Covered Entity Details

CH01337N First Choice Health Centers, Inc. (Active) - information as of 4/25/2025 12:01:44 AM

Main Details

Name

First Choice Health Centers, Inc.

Subdivision Name

First Choice@809 Main Street

Type

HRSA-Funded Health Center

Site ID

BPS-H80-018817

340B ID

CH01337N

Grant Number

H80CS00262

Additional Details

Current Program Status

Active

Registration Date

7/14/2017

Participating Start Date

10/1/2017

Participating Approval Date

7/19/2017

Last Recertification Date

2/25/2025

Contacts

Authorizing Official

First Choice Health Centers, Inc.
Sabrina Griswold, Director of Pharmacy
(860) 610-6366

Primary Contact

First Choice Health Centers, Inc.
Jeffrey Steele, CEO
(860) 610-6191

Addresses

Street Address

809 Main Street
East Hartford, CT 06108-3117

Billing Address

First Choice Health Centers, Inc.
94 Connecticut Blvd
East Hartford, CT 06108-1033

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?
Yes

State	Medicaid Number	NPI Number
CT	004236164	1215923131

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	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03827	161 WASHINGTON ST	HARTFORD	CT	06106	01/16/2024	04/01/2024			04/01/2024

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	Address Cont.	City	State
CH013370	Active	BPS-H80-002710	First Choice Health Centers, Inc.	First Choice Health Centers, Inc	94 Connecticut Blvd		East Hartford	CT
CH01337A	Active	BPS-H80-000872	First Choice Health Centers, Inc.	First Choice Health Centers (Suite 240)	150 N Main St	Suite 240	Manchester	CT
CH01337B	Active	BPS-H80-006599	First Choice Health Centers, Inc.	First Choice Health Centers	3 Prospect St		Vernon Rockville	CT
CH01337C	Active	BPS-H80-002214	First Choice Health Centers, Inc.	First Choice Health Centers	110 Connecticut Blvd		East Hartford	CT
CH01337D	Active	BPS-H80-001217	First Choice Health Centers, Inc.	First Choice Health Centers (Suite 230)	150 N Main St	Suite 230	Manchester	CT
CH01337E	Active	BPS-H80-010277	First Choice Health Centers, Inc.	First Choice @ Howell Cheney Technical High School	791 West Middle Turnpike		Manchester	CT
CH01337F	Terminated	BPS-H80-013880	FIRST CHOICE HEALTH CENTERS, INC.	First Choice @ Rockville High School	70 Loveland Hill Rd		Vernon Rockville	CT
CH01337G	Active	BPS-H80-013898	FIRST CHOICE HEALTH CENTERS, INC.	FCHC Mobile Health Services	94 Connecticut Blvd		East Hartford	CT
CH01337H	Active	BPS-H80-013899	FIRST CHOICE HEALTH CENTERS, INC.	First Choice Health Centers	265 Ellington Rd		East Hartford	CT
CH01337J	Terminated	BPS-H80-013879	FIRST CHOICE HEALTH CENTERS, INC.	First Choice @ Maple Street School	20 MAPLE ST		VERNON	CT
CH01337K	Active	BPS-H80-010926	FIRST CHOICE HEALTH CENTERS, INC.	First Choice@92 Connecticut Blvd	92 Connecticut Blvd		East Hartford	CT
CH01337L	Terminated	BPS-H80-014835	FIRST CHOICE HEALTH CENTERS, INC.	FCHC @ CHR Manchester	CHR 587 Middle Turnpike E		Manchester	CT
CH01337M	Active	BPS-H80-018818	First Choice Health Centers, Inc.	444 Center Street, 3rd fl, Manchester CHR	444 Center Street, 3rd floor		Manchester	CT
CH01337N	Active	BPS-H80-018817	First Choice Health Centers, Inc.	First Choice@809 Main Street	809 Main Street		East Hartford	CT
CH01337P	Active	BPS-H80-018258	First Choice Health Centers, Inc.	First Choice@94 Union Street	94 Union Street, 2nd floor		Vernon	CT
CH01337Q	Terminated	BPS-H80-019730	First Choice Health Centers, Inc.	First Choice @ Illing Middle School	227 Middle Tpke. E.		Manchester	CT
CH01337R	Active	BPS-H80-033007	First Choice Health Centers, Inc.	478 Burnside Ave East Hartford, CT 06108	478 Burnside Ave Bldg		East Hartford	CT
CH01337S	Active	BPS-H80-035889	FIRST CHOICE HEALTH CENTERS, INC.	FCHC Mobile Medical Services (2)	94 Connecticut Blvd		East Hartford	CT

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH013370	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2025
CH013370	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2025
CH013370	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2025
CH013370	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2025
CH013370	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/01/2025
CH013370	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2025
CH013370	BEACON PHARMACY LLC	42 WINDSOR AVE	STE 1	VERNON ROCKVILLE	CT	06066	10/01/2016	07/13/2017
CH013370	COMMUNITY PHARMACY	DBA RIVERSIDE PHARMACY	926 MAIN ST	EAST HARTFORD	CT	06108	10/01/2016	07/13/2017
CH013370	CONNECTICUT CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 85	972 SILVER LN.	EAST HARTFORD	CT	06118	01/01/2020
CH013370	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01089	20 BURNSIDE AVENUE	EAST HARTFORD	CT	06108	01/01/2020
CH013370	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01101	16 MAIN ST.	EAST HARTFORD	CT	06118	01/01/2020
CH013370	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01910	260 NORTH MAIN STREET	MANCHESTER	CT	06042	01/01/2020	01/17/2023
CH013370	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04436	241 MIDDLE TURNPIKE WEST	MANCHESTER	CT	06040	01/01/2020
CH01337M	CONNECTICUT CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 85	972 SILVER LN.	EAST HARTFORD	CT	06118	04/01/2024
CH01337P	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01101	16 MAIN ST.	EAST HARTFORD	CT	06118	04/01/2024
CH01337G	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04436	241 MIDDLE TURNPIKE WEST	MANCHESTER	CT	06040	04/01/2024
CH01337H	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01089	20 BURNSIDE AVENUE	EAST HARTFORD	CT	06108	04/01/2024
CH01337E	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01101	16 MAIN ST.	EAST HARTFORD	CT	06118	04/01/2024
CH013370	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00459	2639 MAIN STREET	GLASTONBURY	CT	06033	07/01/2025
CH013370	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01043	525 BUCKLAND RD.	SOUTH WINDSOR	CT	06074	07/01/2025
CH013370	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00840	908-910 MAPLE AVENUE	HARTFORD	CT	06114	07/01/2025
CH013370	CONNECTICUT CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 5263	150 WASHINGTON STREET	HARTFORD	CT	06106	07/01/2025
CH013370	CONNECTICUT CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #10316	1221 MAIN STREET	MANCHESTER	CT	06040	07/01/2025
CH013370	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00671	1099 NEW BRITAIN AVENUE	WEST HARTFORD	CT	06110	07/01/2025
CH013370	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02099	479 BLUE HILLS AVE.	HARTFORD	CT	06112	07/01/2025
CH013370	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00349	484 WINDSOR AVENUE	WINDSOR	CT	06095	07/01/2025
CH013370	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00231	142 TALCOTTVILLE ROAD	VERNON	CT	06066	07/01/2025
CH013370	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02109	22 WINDSOR AVE	VERNON ROCKVILLE	CT	06066	07/01/2025
CH013370	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/01/2025
CH013370	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2025
CH013370	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/01/2025
CH013370	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2025
CH013370	GENOA HEALTHCARE LLC	287 MAIN STREET, SUITE A-2		EAST HARTFORD	CT	06118-1885	07/01/2025
CH013370	GENOA HEALTHCARE LLC	444 CENTER ST STE 117		MANCHESTER	CT	06040	07/01/2025
CH013370	HARTFORD PHARMACY	531 PARK ST		HARTFORD	CT	06106	10/01/2016	07/13/2017
CH013370	MANCHESTER PHARMACY		348 MAIN STREET	MANCHESTER	CT	06040	07/01/2019
CH013370	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2023
CH013370	WAL-MART PHARMACY 10-1891	420 BUCKLAND HILLS DR		MANCHESTER	CT	06042	07/01/2019
CH01337B	WAL-MART PHARMACY 10-1891	420 BUCKLAND HILLS DR		MANCHESTER	CT	06042	04/01/2024
CH013370	WAL-MART PHARMACY 10-2900	80 TOWN LINE ROAD		ROCKY HILL	CT	06067	07/01/2019
CH01337K	WAL-MART PHARMACY 10-2900	80 TOWN LINE ROAD		ROCKY HILL	CT	06067	04/01/2024
CH013370	WAL-MART PHARMACY 10-2965	3164 BERLIN TURNPIKE		NEWINGTON	CT	06111	07/01/2025
CH013370	WAL-MART PHARMACY 10-5095	495 FLATBUSH AVE		HARTFORD	CT	06106	07/01/2019
CH01337D	WAL-MART PHARMACY 10-5095	495 FLATBUSH AVE		HARTFORD	CT	06106	04/01/2024
CH013370	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2023
CH013370	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	04/19/2010	07/13/2017
CH013370	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09784	20 CONNECTICUT BLVD	EAST HARTFORD	CT	06108-3007	09/07/2005
CH013370	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05407	295 MAIN STREET	MANCHESTER	CT	06040	04/19/2010
CH01337A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09784	20 CONNECTICUT BLVD	EAST HARTFORD	CT	06108-3007	04/19/2010
CH01337A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05407	295 MAIN STREET	MANCHESTER	CT	06040	09/07/2005
CH01337A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	04/19/2010
CH01337B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05407	295 MAIN STREET	MANCHESTER	CT	06040	04/19/2010
CH01337B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09784	20 CONNECTICUT BLVD	EAST HARTFORD	CT	06108-3007	04/19/2010
CH01337B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	04/19/2010
CH01337C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05407	295 MAIN STREET	MANCHESTER	CT	06040	04/19/2010
CH01337C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	04/19/2010
CH01337C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09784	20 CONNECTICUT BLVD	EAST HARTFORD	CT	06108-3007	04/19/2010
CH013370	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	01/01/2020
CH013370	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03827	161 WASHINGTON ST	HARTFORD	CT	06106	01/01/2020
CH013370	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07566	922 SILVER LANE	EAST HARTFORD	CT	06118	01/01/2020
CH013370	WALGREEN EASTERN CO., INC.	WALGREENS #17537	329 ELLINGTON RD	EAST HARTFORD	CT	06108	01/01/2020	06/01/2020
CH01337R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05407	295 MAIN STREET	MANCHESTER	CT	06040	04/01/2024
CH01337N	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03827	161 WASHINGTON ST	HARTFORD	CT	06106	04/01/2024
CH01337C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07566	922 SILVER LANE	EAST HARTFORD	CT	06118	04/01/2024
CH013370	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06654	149 DEMING STREET	MANCHESTER	CT	06042-1731	07/01/2025
CH013370	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #15207	668 FARMINGTON AVE	WEST HARTFORD	CT	06119	07/01/2025
CH013370	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	10/01/2023
CH013370	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	07/01/2024
CH013370	WEST RX INC	WESTOWN PHARMACY	455 HARTFORD RD	MANCHESTER	CT	06040-5729	07/01/2019

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/29/2024 11:00:52 AM	2/25/2025 9:22:44 AM	2/25/2025 9:22 AM
Details	Last Recertification Date	Update	Recertification	2/14/2023 9:05:45 AM	1/29/2024 11:00:52 AM	1/29/2024 11:00 AM
Addresses	Shipping Address	Delete	Change Request	First Choice Health Centers, Inc. 94 Connecticut Blvd East Hartford, CT 06108-1033		4/25/2023 12:16 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	4/14/2023 1:31 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		004236164	4/14/2023 1:31 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		CT	4/14/2023 1:31 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1215923131	4/14/2023 1:31 PM
Medicaid Billing	NPI: State	Insert	Change Request		CT	4/14/2023 1:31 PM
Details	Last Recertification Date	Update	Recertification	2/23/2022 12:50:37 PM	2/14/2023 9:05:45 AM	2/14/2023 9:05 AM
Details	Last Recertification Date	Update	Recertification	2/18/2021 2:45:43 PM	2/23/2022 12:50:37 PM	2/23/2022 12:50 PM
Contacts	Primary Contact	Update	Profile Change Request	Steele, Jeffrey CFO First Choice Health Centers, Inc. 8606106191	Steele, Jeffrey CEO First Choice Health Centers, Inc. 8606106191	2/23/2022 12:28 PM
Contacts	Authorizing Official	Update	AO Change Request	Taylor, Samantha Chief Operating Officer First Choice Health Centers Inc 8606106148	Griswold, Sabrina Director of Pharmacy First Choice Health Centers, Inc. 8606106366	2/22/2022 10:36 AM
Details	Last Recertification Date	Update	Recertification	2/17/2020 1:51:41 PM	2/18/2021 2:45:43 PM	2/18/2021 2:45 PM
Details	Last Recertification Date	Update	Recertification	1/28/2019 8:47:21 AM	2/17/2020 1:51:41 PM	2/17/2020 1:51 PM
Contacts	Authorizing Official	Update	AO Change Request	Market, Eugene President & CEO First Choice Health Centers, Inc. 8606106131	Taylor, Samantha Chief Operating Officer First Choice Health Centers Inc 8606106148	2/10/2020 9:48 AM
Contacts	Primary Contact	Update	Recertification	Lacey, Bruce Grant Writer First Choice Health Centers, Inc. 8606106110	Steele, Jeffrey CFO First Choice Health Centers, Inc. 8606106191	1/28/2019 8:47 AM
Details	Last Recertification Date	Update	Recertification	2/8/2018 8:28:26 AM	1/28/2019 8:47:21 AM	1/28/2019 8:47 AM
Addresses	Main Address	Update	Recertification	809 MAIN ST East Hartford, CT 06108-3142	809 Main Street East Hartford, CT 06108-3117	2/8/2018 8:28 AM
Contacts	Primary Contact	Update	Recertification	Market, Eugene President & CEO First Choice Health Centers, Inc. 8606106131	Lacey, Bruce Grant Writer First Choice Health Centers, Inc. 8606106110	2/8/2018 8:28 AM
Details	Last Recertification Date	Update	Recertification		2/8/2018 8:28:26 AM	2/8/2018 8:28 AM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/8/2018 8:28 AM
Contacts	Authorizing Official	Update		Market, Eugene President & CEO 8606106131	Market, Eugene President & CEO First Choice Health Centers, Inc. 8606106131	10/30/2017 11:30 AM
Contacts	Primary Contact	Update		Market, Eugene President & CEO 8606106131	Market, Eugene President & CEO First Choice Health Centers, Inc. 8606106131	10/30/2017 11:30 AM
Contacts	Signed By	Update		Market, Eugene President & CEO 8606106131	Market, Eugene President & CEO First Choice Health Centers, Inc. 8606106131	10/30/2017 11:30 AM
Contacts	Authorizing Official	Insert			Market, Eugene President & CEO 8606106131	7/19/2017 9:42 AM
Contacts	Primary Contact	Insert			Market, Eugene President & CEO 8606106131	7/19/2017 9:42 AM
Contacts	Signed By	Insert			Market, Eugene President & CEO 8606106131	7/19/2017 9:42 AM
Addresses	Main Address	Insert			809 MAIN ST East Hartford, CT 06108-3142	7/19/2017 9:41 AM
Addresses	Billing Address	Insert			First Choice Health Centers, Inc. 94 Connecticut Blvd East Hartford, CT 06108-1033	7/19/2017 9:41 AM
Addresses	Shipping Address	Insert			First Choice Health Centers, Inc. 94 Connecticut Blvd East Hartford, CT 06108-1033	7/19/2017 9:41 AM
Details	State	Update		Approved	Active	7/19/2017 9:41 AM
Dates	Participating Approval Date	Update			7/19/2017 12:00:00 AM	7/19/2017 9:41 AM
Details	State	Update		Pending	Approved	7/19/2017 9:41 AM
Dates	Start Date	Update			10/1/2017 12:00:00 AM	7/19/2017 9:41 AM
Details	340B ID	Update		ONLINE_REG_78577	CH01337N	7/17/2017 9:38 AM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_78577	7/14/2017 10:18 AM
Details	Last Recertification Date	Insert				7/14/2017 10:18 AM
Details	Grant Number	Insert			H80CS00262	7/14/2017 10:18 AM
Details	340B ID	Insert			ONLINE_REG	7/14/2017 10:18 AM
Details	Is Authorizing Official EHB Data	Insert			False	7/14/2017 10:18 AM
Dates	Last Date That 340B Drugs Purchased	Insert				7/14/2017 10:18 AM
Details	Medicare Provider Number	Insert				7/14/2017 10:18 AM
Details	Entity Name	Insert			First Choice Health Centers, Inc.	7/14/2017 10:18 AM
Details	Program Code	Insert			CH	7/14/2017 10:18 AM
Details	Entity Subname	Insert			First Choice@809 Main Street	7/14/2017 10:18 AM
Dates	Participating Approval Date	Insert				7/14/2017 10:18 AM
Details	State	Insert			Pending	7/14/2017 10:18 AM
Dates	Registration Date	Insert			7/14/2017 12:00:00 AM	7/14/2017 10:18 AM
Dates	Signed By Date	Insert			7/14/2017 12:00:00 AM	7/14/2017 10:18 AM
Dates	Start Date	Insert				7/14/2017 10:18 AM
Terminations	Termination Comments	Insert				7/14/2017 10:18 AM
Terminations	Termination Date	Insert				7/14/2017 10:18 AM
Terminations	Termination Effective Date	Insert				7/14/2017 10:18 AM
Terminations	Termination Reason	Insert				7/14/2017 10:18 AM

340B Drug Pricing Program Database