340B Drug Pricing Program Database


CH045207BP CUMBERLAND FAMILY MEDICAL CENTER, INC. (Active) - information as of 4/29/2025 1:41:07 AM

Main Details
CUMBERLAND FAMILY MEDICAL CENTER, INC.
Lincoln County Middle Healthy Kids Clinic
HRSA-Funded Health Center
BPS-H80-019663
CH045207BP
H80CS08218


Additional Details
Active
10/13/2017
1/1/2018
10/23/2017
2/18/2025

Contacts

Cumberland Family Medical Center
Ryan Smith, CFO
(270) 858-6655

Cumberland Family Medical Center
Mona Staton, Director of 340B Services
(270) 864-2889

Addresses

285 Education Way
Stanford, KY 40484

Cumberland Family Medical Center
PO Box 2399
Russell Springs, KY 42642


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

Yes
StateMedicaid NumberNPI Number
KY71000172801306873500
Shipping Addresses

Cumberland Family Medical Center
404 Steve Drive
Russell Springs, KY 42642
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH0452070ActiveBPS-H80-003993CUMBERLAND FAMILY MEDICAL CENTER, INC.CUMBERLAND FAMILY MEDICAL CENTER360 KEEN STREET BURKESVILLEKY
CH045207AActiveBPS-H80-005339CUMBERLAND FAMILY MEDICAL CENTER, INC.Adair Family Medical Center937 Campbellsville Rd ColumbiaKY
CH045207AAActiveBPS-H80-017116CUMBERLAND FAMILY MEDICAL CENTER, INC.Albany Healthy Kids Clinic819 3rd St. AlbanyKY
CH045207ABActiveBPS-H80-017115CUMBERLAND FAMILY MEDICAL CENTER, INC.Walnut Hill Healthy Kids Clinic2834 S US 127 LibertyKY
CH045207ACActiveBPS-H80-017114CUMBERLAND FAMILY MEDICAL CENTER, INC.Casey County High Healthy Kids Clinic1841 E. KY 70 LibertyKY
CH045207ADActiveBPS-H80-017113CUMBERLAND FAMILY MEDICAL CENTER, INC.Wayne County Middle Healthy Kids Clinic95 Champion Dr MonticelloKY
CH045207AEActiveBPS-H80-017112CUMBERLAND FAMILY MEDICAL CENTER, INC.Cumberland County High Healthy Kids Clinic912 N Main St BurkesvilleKY
CH045207AFActiveBPS-H80-017111CUMBERLAND FAMILY MEDICAL CENTER, INC.Cumberland County Elementary Healthy Kids Clinic150 Glasgow Rd BurkesvilleKY
CH045207AGActiveBPS-H80-017053CUMBERLAND FAMILY MEDICAL CENTER, INC.Liberty Healthy Kids Clinic75 College St LibertyKY
CH045207AHActiveBPS-H80-017052CUMBERLAND FAMILY MEDICAL CENTER, INC.Jones Park Healthy Kids Clinic6295 E. KY 70 LibertyKY
CH045207AJActiveBPS-H80-017050CUMBERLAND FAMILY MEDICAL CENTER, INC.Casey County Middle Healthy Kids Clinic1673 E. KY 70 LibertyKY
CH045207AKActiveBPS-H80-014416CUMBERLAND FAMILY MEDICAL CENTER, INC.Jamestown Healthy Kids Clinic342 S MAIN ST JAMESTOWNKY
CH045207ALActiveBPS-H80-014414CUMBERLAND FAMILY MEDICAL CENTER, INC.Russell County Middle Healthy Kids Clinic2258 S HIGHWAY 127 RUSSELL SPRINGSKY
CH045207AMActiveBPS-H80-014412CUMBERLAND FAMILY MEDICAL CENTER, INC.Russell Springs Healthy Kids Clinic1554 N HIGHWAY 127 RUSSELL SPRINGSKY
CH045207ANActiveBPS-H80-014253CUMBERLAND FAMILY MEDICAL CENTER, INC.Salem Healthy Kids Clinic1409 S HIGHWAY 76 RUSSELL SPRINGSKY
CH045207APActiveBPS-H80-014249CUMBERLAND FAMILY MEDICAL CENTER, INC.Russell County High Healthy Kids Clinic2166 S HIGHWAY 127 RUSSELL SPRINGSKY
CH045207AQActiveBPS-H80-017182CUMBERLAND FAMILY MEDICAL CENTER, INC.Adair County Middle Healthy Kids Clinic322 General John Adair Dr. ColumbiaKY
CH045207ARActiveBPS-H80-017181CUMBERLAND FAMILY MEDICAL CENTER, INC.Adair County Primary Healthy Kids Clinic158 Col Casey Dr. ColumbiaKY
CH045207ASActiveBPS-H80-017180CUMBERLAND FAMILY MEDICAL CENTER, INC.Adair County High Healthy Kids Clinic526 Indian Dr. ColumbiaKY
CH045207ATActiveBPS-H80-017179CUMBERLAND FAMILY MEDICAL CENTER, INC.Adair County Elementary Healthy Kids Clinic870 Indian Dr. ColumbiaKY
CH045207AUActiveBPS-H80-017210CUMBERLAND FAMILY MEDICAL CENTER, INC.Cumberland County Middle Healthy Kids Clinic908 N. Main St. BurkesvilleKY
CH045207AVActiveBPS-H80-017498CUMBERLAND FAMILY MEDICAL CENTER, INC.Women's Care of the Commonwealth333 S. Third Street DanvilleKY
CH045207AWTerminatedBPS-H80-017497CUMBERLAND FAMILY MEDICAL CENTER, INC.Women's Care of the Commonwealth217 S. 3rd St. DanvilleKY
CH045207AXActiveBPS-H80-011773CUMBERLAND FAMILY MEDICAL CENTER, INC.Wellness on Wheels Medical Center360 Keen Street BurkesvilleKY
CH045207AYActiveBPS-H80-018006CUMBERLAND FAMILY MEDICAL CENTER, INC.Women's Care of the Commonwealth321 S 3rd St Ste B DanvilleKY
CH045207AZActiveBPS-H80-018596CUMBERLAND FAMILY MEDICAL CENTER, INC.Ezra Sparrow Healthy Kids Clinic1154 Bypass N LawrenceburgKY
CH045207BActiveBPS-H80-015595CUMBERLAND FAMILY MEDICAL CENTER, INC.Russell Family Medical Center404 Steve Dr Russell SpringsKY
CH045207BAActiveBPS-H80-018595CUMBERLAND FAMILY MEDICAL CENTER, INC.Emma B. Ward Healthy Kids Clinic1150 Bypass N LawrenceburgKY
CH045207BBActiveBPS-H80-018589CUMBERLAND FAMILY MEDICAL CENTER, INC.Robert B. Turner Healthy Kids Clinic1411 Fox Creek Rd LawrenceburgKY
CH045207BCActiveBPS-H80-018522CUMBERLAND FAMILY MEDICAL CENTER, INC.Women's Care of Lake Cumberland333 Bogle St SomersetKY
CH045207BDTerminatedBPS-H80-018590CUMBERLAND FAMILY MEDICAL CENTER, INC.Women's Care of Lake Cumberland39 Jim Hill Service Rd MonticelloKY
CH045207BEActiveBPS-H80-018662CUMBERLAND FAMILY MEDICAL CENTER, INC.Anderson County High Healthy Kids Clinic1 Bearcat Dr. LawrenceburgKY
CH045207BFActiveBPS-H80-018655CUMBERLAND FAMILY MEDICAL CENTER, INC.Anderson Co. Middle Healthy Kids Clinic1 Mustang Trl. LawrenceburgKY
CH045207BGActiveBPS-H80-018588CUMBERLAND FAMILY MEDICAL CENTER, INC.Saffell Street Healthy Kids Clinic210 Saffell St LawrenceburgKY
CH045207BHActiveBPS-H80-019453CUMBERLAND FAMILY MEDICAL CENTER, INC.Larue County High Healthy Kids Clinic925 S. Lincoln Blvd HodgenvilleKY
CH045207BJActiveBPS-H80-019452CUMBERLAND FAMILY MEDICAL CENTER, INC.Abraham Lincoln Healthy Kids Clinic2101 Lincoln Farm Rd HodgenvilleKY
CH045207BKActiveBPS-H80-019450CUMBERLAND FAMILY MEDICAL CENTER, INC.Larue County Middle Healthy Kids Clinic911 S. Lincoln Blvd. HodgenvilleKY
CH045207BLActiveBPS-H80-019449CUMBERLAND FAMILY MEDICAL CENTER, INC.Hodgenville Healthy Kids Clinic33 Eagle Ln HodgenvilleKY
CH045207BMTerminatedBPS-H80-019448CUMBERLAND FAMILY MEDICAL CENTER, INC.LaRue Family Medical Center215 E. Main St HodgenvilleKY
CH045207BNTerminatedBPS-H80-021156CUMBERLAND FAMILY MEDICAL CENTER, INC.Albany Family Medical Center127 Foothills Ave AlbanyKY
CH045207BPActiveBPS-H80-019663CUMBERLAND FAMILY MEDICAL CENTER, INC.Lincoln County Middle Healthy Kids Clinic285 Education Way StanfordKY
CH045207BQActiveBPS-H80-019667CUMBERLAND FAMILY MEDICAL CENTER, INC.Ft. Logan Healthy Kids Clinic305 Danville Ave StanfordKY
CH045207BRTerminatedBPS-H80-019664CUMBERLAND FAMILY MEDICAL CENTER, INC.McKinney Healthy Kids Clinic3425 Hwy. 198 W. McKinneyKY
CH045207BSActiveBPS-H80-019634CUMBERLAND FAMILY MEDICAL CENTER, INC.Waynesburg Healthy Kids Clinic345 KY Highway 328 W WaynesburgKY
CH045207BTActiveBPS-H80-019666CUMBERLAND FAMILY MEDICAL CENTER, INC.Highland Healthy Kids Clinic75 Tick Ridge Rd WaynesburgKY
CH045207BUActiveBPS-H80-019705CUMBERLAND FAMILY MEDICAL CENTER, INC.Stanford Healthy Kids Clinic101 Old Fort Rd StanfordKY
CH045207BVActiveBPS-H80-019635CUMBERLAND FAMILY MEDICAL CENTER, INC.Hustonville Healthy Kids Clinic93 College St HustonvilleKY
CH045207BWActiveBPS-H80-019704CUMBERLAND FAMILY MEDICAL CENTER, INC.Lincoln County High Healthy Kids Clinic60 Education Way StanfordKY
CH045207BXActiveBPS-H80-019662CUMBERLAND FAMILY MEDICAL CENTER, INC.Crab Orchard Healthy Kids Clinic383 Lancaster St Crab OrchardKY
CH045207BYActiveBPS-H80-018448CUMBERLAND FAMILY MEDICAL CENTER, INC.FIrst Choice Immediate Care Center197 Will Walker Rd ColumbiaKY
CH045207BZActiveBPS-H80-021882CUMBERLAND FAMILY MEDICAL CENTER, INC.Glasgow Pediatric Healthcare Healthy Kids Clinic303 Professional Park Dr GlasgowKY
CH045207CActiveBPS-H80-008422CUMBERLAND FAMILY MEDICAL CENTER, INC.Clinton Family Medical Center606 Burkesville Road AlbanyKY
CH045207CATerminatedBPS-H80-022260CUMBERLAND FAMILY MEDICAL CENTER, INC.Nelson County Early Learning Healthy Kids Clinic1200 Cardinal Dr BardstownKY
CH045207CBActiveBPS-H80-022165CUMBERLAND FAMILY MEDICAL CENTER, INC.Green County High Healthy Kids Clinic302 Brummal Ave GreensburgKY
CH045207CCActiveBPS-H80-032319CUMBERLAND FAMILY MEDICAL CENTER, INC.Greensburg Family Medical462 Commerce Drive GreensburgKY
CH045207CDTerminatedBPS-H80-022304CUMBERLAND FAMILY MEDICAL CENTER, INC.Bloomfield Healthy Kids Clinic360 Arnold Ln BloomfieldKY
CH045207CEActiveBPS-H80-022163CUMBERLAND FAMILY MEDICAL CENTER, INC.Green County Primary Healthy Kids Clinic100 Kidz Korner GreensburgKY
CH045207CFTerminatedBPS-H80-022341CUMBERLAND FAMILY MEDICAL CENTER, INC.New Haven Healthy Kids Clinic489 High St New HavenKY
CH045207CGTerminatedBPS-H80-022261CUMBERLAND FAMILY MEDICAL CENTER, INC.Nelson County High Healthy Kids Clinic1070 Bloomfield Rd BardstownKY
CH045207CHActiveBPS-H80-022166CUMBERLAND FAMILY MEDICAL CENTER, INC.Green County Middle Healthy Kids Clinic106 Brummal Ave GreensburgKY
CH045207CJTerminatedBPS-H80-022265CUMBERLAND FAMILY MEDICAL CENTER, INC.Cox's Creek Healthy Kids Clinic5635 Louisville Rd Coxs CreekKY
CH045207CKTerminatedBPS-H80-022310CUMBERLAND FAMILY MEDICAL CENTER, INC.Boston Healthy Kids Clinic130 Wilson Creek Rd BostonKY
CH045207CLTerminatedBPS-H80-022248CUMBERLAND FAMILY MEDICAL CENTER, INC.Thomas Nelson High Healthy Kids Clinic150 Generals Blvd BardstownKY
CH045207CMTerminatedBPS-H80-022302CUMBERLAND FAMILY MEDICAL CENTER, INC.Bloomfield Middle Healthy Kids Clinic96 Arnold Ln BloomfieldKY
CH045207CNTerminatedBPS-H80-022271CUMBERLAND FAMILY MEDICAL CENTER, INC.Old Kentucky Home Middle Healthy Kids Clinic301 Wildcat Ln BardstownKY
CH045207CPTerminatedBPS-H80-022259CUMBERLAND FAMILY MEDICAL CENTER, INC.Foster Heights Healthy Kids Clinic211 E Muir Ave BardstownKY
CH045207CQActiveBPS-H80-022164CUMBERLAND FAMILY MEDICAL CENTER, INC.Green Co. Intermediate Healthy Kids Clinic401 E Hodgenville Ave GreensburgKY
CH045207CRActiveBPS-H80-024808CUMBERLAND FAMILY MEDICAL CENTER, INC.Bardstown Early Childhood Healthy Kids Clinic980 Templin Ave BardstownKY
CH045207CSActiveBPS-H80-024803CUMBERLAND FAMILY MEDICAL CENTER, INC.Bardstown High Healthy Kids Clinic400 N. 5th Street BardstownKY
CH045207CTActiveBPS-H80-024822CUMBERLAND FAMILY MEDICAL CENTER, INC.Bardstown Career and Technology Healthy Kids Clinic420 N 5th St BardstownKY
CH045207CUActiveBPS-H80-024814CUMBERLAND FAMILY MEDICAL CENTER, INC.Bardstown Middle Healthy Kids Clinic410 N 5th St BardstownKY
CH045207CVActiveBPS-H80-024811CUMBERLAND FAMILY MEDICAL CENTER, INC.Bardstown Primary Healthy Kids Clinic1000 Templin Ave BardstownKY
CH045207CWActiveBPS-H80-024969CUMBERLAND FAMILY MEDICAL CENTER, INC.Heartland Healthy Kids Clinic2300 Nelson Dr ElizabethtownKY
CH045207CXActiveBPS-H80-027005CUMBERLAND FAMILY MEDICAL CENTER, INC.New Highland Healthy Kids Clinic110 W A Jenkins Rd ElizabethtownKY
CH045207CYActiveBPS-H80-032025CUMBERLAND FAMILY MEDICAL CENTER, INC.Lincoln Trail Healthy Kids Clinic3970 Bardstown Rd ElizabethtownKY
CH045207CZActiveBPS-H80-024890CUMBERLAND FAMILY MEDICAL CENTER, INC.Creekside Healthy Kids Clinic151 Horseshoe Bend Rd SonoraKY
CH045207DTerminatedBPS-H80-009316CUMBERLAND FAMILY MEDICAL CENTER, INC.McCreary Family Medical Center69 S Main St Whitley CityKY
CH045207DAActiveBPS-H80-024882CUMBERLAND FAMILY MEDICAL CENTER, INC.Central Hardin High Healthy Kids Clinic3040 Leitchfield Rd CeciliaKY
CH045207DBActiveBPS-H80-031946CUMBERLAND FAMILY MEDICAL CENTER, INC.College View Healthy Kids Clinic521 Charlemagne Blvd. ElizabethtownKY
CH045207DCActiveBPS-H80-024872CUMBERLAND FAMILY MEDICAL CENTER, INC.East Hardin Middle Healthy Kids Clinic129 College St GlendaleKY
CH045207DDActiveBPS-H80-024903CUMBERLAND FAMILY MEDICAL CENTER, INC.GC Burkhead Healthy Kids Clinic1323 Saint John Rd ElizabethtownKY
CH045207DEActiveBPS-H80-024968CUMBERLAND FAMILY MEDICAL CENTER, INC.James T. Alton Healthy Kids Clinic100 Country Club Rd Vine GroveKY
CH045207DFActiveBPS-H80-024970CUMBERLAND FAMILY MEDICAL CENTER, INC.Lakewood Healthy Kids Clinic265 Learning Place Ln CeciliaKY
CH045207DGActiveBPS-H80-027035CUMBERLAND FAMILY MEDICAL CENTER, INC.John Hardin High Healthy Kids Clinic384 W A Jenkins Rd ElizabethtownKY
CH045207DHActiveBPS-H80-027051CUMBERLAND FAMILY MEDICAL CENTER, INC.North Park Healthy Kids Clinic1080 S Logsdon Pkwy RadcliffKY
CH045207DJActiveBPS-H80-024891CUMBERLAND FAMILY MEDICAL CENTER, INC.Bluegrass Middle Healthy Kids Clinic170 W A Jenkins Rd ElizabethtownKY
CH045207DKActiveBPS-H80-027066CUMBERLAND FAMILY MEDICAL CENTER, INC.West Hardin Middle Healthy Kids Clinic10471 Leitchfield Rd CeciliaKY
CH045207DLActiveBPS-H80-027070CUMBERLAND FAMILY MEDICAL CENTER, INC.Vine Grove Healthy Kids Clinic309 1st St Vine GroveKY
CH045207DMActiveBPS-H80-027056CUMBERLAND FAMILY MEDICAL CENTER, INC.Rineyville Healthy Kids Clinic275 Rineyville School Rd RineyvilleKY
CH045207DNActiveBPS-H80-027007CUMBERLAND FAMILY MEDICAL CENTER, INC.North Middle Healthy Kids Clinic100 Trojan Way RadcliffKY
CH045207DPActiveBPS-H80-027055CUMBERLAND FAMILY MEDICAL CENTER, INC.Woodland Healthy Kids Clinic6000 S Woodland Dr RadcliffKY
CH045207DQActiveBPS-H80-024961CUMBERLAND FAMILY MEDICAL CENTER, INC.Cecilia Valley Healthy Kids Clinic931 E Main St CeciliaKY
CH045207DRActiveBPS-H80-027043CUMBERLAND FAMILY MEDICAL CENTER, INC.Radcliff Healthy Kids Clinic1145 S Dixie Blvd RadcliffKY
CH045207DSActiveBPS-H80-027040CUMBERLAND FAMILY MEDICAL CENTER, INC.North Hardin High Healthy Kids Clinic801 S Logsdon Pkwy RadcliffKY
CH045207DTActiveBPS-H80-027017CUMBERLAND FAMILY MEDICAL CENTER, INC.Meadow View Healthy Kids Clinic1255 W Vine St RadcliffKY
CH045207DUTerminatedBPS-H80-027570CUMBERLAND FAMILY MEDICAL CENTER, INC.My Lyfe Dunnville10739 S US 127 STE 1 DunnvilleKY
CH045207DVActiveBPS-H80-027657CUMBERLAND FAMILY MEDICAL CENTER, INC.Somerset Pediatric and Adolescent Associates350 Langdon St SomersetKY
CH045207DWActiveBPS-H80-028148CUMBERLAND FAMILY MEDICAL CENTER, INC.Hardin Early College and Career Center Healthy Kids Clinic200 University Dr ElizabethtownKY
CH045207DXActiveBPS-H80-027972CUMBERLAND FAMILY MEDICAL CENTER, INC.Marion County High Healthy Kids Clinic735 E Main St LebanonKY
CH045207DYActiveBPS-H80-027969CUMBERLAND FAMILY MEDICAL CENTER, INC.West Marion Healthy Kids Clinic8175 N Loretto Rd LorettoKY
CH045207DZActiveBPS-H80-027973CUMBERLAND FAMILY MEDICAL CENTER, INC.Calvary Healthy Kids Clinic3345 Highway 208 LebanonKY
CH045207EActiveBPS-H80-039662CUMBERLAND FAMILY MEDICAL CENTER, INC.Munfordville Medical Center600 Main St. MunfordvilleKY
CH045207EAActiveBPS-H80-027970CUMBERLAND FAMILY MEDICAL CENTER, INC.Lebanon Middle Healthy Kids Clinic200 Corporate Dr LebanonKY
CH045207EBActiveBPS-H80-027974CUMBERLAND FAMILY MEDICAL CENTER, INC.Glasscock Healthy Kids Clinic773 E Main St LebanonKY
CH045207ECActiveBPS-H80-027971CUMBERLAND FAMILY MEDICAL CENTER, INC.Lebanon Healthy Kids Clinic420 W Main St LebanonKY
CH045207EDActiveBPS-H80-027967CUMBERLAND FAMILY MEDICAL CENTER, INC.Marion County Middle Healthy Kids Clinic1155 Highway 327 LebanonKY
CH045207EEActiveBPS-H80-028149CUMBERLAND FAMILY MEDICAL CENTER, INC.Kids Crew Healthy Kids Clinic208 College St HodgenvilleKY
CH045207EFActiveBPS-H80-028155CUMBERLAND FAMILY MEDICAL CENTER, INC.Pine Knot Intermediate Healthy Kids Clinic6519 S Highway 1651 Pine KnotKY
CH045207EGActiveBPS-H80-028154CUMBERLAND FAMILY MEDICAL CENTER, INC.Pine Knot Primary Healthy Kids Clinic119 E KY 2792 Pine KnotKY
CH045207EHActiveBPS-H80-028156CUMBERLAND FAMILY MEDICAL CENTER, INC.Whitley City Healthy Kids Clinic2819 N Highway 27 Whitley CityKY
CH045207EJTerminatedBPS-H80-028153CUMBERLAND FAMILY MEDICAL CENTER, INC.Bonnieville Healthy Kids Clinic7874 N Dixie Hwy BonnievilleKY
CH045207EKActiveBPS-H80-028151CUMBERLAND FAMILY MEDICAL CENTER, INC.McCreary County Middle Healthy Kids Clinic180 Raider Way StearnsKY
CH045207ELActiveBPS-H80-027968CUMBERLAND FAMILY MEDICAL CENTER, INC.Promise Community Health Center341 Bogle St Ste A SomersetKY
CH045207EMActiveBPS-H80-029923CUMBERLAND FAMILY MEDICAL CENTER, INC.Hiseville Healthy Kids Clinic149 Cardinal Blvd HisevilleKY
CH045207ENActiveBPS-H80-029928CUMBERLAND FAMILY MEDICAL CENTER, INC.Barren County Middle Healthy Kids Clinic555 Trojan Trl GlasgowKY
CH045207EPActiveBPS-H80-029402CUMBERLAND FAMILY MEDICAL CENTER, INC.Womens Care of the Bluegrass-Shelbyville615 11th St ShelbyvilleKY
CH045207EQActiveBPS-H80-029921CUMBERLAND FAMILY MEDICAL CENTER, INC.Park City Healthy Kids Clinic45 Indian Mill Rd Park CityKY
CH045207ERActiveBPS-H80-029981CUMBERLAND FAMILY MEDICAL CENTER, INC.Temple Hill Healthy Kids Clinic8788 Tompkinsville Rd GlasgowKY
CH045207ESActiveBPS-H80-029925CUMBERLAND FAMILY MEDICAL CENTER, INC.Trojan Academy Healthy Kids Clinic505 Trojan Trl GlasgowKY
CH045207ETActiveBPS-H80-029983CUMBERLAND FAMILY MEDICAL CENTER, INC.Barren County High Healthy Kids Clinic507 Trojan Trl GlasgowKY
CH045207EUActiveBPS-H80-029922CUMBERLAND FAMILY MEDICAL CENTER, INC.Eastern Healthy Kids Clinic4601 New Salem Rd GlasgowKY
CH045207EVTerminatedBPS-H80-028150CUMBERLAND FAMILY MEDICAL CENTER, INC.Cub Run Healthy Kids Clinic170 E Gap Hill Rd Cub RunKY
CH045207EWActiveBPS-H80-029927CUMBERLAND FAMILY MEDICAL CENTER, INC.North Jackson Healthy Kids Clinic2002 N Jackson Hwy GlasgowKY
CH045207EXTerminatedBPS-H80-029439CUMBERLAND FAMILY MEDICAL CENTER, INC.My Lyfe Union College310 College St BarbourvilleKY
CH045207EYActiveBPS-H80-029924CUMBERLAND FAMILY MEDICAL CENTER, INC.Austin Tracy Healthy Kids Clinic2477 Austin Tracy Rd LucasKY
CH045207EZActiveBPS-H80-029993CUMBERLAND FAMILY MEDICAL CENTER, INC.Lebanon Pediatrics311 W High St LebanonKY
CH045207FActiveBPS-H80-012577CUMBERLAND FAMILY MEDICAL CENTER, INC.Women's Care of the Bluegrass279 Kings Daughters Dr FrankfortKY
CH045207FAActiveBPS-H80-029926CUMBERLAND FAMILY MEDICAL CENTER, INC.Red Cross Healthy Kids Clinic215 Parkview Dr GlasgowKY
CH045207FBActiveBPS-H80-028152CUMBERLAND FAMILY MEDICAL CENTER, INC.McCreary Central Healthy Kids Clinic400 Raider Way StearnsKY
CH045207FCActiveBPS-H80-030292CUMBERLAND FAMILY MEDICAL CENTER, INC.Family Dental of Somerset501 College St SomersetKY
CH045207FDActiveBPS-H80-030374CUMBERLAND FAMILY MEDICAL CENTER, INC.Healthy Kids Clinic-Danville478 Whirlaway Dr Ste 100 DanvilleKY
CH045207FEActiveBPS-H80-030445CUMBERLAND FAMILY MEDICAL CENTER, INC.Danville Internal Medicine478 Whirlaway Dr Ste 200 DanvilleKY
CH045207FFActiveBPS-H80-030902Cumberland Family Medical Center, Inc.Washington County Middle Healthy Kids Clinic603 Lincoln Park Rd SpringfieldKY
CH045207FGActiveBPS-H80-030903Cumberland Family Medical Center, Inc.Washington County Elementary Healthy Kids Clinic601 Lincoln Park Rd SpringfieldKY
CH045207FHActiveBPS-H80-030904Cumberland Family Medical Center, Inc.Washington County High Healthy Kids Clinic300 W US Highway 150 Byp SpringfieldKY
CH045207FJActiveBPS-H80-030905Cumberland Family Medical Center, Inc.North Washington Healthy Kids Clinic5658 Highway 433 WillisburgKY
CH045207FKActiveBPS-H80-032226CUMBERLAND FAMILY MEDICAL CENTER, INC.Family Care of the Bluegrass-West89 C Michael Davenport Blvd Ste 1 FrankfortKY
CH045207FLActiveBPS-H80-032225CUMBERLAND FAMILY MEDICAL CENTER, INC.Frankfort Pediatrics89 C Michael Davenport Blvd Ste 2 FrankfortKY
CH045207FMActiveBPS-H80-032814CUMBERLAND FAMILY MEDICAL CENTER, INC.Valley View Healthy Kids Clinic701 Hawkins Dr ElizabethtownKY
CH045207FNActiveBPS-H80-032808CUMBERLAND FAMILY MEDICAL CENTER, INC.Helmwood Healthy Kids Clinic307 Cardinal Dr ElizabethtownKY
CH045207FPActiveBPS-H80-032771CUMBERLAND FAMILY MEDICAL CENTER, INC.Elizabethtown High Healthy Kids Clinic620 N Mulberry St ElizabethtownKY
CH045207FQActiveBPS-H80-032813CUMBERLAND FAMILY MEDICAL CENTER, INC.Panther Academy Healthy Kids Clinic634 N Mulberry St ElizabethtownKY
CH045207FRActiveBPS-H80-032850CUMBERLAND FAMILY MEDICAL CENTER, INC.Barren County Healthy Kids Clinic Annex1309 Roseville Rd GlasgowKY
CH045207FSActiveBPS-H80-032821CUMBERLAND FAMILY MEDICAL CENTER, INC.TK Stone Middle Healthy Kids Clinic323 Morningside Dr ElizabethtownKY
CH045207FTTerminatedBPS-H80-033135CUMBERLAND FAMILY MEDICAL CENTER, INC.My Lyfe Senture-Williamsburg965 S Highway 25 W WilliamsburgKY
CH045207FUActiveBPS-H80-032905CUMBERLAND FAMILY MEDICAL CENTER, INC.Promise Community Health Center341 Bogle St Ste D SomersetKY
CH045207FVTerminatedBPS-H80-033101CUMBERLAND FAMILY MEDICAL CENTER, INC.My Lyfe Senture-London460 Industrial Blvd LondonKY
CH045207FWActiveBPS-H80-032809CUMBERLAND FAMILY MEDICAL CENTER, INC.Morningside Healthy Kids Clinic313 Morningside Dr ElizabethtownKY
CH045207FXTerminatedBPS-H80-032906CUMBERLAND FAMILY MEDICAL CENTER, INC.My Lyfe Union College310 College St BarbourvilleKY
CH045207FYActiveBPS-H80-032893CUMBERLAND FAMILY MEDICAL CENTER, INC.Promise Community Health Care-Monticello1025 S Main St MonticelloKY
CH045207FZActiveBPS-H80-033100CUMBERLAND FAMILY MEDICAL CENTER, INC.Albany Family Medical Center127 Foothills Ave AlbanyKY
CH045207GActiveBPS-H80-012578CUMBERLAND FAMILY MEDICAL CENTER, INC.Family Care of the Bluegrass-East593 E Main St FrankfortKY
CH045207GAActiveBPS-H80-033666CUMBERLAND FAMILY MEDICAL CENTER, INC.Second Street Healthy Kids Clinic506 W 2nd St FrankfortKY
CH045207GBActiveBPS-H80-033660CUMBERLAND FAMILY MEDICAL CENTER, INC.Frankfort High Healthy Kids Clinic328 Shelby St FrankfortKY
CH045207GCActiveBPS-H80-033981CUMBERLAND FAMILY MEDICAL CENTER, INC.Promise Community Health Center-Elizabethtown2608 Ring Rd Ste B107 ElizabethtownKY
CH045207GDActiveBPS-H80-039721CUMBERLAND FAMILY MEDICAL CENTER, INC.Women's Care of the Commonwealth - Harrodsburg1509 Louisville Rd HarrodsburgKY
CH045207GEActiveBPS-H80-034008CUMBERLAND FAMILY MEDICAL CENTER, INC.College Street Campus Healthy Kids Clinic304 E College St GlasgowKY
CH045207GFTerminatedBPS-H80-034009CUMBERLAND FAMILY MEDICAL CENTER, INC.My Lyfe-Kingsford Summer Shade5126 Summer Shade Rd Summer ShadeKY
CH045207GGActiveBPS-H80-034872Cumberland Family Medical Center, Inc.Taylor Family Medical Center101 Winston Way STE C & D CampbellsvilleKY
CH045207GHActiveBPS-H80-035656Cumberland Family Medical Center, Inc.Taylor County High Healthy Kids Clinic2705 Hodgenville Rd CampbellsvilleKY
CH045207GJActiveBPS-H80-035625Cumberland Family Medical Center, Inc.Bardstown Elementary Healthy Kids Clinic1345 Templin Ave BardstownKY
CH045207GKActiveBPS-H80-035658Cumberland Family Medical Center, Inc.Taylor County Middle Healthy Kids Clinic300 Ingram Ave CampbellsvilleKY
CH045207GLActiveBPS-H80-035497Cumberland Family Medical Center, Inc.Taylor County Primary Healthy Kids Clinic106 Ingram Ave CampbellsvilleKY
CH045207GMActiveBPS-H80-035657Cumberland Family Medical Center, Inc.Taylor County Intermediate Healthy Kids Clinic1207 E Broadway St CampbellsvilleKY
CH045207GNActiveBPS-H80-036034Cumberland Family Medical Center, Inc.North Warren Elementary Healthy Kids Clinic420 College St Smiths GroveKY
CH045207GPActiveBPS-H80-036033Cumberland Family Medical Center, Inc.William H. Natcher Elementary Healthy Kids Clinic1434 Cave Mill Rd Bowling GreenKY
CH045207GQActiveBPS-H80-035943Cumberland Family Medical Center, Inc.My Lyfe- Lindsey Wilson College210 Lindsey Wilson St ColumbiaKY
CH045207GRActiveBPS-H80-036096Cumberland Family Medical Center, Inc.Alvaton Elementary Healthy Kids Clinic6350 Old Scottsville Rd AlvatonKY
CH045207GSActiveBPS-H80-031563Cumberland Family Medical Center, Inc.First Choice McCreary1900 N Highway 27 Whitley CityKY
CH045207GTActiveBPS-H80-035892Cumberland Family Medical Center, Inc.Rich Pond Elementary Healthy Kids Clinic530 Richpond Rd Bowling GreenKY
CH045207GUActiveBPS-H80-035916Cumberland Family Medical Center, Inc.Oakland Elementary Healthy Kids Clinic2494 Church St OaklandKY
CH045207GVActiveBPS-H80-035878Cumberland Family Medical Center, Inc.Drakes Creek Middle Healthy Kids Clinic704 Cypress Wood Way Bowling GreenKY
CH045207GWActiveBPS-H80-037313Cumberland Family Medical Center, Inc.Sunrise Glen Dale Center Healthy Kids Clinic1030 Commerce Drive ElizabethtownKY
CH045207GXActiveBPS-H80-035882Cumberland Family Medical Center, Inc.Richardsville Elementary Healthy Kids Clinic1775 Richardsville Rd Bowling GreenKY
CH045207GYActiveBPS-H80-035912Cumberland Family Medical Center, Inc.Briarwood Elementary Healthy Kids Clinic265 Lovers Ln Bowling GreenKY
CH045207GZActiveBPS-H80-035942Cumberland Family Medical Center, Inc.Warren East Middle Healthy Kids Clinic7031 Louisville Rd Bowling GreenKY
CH045207HActiveBPS-H80-012576CUMBERLAND FAMILY MEDICAL CENTER, INC.Glasgow Pediatric Healthcare301 Professional Park Dr GlasgowKY
CH045207HAActiveBPS-H80-035895Cumberland Family Medical Center, Inc.Otter Creek Academy Healthy Kids Clinic1440 Old Bethel Church Rd AlphaKY
CH045207HBActiveBPS-H80-035894Cumberland Family Medical Center, Inc.Lost River Elementary Healthy Kids Clinic450 Modern Way Bowling GreenKY
CH045207HCActiveBPS-H80-035940Cumberland Family Medical Center, Inc.Henry F. Moss Middle Healthy Kids Clinic2565 Russellville Rd Bowling GreenKY
CH045207HDTerminatedBPS-H80-035881Cumberland Family Medical Center, Inc.Foothills Academy Healthy Kids Clinic107 Foothills Academy Spur AlbanyKY
CH045207HEActiveBPS-H80-035898Cumberland Family Medical Center, Inc.Plano Elementary Healthy Kids Clinic2650 Plano Rd Bowling GreenKY
CH045207HFActiveBPS-H80-035900Cumberland Family Medical Center, Inc.Jody Richards Elementary Healthy Kids Clinic2100 Elrod Rd Bowling GreenKY
CH045207HGActiveBPS-H80-035883Cumberland Family Medical Center, Inc.Warren Central High Healthy Kids Clinic559 Morgantown Rd Bowling GreenKY
CH045207HHActiveBPS-H80-035879Cumberland Family Medical Center, Inc.South Warren Middle Healthy Kids Clinic295 Richpond Rd Bowling GreenKY
CH045207HJActiveBPS-H80-035877Cumberland Family Medical Center, Inc.Warren Elementary Healthy Kids Clinic1846 Loop Dr Bowling GreenKY
CH045207HKActiveBPS-H80-035893Cumberland Family Medical Center, Inc.Rockfield Elementary Healthy Kids Clinic7597 Russellville Rd Bowling GreenKY
CH045207HLActiveBPS-H80-035876Cumberland Family Medical Center, Inc.Lighthouse and Jackson Academies Healthy Kids Clinic877 Jackson St Bowling GreenKY
CH045207HMActiveBPS-H80-035880Cumberland Family Medical Center, Inc.South Warren High Healthy Kids Clinic8240 Nashville Rd Bowling GreenKY
CH045207HNActiveBPS-H80-035913Cumberland Family Medical Center, Inc.Jennings Creek Elementary Healthy Kids Clinic2617 Russellville Rd Bowling GreenKY
CH045207HPActiveBPS-H80-035801Cumberland Family Medical Center, Inc.LeGrande Healthy Kids Clinic70 LeGrande School Rd Horse CaveKY
CH045207HQActiveBPS-H80-035803Cumberland Family Medical Center, Inc.Munfordville Healthy Kids Clinic505 W Union St MunfordvilleKY
CH045207HRActiveBPS-H80-035897Cumberland Family Medical Center, Inc.Bristow Elementary Healthy Kids Clinic6151 Louisville Rd Bowling GreenKY
CH045207HSActiveBPS-H80-035802Cumberland Family Medical Center, Inc.Bonnieville Healthy Kids Clinic7874 N Dixie Hwy BonnievilleKY
CH045207HTActiveBPS-H80-035800Cumberland Family Medical Center, Inc.Cub Run Healthy Kids Clinic170 E Gap Hill Rd Cub RunKY
CH045207HUActiveBPS-H80-035899Cumberland Family Medical Center, Inc.Greenwood High Healthy Kids Clinic5065 Scottsville Rd Bowling GreenKY
CH045207HVActiveBPS-H80-035914Cumberland Family Medical Center, Inc.Warren East High Healthy Kids Clinic6867 Louisville Rd Bowling GreenKY
CH045207HWActiveBPS-H80-035915Cumberland Family Medical Center, Inc.Cumberland Trace Elementary Healthy Kids Clinic2461 Cumberland Trace Rd Bowling GreenKY
CH045207HXActiveBPS-H80-035805Cumberland Family Medical Center, Inc.Memorial Healthy Kids Clinic1400 N Jackson Hwy HardyvilleKY
CH045207HYActiveBPS-H80-035896Cumberland Family Medical Center, Inc.Geo International High Healthy Kids Clinic1808 Loop Dr Bowling GreenKY
CH045207HZActiveBPS-H80-035804Cumberland Family Medical Center, Inc.Hart County High Healthy Kids Clinic1014 S Dixie Hwy MunfordvilleKY
CH045207JTerminatedBPS-H80-012579CUMBERLAND FAMILY MEDICAL CENTER, INC.Greensburg Health Care2680 Campbellsville Rd GreensburgKY
CH045207JAActiveBPS-H80-037137Cumberland Family Medical Center, Inc.South Green Elementary Healthy Kids Clinic300 James T Rogers Dr GlasgowKY
CH045207JBActiveBPS-H80-036728Cumberland Family Medical Center, Inc.Metcalfe County High Healthy Kids Clinic208 Randolph St. LOT 2 EdmontonKY
CH045207JCActiveBPS-H80-037139Cumberland Family Medical Center, Inc.Glasgow High Healthy Kids Clinic1601 Columbia Ave GlasgowKY
CH045207JDActiveBPS-H80-037162Cumberland Family Medical Center, Inc.Glasgow Preschool Academy Healthy Kids Clinic629 W Cherry St GlasgowKY
CH045207JEActiveBPS-H80-037097Cumberland Family Medical Center, Inc.Huntertown Elementary Healthy Kids Clinic120 Woodburn Hall Dr VersaillesKY
CH045207JFActiveBPS-H80-037163Cumberland Family Medical Center, Inc.Simmons Elementary Healthy Kids Clinic830 Tyrone Pike VersaillesKY
CH045207JGActiveBPS-H80-037095Cumberland Family Medical Center, Inc.Southside Elementary Healthy Kids Clinic1300 Troy Pike VersaillesKY
CH045207JHActiveBPS-H80-037165Cumberland Family Medical Center, Inc.Woodford County High Healthy Kids Clinic180 Frankfort St VersaillesKY
CH045207JJActiveBPS-H80-037161Cumberland Family Medical Center, Inc.Woodford County Middle Healthy Kids Clinic100 School House Rd VersaillesKY
CH045207JKActiveBPS-H80-036729Cumberland Family Medical Center, Inc.Metcalfe County Elementary Healthy Kids Clinic703 W. Stockton St. EdmontonKY
CH045207JLActiveBPS-H80-037164Cumberland Family Medical Center, Inc.Safe Harbor Academy Healthy Kids Clinic134 Macey Ave VersaillesKY
CH045207JMActiveBPS-H80-037138Cumberland Family Medical Center, Inc.Highland Elementary Healthy Kids Clinic164 Scottie Dr GlasgowKY
CH045207JNActiveBPS-H80-037136Cumberland Family Medical Center, Inc.Glasgow Middle Healthy Kids Clinic105 Scottie Dr GlasgowKY
CH045207JPActiveBPS-H80-037096Cumberland Family Medical Center, Inc.Northside Elementary Healthy Kids Clinic500 Northside Dr MidwayKY
CH045207JQActiveBPS-H80-036727Cumberland Family Medical Center, Inc.Metcalfe County Middle Healthy Kids Clinic208 Randolph St. LOT 1 EdmontonKY
CH045207JRActiveBPS-H80-037963Cumberland Family Medical Center, Inc.Women's Care of the Commonwealth-Lancaster89 Farra Drive RM 119,120 & 121 LancasterKY
CH045207JSActiveBPS-H80-037814Cumberland Family Medical Center, Inc.Casey Family Medical Center428 Hustonville St LibertyKY
CH045207JTActiveBPS-H80-038553CUMBERLAND FAMILY MEDICAL CENTER, INC.Albany Family Medical Center - Downtown106 N Cross St AlbanyKY
CH045207JUActiveBPS-H80-038555CUMBERLAND FAMILY MEDICAL CENTER, INC.Flaherty Primary Healthy Kids Clinic2635 Flaherty Rd EkronKY
CH045207JVActiveBPS-H80-038563CUMBERLAND FAMILY MEDICAL CENTER, INC.Ekron Healthy Kids Clinic2500 Haysville Rd EkronKY
CH045207JWActiveBPS-H80-038959CUMBERLAND FAMILY MEDICAL CENTER, INC.Mercer County Intermediate Healthy Kids Clinic1101 Moberly Rd RM 3108 HarrodsburgKY
CH045207JXActiveBPS-H80-038557CUMBERLAND FAMILY MEDICAL CENTER, INC.Payneville Elementary Healthy Kids Clinic520 Rhodelia Rd PaynevilleKY
CH045207JYActiveBPS-H80-038956CUMBERLAND FAMILY MEDICAL CENTER, INC.Mercer County Senior High Healthy Kids Clinic1124 Moberly Rd RM 8105 HarrodsburgKY
CH045207JZActiveBPS-H80-038562CUMBERLAND FAMILY MEDICAL CENTER, INC.Barry Hahn Healthy Kids Clinic750 Broadway St BrandenburgKY
CH045207KActiveBPS-H80-027569CUMBERLAND FAMILY MEDICAL CENTER, INC.Family Care of the Bluegrass-Lawrenceburg512 Saffell St LawrenceburgKY
CH045207KAActiveBPS-H80-038958CUMBERLAND FAMILY MEDICAL CENTER, INC.Mercer Central/Day Treatment Healthy Kids Clinic530 Perryville St RM 4111 HarrodsburgKY
CH045207KBActiveBPS-H80-038543CUMBERLAND FAMILY MEDICAL CENTER, INC.Wellness on Wheels 2.0404 Steve Dr Russell SpringsKY
CH045207KCActiveBPS-H80-038558CUMBERLAND FAMILY MEDICAL CENTER, INC.Stuart Pepper Healthy Kids Clinic1085 Old Ekron Rd BrandenburgKY
CH045207KDActiveBPS-H80-038556CUMBERLAND FAMILY MEDICAL CENTER, INC.Flaherty Elementary Healthy Kids Clinic2615 Flaherty Rd EkronKY
CH045207KEActiveBPS-H80-038554CUMBERLAND FAMILY MEDICAL CENTER, INC.Meade County High Healthy Kids Clinic938 Old State Rd BrandenburgKY
CH045207KFActiveBPS-H80-038955CUMBERLAND FAMILY MEDICAL CENTER, INC.CHHS Bruin Academy Healthy Kids Clinic3154 Bardstown Rd RM 105 ElizabethtownKY
CH045207KGActiveBPS-H80-038957CUMBERLAND FAMILY MEDICAL CENTER, INC.Mercer County Elementary Healthy Kids Clinic741 Tapp Rd RM 2502 HarrodsburgKY
CH045207KHActiveBPS-H80-038572CUMBERLAND FAMILY MEDICAL CENTER, INC.Promise Community Health Center - Edmonton109 Sartin Dr EdmontonKY
CH045207KJActiveBPS-H80-033433CUMBERLAND FAMILY MEDICAL CENTER, INC.First Choice Lincoln135 Wade Owens Drive StanfordKY
CH045207KKActiveBPS-H80-038954CUMBERLAND FAMILY MEDICAL CENTER, INC.Kenneth D. King Middle Healthy Kids Clinic937 Moberly Rd RM 5501 HarrodsburgKY
CH045207KLActiveBPS-H80-038561CUMBERLAND FAMILY MEDICAL CENTER, INC.David T. Wilson Healthy Kids Clinic1075 Old Ekron Rd BrandenburgKY
CH045207KMActiveBPS-H80-039141CUMBERLAND FAMILY MEDICAL CENTER, INC.Caverna Elementary Healthy Kids Clinic1106 N Dixie Hwy RM 34 Cave CityKY
CH045207KNActiveBPS-H80-039240CUMBERLAND FAMILY MEDICAL CENTER, INC.Trojan Way Center Healthy Kids Clinic601 Trojan Trail RM 101 GlasgowKY
CH045207KPActiveBPS-H80-039140CUMBERLAND FAMILY MEDICAL CENTER, INC.Caverna Middle/High Healthy Kids Clinic2276 S Dixie Hwy RM 6012 Horse CaveKY
CH045207KQActiveBPS-H80-028141CUMBERLAND FAMILY MEDICAL CENTER, INC.Cumberland Family Medical Center Russell Administration404 Steve Dr Russell SpringsKY
CH045207KRActiveBPS-H80-039470CUMBERLAND FAMILY MEDICAL CENTER, INC.Wayne County Healthy Kids Clinic Annex676 Worsham Ln MonticelloKY
CH045207KSActiveBPS-H80-027523CUMBERLAND FAMILY MEDICAL CENTER, INC.Cumberland Family Medical Center Administrative Annex437 Dowell Rd Russell SpringsKY
CH045207KTActiveBPS-H80-032948CUMBERLAND FAMILY MEDICAL CENTER, INC.Russell Administrative Annex #2412 Dowell Rd Russell SpringsKY
CH045207KUActiveBPS-H80-039664CUMBERLAND FAMILY MEDICAL CENTER, INC.Metcalfe Family Medical Center612 W Stockton St EdmontonKY
CH045207LActiveBPS-H80-035427CUMBERLAND FAMILY MEDICAL CENTER, INC.Women's Care of the Bluegrass/Versailles Pediatrics360 Amsden Ave Suite 200 VersaillesKY
CH045207MActiveBPS-H80-012575CUMBERLAND FAMILY MEDICAL CENTER, INC.Women's Care of the Bluegrass-Owenton120 Progress Way OwentonKY
CH045207NActiveBPS-H80-017045CUMBERLAND FAMILY MEDICAL CENTER, INC.Monroe Family Medical Center1515 Edmonton Rd TompkinsvilleKY
CH045207PActiveBPS-H80-011326CUMBERLAND FAMILY MEDICAL CENTER, INC.Jamestown Family Medical Center1417 N Main St JamestownKY
CH045207QTerminatedBPS-H80-014819CUMBERLAND FAMILY MEDICAL CENTER, INC.Whitley Family Medical Center19 MEDICAL LOOP # 3 WHITLEY CITYKY
CH045207RActiveBPS-H80-014415CUMBERLAND FAMILY MEDICAL CENTER, INC.Gamaliel Family Medical Center102 RHODES ST GAMALIELKY
CH045207STerminatedBPS-H80-013166CUMBERLAND FAMILY MEDICAL CENTER, INC.Casey Family Medical Center376 Randolph St LibertyKY
CH045207TActiveBPS-H80-017123CUMBERLAND FAMILY MEDICAL CENTER, INC.Bell Healthy Kids Clinic278 Kenny Davis Blvd MonticelloKY
CH045207UActiveBPS-H80-017122CUMBERLAND FAMILY MEDICAL CENTER, INC.Walker Healthy Kids Clinic1080 S. Main St MonticelloKY
CH045207VActiveBPS-H80-018737CUMBERLAND FAMILY MEDICAL CENTER, INC.Monticello Healthy Kids Clinic160 Cave St MonticelloKY
CH045207WActiveBPS-H80-017120CUMBERLAND FAMILY MEDICAL CENTER, INC.Clinton Early Childhood Healthy Kids Clinic204 King Dr AlbanyKY
CH045207XActiveBPS-H80-017119CUMBERLAND FAMILY MEDICAL CENTER, INC.Wayne County High Healthy Kids Clinic2 Kenny Davis Blvd MonticelloKY
CH045207YActiveBPS-H80-017118CUMBERLAND FAMILY MEDICAL CENTER, INC.Clinton County Middle Healthy Kids Clinic169 Middle School Road AlbanyKY
CH045207ZActiveBPS-H80-017117CUMBERLAND FAMILY MEDICAL CENTER, INC.Clinton County High Healthy Kids Clinic65 High School Dr AlbanyKY
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH0452070ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884901/01/2024  
CH0452070ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750201/01/2024  
CH0452070ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201001/01/2024  
CH045207ATACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884901/01/2024  
CH045207ASACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750201/01/2024  
CH045207VACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201001/01/2024  
CH0452070ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349201/01/2024  
CH0452070ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282201/01/2024  
CH0452070ACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607501/01/2024  
CH045207CHACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349201/01/2024  
CH045207CQACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282201/01/2024  
CH045207CSACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607501/01/2024  
CH045207AADAIR DRUG510 BURKESVILLE ST STE 1
COLUMBIAKY4272804/01/2013 01/06/2016
CH0452070BRAY PHARMACY INC.D/B/A CAPITAL PHARMACY AND MEDICAL EQUIP 662 E MAIN ST
D B A CAPITAL PHARMACY AND MEDICAL EQUIP
FRANKFORTKY40601-233810/01/2016  
CH045207FBRAY PHARMACY INC.D/B/A CAPITAL PHARMACY AND MEDICAL EQUIP 662 E MAIN ST
D B A CAPITAL PHARMACY AND MEDICAL EQUIP
FRANKFORTKY40601-233801/01/2014 10/01/2016
CH045207FBRAY PHARMACY INC.D/B/A CAPITAL PHARMACY AND MEDICAL EQUIP 662 E MAIN ST
D B A CAPITAL PHARMACY AND MEDICAL EQUIP
FRANKFORTKY40601-233801/01/2024  
CH0452070CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2018  
CH045207ZCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2024  
CH0452070CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2018  
CH045207AUCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2024  
CH0452070CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2018  
CH045207HGCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2024  
CH0452070CERTACARE INC937 CAMPBELLSVILLE ROAD SUITE 907
COLUMBIAKY4272810/01/2016 05/01/2019
CH045207ACERTACARE INC937 CAMPBELLSVILLE ROAD SUITE 907
COLUMBIAKY4272804/01/2011 10/01/2016
CH0452070CLARK DRUGSCLARK DRUGS 500 MAIN ST
MUNFORDVILLEKY4276504/01/2013  
CH045207ECLARK DRUGSCLARK DRUGS 500 MAIN ST
MUNFORDVILLEKY4276501/01/2024  
CH0452070CLINTON COUNTY PHARMACY903 N CROSS ST
ALBANYKY42602-161704/01/2020 09/02/2022
CH0452070CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/2021  
CH045207GECVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/01/2024  
CH0452070CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/2021  
CH045207DJCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/01/2024  
CH0452070CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503310/01/2020  
CH045207GUCYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503301/01/2024  
CH0452070DYER DRUG100 E CUMBERLAND ST
ALBANYKY4260210/01/2016 07/30/2019
CH045207CDYER DRUG100 E CUMBERLAND ST
ALBANYKY4260207/01/2010 10/01/2016
CH0452070EASTRIDGE-PHELPS PHARMACY, LLCDBA EASTRIDGE-PHELPS PHARMACY GREENSBURG 460 COMMERCE DR
GREENSBURGKY4274310/01/2018  
CH045207CCEASTRIDGE-PHELPS PHARMACY, LLCDBA EASTRIDGE-PHELPS PHARMACY GREENSBURG 460 COMMERCE DR
GREENSBURGKY4274301/01/2024  
CH0452070ELY DRUGS INC. # 2415 HAPPY VALLEY RD
GLASGOWKY4214110/01/2016 02/25/2024
CH045207HELY DRUGS INC. # 2415 HAPPY VALLEY RD
GLASGOWKY4214101/01/2014 10/01/2016
CH045207BZELY DRUGS INC. # 2415 HAPPY VALLEY RD
GLASGOWKY4214101/01/2024  
CH0452070ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111201/01/2024  
CH045207CYESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111201/01/2024  
CH0452070EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313401/01/2024  
CH045207ECEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313401/01/2024  
CH0452070EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607501/01/2024  
CH0452070EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801601/01/2024  
CH045207CVEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801601/01/2024  
CH045207DYEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607501/01/2024  
CH0452070FRED'S PHARMACY # 1664800 N CROSS ST
ALBANYKY42602-161604/01/2015 07/12/2019
CH0452070GAMALIEL DRUG LLC405 W MAIN ST
GAMALIELKY42140-890610/01/2016  
CH045207NGAMALIEL DRUG LLC405 W MAIN ST
GAMALIELKY42140-890604/01/2015 10/01/2016
CH045207RGAMALIEL DRUG LLC405 W MAIN ST
GAMALIELKY42140-890601/01/2024  
CH0452070GETWELL DRUG & DOLLAR #6028509 N. MAIN STREET
TOMPKINSVILLEKY42167-100204/01/2015 08/27/2019
CH0452070GETWELL PHARMACY OF COLUMBIA KENTUCKY, IDBA CERTACARE PHARMACY 937 CAMPBELLSVILLE RD
STE 907
COLUMBIAKY42728-226501/01/2020  
CH045207AGETWELL PHARMACY OF COLUMBIA KENTUCKY, IDBA CERTACARE PHARMACY 937 CAMPBELLSVILLE RD
STE 907
COLUMBIAKY42728-226501/01/2024  
CH045207GLHOMETOWN PHARMACY OF CAMPBELLSVILLE, PLL325 E BROADWAY ST
CAMPBELLSVILLEKY4271804/01/2025  
CH0452070HOMETOWN PHARMACY OF CAMPBELLSVILLE, PLL325 E BROADWAY ST
CAMPBELLSVILLEKY4271804/01/2025  
CH045207GMHOMETOWN PHARMACY SPECIALTY SERVICES, PL3200 NEW COLUMBIA RD
CAMPBELLSVILLEKY4271807/01/2025  
CH0452070HOMETOWN PHARMACY SPECIALTY SERVICES, PL3200 NEW COLUMBIA RD
CAMPBELLSVILLEKY4271807/01/2025  
CH0452070JAMESTOWN VALU-RITE PHCY INCWARNER JEFFREY L 1417 N MAIN ST
SUITE A
JAMESTOWNKY42629-241110/01/2016  
CH045207BJAMESTOWN VALU-RITE PHCY INCWARNER JEFFREY L 1417 N MAIN ST
SUITE A
JAMESTOWNKY42629-241104/12/2012 10/01/2016
CH045207PJAMESTOWN VALU-RITE PHCY INCWARNER JEFFREY L 1417 N MAIN ST
SUITE A
JAMESTOWNKY42629-241101/01/2024  
CH0452070KENTUCKY CENTRAL FILL FACILITY, L-0105594 SHEPHERDSVILLE ROAD
LOUISVILLEKY40228-101207/01/2017 10/09/2022
CH0452070KENTUCKY CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #10278 397 N WALLACE WILKINSON BLVD
LIBERTYKY4253910/01/2015  
CH0452070KENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02336 709 EAST MAIN STREET
FRANKFORTKY4060110/01/2015 07/26/2023
CH0452070KENTUCKY CVS PHARMACY, L.L.C.CVS/PHARMACY # 10687 1227 US HWY 127 S
FRANKFORTKY4060104/01/2018  
CH0452070KENTUCKY CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10049 803 JAMESTOWN ST.
COLUMBIAKY4272804/01/2018  
CH0452070KENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06334 199 LEXINGTON ST
VERSAILLESKY4038307/01/2020  
CH0452070KENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06338 101 EAST BROADWAY
CAMPBELLSVILLEKY4271807/01/2021  
CH0452070KENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02332 101 WEST SHOWALTER DRIVE
GEORGETOWNKY4032407/01/2021  
CH0452070KENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06339 144 NORTH HIGHWAY 27
SOMERSETKY4250304/01/2022  
CH0452070KENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06335 231 SOUTH SECOND ST.
DANVILLEKY4042207/01/2022  
CH0452070KENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06348 214 MOORELAND AVE.
HARRODSBURGKY4033007/01/2022  
CH0452070KENTUCKY CVS PHARMACY, L.L.C.CVS/PHARMACY #10048 1571 N DIXIE AVENUE
ELIZABETHTOWNKY4270104/01/2023  
CH045207GGKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06338 101 EAST BROADWAY
CAMPBELLSVILLEKY4271801/01/2024  
CH045207AQKENTUCKY CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10049 803 JAMESTOWN ST.
COLUMBIAKY4272801/01/2024  
CH045207AVKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06335 231 SOUTH SECOND ST.
DANVILLEKY4042201/01/2024  
CH045207CWKENTUCKY CVS PHARMACY, L.L.C.CVS/PHARMACY #10048 1571 N DIXIE AVENUE
ELIZABETHTOWNKY4270101/01/2024  
CH045207FKKENTUCKY CVS PHARMACY, L.L.C.CVS/PHARMACY # 10687 1227 US HWY 127 S
FRANKFORTKY4060101/01/2024  
CH045207GDKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06348 214 MOORELAND AVE.
HARRODSBURGKY4033001/01/2024  
CH045207ABKENTUCKY CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #10278 397 N WALLACE WILKINSON BLVD
LIBERTYKY4253901/01/2024  
CH045207BCKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06339 144 NORTH HIGHWAY 27
SOMERSETKY4250301/01/2024  
CH045207LKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06334 199 LEXINGTON ST
VERSAILLESKY4038301/01/2024  
CH045207BFKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02332 101 WEST SHOWALTER DRIVE
GEORGETOWNKY4032401/01/2024  
CH0452070KROGER PHARMACY1309 STE H US HWY 127 SOUTH
FRANKFORTKY4060101/01/2015  
CH0452070KROGER PHARMACY200 SKYWATCH DRIVE
DANVILLEKY4042207/01/2020  
CH0452070Kroger PharmacyJeffersonville Central Fill Facility 301 Logistics Ave
Suite 200
JeffersonvilleIN4713001/01/2023  
CH045207AYKROGER PHARMACY200 SKYWATCH DRIVE
DANVILLEKY4042201/01/2024  
CH045207FLKROGER PHARMACY1309 STE H US HWY 127 SOUTH
FRANKFORTKY4060101/01/2024  
CH0452070KROGER PHARMACY #774212 KROGER WAY
VERSAILLESKY4038307/01/2017  
CH045207BGKROGER PHARMACY #774212 KROGER WAY
VERSAILLESKY4038301/01/2024  
CH0452070KROGER PHARMACY L-363844 SOUTH COLLEGE STREET
HARRODSBURGKY4033007/01/2020  
CH045207BBKROGER PHARMACY L-363844 SOUTH COLLEGE STREET
HARRODSBURGKY4033001/01/2024  
CH0452070KROGER PHARMACY L-369399 CAMPBELLSVILLE BYPASS STE 100
CAMPBELLSVILLEKY4271810/01/2019  
CH045207GHKROGER PHARMACY L-369399 CAMPBELLSVILLE BYPASS STE 100
CAMPBELLSVILLEKY4271801/01/2024  
CH0452070KROGER PHARMACY L-397300 BRIGHTON PARK BLVD
FRANKFORTKY4060101/01/2015  
CH045207GKROGER PHARMACY L-397300 BRIGHTON PARK BLVD
FRANKFORTKY4060101/01/2024  
CH0452070KROGER PHARMACY L-4031509 EAST BROADWAY
CAMPBELLSVILLEKY4271810/01/2019 03/24/2022
CH0452070KROGER PHARMACY L-74550 STONEGATE CENTER
SOMERSETKY4250107/01/2017  
CH045207DVKROGER PHARMACY L-74550 STONEGATE CENTER
SOMERSETKY4250101/01/2024  
CH0452070KROGER PHARMACY L-757181 SOUTH HWY 27
SOMERSETKY4250107/01/2017  
CH045207ELKROGER PHARMACY L-757181 SOUTH HWY 27
SOMERSETKY4250101/01/2024  
CH0452070KROGER PHARMACY L-900181 SOUTH HIGHWAY 127
RUSSELL SPRINGSKY4264201/01/2015  
CH045207ALKROGER PHARMACY L-900181 SOUTH HIGHWAY 127
RUSSELL SPRINGSKY4264201/01/2024  
CH0452070KROGER PHARMACY L-9131300 ANDERSON CROSSING DR
LAWRENCEBURGKY4034201/01/2015  
CH045207AZKROGER PHARMACY L-9131300 ANDERSON CROSSING DR
LAWRENCEBURGKY4034201/01/2024  
CH0452070KROGER PHARMACY L-9161187 N HIGHWAY 27
WHITLEY CITYKY4265301/01/2015  
CH045207GSKROGER PHARMACY L-9161187 N HIGHWAY 27
WHITLEY CITYKY4265301/01/2024  
CH0452070LAKE CUMBERLAND PHARMACY #2124 DOWELL RD
RUSSELL SPRINGSKY4264210/01/2016 10/30/2024
CH045207BLAKE CUMBERLAND PHARMACY #2124 DOWELL ROAD
RUSSELL SPRINGSKY4264204/01/2013 10/01/2016
CH045207AMLAKE CUMBERLAND PHARMACY #2124 DOWELL ROAD
RUSSELL SPRINGSKY4264201/01/2024 10/30/2024
CH0452070MORGAN'S MEDICINE, PLLC.360 KEEN ST STE 100
BURKESVILLEKY42717-791602/01/2008  
CH045207KUPARMET INCMETCALFE DRUG 115 E STOCKTON ST
EDMONTONKY42129-918304/01/2025  
CH0452070PARMET INCMETCALFE DRUG 115 E STOCKTON ST
EDMONTONKY42129-918307/01/2025  
CH0452070PRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDOFL32819-999210/01/2020 10/01/2022
CH0452070PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/01/2018  
CH045207AFPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/01/2024  
CH0452070RITE AID OF KENTUCKY, INC.RITE AID #1387 508 STEVE DR.
RUSSELL SPRINGSKY4264210/01/2015 02/05/2018
CH0452070RITE AID OF KENTUCKY, INC.RITE AID #2420 500 NORTH HIGHWAY 27
WHITLEY CITYKY4265310/01/2015 02/05/2018
CH0452070RITE AID OF KENTUCKY, INC.RITE AID #2762 343 N WALLACE WILKINSON BLVD
LIBERTYKY4253910/01/2015 02/05/2018
CH0452070RITE AID OF KENTUCKY, INC.RITE AID #3272 612 WEST STOCKTON STREET
EDMONTONKY4212910/01/2015 02/05/2018
CH0452070RITE AID OF KENTUCKY, INC.RITE AID #3350 600 NORTH MAIN STREET
MUNFORDVILLEKY4276510/01/2015 07/14/2015
CH0452070RITE AID OF KENTUCKY, INC.RITE AID #3566 1000 BYPASS SOUTH
LAWRENCEBURGKY4034210/01/2015 02/05/2018
CH0452070RITE AID OF KENTUCKY, INC.RITE AID #3939 101 EASTWOOD SHOPPING CENTER
FRANKFORTKY4060110/01/2015 02/05/2018
CH0452070RITE AID OF KENTUCKY, INC.RITE AID #1344 415 NORTH LINCOLN BOULEVARD
HODGENVILLEKY4274810/01/2015 08/05/2015
CH0452070RITE AID OF KENTUCKY, INC.RITE AID #4006 704 HAPPY VALLEY ROAD
GLASGOWKY4214110/01/2015 02/05/2018
CH0452070RITE AID OF KENTUCKY, INC.RITE AID #4655 1303 US 127 SOUTH SUITE 106
FRANKFORTKY4060110/01/2015 02/05/2018
CH0452070RITE AID OF KENTUCKY, INC.RITE AID #3350 600 NORTH MAIN STREET
MUNFORDVILLEKY4276504/01/2017 02/05/2018
CH0452070ROBERTS' PHARMACY LLCROBERTS' PHARMACY LLC 150 WESTVIEW SHOPPING CTR
ALBANYKY4260204/01/2018  
CH045207CROBERTS' PHARMACY LLCROBERTS' PHARMACY LLC 150 WESTVIEW SHOPPING CTR
ALBANYKY4260201/01/2024  
CH0452070RUSSELL SPRINGS PHARMACY92 JOE T PETTY DR
RUSSELL SPRINGSKY4264210/01/2016  
CH045207BRUSSELL SPRINGS PHARMACY92 JOE T PETTY DR
RUSSELL SPRINGSKY4264201/01/2014 10/01/2016
CH045207ANRUSSELL SPRINGS PHARMACY92 JOE T PETTY DR
RUSSELL SPRINGSKY4264201/01/2024  
CH0452070SHEARER DRUG127 FOOTHILLS AVE STE 2
ALBANYKY4260210/01/2016 10/31/2019
CH045207CSHEARER DRUG127 FOOTHILLS AVE STE 2
ALBANYKY4260204/01/2013 10/01/2016
CH0452070SHEARER DRUG #2260 BURKESVILLE RD
ALBANYKY42602-160407/01/2016 10/31/2019
CH0452070ST MATTHEWS COMMUNITY PHARMACY200 N HURSTBOURNE PKWY STE 174
LOUISVILLEKY4022204/07/2022  
CH045207EPST MATTHEWS COMMUNITY PHARMACY200 N HURSTBOURNE PKWY STE 174
LOUISVILLEKY4022201/01/2024  
CH0452070ST. MATTHEWS COMMUNITY PHARMACY3922 WILLIS AVENUE
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CH0452070ST. MATTHEWS SPECIALTY PHARMACYDBA ST. MATTHEWS SPECIALTY PHARMACY 200 N HURSTBOURNE PKWY STE 176
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CH045207CRST. MATTHEWS SPECIALTY PHARMACYDBA ST. MATTHEWS SPECIALTY PHARMACY 200 N HURSTBOURNE PKWY STE 176
LOUISVILLEKY4022207/01/2024  
CH0452070WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738604/01/2017  
CH0452070WAL-MART PHARMACY 10-05071000 BYPASS NORTH
LAWRENCEBURGKY4034201/01/2017  
CH045207KWAL-MART PHARMACY 10-05071000 BYPASS NORTH
LAWRENCEBURGKY4034201/01/2024  
CH0452070WAL-MART PHARMACY 10-0665725 CAMPBELLSVILLE BYPASS
CAMPBELLSVILLEKY4271810/01/2019  
CH045207GKWAL-MART PHARMACY 10-0665725 CAMPBELLSVILLE BYPASS
CAMPBELLSVILLEKY4271801/01/2024  
CH0452070WAL-MART PHARMACY 10-0692100 WALTON AVENUE
DANVILLEKY4042207/01/2016 02/21/2018
CH0452070WAL-MART PHARMACY 10-0692100 WALTON AVENUE
DANVILLEKY4042207/01/2020  
CH045207FDWAL-MART PHARMACY 10-0692100 WALTON AVENUE
DANVILLEKY4042201/01/2024  
CH0452070WAL-MART PHARMACY 10-0720301 LEONARD WOOD ROAD
FRANKFORTKY4060101/01/2015  
CH045207BEWAL-MART PHARMACY 10-0720301 LEONARD WOOD ROAD
FRANKFORTKY4060101/01/2024  
CH0452070WAL-MART PHARMACY 10-1234175 WAL-MART PLAZA DRIVE
MONTICELLOKY4263301/01/2015  
CH045207XWAL-MART PHARMACY 10-1234175 WAL-MART PLAZA DRIVE
MONTICELLOKY4263301/01/2024  
CH0452070WAL-MART PHARMACY 10-26541650 EDMONTON ROAD
TOMPKINSVILLEKY4216701/01/2015  
CH045207NWAL-MART PHARMACY 10-26541650 EDMONTON ROAD
TOMPKINSVILLEKY4216701/01/2024  
CH0452070WAL-MART PHARMACY 10-53152354 COMMERCE PARK DR.
ORLANDOFL3281910/01/2020  
CH045207DHWAL-MART PHARMACY 10-53152354 COMMERCE PARK DR.
ORLANDOFL3281901/01/2024  
CH0452070WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283704/01/2017  
CH045207DLWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2024  
CH0452070WALGREEN CO.DBA: WALGREENS # 07712 1001 W MAIN STREET
GLASGOWKY42141-111901/01/2015  
CH0452070WALGREEN CO.DBA: WALGREENS # 09855 1300 US HIGHWAY 127 S STE 115
FRANKFORTKY4060101/01/2015  
CH0452070WALGREEN CO.DBA: WALGREENS # 09856 385 VERSAILLES RD
FRANKFORTKY4060101/01/2015  
CH0452070WALGREEN CO.DBA: WALGREENS # 07664 600 S HWY 27
SOMERSETKY42501-350601/01/2017  
CH0452070WALGREEN CO.WALGREENS #19533 343 N WALLACE WILKINSON BLVD
LIBERTYKY4253902/14/2018 02/22/2022
CH0452070WALGREEN CO.RITE AID #04655 1303 US HIGHWAY 127 S
STE 106
FRANKFORTKY4060102/14/2018 08/30/2018
CH0452070WALGREEN CO.WALGREENS #17950 1000 BYPASS S
LAWRENCEBURGKY4034202/14/2018  
CH0452070WALGREEN CO.WALGREENS #17581 411 W STOCKTON ST
EDMONTONKY4212902/14/2018  
CH0452070WALGREEN CO.WALGREENS #17176 500 N HIGHWAY 27
PO BOX 930
WHITLEY CITYKY4265302/14/2018 02/27/2023
CH0452070WALGREEN CO.RITE AID #03939 101 EASTWOOD SHOPPING CTR
FRANKFORTKY4060102/14/2018 05/15/2019
CH0452070WALGREEN CO.RITE AID #04006 704 HAPPY VALLEY RD
GLASGOWKY4214102/14/2018 08/28/2018
CH0452070WALGREEN CO.WALGREENS #17497 1006 MAIN ST
MUNFORDVILLEKY4276502/14/2018  
CH0452070WALGREEN CO.WALGREENS #18362 508 STEVE DR
RUSSELL SPRINGSKY4264202/14/2018  
CH0452070WALGREEN CO.WALGREENS #19855 603 COLUMBIA HWY
GREENSBURGKY4274310/01/2018 02/21/2023
CH0452070WALGREEN CO.WALGREENS #17172 978 N MAIN ST
MONTICELLOKY4263307/01/2019  
CH0452070WALGREEN CO.WALGREENS #17438 394 N DIXIE ST
HORSE CAVEKY4274907/01/2019 03/24/2025
CH0452070WALGREEN CO.WALGREENS #17478 415 N LINCOLN BLVD
HODGENVILLEKY4274807/01/2019  
CH0452070WALGREEN CO.WALGREENS #18303 1000 GAINESBORO HIGHWAY
CELINATN3855107/01/2019 02/25/2025
CH0452070WALGREEN CO.WALGREENS #17145 1261 US HIGHWAY 27 N
STANFORDKY4048407/01/2019  
CH0452070WALGREEN CO.DBA: WALGREENS # 09587 450 HIGHWAY 52 BY-PASS W
LAFAYETTETN3708310/01/2020  
CH0452070WALGREEN CO.DBA: WALGREENS # 04123 1602 N. DIXIE AVE
ELIZABETHTOWNKY4270104/01/2023  
CH045207CXWALGREEN CO.DBA: WALGREENS # 04123 1602 N. DIXIE AVE
ELIZABETHTOWNKY4270101/01/2024  
CH045207GAWALGREEN CO.DBA: WALGREENS # 09855 1300 US HIGHWAY 127 S STE 115
FRANKFORTKY4060101/01/2024  
CH045207GBWALGREEN CO.DBA: WALGREENS # 09856 385 VERSAILLES RD
FRANKFORTKY4060101/01/2024  
CH045207HWALGREEN CO.DBA: WALGREENS # 07712 1001 W MAIN STREET
GLASGOWKY42141-111901/01/2024  
CH045207BHWALGREEN CO.WALGREENS #17478 415 N LINCOLN BLVD
HODGENVILLEKY4274801/01/2024  
CH045207HPWALGREEN CO.WALGREENS #17438 394 N DIXIE ST
HORSE CAVEKY4274901/01/2024 03/24/2025
CH045207BAWALGREEN CO.WALGREENS #17950 1000 BYPASS S
LAWRENCEBURGKY4034201/01/2024  
CH045207FYWALGREEN CO.WALGREENS #17172 978 N MAIN ST
MONTICELLOKY4263301/01/2024  
CH045207HQWALGREEN CO.WALGREENS #17497 1006 MAIN ST
MUNFORDVILLEKY4276501/01/2024  
CH045207BWALGREEN CO.WALGREENS #18362 508 STEVE DR
RUSSELL SPRINGSKY4264201/01/2024  
CH045207ERWALGREEN CO.WALGREENS #17581 411 W STOCKTON ST
EDMONTONKY4212901/01/2024  
CH045207AEWALGREEN CO.WALGREENS #18303 1000 GAINESBORO HIGHWAY
CELINATN3855101/01/2024 02/25/2025
CH045207GRWALGREEN CO.DBA: WALGREENS # 09587 450 HIGHWAY 52 BY-PASS W
LAFAYETTETN3708301/01/2024  
CH045207FUWALGREEN CO.DBA: WALGREENS # 07664 600 S HWY 27
SOMERSETKY42501-350601/01/2024  
CH045207FEWALGREEN CO.WALGREENS #17145 1261 US HIGHWAY 27 N
STANFORDKY4048401/01/2024  
CH045207GZWALGREEN CO.DBA: WALGREENS #13815 2824 SCOTTSVILLE RD.
BOWLING GREENKY4210401/01/2024  
CH0452070WALGREEN CO.DBA: WALGREENS #13815 2824 SCOTTSVILLE RD.
BOWLING GREENKY4210401/01/2024  
CH0452070WALGREEN CO.WALGREENS #17432 805 BARDSTOWN RD STE 1
SPRINGFIELDKY40069-151407/01/2024  
CH045207DXWALGREEN CO.WALGREENS #17432 805 BARDSTOWN RD STE 1
SPRINGFIELDKY40069-151407/01/2024  
CH0452070Walgreens #21389Walgreens Central Fill #21389 3299 Tchulatech Dr
Suite 101
MemphisTN3811807/01/2022  
CH0452070WALGREENS MAIL SERVICE, INC.  8337 S PARK CIRCLE
ORLANDOFL32819-904901/01/2015 07/27/2015
CH0452070WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528401/01/2015 07/27/2015
CH0452070WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818810/01/2020  
CH0452070WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527510/01/2020  
CH0452070WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503310/01/2020  
CH0452070WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700810/01/2020 10/01/2021
CH045207HAWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818801/01/2024  
CH045207CTWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503301/01/2024  
CH045207EAWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527501/01/2024  
CH0452070WALMART PHARMACY #10-5692988 BURKESVILLE RD.
COLUMBIAKY4272801/01/2015  
CH045207BYWALMART PHARMACY #10-5692988 BURKESVILLE RD.
COLUMBIAKY4272801/01/2024  
CH0452070WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A
ROGERSAR7275607/01/2023  
CH045207ACWALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A
ROGERSAR7275601/01/2024  
CH0452070Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CH045207UWalmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CH0452070WYNN EXPRESS PHARMACY43 MEDICAL LANE
WHITLEY CITYKY4265310/01/2016 09/18/2019
CH045207DWYNN EXPRESS PHARMACY43 MEDICAL LANE
WHITLEY CITYKY4265304/01/2011 10/01/2016
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/30/2024 3:53:10 PM2/18/2025 3:58:00 PM2/18/2025 3:58 PM
DetailsLast Recertification DateUpdateRecertification2/10/2023 11:42:20 AM1/30/2024 3:53:10 PM1/30/2024 3:53 PM
DetailsLast Recertification DateUpdateRecertification2/15/2022 2:37:25 PM2/10/2023 11:42:20 AM2/10/2023 11:42 AM
DetailsLast Recertification DateUpdateRecertification2/18/2021 7:43:28 PM2/15/2022 2:37:25 PM2/15/2022 2:37 PM
ContactsAuthorizing OfficialUpdateGroup Change RequestLoy, Eric CEO Cumberland Family Medical Center 2708642889Smith, Ryan CFO Cumberland Family Medical Center 27085866551/27/2022 11:05 AM
AddressesBilling AddressUpdateRecertificationCumberland Family Medical Center PO Box 2399 404 Steve Drive Russell Springs, KY 42642Cumberland Family Medical Center PO Box 2399 Russell Springs, KY 426422/18/2021 7:43 PM
Medicaid BillingNPI: NumberInsertRecertification 13068735002/18/2021 7:43 PM
Medicaid BillingNPI: StateInsertRecertification KY2/18/2021 7:43 PM
Medicaid BillingNPI: NumberDeleteRecertification1306873500 ( ) 2/18/2021 7:43 PM
DetailsLast Recertification DateUpdateRecertification1/31/2020 3:06:14 PM2/18/2021 7:43:28 PM2/18/2021 7:43 PM
DetailsLast Recertification DateUpdateRecertification2/5/2019 4:31:31 PM1/31/2020 3:06:14 PM1/31/2020 3:06 PM
AddressesShipping AddressDeleteChange RequestCumberland Family Medical Center 360 Keen Street Burkesville, KY 42717 5/23/2019 8:26 AM
AddressesShipping AddressInsertChange Request Cumberland Family Medical Center 404 Steve Drive Russell Springs, KY 426425/23/2019 8:26 AM
DetailsLast Recertification DateUpdateRecertification2/21/2018 4:07:17 PM2/5/2019 4:31:31 PM2/5/2019 4:31 PM
DetailsLast Recertification DateUpdateRecertification 2/21/2018 4:07:17 PM2/21/2018 4:07 PM
DetailsStateUpdate ApprovedActive1/1/2018 12:00 AM
ContactsSigned ByInsertNew Registration Loy, Eric CEO Cumberland Family Medical Center 270864288910/23/2017 9:18 PM
Details340B IDUpdateNew Registration CH045207BP10/23/2017 9:18 PM
DatesParticipating Approval DateUpdateNew Registration 10/23/2017 9:18:39 PM10/23/2017 9:18 PM
DetailsStateUpdateNew RegistrationPendingApproved10/23/2017 9:18 PM
DatesSigned By DateUpdateNew Registration 10/16/2017 4:55:48 PM10/23/2017 9:18 PM
DatesStart DateUpdateNew Registration 1/1/2018 12:00:00 AM10/23/2017 9:18 PM
AddressesMain AddressInsertNew Registration  285 Education Way Stanford, KY 4048410/13/2017 11:22 AM
AddressesBilling AddressInsertNew Registration Cumberland Family Medical Center PO Box 2399 404 Steve Drive Russell Springs, KY 4264210/13/2017 11:22 AM
AddressesShipping AddressInsertNew Registration Cumberland Family Medical Center 360 Keen Street Burkesville, KY 4271710/13/2017 11:22 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False10/13/2017 11:22 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 710001728010/13/2017 11:22 AM
Medicaid BillingMedicaid: StateInsertNew Registration KY10/13/2017 11:22 AM
Medicaid BillingNPI: NumberInsertNew Registration 130687350010/13/2017 11:22 AM
ContactsAuthorizing OfficialInsertNew Registration Loy, Eric CEO Cumberland Family Medical Center 270864288910/13/2017 11:22 AM
ContactsPrimary ContactInsertNew Registration Staton, Mona Director of 340B Services Cumberland Family Medical Center 270864288910/13/2017 11:22 AM
DetailsLast Recertification DateInsertNew Registration  10/13/2017 11:22 AM
DetailsGrant NumberInsertNew Registration H80CS0821810/13/2017 11:22 AM
Details340B IDInsertNew Registration  10/13/2017 11:22 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  10/13/2017 11:22 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  10/13/2017 11:22 AM
DetailsMedicare Provider NumberInsertNew Registration  10/13/2017 11:22 AM
DetailsEntity NameInsertNew Registration CUMBERLAND FAMILY MEDICAL CENTER, INC.10/13/2017 11:22 AM
DetailsProgram CodeInsertNew Registration CH10/13/2017 11:22 AM
DetailsEntity SubnameInsertNew Registration Lincoln County Middle Healthy Kids Clinic10/13/2017 11:22 AM
DatesParticipating Approval DateInsertNew Registration  10/13/2017 11:22 AM
DetailsStateInsertNew Registration Pending10/13/2017 11:22 AM
DatesRegistration DateInsertNew Registration 10/13/2017 11:22:32 AM10/13/2017 11:22 AM
DatesSigned By DateInsertNew Registration  10/13/2017 11:22 AM
DatesStart DateInsertNew Registration  10/13/2017 11:22 AM
TerminationsTermination CommentsInsertNew Registration  10/13/2017 11:22 AM
TerminationsTermination DateInsertNew Registration  10/13/2017 11:22 AM
TerminationsTermination Effective DateInsertNew Registration  10/13/2017 11:22 AM
TerminationsTermination ReasonInsertNew Registration  10/13/2017 11:22 AM