340B Drug Pricing Program Database


CH02062R CORNERSTONE FAMILY HEALTHCARE (Active) - information as of 6/7/2025 4:41:27 AM

Main Details
CORNERSTONE FAMILY HEALTHCARE
Cornerstone Family Healthcare: Middletown Pediatrics
HRSA-Funded Health Center
BPS-H80-021472
CH02062R
H80CS00469


Additional Details
Active
12/11/2017
1/1/2018
12/12/2017
2/13/2025

Contacts

Cornerstone Family Healthcare
David Jolly, CEO
(845) 220-3165

Cornerstone Family Healthcare
Margaret Calero, Director of Risk Management & Corporate Compliance
(845) 220-3188

Addresses

14 Grove St
Middletown, NY 10940-4806

Cornerstone Family Healthcare Administration
2570 U.S. Highway 9W
10
Cornwall, NY 12518


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

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailALITONS MANAGED CARE PHARMACY, INC34-38 BALL STREET
PORT JERVISNY1277101/12/201804/01/2018 03/01/202103/02/2021
Contract DetailPREMIER HEALTH PHARMACY INC.20-07 127TH STREET #G33
COLLEGE POINTNY1135601/12/201804/01/2018 03/01/202103/02/2021
Contract DetailPREMIER ONE PHARMACY INCDBA PREMIUM PHARMACY 4112A MAIN ST
FL 1
FLUSHINGNY1135501/12/201804/01/2018 03/01/202103/02/2021
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH020620ActiveBPS-H80-010071Cornerstone Family HealthcareCornerstone Family Healthcare: The Kaplan Family Pavilion 147 Lake St NewburghNY
CH02062AActiveBPS-H80-001670CORNERSTONE FAMILY HEALTHCARECornerstone Family Healthcare: The Centers for Womens Health and Adolescent and Pediatric Medicine91 Blooming Grove Tpke New WindsorNY
CH02062AAActiveBPS-H80-032415Cornerstone Family HealthcareCornerstone Family Healthcare at Binghamton, Chenango Street275 Chenango St BinghamtonNY
CH02062ABActiveBPS-H80-030507Cornerstone Family HealthcareCornerstone MAT at HVCS20 Crystal St MonticelloNY
CH02062BActiveBPS-H80-004813Cornerstone Family HealthcareCornerstone Family Healthcare: Lipman Family Dental Center100 Broadway NewburghNY
CH02062CTerminatedBPS-H80-005974Cornerstone Family HealthcareMobile Health Van 1 147 Lake St. NewburghNY
CH02062DTerminatedBPS-H80-012537Cornerstone Family HealthcareCornerstone Family Healthcare: Harper Health for Individuals & Families in Transition290 Broadway NewburghNY
CH02062EActiveBPS-H80-012539Cornerstone Family HealthcareCornerstone Family Healthcare at Highland Falls127 Main St Highland FallsNY
CH02062FActiveBPS-H80-018059Cornerstone Family HealthcareMobile Health Van 2147 Lake St NewburghNY
CH02062GActiveBPS-H80-003758Cornerstone Family HealthcareCornerstone Family Healthcare: The Center for Recovery3 Commercial Place NewburghNY
CH02062HTerminatedBPS-H80-015160Cornerstone Family HealthcareCornerstone Family Healthcare at Inspire, Goshen2 Fletcher Street GoshenNY
CH02062JActiveBPS-H80-017438Cornerstone Family HealthcareBHA Health Center35 FELTERS RD BINGHAMTONNY
CH02062KActiveBPS-H80-019543CORNERSTONE FAMILY HEALTHCAREMobile Health Van 3147 Lake Street NewburghNY
CH02062LActiveBPS-H80-019442CORNERSTONE FAMILY HEALTHCARECFH at New City260 North Little Tor Road New CityNY
CH02062MActiveBPS-H80-009480CORNERSTONE FAMILY HEALTHCARELipman Family Dental Center at The Kaplan Family Pavilion147 Lake St. NewburghNY
CH02062NActiveBPS-H80-021474CORNERSTONE FAMILY HEALTHCARECornerstone Family Healthcare at Pine Bush99 Cameron St Pine BushNY
CH02062PActiveBPS-H80-021475CORNERSTONE FAMILY HEALTHCARECornerstone Family Healthcare Middletown Dentistry27 North St MiddletownNY
CH02062QTerminatedBPS-H80-021471CORNERSTONE FAMILY HEALTHCAREMobile Health Van 414 Grove St MiddletownNY
CH02062RActiveBPS-H80-021472CORNERSTONE FAMILY HEALTHCARECornerstone Family Healthcare: Middletown Pediatrics14 Grove St MiddletownNY
CH02062SActiveBPS-H80-021477CORNERSTONE FAMILY HEALTHCARECornerstone Family Healthcare at Middletown10 Benton Ave MiddletownNY
CH02062TActiveBPS-H80-021476CORNERSTONE FAMILY HEALTHCARECornerstone Family Health Care at Port Jervis140 Hammond St Port JervisNY
CH02062UTerminatedBPS-H80-021473CORNERSTONE FAMILY HEALTHCARECornerstone Family Healthcare at Milford221 Broad St MilfordPA
CH02062VActiveBPS-H80-021508CORNERSTONE FAMILY HEALTHCARECornerstone - Middletown Administration21 Orchard Street MiddletownNY
CH02062WActiveBPS-H80-017155CORNERSTONE FAMILY HEALTHCARECornerstone Family Healthcare at Plattekill24 Old Firehouse Road WallkillNY
CH02062XTerminatedBPS-H80-022210CORNERSTONE FAMILY HEALTHCAREMobile Health Van 514 Grove St MiddletownNY
CH02062ZActiveBPS-H80-027120CORNERSTONE FAMILY HEALTHCARECornerstone Family Healthcare: Cornwall Administration2570 U.S. Highway 9W STE 10 CornwallNY
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH020620ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884907/01/2021  
CH020620ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750207/01/2021  
CH020620ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201007/01/2021  
CH020620ACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624107/01/2021  
CH020620ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282207/01/2021  
CH020620ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349207/01/2021  
CH020620AHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271204/01/2020  
CH02062RALITONS MANAGED CARE PHARMACY, INC34-38 BALL STREET
PORT JERVISNY1277104/01/2018 03/01/2021
CH02062SALITONS MANAGED CARE PHARMACY, INC34-38 BALL STREET
PORT JERVISNY1277104/01/2018 03/01/2021
CH02062TALITONS MANAGED CARE PHARMACY, INC34-38 BALL STREET
PORT JERVISNY1277104/01/2018 03/05/2021
CH020620AMAZON PHARMACY #0014500 S PLEASANT VALLEY RD STE 201
AUSTINTX78744-291104/01/2020  
CH020620AMAZON PHARMACY #0063620 PLAINFIELD RD
INDIANAPOLISIN46231-700304/01/2025  
CH020620AMAZON PHARMACY #008408 TECHNOLOGY PARKWAY BUILDING B, STE 101
COLLEGE STATIONTX7784510/01/2024  
CH020620AMAZON PHARMACY #0097469 KINGSPOINTE PKWY STE 400
ORLANDOFL3281910/01/2024 01/13/2025
CH020620AMAZON PHARMACY #0101331 E 6TH ST
CORONACA9287910/01/2024 01/13/2025
CH020620AZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503404/01/2020  
CH020620BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526107/01/2018  
CH020620BIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620310/01/2024  
CH020620BIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522610/01/2024  
CH020620BIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771310/01/2024  
CH020620BRAUNAGEL & BRAUNAGEL INCD/B/A ALITON'S PHARMACY HOME HEALTHCARE 12 SUSSEX ST
PORT JERVISNY12771-242110/01/2018 07/19/2021
CH020620BROADWAY CHEMISTS INC.D/B/A ACE DRUGS 194 BROADWAY
NEWBURGHNY1255010/01/2020  
CH020620CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361407/01/2023  
CH020620CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/01/2023  
CH020620CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621907/01/2023  
CH020620CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175707/01/2023  
CH020620CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808307/01/2023  
CH020620CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700407/01/2023  
CH020620CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761707/01/2023  
CH020620CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813307/01/2023  
CH020620CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237407/01/2023  
CH020620CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911907/01/2023  
CH020620CLCRESSLER INCD/B/A THE MEDICINE SHOPPE 1179 VESTAL AVE
SUITE 2
BINGHAMTONNY1390307/01/2018  
CH020620CLCRESSLER, INCD/B/A THE MEDICINE SHOPPE 1179 VESTAL AVE
SUITE 1
BINGHAMTONNY1390307/01/2017  
CH02062ACLCRESSLER, INCD/B/A THE MEDICINE SHOPPE 1179 VESTAL AVE
SUITE 1
BINGHAMTONNY1390307/01/2017 04/01/2018
CH02062BCLCRESSLER, INCD/B/A THE MEDICINE SHOPPE 1179 VESTAL AVE
SUITE 1
BINGHAMTONNY1390307/01/2017 04/01/2018
CH02062CCLCRESSLER, INCD/B/A THE MEDICINE SHOPPE 1179 VESTAL AVE
SUITE 1
BINGHAMTONNY1390307/01/2017 04/01/2024
CH02062ECLCRESSLER, INCD/B/A THE MEDICINE SHOPPE 1179 VESTAL AVE
SUITE 1
BINGHAMTONNY1390307/01/2017 04/01/2018
CH02062DCLCRESSLER, INCD/B/A THE MEDICINE SHOPPE 1179 VESTAL AVE
SUITE 1
BINGHAMTONNY1390307/01/2017 04/01/2018
CH02062HCLCRESSLER, INCD/B/A THE MEDICINE SHOPPE 1179 VESTAL AVE
SUITE 1
BINGHAMTONNY1390307/01/2017 04/01/2018
CH02062GCLCRESSLER, INCD/B/A THE MEDICINE SHOPPE 1179 VESTAL AVE
SUITE 1
BINGHAMTONNY1390307/01/2017 04/01/2018
CH02062FCLCRESSLER, INCD/B/A THE MEDICINE SHOPPE 1179 VESTAL AVE
SUITE 1
BINGHAMTONNY1390307/01/2017 04/01/2018
CH02062JCLCRESSLER, INCD/B/A THE MEDICINE SHOPPE 1179 VESTAL AVE
SUITE 1
BINGHAMTONNY1390307/01/2017  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00168 800 HOOPER RD., SUITE 500
ENDWELLNY1376010/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00346 5 INDIAN ROCK PLAZA
SUFFERNNY1090110/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00418 2503 SOUTH RD.
POUGHKEEPSIENY1260110/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00561 34-38 COURT STREET
BINGHAMTONNY1390110/01/2019 11/12/2021
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00562 345 MAIN STREET
JOHNSON CITYNY1379010/01/2019 04/21/2022
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00566 34 WEST STATE STREET
BINGHAMTONNY1390110/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00625 249 MAIN STREET
BINGHAMTONNY1390510/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00631 75 N. MIDDLETOWN RD.
PEARL RIVERNY1096510/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00641 1 ORANGETOWN SHOPPING CTR.
ORANGEBURGNY1096210/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00678 1008 UNION CENTER MAINE HWY.
ENDICOTTNY1376010/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00781 1276 UPPER FRONT ST.
BINGHAMTONNY1390110/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 01030 280 SOUTH MAIN STREET
NEW CITYNY1095610/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 01087 20 FILORS LN.
STONY POINTNY1098010/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 01128 72 BROOKSIDE AVE.
CHESTERNY1091810/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 01951 1103 NORTH ST,
ENDICOTTNY1376010/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02180 163 ROBINSON STREET
BINGHAMTONNY1390410/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02205 274 OLD NYACK TURNPIKE
SPRING VALLEYNY1097710/01/2019 01/31/2023
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02292 986 MAIN STREET
FISHKILLNY1252410/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02312 12 WEST RAMAPO ROAD
GARNERVILLENY1092310/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02361 245 EAST MAIN STREET
MIDDLETOWNNY1094010/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02414 269 HARRY L. DRIVE
JOHNSON CITYNY1379010/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02595 722 DUTCHESS TURNPIKE
POUGHKEEPSIENY1260310/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02908 488 ROUTE 17M
MONROENY1095010/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 03098 123 WINDERMERE AVE. PO BOX 1837
GREENWOOD LAKENY1092510/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 03154 59 MAIN STREET
WARWICKNY1099010/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 05048 1827 MAIN ST.
PEEKSKILLNY1056610/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 05050 30 BROTHERHOOD PLAZA DR
WASHINGTONVILLENY1099210/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 05053 65 QUAKER AVE.
CORNWALLNY1251810/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 05059 109 CLOWES AVE.
GOSHENNY1092410/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 05357 413 RTE 376, SUITE 1
HOPEWELL JUNCTIONNY1253310/01/2019  
CH020620CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 07629 2 RIVERVIEW DR
MARLBORONY1254210/01/2019  
CH020620CVS ALBANY, L.L.C.DBA CVS/PHARMACY # 10009 399 ROUTE 211E
MIDDLETOWNNY1094010/01/2019  
CH020620CVS ALBANY, L.L.C.DBA CVS/PHARMACY # 10210 330 ROUTE 304
BARDONIANY1095410/01/2019  
CH020620CVS ALBANY, L.L.C.DBA CVS/PHARMACY # 10283 20 WELCHER AVE
PEEKSKILLNY10566-534810/01/2019  
CH020620CVS ALBANY, L.L.C.CVS/PHARMACY # 10688 203 SOUTH PLANK RD
NEWBURGHNY1255010/01/2019  
CH020620CVS ALBANY, L.L.C.CVS/PHARMACY # 16640 1 N GALLERIA DR
MIDDLETOWNNY1094110/01/2019  
CH020620CVS ALBANY, L.L.C.CVS/PHARMACY # 16931 50 SPRING VALLEY MARKET PL
SPRING VALLEYNY1097710/01/2019  
CH020620CVS ALBANY, L.L.C.CVS/PHARMACY # 16976 2001 SOUTH RD
POUGHKEEPSIENY1260110/01/2019  
CH020620CVS ALBANY, L.L.C.CVS/PHARMACY # 17117 128 BAILEY FARM RD
MONROENY1095010/01/2019  
CH020620CVS ALBANY, L.L.C.CVS PHARMACY # 17164 50 RTE 17 K
NEWBURGHNY1255010/01/2019  
CH020620CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/2023  
CH020620CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/2023  
CH020620CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502807/01/2023  
CH020620DOGWOOD PHARMACY, INCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER ROAD
SUITE K
GREENVILLESC29607-654007/01/2018  
CH020620ECKERD CORPORATIONRITE AID #10551 701 ROUTE 211 EAST
MIDDLETOWNNY1094107/01/2019  
CH020620ECKERD CORPORATIONRITE AID #10708 103 HAWKINS DRIVE
MONTGOMERYNY1254904/01/2025  
CH020620ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111207/01/2021  
CH020620EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313407/01/2021  
CH020620EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801607/01/2021  
CH020620EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607507/01/2021  
CH020620GENOA HEALTHCARE LLC16-24 UNION STREET, SUITE P1
MIDDLETOWNNY1094001/01/2024  
CH020620GENOA HEALTHCARE LLC140 ROUTE 303 STE C
VALLEY COTTAGENY1098901/01/2024  
CH020620HUDSON VIEW PHARMACY, INC.D/B/A HUDSON VIEW PHARMACY 147 LAKE ST STE 101
NEWBURGHNY12550-526407/31/2006  
CH02062AHUDSON VIEW PHARMACY, INC.D/B/A HUDSON VIEW PHARMACY 147 LAKE ST STE 101
NEWBURGHNY12550-526405/02/201110/01/201704/01/2018
CH02062BHUDSON VIEW PHARMACY, INC.D/B/A HUDSON VIEW PHARMACY 147 LAKE ST STE 101
NEWBURGHNY12550-526405/02/201110/01/201704/01/2018
CH02062CHUDSON VIEW PHARMACY, INC.D/B/A HUDSON VIEW PHARMACY 147 LAKE ST STE 101
NEWBURGHNY12550-526407/21/2017 04/01/2024
CH02062EHUDSON VIEW PHARMACY, INC.D/B/A HUDSON VIEW PHARMACY 147 LAKE ST STE 101
NEWBURGHNY12550-526407/01/201710/01/201704/01/2018
CH02062DHUDSON VIEW PHARMACY, INC.D/B/A HUDSON VIEW PHARMACY 147 LAKE ST STE 101
NEWBURGHNY12550-526407/01/201710/01/201704/01/2018
CH02062HHUDSON VIEW PHARMACY, INC.D/B/A HUDSON VIEW PHARMACY 147 LAKE ST STE 101
NEWBURGHNY12550-526407/01/201710/01/201704/01/2018
CH02062GHUDSON VIEW PHARMACY, INC.D/B/A HUDSON VIEW PHARMACY 147 LAKE ST STE 101
NEWBURGHNY12550-526407/01/201710/01/201704/01/2018
CH02062FHUDSON VIEW PHARMACY, INC.D/B/A HUDSON VIEW PHARMACY 147 LAKE ST STE 101
NEWBURGHNY12550-526407/01/201710/01/201704/01/2018
CH02062JHUDSON VIEW PHARMACY, INC.D/B/A HUDSON VIEW PHARMACY 147 LAKE ST STE 101
NEWBURGHNY12550-526407/01/2017  
CH020620IC PHARMACY LLCAMAZON PHARMACY #004 34 35TH STREET
STE 4BSW, UNIT 28
BROOKLYNNY1123210/01/2024  
CH020620KMART CORPORATION  374 WINDSOR HIGHWAY STE 100
VAILS GATENY1258404/01/2018 01/10/2020
CH020620M.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312604/01/2020  
CH020620MARTIN'S FOODS OF SOUTH BURLINGTON, LLCDBA HANNAFORD FOOD & DRUG #8331 2636 ROUTE 32
NEW WINDSORNY1255310/01/2024  
CH020620MARTIN'S FOODS OF SOUTH BURLINGTON, LLCDBA HANNAFORD SUPERMARKET & PHARMACY #83 3650 ROUTE 9W
HIGHLANDNY1252810/01/2024  
CH020620MARTIN'S FOODS OF SOUTH BURLINGTON, LLCDBA HANNAFORD SUPERMARKET & PHARMACY #83 2066 ROUTE 32
MODENANY1254810/01/2024  
CH020620MARTIN'S FOODS OF SOUTH BURLINGTON, LLCDBA HANNAFORD SUPERMARKET & PHARMACY #83 30 TOWER DRIVE
MIDDLETOWNNY1094110/01/2024  
CH020620MARTIN'S FOODS OF SOUTH BURLINGTON, LLCDBA HANNAFORD SUPERMARKET & PHARMACY #84 78 OAK STREET
SUITE 9
WALDENNY1258610/01/2024  
CH020620MARTIN'S FOODS OF SOUTH BURLINGTON, LLCDBA HANNAFORD SUPERMARKET & PHARMACY #83 31 TED DR
PINE BUSHNY1256610/01/2024  
CH020620MARTIN'S FOODS OF SOUTH BURLINGTON, LLCDBA HANNAFORD SUPERMARKET & PHARMACY #83 1490 ROUTE 9
WAPPINGERS FALLSNY1259010/01/2024  
CH020620MIDDLETOWN APOTHECARY149 WICKHAM AVE
MIDDLETOWNNY1094007/01/2018 07/11/2018
CH020620NEWBURGH CHEMISTS INCMEDICAL ARTS PHARMACY 37 N PLANK RD
NEWBURGHNY12550-211104/01/2018 01/10/2020
CH020620OPTUM PHARMACY 700, LLC19 CHAPIN RD BLDG D, STE D8
PINE BROOKNJ0705801/01/2024  
CH020620OPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520401/01/2024  
CH020620OPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983801/01/2024  
CH020620PILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310104/01/2020  
CH020620PILLPACK LLCAMAZON PHARMACY #005 20416 72ND AVE S
KENTWA98032-231910/01/2024 01/13/2025
CH020620PORT JERVIS PHARMACY LLC15 JERSEY AVE STE 2
PORT JERVISNY1277110/01/2024  
CH02062RPREMIER HEALTH PHARMACY INC.20-07 127TH STREET #G33
COLLEGE POINTNY1135604/01/2018 03/01/2021
CH02062SPREMIER HEALTH PHARMACY INC.20-07 127TH STREET #G33
COLLEGE POINTNY1135604/01/2018 03/01/2021
CH02062RPREMIER ONE PHARMACY INCDBA PREMIUM PHARMACY 4112A MAIN ST
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CH02062SPREMIER ONE PHARMACY INCDBA PREMIUM PHARMACY 4112A MAIN ST
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FLUSHINGNY1135504/01/2018 03/01/2021
CH020620PREMIER PHARMACY SERVICES410 CLOVERLEAF DR
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CH020620PRESTIGE PHARMACY, INC.PRESTIGE PHARMACY INC. 36-42 JAMES ST
MIDDLETOWNNY10940-576507/01/2018  
CH020620PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
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CH020620PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
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CH020620PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
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CH020620RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
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CH020620RITE AID OF NEW YORK, INC.RITE AID #2784 188 MAIN STREET
HIGHLAND FALLSNY1092807/01/2017 03/15/2018
CH020620RITE AID OF NEW YORK, INC.RITE AID #1302 657 BROADWAY
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CH020620RITE AID OF NEW YORK, INC.RITE AID #159 393 WINDSOR HIGHWAY
NEW WINDSORNY1255307/01/2017 01/09/2024
CH020620RITE AID OF NEW YORK, INC.RITE AID #160 59 NORTH PLANK ROAD #2
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CH020620RITE AID OF NEW YORK, INC.RITE AID #742 76 PIKE STREET
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CH020620RITE AID OF NEW YORK, INC.RITE AID #155 96 DOLSON AVENUE
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CH020620RITE AID OF NEW YORK, INC.RITE AID #156 1 FITZGERALD DRIVE
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CH020620RITE AID OF NEW YORK, INC.RITE AID #1868 320 MAIN STREET
BEACONNY1250807/01/2019  
CH020620RITE AID OF NEW YORK, INC.RITE AID #1019 133 ROUTE 303
VALLEY COTTAGENY1098907/01/2019  
CH020620RIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500207/01/2018  
CH020620SHOPRITE SUPERMARKETS INCROUTE 32, 384 WINDSOR HWY C/O PHARMACY
VAILS GATENY1258404/01/2018 10/15/2018
CH020620SIGNIO SPECIALTY PHARMACY711 ANDERSON AVE
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CH020620SUNNY PHARMACYHANKWON DBA SUNNY PHARMACY 711 ANDERSON AVE
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CH020620THE GOLUB CORPORATIONPRICE CHOPPER PHARMACY 198 39 NORTH PLANK RD.
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CH020620THE STOP & SHOP SPRMRKT COD/B/A STOP & SHOP PHARM #528 1429 ROUTE 300
NEWBURGHNY1255001/01/2025  
CH020620WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738604/01/2020  
CH020620WAL-MART PHARMACY 10-1959470 ROUTE 211 EAST
MIDDLETOWNNY1094010/01/2017  
CH02062SWAL-MART PHARMACY 10-1959470 ROUTE 211 EAST
MIDDLETOWNNY1094004/01/2018  
CH02062TWAL-MART PHARMACY 10-2064220 ROUTE 6 & 209
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CH020620WAL-MART PHARMACY 10-21041201 UNION AVENUE, ROUTE 300
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CH020620WAL-MART PHARMACY 10-2637288 LARKIN
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CH020620WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283704/01/2020  
CH020620WALGREEN EASTERN CO., INC.DBA: WALGREENS 82 N. PLANK RD.
NEWBURGHNY1255004/01/2018  
CH020620WALGREEN EASTERN CO., INC.DBA: WALGREENS # 07932 2024 SOUTH RD
POUGHKEEPSIENY12601-595404/01/2018  
CH020620WALGREEN EASTERN CO., INC.DBA: WALGREENS 31 CAVALRY DR.
NEW CITYNY1095604/01/2018  
CH020620WALGREEN EASTERN CO., INC.DBA: WALGREENS 704 FREEDOM PLAINS RD.
SUITE A1
POUGHKEEPSIENY1260304/01/2018  
CH020620WALGREEN EASTERN CO., INC.DBA: WALGREENS 625 DUTCHESS TURNPIKE
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CH020620WALGREEN EASTERN CO., INC.DBA: WALGREENS 827 DUTCHESS TURNPIKE
POUGHKEEPSIENY12603-205904/01/2018  
CH020620WALGREEN EASTERN CO., INC.DBA: WALGREENS 1575 ROUTE 9
WAPPINGERS FALLSNY12590-491004/01/2018  
CH020620WALGREEN EASTERN CO., INC.DBA: WALGREENS 78 CROTON AVE.
OSSININGNY1056204/01/2018  
CH020620WALGREEN EASTERN CO., INC.DBA: WALGREENS 1201 MAIN ST.
PEEKSKILLNY1056604/01/2018  
CH020620WALGREEN EASTERN CO., INC.RITE AID #00160 59 N PLANK RD STE 2
NEWBURGHNY1255003/19/2018 09/10/2018
CH020620WALGREEN EASTERN CO., INC.WALGREENS #17667 188 MAIN ST
HIGHLAND FALLSNY1092803/19/2018  
CH020620WALGREEN EASTERN CO., INC.DBA: WALGREENS 2084 STATE ROUTE 208
MONTGOMERYNY1254907/01/2018  
CH020620WALGREEN EASTERN CO., INC.DBA: WALGREENS 416 WINDSOR HWY
VAILS GATENY1258407/01/2018  
CH020620WALGREEN EASTERN CO., INC.DBA: WALGREENS #10446 135 S. LIBERTY DR.
STONY POINTNY10980-242207/01/2018  
CH020620WALGREEN EASTERN CO., INC.WALGREENS #18100 1 FITZGERALD DR
MIDDLETOWNNY1094001/01/2019  
CH020620WALGREEN EASTERN CO., INC.WALGREENS #19500 76 PIKE ST
PORT JERVISNY1277101/01/2019  
CH020620WALGREEN EASTERN CO., INC.WALGREENS #19693 96 DOLSON AVE
MIDDLETOWNNY10940-658301/01/2019  
CH020620WALGREEN EASTERN CO., INC.WALGREENS # 17494 2460 ROUTE 52 PO BOX 895
PINE BUSHNY1256604/01/2019  
CH020620WALGREEN EASTERN CO., INC.WALGREENS 667 ROUTE 739
HAWLEYPA1842804/01/2019  
CH020620WALGREEN EASTERN CO., INC.WALGREENS 100 W HARFORD ST
MILFORDPA18337-111904/01/2019  
CH020620WALGREEN EASTERN CO., INC.WALGREENS #17317 236 MAIN ST
NEW PALTZNY1256107/01/2019  
CH020620WALGREEN EASTERN CO., INC.WALGREENS #19228 785 STATE ROUTE 17M SUITE 6
MONROENY10950-262907/01/2019 02/15/2022
CH020620WALGREEN EASTERN CO., INC.WALGREENS #18984 85 ROBINSON STREET
BINGHAMTONNY13901-252110/01/2019  
CH020620WALGREEN EASTERN CO., INC.WALGREENS 100 E MAIN ST
ENDICOTTNY1376010/01/2019  
CH02062JWALGREEN EASTERN CO., INC.DBA: WALGREENS #11207 37 PENNSYLVANIA AVENUE
BINGHAMTONNY13903-160801/01/2023  
CH02062AWALGREEN EASTERN CO., INC.DBA: WALGREENS #11207 37 PENNSYLVANIA AVENUE
BINGHAMTONNY13903-160801/01/2023  
CH02062KWALGREEN EASTERN CO., INC.DBA: WALGREENS #11207 37 PENNSYLVANIA AVENUE
BINGHAMTONNY13903-160801/01/2023  
CH02062BWALGREEN EASTERN CO., INC.DBA: WALGREENS #11207 37 PENNSYLVANIA AVENUE
BINGHAMTONNY13903-160801/01/2023  
CH02062AAWALGREEN EASTERN CO., INC.DBA: WALGREENS #11207 37 PENNSYLVANIA AVENUE
BINGHAMTONNY13903-160801/01/2023  
CH020620WALGREENS # 126322085 STATE ROUTE 208
MONTGOMERYNY1255004/01/2018 04/13/2018
CH020620WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A
ROGERSAR7275607/01/2023  
CH020620Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/29/2024 9:18:27 AM2/13/2025 10:47:42 AM2/13/2025 10:47 AM
DetailsLast Recertification DateUpdateRecertification2/2/2023 10:18:19 AM1/29/2024 9:18:27 AM1/29/2024 9:18 AM
DetailsLast Recertification DateUpdateRecertification1/31/2022 10:19:35 AM2/2/2023 10:18:19 AM2/2/2023 10:18 AM
ContactsAuthorizing OfficialUpdateAO Change RequestMULLER, LINDA S. CEO Cornerstone Family Healthcare 8452203130Jolly, David CEO Cornerstone Family Healthcare 84522031652/1/2023 11:02 AM
DetailsLast Recertification DateUpdateRecertification2/5/2021 1:34:56 PM1/31/2022 10:19:35 AM1/31/2022 10:19 AM
Medicaid BillingMedicaid: NumberDeleteRecertification00472931 (NY) 2/5/2021 1:34 PM
Medicaid BillingNPI: NumberDeleteRecertification1689669079 ( ) 2/5/2021 1:34 PM
ContactsPrimary ContactUpdateRecertificationMurphy, Patrick R. CFO Cornerstone Family Healthcare 8452203130Calero, Margaret Director of Risk Management & Corporate Compliance Cornerstone Family Healthcare 84522031882/5/2021 1:34 PM
DetailsLast Recertification DateUpdateRecertification2/4/2020 12:20:07 PM2/5/2021 1:34:56 PM2/5/2021 1:34 PM
DetailsLast Recertification DateUpdateRecertification2/1/2019 9:57:08 AM2/4/2020 12:20:07 PM2/4/2020 12:20 PM
DetailsLast Recertification DateUpdateRecertification2/16/2018 1:09:44 PM2/1/2019 9:57:08 AM2/1/2019 9:57 AM
Medicaid BillingMedicaid: NumberUpdateChange Request000472931004729312/16/2018 1:17 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/16/2018 1:09 PM
Medicaid BillingMedicaid: NumberInsertRecertification 0004729312/16/2018 1:09 PM
Medicaid BillingMedicaid: StateInsertRecertification NY2/16/2018 1:09 PM
Medicaid BillingNPI: NumberInsertRecertification 16896690792/16/2018 1:09 PM
DetailsLast Recertification DateUpdateRecertification 2/16/2018 1:09:44 PM2/16/2018 1:09 PM
DetailsStateUpdate ApprovedActive1/1/2018 12:00 AM
ContactsSigned ByInsertNew Registration MULLER, LINDA S. CEO Cornerstone Family Healthcare 845220313012/12/2017 8:11 AM
Details340B IDUpdateNew Registration CH02062R12/12/2017 8:11 AM
DatesParticipating Approval DateUpdateNew Registration 12/12/2017 8:11:49 AM12/12/2017 8:11 AM
DetailsStateUpdateNew RegistrationPendingApproved12/12/2017 8:11 AM
DatesSigned By DateUpdateNew Registration 12/11/2017 11:08:59 AM12/12/2017 8:11 AM
DatesStart DateUpdateNew Registration 1/1/2018 12:00:00 AM12/12/2017 8:11 AM
AddressesMain AddressInsertNew Registration  14 Grove St Middletown, NY 10940-480612/11/2017 11:08 AM
AddressesBilling AddressInsertNew Registration Cornerstone Family Healthcare Administration 2570 U.S. Highway 9W 10 Cornwall, NY 1251812/11/2017 11:08 AM
ContactsAuthorizing OfficialInsertNew Registration MULLER, LINDA S. CEO Cornerstone Family Healthcare 845220313012/11/2017 11:08 AM
ContactsPrimary ContactInsertNew Registration Murphy, Patrick R. CFO Cornerstone Family Healthcare 845220313012/11/2017 11:08 AM
DetailsLast Recertification DateInsertNew Registration  12/11/2017 11:08 AM
DetailsGrant NumberInsertNew Registration H80CS0046912/11/2017 11:08 AM
Details340B IDInsertNew Registration  12/11/2017 11:08 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  12/11/2017 11:08 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  12/11/2017 11:08 AM
DetailsMedicare Provider NumberInsertNew Registration  12/11/2017 11:08 AM
DetailsEntity NameInsertNew Registration CORNERSTONE FAMILY HEALTHCARE12/11/2017 11:08 AM
DetailsProgram CodeInsertNew Registration CH12/11/2017 11:08 AM
DetailsEntity SubnameInsertNew Registration Cornerstone Family Healthcare: Middletown Pediatrics12/11/2017 11:08 AM
DatesParticipating Approval DateInsertNew Registration  12/11/2017 11:08 AM
DetailsStateInsertNew Registration Pending12/11/2017 11:08 AM
DatesRegistration DateInsertNew Registration 12/11/2017 11:08:57 AM12/11/2017 11:08 AM
DatesSigned By DateInsertNew Registration  12/11/2017 11:08 AM
DatesStart DateInsertNew Registration  12/11/2017 11:08 AM
TerminationsTermination CommentsInsertNew Registration  12/11/2017 11:08 AM
TerminationsTermination DateInsertNew Registration  12/11/2017 11:08 AM
TerminationsTermination Effective DateInsertNew Registration  12/11/2017 11:08 AM
TerminationsTermination ReasonInsertNew Registration  12/11/2017 11:08 AM