA7012211/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 06506 89 WESTBANK EXPRESSWAY
GRETNALA70053-366211/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 02996 11297 FLORIDA BLVD
BATON ROUGELA7081511/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 06028 9820 OLD HAMMOND HWY
BATON ROUGELA7081611/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 05358 11297 LAKE FOREST BLVD.
NEW ORLEANSLA7012811/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #16312 5702 CROWDER BLVD
NEW ORLEANSLA7012711/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 02262 1100 ELYSIAN FIELDS
NEW ORLEANSLA7011711/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 03139 1826 N BROAD ST
NEW ORLEANSLA7011911/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 07415 100 W JUDGE PEREZ DRIVE
CHALMETTELA70043-500211/04/2011  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #12557 4550 GENERAL MEYER AVE
NEW ORLEANSLA7013110/04/2012  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 03024 4200 CHEF MENTEUR HWY
NEW ORLEANSLA7012610/01/2017 01/22/2025
CH06287NWALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 03889 4110 GENERAL DEGAULLE DR
NEW ORLEANSLA7013107/01/2014  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #04982 7401 READ BLVD
NEW ORLEANSLA7012704/01/2018 01/29/2025
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 03558 6201 ELYSIAN FIELDS AVE
NEW ORLEANSLA7012201/01/2020  
CH062870WALGREEN LOUISIANA CO., INC.DBA: WALGREENS SPECIALTY PHARMACY #15198 1111 MEDICAL CENTER BLVD STE 116N
MARREROLA7007201/01/2020  
CH062870WALGREEN LOUISIANA CO., INC.DBA WALGREENS SPECIALTY PHARMACY #16395 2000 CANAL ST STE G1-1200
NEW ORLEANSLA7011201/01/2020  
CH062870Walgreens #21389Walgreens Central Fill #21389 3299 Tchulatech Dr
Suite 101 		MemphisTN3811804/01/2025  
CH062870WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503307/01/2025  
CH062870WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527507/01/2025  
CH062870WINN DIXIE PHARMACY # 14399701 CHEF MENTEUR HWY
NEW ORLEANSLA7012701/01/2019  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/6/2024 7:36:02 AM2/26/2025 11:41:47 AM2/26/2025 11:41 AM
ContactsPrimary ContactUpdateRecertificationCarriere, Mark Asst. Finance Director EXCELth, Inc. 5045241210-4137Belteau, Andy Accountant EXCELth, Inc. 5045241210-41222/6/2024 7:36 AM
DetailsLast Recertification DateUpdateRecertification2/4/2023 8:23:34 AM2/6/2024 7:36:02 AM2/6/2024 7:36 AM
DetailsLast Recertification DateUpdateRecertification2/24/2022 5:48:56 PM2/4/2023 8:23:34 AM2/4/2023 8:23 AM
ContactsPrimary ContactUpdateRecertificationBelteau, Andy Accountant EXCELth, Inc. 5045241210-4122Carriere, Mark Asst. Finance Director EXCELth, Inc. 5045241210-41372/24/2022 5:48 PM
DetailsLast Recertification DateUpdateRecertification2/5/2021 12:06:37 PM2/24/2022 5:48:56 PM2/24/2022 5:48 PM
DetailsLast Recertification DateUpdateRecertification2/10/2020 4:05:40 PM2/5/2021 12:06:37 PM2/5/2021 12:06 PM
DetailsLast Recertification DateUpdateRecertification2/5/2019 3:24:51 PM2/10/2020 4:05:40 PM2/10/2020 4:05 PM
DetailsLast Recertification DateUpdateRecertification2/23/2018 12:51:36 PM2/5/2019 3:24:51 PM2/5/2019 3:24 PM
ContactsPrimary ContactUpdateRecertificationANDRY, MICHAEL A. CEO EXCELth, Inc. 5045241210-4123Belteau, Andy Accountant EXCELth, Inc. 5045241210-41222/23/2018 12:51 PM
DetailsLast Recertification DateUpdateRecertification 2/23/2018 12:51:36 PM2/23/2018 12:51 PM
DetailsIs Authorizing Official EHB DataUpdateRecertificationFalse 2/23/2018 12:51 PM
ContactsAuthorizing OfficialUpdate ANDRY, MICHAEL A. CEO 5045241210-4123ANDRY, MICHAEL A. CEO EXCELth, Inc. 5045241210-41231/9/2018 12:09 PM
ContactsPrimary ContactUpdate ANDRY, MICHAEL A. CEO 5045241210-4123ANDRY, MICHAEL A. CEO EXCELth, Inc. 5045241210-41231/9/2018 12:09 PM
ContactsSigned ByUpdate ANDRY, MICHAEL A. CEO 5045241210-4123ANDRY, MICHAEL A. CEO EXCELth, Inc. 5045241210-41231/9/2018 12:09 PM
ContactsAuthorizing OfficialInsert  ANDRY, MICHAEL A. CEO 5045241210-41237/14/2017 11:53 AM
ContactsPrimary ContactInsert  ANDRY, MICHAEL A. CEO 5045241210-41237/14/2017 11:53 AM
ContactsSigned ByInsert  ANDRY, MICHAEL A. CEO 5045241210-41237/14/2017 11:53 AM
AddressesMain AddressInsert   9900 Lake Forest Blvd New Orleans, LA 701277/13/2017 1:56 PM
AddressesBilling AddressInsert  EXCELth, Inc. 1515 POYDRAS ST STE 1070 NEW ORLEANS, LA 701127/13/2017 1:56 PM
DetailsStateUpdate ApprovedActive7/13/2017 1:56 PM
DatesParticipating Approval DateUpdate  7/13/2017 12:00:00 AM7/13/2017 1:55 PM
DetailsStateUpdate PendingApproved7/13/2017 1:55 PM
DatesStart DateUpdate  10/1/2017 12:00:00 AM7/13/2017 1:55 PM
Details340B IDUpdate ONLINE_REG_78273CH06287P7/13/2017 12:55 PM
Details340B IDUpdate ONLINE_REGONLINE_REG_782737/11/2017 3:39 PM
DetailsLast Recertification DateInsert   7/11/2017 3:38 PM
DetailsGrant NumberInsert  H80CS001297/11/2017 3:38 PM
Details340B IDInsert  ONLINE_REG7/11/2017 3:38 PM
DetailsIs Authorizing Official EHB DataInsert  False7/11/2017 3:38 PM
DatesLast Date That 340B Drugs PurchasedInsert   7/11/2017 3:38 PM
DetailsMedicare Provider NumberInsert   7/11/2017 3:38 PM
DetailsEntity NameInsert  EXCELTH, INCORPORATED7/11/2017 3:38 PM
DetailsProgram CodeInsert  CH7/11/2017 3:38 PM
DetailsEntity SubnameInsert  EXCELth Mobile Dental Unit7/11/2017 3:38 PM
DatesParticipating Approval DateInsert   7/11/2017 3:38 PM
DetailsStateInsert  Pending7/11/2017 3:38 PM
DatesRegistration DateInsert  7/11/2017 12:00:00 AM7/11/2017 3:38 PM
DatesSigned By DateInsert  7/11/2017 12:00:00 AM7/11/2017 3:38 PM
DatesStart DateInsert   7/11/2017 3:38 PM
TerminationsTermination CommentsInsert   7/11/2017 3:38 PM
TerminationsTermination DateInsert   7/11/2017 3:38 PM
TerminationsTermination Effective DateInsert   7/11/2017 3:38 PM
TerminationsTermination ReasonInsert   7/11/2017 3:38 PM