340B Drug Pricing Program Database


CHC29018-02 NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (Active) - information as of 5/13/2025 10:49:33 PM

Main Details
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Fort Greene Child Health Clinic
HRSA-Funded Health Center
BPS-H80-018488
CHC29018-02
H80CS29018


Additional Details
Active
12/4/2017
1/1/2018
12/5/2017
3/5/2025

Contacts

NYC Health + Hospitals
Deborah Alyse Brown, Senior Vice President, Chief External Affairs Officer
(347) 947-0446

NYC Health + Hospitals
Mark Capuano, Senior Director, Corporate Pharmacy 340B Program
(347) 835-9198

Addresses

295 Flatbush Avenue Extension
Brooklyn, NY 11201-3001

Cumberland Health Center
100 North Portland Avenue
Brooklyn, NY 11205


  • 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
NY10058981356406136
Shipping Addresses

Cumberland Health Center
100 North Portland Avenue
Brooklyn, NY 11205
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC29018-00ActiveBPS-H80-015506NEW YORK CITY HEALTH AND HOSPITALSCumberland Diagnostic and Treatment Center100 N Portland Ave BrooklynNY
CHC29018-01ActiveBPS-H80-018491NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONJonathan Williams Child Health Clinic333 Roebling St BrooklynNY
CHC29018-02ActiveBPS-H80-018488NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONFort Greene Child Health Clinic295 Flatbush Avenue Extension BrooklynNY
CHC29018-03TerminatedBPS-H80-018489NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONSumner Avenue Houses Child Health Clinic47 Marcus Garvey Blvd BrooklynNY
CHC29018-04TerminatedBPS-H80-018486NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONEleanor Roosevelt Houses Child Health Center388 Pulaski St BrooklynNY
CHC29018-05ActiveBPS-H80-018487NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONWilliamsburg Community Health Center279 Graham Ave BrooklynNY
CHC29018-06TerminatedBPS-H80-018490NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONLafayette Houses Child Health Clinic434 Dekalb Ave BrooklynNY
CHC29018-07TerminatedBPS-H80-021755NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONWoodhull Williamsburg Adult Health Center279 Graham Ave BrooklynNY
CHC29018-08ActiveBPS-H80-021753NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONHealth Center at Gunhill1012 E Gun Hill Rd BronxNY
CHC29018-09ActiveBPS-H80-021834NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONGreenpoint Health Center875 Manhattan Ave BrooklynNY
CHC29018-10ActiveBPS-H80-031479NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONTremont Community Health Center of Excellence1920 Webster Avenue BronxNY
CHC29018-11ActiveBPS-H80-021754NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONBushwick Communicare Center335 Central Avenue BrooklynNY
CHC29018-12TerminatedBPS-H80-021835NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONLa Clinica Del Barrio413 East 120th Street New YorkNY
CHC29018-13TerminatedBPS-H80-022232NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONIntermediate School 14533-34 80th Street Jackson HeightsNY
CHC29018-14ActiveBPS-H80-022235NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONBedford Community Health Center485 Throop Avenue BrooklynNY
CHC29018-15ActiveBPS-H80-021981NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONRidgewood Communicare Clinic769 Onderdonk Avenue RidgewoodNY
CHC29018-16ActiveBPS-H80-021983NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONSouth Queens Community Health Center114-20 Guy R Brewer Blvd JamaicaNY
CHC29018-17TerminatedBPS-H80-022234NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONHomecrest District Health Center1601 Avenue S BrooklynNY
CHC29018-18ActiveBPS-H80-021878NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONParson Community Health Center90-37 Parsons Blvd JamaicaNY
CHC29018-19TerminatedBPS-H80-022227NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONIntermediate School 49223 Graham Avenue BrooklynNY
CHC29018-20ActiveBPS-H80-022230NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONVanderbilit Community Health Center165 Vanderbilt Avenue Staten IslandNY
CHC29018-21TerminatedBPS-H80-021874NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONPS 868741 Parsons Blvd JamaicaNY
CHC29018-22ActiveBPS-H80-021875NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONWomens Health Center (Lefrak)59-17 Junction Boulevard CoronaNY
CHC29018-23ActiveBPS-H80-021877NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONCorona District Health Center34-33 Junction Boulevard CoronaNY
CHC29018-24TerminatedBPS-H80-022237NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONMariners Harbor Family Health Center2040 Forest Avenue Staten IslandNY
CHC29018-25ActiveBPS-H80-022236NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONWoodside Houses Child Health Clinic50-53 Newtown Road WoodsideNY
CHC29018-26ActiveBPS-H80-021876NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONSpringfield Community Health Center13464 Springfield Blvd Springfield GardensNY
CHC29018-27TerminatedBPS-H80-022033NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONIda G. Israel2925 West 19th Street BrooklynNY
CHC29018-28TerminatedBPS-H80-022238NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONLong Island City High School14-30 Broadway QueensNY
CHC29018-29TerminatedBPS-H80-021982NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONSpringfield Gardens Educational Campus143-10 Springfield Boulevard Springfield GardensNY
CHC29018-30TerminatedBPS-H80-022228NEW YORK CITY HEALTH AND HOSPITALS CORPORATION850 Grand Street Campus High School850 Grand Street. BrooklynNY
CHC29018-31TerminatedBPS-H80-022334NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONNorman Thomas High School111 East 33rd Street New YorkNY
CHC29018-32TerminatedBPS-H80-024484NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONHenry Street Campus220 Henry St New YorkNY
CHC29018-33TerminatedBPS-H80-024483NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONIS 10 Frederick Douglas Academy2581 Seventh Avenue New YorkNY
CHC29018-34ActiveBPS-H80-024629NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONSydenham Health Center264 West 118th Street New YorkNY
CHC29018-35ActiveBPS-H80-024414NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONMorrisania D&TC1225 Gerard Ave BronxNY
CHC29018-36ActiveBPS-H80-024410NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONBrownsville CHC259 Bristol St. BrooklynNY
CHC29018-37TerminatedBPS-H80-024423NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONPS 194244 West 144th Street New YorkNY
CHC29018-38ActiveBPS-H80-024404NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONCES 731020 Anderson Ave BronxNY
CHC29018-39ActiveBPS-H80-024627NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONJudson Health Center34 Spring St New YorkNY
CHC29018-40TerminatedBPS-H80-024599NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONPS 30/31144 E 128th St New YorkNY
CHC29018-41TerminatedBPS-H80-024420NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONJunior High School 1171865 Morris Ave BronxNY
CHC29018-42TerminatedBPS-H80-024415NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONPS 1972230 5th Ave New YorkNY
CHC29018-43TerminatedBPS-H80-024409NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONPS 161499 W 133rd St New YorkNY
CHC29018-44ActiveBPS-H80-024510NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONCrown Heights1218 Prospect Pl BrooklynNY
CHC29018-45ActiveBPS-H80-024403NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONSt Nicholas Houses Child Health Clinic281 W 127th St New YorkNY
CHC29018-46TerminatedBPS-H80-024518NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONDrew Hamilton2698 Eighth Avenue New YorkNY
CHC29018-47TerminatedBPS-H80-024600NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONBushwick Educational Campus400 Irving Ave BrooklynNY
CHC29018-48TerminatedBPS-H80-024421NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONIS 166 - Gershwin800 Van Siclen Ave BrooklynNY
CHC29018-49ActiveBPS-H80-024406NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONIS 286/172509 W 129th St New YorkNY
CHC29018-50TerminatedBPS-H80-024418NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONDaniel Webster401 E 168th St BronxNY
CHC29018-51ActiveBPS-H80-024482NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONGouverneur Diagnostic & Treatment Center227 Madison St New YorkNY
CHC29018-52TerminatedBPS-H80-024411NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONJordan L Mott JHS 22270 E 167th St BronxNY
CHC29018-53ActiveBPS-H80-024412NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONEast New York Diagnostic and Treatment Center2094 Pitkin Ave BrooklynNY
CHC29018-54ActiveBPS-H80-024407NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONLa Clinica de Las Americas (Dyckman Health Center)175 Nagle Ave New YorkNY
CHC29018-55ActiveBPS-H80-024637NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONRoberto Clemente Family Guidance Center540 E 13th St New YorkNY
CHC29018-56ActiveBPS-H80-024413NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONSegundo Ruiz Belvis Diagnostic and Treatment Center545 E 142nd St BronxNY
CHC29018-57TerminatedBPS-H80-024641NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONSutter Avenue CHC1091 Sutter Ave BrooklynNY
CHC29018-58TerminatedBPS-H80-024408NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONMelrose Houses Child Health Center348 E 156th St BronxNY
CHC29018-59TerminatedBPS-H80-024417NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONCS 2002589 Seventh Avenue New YorkNY
CHC29018-60TerminatedBPS-H80-024419NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONPS 46 Tappan2987 Eighth Avenue New YorkNY
CHC29018-61TerminatedBPS-H80-024964NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONIS 302350 Linwood St BrooklynNY
CHC29018-62ActiveBPS-H80-031768NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONRoosevelt Community Health Center of Excellence37-50 72nd Street Jackson HeightsNY
CHC29018-63ActiveBPS-H80-034101NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONBroadway Community Health Center of Excellence815 Broadway BrooklynNY
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC29018-0031ST & 3RD PHARMACY INCD/B/A AVITA PHARMACY 1063 1860 WALT WHITMAN RD STE 700
MELVILLENY1174701/01/2018  
CHC29018-00514 WILLIS AVE DRUG CORP.D/B/A BOCA PHARMACY 514 WILLIS AVE
BRONXNY1045507/01/2019 04/10/2023
CHC29018-00514 WILLIS AVE PHARMACY CORP514 WILLIS AVENUE
BRONXNY1045507/01/2019 10/15/2019
CHC29018-00523 PHARMACY CORP.523 MALCOLM X BLVD
NEW YORKNY1003707/01/2019 08/08/2023
CHC29018-00ACCREDO HEALTH GROUP INC201 GREAT CIRCLE ROAD
NASHVILLETN3722801/01/2017 07/19/2017
CHC29018-00ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750201/01/2017  
CHC29018-00ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884901/01/2017  
CHC29018-00ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/01/2023  
CHC29018-00ACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624101/01/2017 07/14/2023
CHC29018-00ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349201/01/2017  
CHC29018-00ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282201/01/2017  
CHC29018-00ACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607510/01/2023  
CHC29018-00AVON PHARMACY & SURGICAL82 GRAHAM AVE
BROOKLYNNY1120607/01/2019  
CHC29018-00AVS PHARMACYD/B/A LEROY PHARMACY 314 E 204TH ST
BRONXNY1046707/01/2019  
CHC29018-00BELLEVUE HOSPITAL CENTER462 1ST AVE
NEW YORKNY10016-919604/17/2020  
CHC29018-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526101/01/2024  
CHC29018-00BRIGHT PHARMA INC142 E 170TH ST
BRONXNY10452-702104/01/2022  
CHC29018-00BRONX PRESCRIPTION CENTER SOUTH INCDBA-LEFF PRESCRIPTION CENTER 70 EAST 161ST STREET
BRONXNY1045101/01/2019  
CHC29018-00BROOKDALE PHARMA INCD/B/A BROOKDALE PHARMACY 2568 LINDEN BLVD
BROOKLYNNY11208-490401/01/2019 06/22/2022
CHC29018-00BROOKDALE PHARMA INCD/B/A BROOKDALE PHARMACY 2568 LINDEN BLVD
BROOKLYNNY11208-490407/01/2023 11/02/2023
CHC29018-00BROTHER PHARMACY & SURGICALS INCCARE PHARMACY & SURGICALS DBA 565 LENOX AVE
NEW YORKNY1003707/01/2019 04/10/2025
CHC29018-00CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361410/01/2017 01/24/2018
CHC29018-00CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005610/01/2017 01/24/2018
CHC29018-00CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/01/2020  
CHC29018-00CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621910/01/2017 01/24/2018
CHC29018-00CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175710/01/2017  
CHC29018-00CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808310/01/2017 01/24/2018
CHC29018-00CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700410/01/2017  
CHC29018-00CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761710/01/2017 01/24/2018
CHC29018-00CAREMARK SRX INCJ&N PHARMACY 1220 MORRIS AVE.
BRONXNY10456-311707/01/2019 08/08/2023
CHC29018-00CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813310/01/2017 01/24/2018
CHC29018-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237410/01/2017 01/24/2018
CHC29018-00CENTRAL PHARMACY GROUP INC1ST AID PHARMACY & SURGICAL SUPPLIES 23 W FORDHAM RD
BRONXNY10468-530404/01/2023 11/02/2023
CHC29018-00CORAM ALTERNATE SITE SERVICES, INC.DBA CORAM CVS/SPECIALTY INFUSION SERVICE 11 H COMMERCE WAY
TOTOWANJ0751210/01/2017 01/11/2024
CHC29018-00CORAM HEALTHCARE CORPORATION OF GREATERDBA CORAM CVS/SPECIALTY INFUSION SERVICE 48-23 55TH AVENUE
MASPETHNY1137810/01/2017 01/11/2024
CHC29018-00CVS ALBANY, L.L.C.DBA CVS/PHARMACY # 8969 50-56 EAST 167TH ST.
BRONXNY1045204/01/2019  
CHC29018-00CVS ALBANY, L.L.C.CVS/PHARMACY # 13019 218 MYRTLE AVE.
BROOKLYNNY1120104/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02557 253 FIRST AVENUE
NEW YORKNY1000304/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 07019 150 EAST 42ND ST.
NEW YORKNY1001710/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02906 10204 FLATLANDS AVE.
BROOKLYNNY1123610/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02812 1070 FLATBUSH AVENUE
BROOKLYNNY1122610/01/2019 01/12/2020
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00542 212-20 NORTHERN BOULEVARD
BAYSIDENY1136110/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 07067 1916 WILLIAMSBRIDGE ROAD
BRONXNY1046110/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 06052 250 PAGE AVE.
STATEN ISLANDNY1030710/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02700 1402 SHEEPSHEAD BAY ROAD
BROOKLYNNY1123510/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02344 1249 NOSTRAND AVENUE
BROOKLYNNY1122510/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 06048 1933 VICTORY BLVD.
STATEN ISLANDNY1031410/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02699 411 DITMAS AVENUE
BROOKLYNNY1121810/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA CVS/PHARMACY # 10298 241 WEST 57TH STREET
NEW YORKNY1001910/01/2019 11/02/2023
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02144 1396 SECOND AVENUE
NEW YORKNY1002110/01/2019 11/02/2023
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 06053 2045 FOREST AVE.
STATEN ISLANDNY1030310/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02769 4901 KINGS HIGHWAY
BROOKLYNNY1123410/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 01791 156 HENRY STREET
BROOKLYNNY1120110/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02441 2151 86TH STREET
BROOKLYNNY1121410/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 06045 1571 FOREST AVE.
STATEN ISLANDNY1030210/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY #07576 3101 DITMARS BLVD.
ASTORIANY1110510/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 06049 1361 HYLAN BLVD.
STATEN ISLANDNY1030510/01/2019  
CHC29018-00CVS ALBANY, L.L.C.CVS/PHARMACY # 17681 445 GOLD ST
BROOKLYNNY1120110/01/2019 11/02/2023
CHC29018-00CVS ALBANY, L.L.C.DBA CVS/PHARMACY # 10042 859 MANHATTAN AVE.
BROOKLYNNY1122210/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 06046 2690 HYLAN BLVD
STATEN ISLANDNY1030610/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 06055 5830 AMBOY RD
STATEN ISLANDNY1030910/01/2019 11/02/2023
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02431 4112 AVENUE U
BROOKLYNNY1123410/01/2019 11/02/2023
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 03096 3775 E. TREMONT AVE.
BRONXNY1046510/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02436 1346 PENNSYLVANIA AVENUE
BROOKLYNNY1123910/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 06051 501 FOREST AVE.
STATEN ISLANDNY1031010/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02428 532 NEPTUNE AVENUE, UNIT 1
BROOKLYNNY1122410/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02057 100-02 QUEENS BOULEVARD
FOREST HILLSNY1137510/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02445 540 AMSTERDAM AVENUE
NEW YORKNY1002410/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 06047 640 ARTHUR KILL ROAD
STATEN ISLANDNY1030810/01/2019  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02939 500 GRAND ST.
NEW YORKNY1000201/01/2020  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 03224 130 LENOX AVE.
NEW YORKNY1002601/01/2020  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02718 178-02 HILLSIDE AVE.
JAMAICANY1143201/01/2020  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02672 150 COURT STREET
BROOKLYNNY1120101/01/2020  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 06030 157-05 CROSS BAY BLVD.
HOWARD BEACHNY1141404/01/2020  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02442 271 BEACH 20TH STREET
FAR ROCKAWAYNY1169107/01/2020  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02940 500 W. 42ND ST.
NEW YORKNY1003607/01/2020  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00491 7209 NORTHERN BLVD
JACKSON HEIGHTSNY1137207/01/2020  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02551 3125 BAINBRIDGE AVENUE
BRONXNY1046707/01/2020  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02434 338 EAST 23RD ST.
NEW YORKNY1001007/01/2020  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 05772 1500 LEXINGTON AVE.
NEW YORKNY1002907/01/2020  
CHC29018-00CVS ALBANY, L.L.C.CVS/PHARMACY # 2280 329-339 WYCKOFF AVE
RIDGEWOODNY1138507/01/2020  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02737 115 W. 125TH STREET
NEW YORKNY1002707/01/2020  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02438 282 EAST 149TH STREET
BRONXNY1045107/01/2020  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 03752 630 LEXINGTON AVENUE
NEW YORKNY1002201/01/2021  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 01113 89-11 NORTHERN BLVD.
JACKSON HEIGHTSNY1137201/01/2021  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02041 83-02 ATLANTIC AVENUE
OZONE PARKNY1141601/01/2021  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 03138 206-09 LINDEN BOULEVARD
CAMBRIA HEIGHTSNY1141101/01/2021  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 03621 170-05 LINDEN BLVD.
JAMAICANY1143401/01/2021  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02058 158 BLEECKER STREET
NEW YORKNY1001201/01/2021  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 06056 1125 BAY STREET
STATEN ISLANDNY1030507/01/2021  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02558 360 SIXTH AVENUE
NEW YORKNY1001107/01/2021  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 01907 105 WEST MAIN STREET
WEST SAYVILLENY1179607/01/2021 11/02/2023
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02716 129 FULTON STREET
NEW YORKNY1003807/01/2022  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02437 732 ALLERTON AVENUE
BRONXNY1046707/01/2022  
CHC29018-00CVS ALBANY, L.L.C.CVS PHARMACY # 16969 139 FLATBUSH AVE
BROOKLYNNY1121707/01/2022  
CHC29018-00CVS ALBANY, L.L.C.CVS PHARMACY # 16740 519 GATEWAY DR
BROOKLYNNY1123907/01/2022  
CHC29018-00CVS ALBANY, L.L.C.CVS/PHARMACY # 10112 288 ST. NICHOLAS AVE.
NEW YORKNY1002707/01/2022  
CHC29018-00CVS ALBANY, L.L.C.DBA CVS/PHARMACY #8940 1688 WESTCHESTER AVE
BRONXNY1047207/01/2022  
CHC29018-00CVS ALBANY, L.L.C.DBA CVS/PHARMACY #11132 196 ORCHARD STREET
NEW YORKNY1000210/01/2022  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 06054 2465 RICHMOND AVE.
STATEN ISLANDNY1031410/01/2022  
CHC29018-00CVS ALBANY, L.L.C.DBA CVS/PHARMACY # 10828 51 ASTOR PLACE
NEW YORKNY1000310/01/2022  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02498 341 9TH STREET
BROOKLYNNY1121510/01/2022  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 06050 1654 RICHMOND AVE
STATEN ISLANDNY1031410/01/2022  
CHC29018-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 06058 260 ARDEN AVE.
STATEN ISLANDNY1031210/01/2022  
CHC29018-00CVS ALBANY, L.L.C.CVS/PHARMACY # 17728 400 GRAND STREET
NEW YORKNY1000201/01/2023  
CHC29018-00CVS ALBANY, L.L.C.DBA CVS/PHARMACY #17828 215 EAST FORDHAM ROAD
BRONXNY1045804/01/2024  
CHC29018-00CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870604/01/2023  
CHC29018-00CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502804/01/2020  
CHC29018-00DAAZIN INCDBA-GREEN PHARMACY 567 SUTTER AVE
BROOKLYNNY11207-402904/01/2019 08/08/2023
CHC29018-00DELIVER MY MEDS CORP.380 OSER AVE
HAUPPAUGENY11788-360807/01/2019 08/08/2023
CHC29018-00DJ DRUGS & SURGICALS INCAHMA RX 2381 FREDERICK DOUGLASS BLVD
NEW YORKNY1002707/01/2019  
CHC29018-00DUANE READE386 FULTON ST
BROOKLYNNY1120110/01/2016  
CHC29018-00DUANE READE756 MYRTLE AVE
BROOKLYNNY1120610/01/2016  
CHC29018-00DUANE READE559 FULTON STREET
BROOKLYNNY11201-530910/01/2016 12/09/2021
CHC29018-00DUANE READEDBA: DUANE READE 3387 BROADWAY
NEW YORKNY1003101/01/2019  
CHC29018-00DUANE READEDBA: MELROSE PHARMACY 666 COURTLANDT AVE.
BRONXNY1045101/01/2019 11/18/2020
CHC29018-00DUANE READE84-32 JAMAICA AVENUE
WOODHAVENNY1142101/01/2019  
CHC29018-00DUANE READE724 FLATBUSH AVENUE
BROOKLYNNY1122604/01/2019  
CHC29018-00DUANE READE133-141 DYCKMAN STREET
NEW YORKNY1004004/01/2019  
CHC29018-00DUANE READE1 WHITEHALL ST
NEW YORKNY1000404/01/2019  
CHC29018-00DUANE READE1 REMSEN AVENUE
BROOKLYNNY11212-153604/01/2019 07/09/2019
CHC29018-00DUANE READE300 WEST 135TH ST.
NEW YORKNY1003004/01/2019  
CHC29018-00DUANE READE750 NEW YORK AVE
BROOKLYNNY1120304/01/2019 03/04/2020
CHC29018-00DUANE READE100 DELANCEY STREET
NEW YORKNY10002-320204/01/2019  
CHC29018-00DUANE READE95 WALL ST
NEW YORKNY1000504/01/2019  
CHC29018-00DUANE READE352 GREENWICH ST
NEW YORKNY1001304/01/2019  
CHC29018-00DUANE READE320 W 145TH STREET
NEW YORKNY1003904/01/2019  
CHC29018-00DUANE READE60 SPRING STREET
NEW YORKNY1001204/01/2019  
CHC29018-00DUANE READE135 EAST 125TH STREET
NEW YORKNY1003504/01/2019 11/15/2022
CHC29018-00DUANE READE1-13 EAST KINGSBRIDGE RD
BRONXNY1046804/01/2019 03/03/2020
CHC29018-00DUANE READE58 E. FORDHAM ROAD
BRONXNY1046804/01/2019 12/09/2021
CHC29018-00DUANE READE941 SOUTHERN BLVD #943
BRONXNY1045904/01/2019 10/03/2019
CHC29018-00DUANE READE73-01 37TH AVENUE
JACKSON HEIGHTSNY11372-632610/01/2021  
CHC29018-00DUANE READE194 EAST 2ND STREET
NEW YORKNY1000910/01/2022  
CHC29018-00DUANE READEC/O PHARMACY 200 WATER STREET
NEW YORKNY1003807/01/2023  
CHC29018-00DUNBAR PHARMACY INC.2580 ADAM CLAYTON POWELL JR BLVD
NEW YORKNY1003901/01/2021 06/22/2022
CHC29018-00EAST NEW YORK DIAGNOSTIC AND TREATMENT CDIV OF NYC HEALTH & HOSP CORP 2094 PITKIN AVE
BROOKLYNNY1120710/01/2021  
CHC29018-00ELMHURST HOSPITAL CENTER79-01 Broadway
ElmhurstNY1137310/01/2018  
CHC29018-00ESQUIRE PHARMACY INCDBA: ESQUIRE PHARMACY 277 1ST AVE
NEW YORKNY10003-299407/01/2023  
CHC29018-00EXPRESS HEALTH MART PHARMACY CORP.1173 NOSTRAND AVE
BROOKLYNNY1122501/01/2017 09/25/2019
CHC29018-00EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313407/01/2019  
CHC29018-00EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/01/2018  
CHC29018-00FINE CARE PHARMACY INC981 FULTON STREET ATTN: SUPERVISING PHARMACIST
BROOKLYNNY1123804/01/2019 05/06/2019
CHC29018-00FIRO INCDBA: FIRO PHARMACY & SURGICALS 1418 WYTHE PL
BRONXNY10452-690401/01/2020  
CHC29018-00GENOVESE DRUG STORES, INC.RITE AID #10535 385 BAY STREET
STE 1 		STATEN ISLANDNY10301-326407/01/2021 06/02/2022
CHC29018-00GIANT PITKIN PHARMACY INCDBA HEALTH MART PITKIN PHARMACY 2232 PITKIN AVE
BROOKLYNNY1120701/01/2019 07/15/2024
CHC29018-00GOLD STREET PHARMA INC.NICK'S PHARMACY 111 GOLD ST
BROOKLYNNY1120110/01/2016  
CHC29018-00GOUVERNEUR DIAGNOSTIC & TREATMENT CENTERATTN: PHARMACY DEPARTMENT 227 MADISON ST
NEW YORKNY1000210/01/2021  
CHC29018-00HARLEM HOSPITAL CENTERc/o Outpatient Pharmacy 46 West 137th Street
New YorkNY1003704/01/2019  
CHC29018-00HEALTH POINT DRUGS INCHEALTH POINT DRUGS 392 MYRTLE AVE
BROOKLYNNY1120507/01/2019 07/15/2024
CHC29018-00JACOBI MEDICAL CENTERNYC-HEALTH & HOSP.CORP ATTN: PHARMACY DEPARTMENT
1400 PELHAM PKWY SOUTH 		BRONXNY1046104/17/2020  
CHC29018-00JADZ INCMEDISERV PHARMACY 2611 WEBSTER AVE
BRONXNY1045801/01/2023  
CHC29018-00JEWEL OF FLUSHING RX INC.70-35 PARSONS BLVD.
FLUSHINGNY11365-304904/01/2019  
CHC29018-00JOSEPH KRAMER INCDBA:KRAMER, JOSEPH, INC. (X-REF.) 309 SAINT ANN'S AVE
BRONXNY1045401/01/2019  
CHC29018-00KALA PHARMACY INC9311 CHURCH AVE
BROOKLYNNY11212-164510/01/2018 10/25/2018
CHC29018-00KINGS COUNTY MED CNTRC/O MAIN PHARMACY 451 CLARKSON AVE
BROOKLYNNY1120304/17/2020  
CHC29018-00KINGS PHARMACY INC.DBA-NEW YORK AVE PHARMACY 3424 CHURCH AVE
BROOKLYNNY1120304/01/2023  
CHC29018-00LENOX TERRACE PHARMACY INCDBA: LENOX TERRACE DRUGS 20 W 135TH ST
NEW YORKNY10037-253407/01/2019  
CHC29018-00LEROY PHARMACY II LLC239 E 198TH ST
BRONXNY10458-314701/01/2019  
CHC29018-00LG DRUGS INC.DBA: GENA CARE PHARMACY 173 CHAUNCEY ST
GENA CARE PHARMACY 		BROOKLYNNY11233-215404/01/2019 11/02/2023
CHC29018-00LINCOLN MEDICAL & MENTAL HEALTH CENTER234 E 149TH ST CENTRAL PHARMACY
BRONXNY10451-550410/01/2019  
CHC29018-00LINCOLN NYC RX LLC DBA LINCOLN SPECIALTYLINCOLN SPECIALTY PHARMACY 2825 3RD AVE
BRONXNY10455-406610/01/2021 04/10/2023
CHC29018-00LINCOLN PLACE PHARMACY INC1135 EASTERN PKWY
BROOKLYNNY1121301/01/2019 11/02/2023
CHC29018-00LINDENWOOD RX CENTER INCLIRX 1380 LORING AVE
C/O PHARMACY 		BROOKLYNNY1120807/01/2019  
CHC29018-00LOISAIDA RX INCD/B/A LOISAIDA DRUGS & SURGICAL 273 E 3RD ST
NEW YORKNY1000901/01/2019  
CHC29018-00LUMIT RX INC.DBA: LUMIT PHARMACY 200 E 167TH ST
BRONXNY1045604/01/2019  
CHC29018-00MALCOLM PHARMACY INC160 LENOX AVE.
NEW YORKNY1002607/01/2023  
CHC29018-00MAR DRUG CORP.  FAMILY PHARMACY & SURGICAL SUPPLY
2754 3RD AVE 		BRONXNY1045501/01/2019 05/06/2019
CHC29018-00MARCY PHARMACY INC170 THROOP AVE
BROOKLYNNY1120610/01/2019  
CHC29018-00MARG PHARMACY76 GRAHAM AVE.
BROOKLYNNY11206-401701/01/2018  
CHC29018-00MEDICINE CENTER RX LLC92 E 167TH ST
BRONXNY10452-820310/01/2021  
CHC29018-00MEDIEXPRESS PHARMACY CORP78 CLINTON STREET STORE SOUTH
NEW YORKNY1000201/01/2019 08/08/2023
CHC29018-00MEDILANE PHARMACY CORP204 CLINTON STREET
NEW YORKNY1000201/01/2019  
CHC29018-00MEDLY PHARMACY INC.DBA MEDLY PHARMACY 31 DEBEVOISE ST
BROOKLYNNY11206-419610/01/2018 10/25/2018
CHC29018-00MEDLY PHARMACY INC.DBA MEDLY PHARMACY 31 DEBEVOISE ST
BROOKLYNNY11206-419610/01/2022 08/08/2023
CHC29018-00METROPOLITAN HOSPITAL CENTERATTN: PHARMACY DEPARTMENT 1901 FIRST AVE
NEW YORKNY1002904/17/2020  
CHC29018-00MORRIS CARE INCD/B/A MORRIS PHARMACY 255B E 165TH ST
BRONXNY10456-605701/01/2019 11/02/2023
CHC29018-00MORRISANIA DIAGNOSTIC AND TREATMENT CENTATTN: PHARMACY DEPARTMENT 1225 GERARD AVE
BRONXNY1045210/01/2021  
CHC29018-00MOSUZ INCDBA: BELMONT PHARMACY 102 A BELMONT AVE
BROOKLYNNY11212-112101/01/2019 02/28/2019
CHC29018-00MYRTLE PHARMACY INC446A MYRTLE AVE ATTN: SUPERVISING PHARMACIST
BROOKLYNNY1120510/01/2016 11/02/2023
CHC29018-00NEVINS DRUGS INC.739 FULTON ST
BROOKLYNNY1121707/01/2023 07/15/2024
CHC29018-00NEW GENERATION PHARMACY LLCD/B/A GENERATION PHARMACY 31-33 OLIVER ST # 3
NEW YORKNY1003801/01/2019  
CHC29018-00NEW RONSON DRUG INC237 UTICA AVE
BROOKLYNNY1121301/01/2019 08/08/2023
CHC29018-00NEW YORK CITY HEALTH AND HOSPITAL CORPORRENAISSANCE HEALTH CARE NETWORK 264 W 118TH ST
NEW YORKNY10026-162010/01/2021  
CHC29018-00NORTH CENTRAL BRONX HOSPITAL3424 KOSSUTH AVE ATT PHARMACY DEPT
BRONXNY1046704/17/2020  
CHC29018-00NORWOOD PHARMACY LLC2490 FREDERICK DOUGLAS BOULEVARD GROUND FLOOR
NEW YORKNY1003010/01/2019 01/10/2025
CHC29018-00NUPTAM SERVICES INCDBA: FAMILY PHARMACY AND SURGICAL SUPPLY 2754 3RD AVE
BRONXNY10455-403601/01/2023  
CHC29018-00NYC HEALTH + HOSPITALS / SOUTH BROOKLYNCONEY ISLAND HOSPITAL 2601 OCEAN PKWY
PHARMACY DEPARTMENT 		BROOKLYNNY1123510/01/2018  
CHC29018-00OCEAN BREEZE ASSOCIATES LLCDBA: OCEAN BREEZE PHARMACY 1817 HYLAN BLVD
STATEN ISLANDNY10305-191810/01/2022  
CHC29018-00OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713001/01/2023  
CHC29018-00OPTUM PHARMACY 706, INC.30-30 47TH AVENUE SUITE 410
LONG ISLAND CITYNY1110101/01/2023  
CHC29018-00OPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983801/01/2023  
CHC29018-00OZ PHARMA INCDBA-OZ PHARMACY 322 E 149TH ST
BRONXNY1045107/01/2019  
CHC29018-00PEOPLE CHOICE PHARMACY INC527 GRAND ST
NEW YORKNY10002-410307/01/2021  
CHC29018-00PHARMACIA POPULAR INC17 MARCUS GARVEY BLVD
BROOKLYNNY11206-530504/01/2017  
CHC29018-00PINEBROOK RX INC.DBA: PINEBROOK PHARMACY 1183 JEROME AVE
BRONXNY1045201/01/2019 11/02/2023
CHC29018-00POLSAK CORPORATIOND/B/A R&S PIONEER PHARMACY 1018 OGDEN AVE
BRONXNY10452-510307/01/2019  
CHC29018-00PRIMARY CARE PHARMACY INC90-20 SUTPHIN BLVD
JAMAICANY1143507/01/2019  
CHC29018-00PRO VISTA SERVICES INC.DBA FAMILY PHARMACY AND SURGICAL SUPPLY 2754 3RD AVE
BRONXNY10455-104501/01/2019 08/08/2023
CHC29018-00PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514604/01/2017  
CHC29018-00PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY # 2919 126 EIGHTH AVE.
NEW YORKNY1001104/01/2019  
CHC29018-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681304/01/2020  
CHC29018-00QASIM PHARMACY INCPHARMACY 934 MYRTLE AVE
BROOKLYNNY1120607/01/2019 08/08/2023
CHC29018-00QUEENS HOSPITAL CENTER1ST FLOOR NEW BUILDING 82-68 164TH ST
PHARMACY DEPARTMENT 		JAMAICANY11432-112110/01/2018  
CHC29018-00R&R SAKS PHARMACY CORP1147 FULTON ST DBA: BETTER HEALTH PHARMACY
BROOKLYNNY11238-261301/01/2023  
CHC29018-00RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255001/01/2024  
CHC29018-00RAY'S PHARMACY INCDBA: CENTRAL PHARMACY & SURGICALS 423 E 138TH ST
GROUND FLOOR 		BRONXNY10454-304107/01/2019  
CHC29018-00RDS PHARMACY INC225 MADISON ST ATTN:SUPERVISING PHARMACIST
NEW YORKNY1000201/01/2019  
CHC29018-00RITE AID DRUG PALACE, INC.RITE AID #1711 408 GRAND STREET
NEW YORKNY1000201/01/2019 05/16/2022
CHC29018-00RITE AID OF KENTUCKY, INC.RITE AID #3350 600 NORTH MAIN STREET
MUNFORDVILLEKY4276504/01/2017 01/09/2017
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #1947 960 HALSEY STREET
BROOKLYNNY1123307/01/2018 01/12/2023
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #3771 85 AVENUE D
NEW YORKNY1000901/01/2019 05/17/2022
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #3817 57 EAST BURNSIDE AVENUE
BRONXNY1045301/01/2019 10/03/2022
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #4202 7 MADISON STREET
NEW YORKNY1003801/01/2019 05/18/2022
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #7760 2170 FREDERICK DOUGLASS BLVD
NEW YORKNY1002601/01/2019  
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #4824 537-539 EAST 138TH STREET
BRONXNY1045401/01/2019 02/07/2022
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #4738 1631-43 PITKIN AVENUE
BROOKLYNNY1121201/01/2019  
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #4873 55-60 MYRTLE AVENUE
RIDGEWOODNY1138504/01/2019 04/10/2025
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #4733 182 SMITH STREET
BROOKLYNNY1120104/01/2019 01/12/2023
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #3865 218-35 HEMPSTEAD AVENUE
QUEENS VILLAGENY1142904/01/2019 10/15/2019
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #3814 1419 NEWKIRK AVENUE
BROOKLYNNY1122604/01/2019 03/07/2019
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #3844 950-960 SOUTHERN BOULEVARD
BRONXNY1045907/01/2021  
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #4267 1091 OGDEN AVENUE
BRONXNY1045207/01/2021 05/15/2023
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #3888 9738 SEA VIEW AVENUE
BROOKLYNNY1123607/01/2021 06/01/2022
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #4257 3001-27 MERMAID AVENUE
MERMAID PLAZA S/C 		BROOKLYNNY1122407/01/2021 08/08/2023
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #4991 109-07 101ST AVENUE
JAMAICANY1141907/01/2021 08/08/2023
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #4893 1950 FULTON STREET
BROOKLYNNY1123304/01/2022 07/05/2022
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #3870 3700-06 JUNCTION BOULEVARD
FLUSHINGNY1136804/01/2022 07/05/2022
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #4277 115-10 MERRICK BOULEVARD
JAMAICANY1143404/01/2022 07/05/2022
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #3858 901 EAST GUN HILL ROAD
BRONXNY1046904/01/2022 07/05/2022
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #7906 840 WESTCHESTER AVE
BRONXNY1045904/01/2022 07/05/2022
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #3627 1154 CLARKSON AVENUE
BROOKLYNNY1121204/01/2022 07/05/2022
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #3858 901 EAST GUN HILL ROAD
BRONXNY1046901/01/2023 07/15/2024
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #4277 115-10 MERRICK BOULEVARD
JAMAICANY1143401/01/2023 08/31/2023
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #4893 1950 FULTON STREET
BROOKLYNNY1123301/01/2023 07/15/2024
CHC29018-00RITE AID OF NEW YORK, INC.RITE AID #3627 1154 CLARKSON AVENUE
BROOKLYNNY1121201/01/2023 03/21/2023
CHC29018-00RIVERSIDE SRX INCDBA RIVERSIDE PHARMACY 2920 FREDERICK DOUGLASS BLVD
NEW YORKNY10039-161007/01/2019 08/08/2023
CHC29018-00RJ PHARMACY, INC.2111 WILLIAMSBRIDGE RD
BRONXNY10461-160101/01/2019  
CHC29018-00ROSEBANK PHARMACY LLC500 TOMPKINS AVE.
STATEN ISLANDNY10305-174301/01/2019 08/08/2023
CHC29018-00RUSA RX PHARMACY CORP342 E 149TH ST
BRONXNY10451-563507/01/2019 06/22/2022
CHC29018-00RUTLAND PHARMACY LLC964 RUTLAND RD
BROOKLYNNY11212-154404/01/2019  
CHC29018-00S & E DRUGS INCDBA-FIVE-STAR PHARMACY 1202 FULTON ST
BROOKLYNNY1121607/01/2019 07/15/2024
CHC29018-00SAFEWAY PHARMACY INC493 E 138 STREET
BRONXNY1045401/01/2019  
CHC29018-00SALAAM PHARMACY INC.155 CRYSTAL ST
BROOKLYNNY1120801/01/2019 07/15/2024
CHC29018-00SAN RX, INCD/B/A PARK DRUGS 801 NOSTRAND AVE
BROOKLYNNY11225-150704/01/2019 08/08/2023
CHC29018-00SCRIPT RX INCDBA -- SCRIPTX PHARMACY 72 E 167TH ST
BRONXNY1045201/01/2019  
CHC29018-00SEGUNDO RUIZ BELVIS DIAGNOSTIC & TREATMED/B/A NEW YORK CITY H.H.C. 545 E 142ND ST
BRONXNY1045404/01/2022  
CHC29018-00SEM & SAM CORPD/B/A OGDEN PHARMACY 1071 OGDEN AVE
BRONXNY10452-460101/01/2019  
CHC29018-00SHIV HARI RX INCDBA : MORRIS PHARMACY 255 B E 165TH ST
BRONXNY1045604/01/2024  
CHC29018-00SIMS PHARMA INCSIMS PHARMACY 1711 PITKIN AVE
BROOKLYNNY1121201/01/2019  
CHC29018-00SINA DRUG LLCDBA ONCO360 1985 MARCUS AVE STE 120
NEW HYDE PARKNY1104210/01/2020  
CHC29018-00SINA DRUG LLCD/B/A ONCO 360 13410 EASTPOINT CENTRE DR
STE 101 		LOUISVILLEKY4022310/01/2020  
CHC29018-00SMITH PHARMACY INCDBA BELMONT PHARMACY 102A BELMONT AVE
BROOKLYNNY1121210/01/2019 07/15/2024
CHC29018-00SONRISA CORPDBA: SAINT HELENA PHARMACY 755B E 149TH ST
BRONXNY1045510/01/2019  
CHC29018-00SORKIN'S RX LTDD/B/A CAREMED PHARMACEUTICAL SERVICES 1985 MARCUS AVE STE 130
NEW HYDE PARKNY11042-202410/01/2020 10/10/2024
CHC29018-00STAR PHARMA INCDBA - STARHILL PHARMACY 115 FEATHERBED LN
BRONXNY10452-161504/01/2022  
CHC29018-00STAT RX PHARMACY, INC.235 EAST 167TH STREET
BRONXNY1045607/01/2019  
CHC29018-00SVRH PHARMACY INC161 SMITH ST
BROOKLYNNY1120104/01/2019  
CHC29018-00TRUE NORTH HEALTH PHARMACY, INCDBA: VIVO HEALTH PHARMACY AT CFAM 450 LAKEVILLE RD
LAKE SUCCESSNY1104210/01/2019  
CHC29018-00TRUE NORTH HEALTH PHARMACY, INC.DBA: VIVO HEALTH SPECIALTY PHARMACY 225 COMMUNITY DR STE 100
GREAT NECKNY11021-550610/01/2019  
CHC29018-00TU FARMACIA553 SOUTHERN BLVD
BRONXNY1045510/01/2019  
CHC29018-00UMAMAH-PITKIN PHARMACY INCUMAMAH-PITKIN PHARMACY INC. 2231 PITKIN AVE
BROOKLYNNY11207-362001/01/2019  
CHC29018-00UPGRADE PHARMACY INCUPGRADE PHARMACY INC 679 E 138TH ST
BRONXNY10454-330704/01/2019  
CHC29018-00WALGREEN EASTERN CO. INC.DBA: WALGREENS 244 E 161ST STREET
BRONXNY1045104/01/2019  
CHC29018-00WALGREEN EASTERN CO., INCDBA: WALGREENS 1847 ROCKAWAY PKWY.
BROOKLYNNY11236-530704/01/2019  
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS # 01918 755 BROADWAY
BROOKLYNNY11206-532010/01/2016  
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS #10678 379 MYRTLE AVE.
BROOKLYNNY11205-240710/01/2016  
CHC29018-00WALGREEN EASTERN CO., INC.WALGREENS #15352 1281 FULTON ST.
BROOKLYNNY1121610/01/2016  
CHC29018-00WALGREEN EASTERN CO., INC.WALGREENS #19158 1419 NEWKIRK AVE
BROOKLYNNY11226-652110/01/2018  
CHC29018-00WALGREEN EASTERN CO., INC.DBA WALGREENS SPECIALTY PHARMACY #16078 205 8TH AVENUE
NEW YORKNY1001101/01/2019  
CHC29018-00WALGREEN EASTERN CO., INC.DBA WALGREENS SPECIALTY PHARMACY #16512 3462 JEROME AVE.
BRONXNY1046701/01/2019  
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS #12007 1404 ROCKAWAY PKWY.
BROOKLYNNY11236-232204/01/2019 11/06/2019
CHC29018-00WALGREEN EASTERN CO., INC.WALGREENS #18204 355 KNICKERBOCKER AVE
BROOKLYNNY11237-374004/01/2019  
CHC29018-00WALGREEN EASTERN CO., INC.WALGREENS # 18961 4123 AVENUE D
BROOKLYNNY11203-570504/01/2019 12/09/2021
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS 1134 E. NEW YORK AVE.
BROOKLYNNY1121204/01/2019 06/09/2020
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS # 02055 109-62 FRANCIS LEWIS BLVD
QUEENS VILLAGENY1142904/01/2019  
CHC29018-00WALGREEN EASTERN CO., INC.WALGREENS #17979 78-14 LINDEN BLVD
HOWARD BEACHNY1141404/01/2019  
CHC29018-00WALGREEN EASTERN CO., INC.RITE AID #07909 642 WESTCHESTER AVE
BRONXNY1045504/01/2019 06/17/2019
CHC29018-00WALGREEN EASTERN CO., INC.WALGREENS # 18228 1111 PENNSYLVANIA AVE
BROOKLYNNY11207-900004/01/2019 01/10/2025
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS # 02778 2095 DUTCH BROADWAY
ELMONTNY1100304/01/2019  
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS # 01013 5564 BROADWAY
BRONXNY1046304/01/2019  
CHC29018-00WALGREEN EASTERN CO., INC.RITE AID #04555 88 FEATHERBED LANE
BRONXNY1045204/01/2019 06/18/2019
CHC29018-00WALGREEN EASTERN CO., INC.WALGREENS #18412 9602 ROCKAWAY BLVD.
OZONE PARKNY1141704/01/2019  
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS 5802 METROPOLITAN AVE.
RIDGEWOODNY1138504/01/2019 02/21/2023
CHC29018-00WALGREEN EASTERN CO., INC.WALGREENS #18322 3012 3RD AVE
BRONXNY1045504/01/2019 11/08/2022
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS 5001 CHURCH AVE.
BROOKLYNNY11203-132004/01/2019  
CHC29018-00WALGREEN EASTERN CO., INC.DBA WALGREENS 1242 LIBERTY AVE.
BROOKLYNNY1120804/01/2019 02/22/2023
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS 1031 WESTCHESTER AVE.
BRONXNY1045904/01/2019 08/10/2020
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS #19889 32 E 170TH STREET
BRONXNY1045204/01/2019  
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS # 09936 7815 NORTHERN BLVD
JACKSON HEIGHTSNY11372-122104/01/2019 06/04/2020
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS #11141 1366 BROADWAY
BROOKLYNNY1122104/01/2019  
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS # 04564 159-34 JAMAICA AVE
JAMAICANY11432-600104/01/2019 01/11/2024
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS #17802 506-528 UTICA AVENUE
BROOKLYNNY1120310/01/2019 11/10/2022
CHC29018-00WALGREEN EASTERN CO., INC.WALGREENS SPECIALTY PHARMACY #16511 306 CLARKSON AVE.
BROOKLYNNY1122601/01/2020  
CHC29018-00WALGREEN EASTERN CO., INC.DBA: WALGREENS # 06179 1551 RICHMOND AVE
STATEN ISLANDNY10314-152001/01/2020  
CHC29018-00WALGREEN EASTERN CO., INC.DBA: COMMUNITY, A WALGREENS PHARMACY #16 3954 BROADWAY
NEW YORKNY1003207/01/2020 04/12/2024
CHC29018-00WALGREEN EASTERN CO., INC.DBA: COMMUNITY, A WALGREENS PHARMACY #2 66 E. POST RD
1ST FLOOR 		WHITE PLAINSNY1060107/01/2020 10/10/2024
CHC29018-00WALGREEN EASTERN CO., INC.DBA WALGREENS SPECIALTY PHARMACY #16463 29 W. 116TH ST.
NEW YORKNY1002607/01/2020  
CHC29018-00WALGREEN EASTERN CO., INC.COMMUNITY, A WALGREENS PHARMACY #16530 7512 BROADWAY
ELMHURSTNY1137307/01/2020 07/15/2024
CHC29018-00WALGREENS MAIL SERVICE, LLCWALGREENS MAIL SERVICE #03397 8350 S RIVER PARKWAY
TEMPEAZ8528401/01/2019  
CHC29018-00WALGREENS.COM, INC.DBA: WALGREENS 2225 S. PRICE ROAD
CHANDLERAZ8528601/01/2019  
CHC29018-00WATER PLACE PHARMACY LLCDBA-CARE PHARMACY 313 E 161ST ST
BRONXNY1045107/01/2019  
CHC29018-00WOODHULL MEDICAL & MNTL HLTHC/O PHARMACY 760 BROADWAY RM 1B-260
BROOKLYNNY1120610/01/2018  
CHC29018-00WOODHULL PRESCRIPTION CENTERWOODHULL RX CENTER 755 FLUSHING AVE
BROOKLYNNY11206-441904/01/2017  
CHC29018-00WYCKOFF PHARMACY INC.5 GRAHAM AVENUE
BROOKLYNNY11206-410810/01/2017 07/12/2018
CHC29018-00WYCKOFF SPECIALTY SCRIPT CORP.THE LOBBY PHARMACY 374 STOCKHOLM ST
BROOKLYNNY1123704/01/2019  
CHC29018-00WZ PREMIUM INC.DBA WHITMAN PHARMACY 329A MYRTLE AVE
BROOKLYNNY11205-320110/01/2016  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/13/2024 4:48:50 PM3/5/2025 3:45:42 PM3/5/2025 3:45 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestBrown, Deborah Alyse Senior Vice President, External and Regulatory Affairs NYC Health + Hospitals 3479470446Brown, Deborah Alyse Senior Vice President, Chief External Affairs Officer NYC Health + Hospitals 347947044611/15/2024 1:26 PM
DetailsLast Recertification DateUpdateRecertification2/24/2023 12:42:44 PM2/13/2024 4:48:50 PM2/13/2024 4:48 PM
DetailsLast Recertification DateUpdateRecertification2/21/2022 12:59:35 PM2/24/2023 12:42:44 PM2/24/2023 12:42 PM
ContactsPrimary ContactUpdateGroup Change RequestThan, Min Assistant Vice President New York City Health and Hospitals 2124423854Capuano, Mark Senior Director, Corporate Pharmacy 340B Program NYC Health + Hospitals 34783591988/23/2022 7:10 AM
ContactsAuthorizing OfficialUpdateAO Change RequestAlbertson, Paul Vice President New York City Health and Hospitals 2127482256Brown, Deborah Alyse Senior Vice President, External and Regulatory Affairs NYC Health + Hospitals 34794704468/18/2022 3:11 PM
DetailsLast Recertification DateUpdateRecertification2/22/2021 10:43:55 AM2/21/2022 12:59:35 PM2/21/2022 12:59 PM
ContactsPrimary ContactUpdateProfile Change RequestThan, Min Sr. Director New York City Health and Hospitals 2124423854Than, Min Assistant Vice President New York City Health and Hospitals 21244238548/24/2021 6:37 PM
Medicaid BillingNPI: StateUpdateRecertification NY2/22/2021 10:43 AM
DetailsLast Recertification DateUpdateRecertification2/10/2020 9:41:29 AM2/22/2021 10:43:55 AM2/22/2021 10:43 AM
ContactsPrimary ContactUpdateChange RequestSestito, Danielle Senior Director, 340B Operations New York City Health + Hospitals 2124423892Than, Min Sr. Director New York City Health and Hospitals 21244238543/9/2020 2:52 PM
DetailsLast Recertification DateUpdateRecertification2/4/2019 6:52:09 PM2/10/2020 9:41:29 AM2/10/2020 9:41 AM
DetailsLast Recertification DateUpdateRecertification2/12/2018 10:21:37 AM2/4/2019 6:52:09 PM2/4/2019 6:52 PM
AddressesBilling AddressUpdateRecertificationCumberland Health Center 100 North Portland St Brooklyn, NY 11205Cumberland Health Center 100 North Portland Avenue Brooklyn, NY 112052/12/2018 10:21 AM
AddressesShipping AddressDeleteRecertificationCumberland Health Center 100 North Portland St Brooklyn, NY 11205 2/12/2018 10:21 AM
AddressesShipping AddressInsertRecertification Cumberland Health Center 100 North Portland Avenue Brooklyn, NY 112052/12/2018 10:21 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/12/2018 10:21 AM
Medicaid BillingMedicaid: NumberInsertRecertification 10058982/12/2018 10:21 AM
Medicaid BillingMedicaid: StateInsertRecertification NY2/12/2018 10:21 AM
DetailsLast Recertification DateUpdateRecertification 2/12/2018 10:21:37 AM2/12/2018 10:21 AM
DetailsStateUpdate ApprovedActive1/1/2018 12:00 AM
ContactsSigned ByInsertNew Registration Albertson, Paul Vice President New York City Health and Hospitals 212748225612/5/2017 9:42 AM
Details340B IDUpdateNew Registration CHC29018-0212/5/2017 9:42 AM
DatesParticipating Approval DateUpdateNew Registration 12/5/2017 9:42:34 AM12/5/2017 9:42 AM
DetailsStateUpdateNew RegistrationPendingApproved12/5/2017 9:42 AM
DatesSigned By DateUpdateNew Registration 12/4/2017 5:13:22 PM12/5/2017 9:42 AM
DatesStart DateUpdateNew Registration 1/1/2018 12:00:00 AM12/5/2017 9:42 AM
AddressesMain AddressInsertNew Registration  295 Flatbush Avenue Extension Brooklyn, NY 11201-300112/4/2017 5:13 PM
AddressesBilling AddressInsertNew Registration Cumberland Health Center 100 North Portland St Brooklyn, NY 1120512/4/2017 5:13 PM
AddressesShipping AddressInsertNew Registration Cumberland Health Center 100 North Portland St Brooklyn, NY 1120512/4/2017 5:13 PM
Medicaid BillingNPI: NumberInsertNew Registration 135640613612/4/2017 5:13 PM
ContactsAuthorizing OfficialInsertNew Registration Albertson, Paul Vice President New York City Health and Hospitals 212748225612/4/2017 5:13 PM
ContactsPrimary ContactInsertNew Registration Sestito, Danielle Senior Director, 340B Operations New York City Health + Hospitals 212442389212/4/2017 5:13 PM
DetailsLast Recertification DateInsertNew Registration  12/4/2017 5:13 PM
DetailsGrant NumberInsertNew Registration H80CS2901812/4/2017 5:13 PM
Details340B IDInsertNew Registration  12/4/2017 5:13 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  12/4/2017 5:13 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  12/4/2017 5:13 PM
DetailsMedicare Provider NumberInsertNew Registration  12/4/2017 5:13 PM
DetailsEntity NameInsertNew Registration NEW YORK CITY HEALTH AND HOSPITALS CORPORATION12/4/2017 5:13 PM
DetailsProgram CodeInsertNew Registration CH12/4/2017 5:13 PM
DetailsEntity SubnameInsertNew Registration Fort Greene Child Health Clinic12/4/2017 5:13 PM
DatesParticipating Approval DateInsertNew Registration  12/4/2017 5:13 PM
DetailsStateInsertNew Registration Pending12/4/2017 5:13 PM
DatesRegistration DateInsertNew Registration 12/4/2017 5:13:19 PM12/4/2017 5:13 PM
DatesSigned By DateInsertNew Registration  12/4/2017 5:13 PM
DatesStart DateInsertNew Registration  12/4/2017 5:13 PM
TerminationsTermination CommentsInsertNew Registration  12/4/2017 5:13 PM
TerminationsTermination DateInsertNew Registration  12/4/2017 5:13 PM
TerminationsTermination Effective DateInsertNew Registration  12/4/2017 5:13 PM
TerminationsTermination ReasonInsertNew Registration  12/4/2017 5:13 PM