Covered Entity Details

CHC26803-06 Neighborhood Medical Center Inc. (Active) - information as of 4/29/2025 11:57:57 PM

Main Details

Name

Neighborhood Medical Center Inc.

Subdivision Name

Neighborhood Medical Center, Inc. at the Milicent Holifield Health Academy

Type

HRSA-Funded Health Center

Site ID

BPS-H80-021570

340B ID

CHC26803-06

Grant Number

H80CS26803

Additional Details

Current Program Status

Active

Registration Date

2/1/2018

Participating Start Date

4/1/2018

Participating Approval Date

2/2/2018

Last Recertification Date

3/7/2025

Contacts

Authorizing Official

Neighborhood Medical Center, Inc.
Jeanne S Freeman, CEO
(850) 577-1558

Primary Contact

Neighborhood Medical Center
Otis W Kirksey, Director of Pharmacy Services
(850) 513-3267

Addresses

Street Address

3013 Jim Lee Road
Tallahassee, FL 32301

Billing Address

Neighborhood Medical Center, Inc.
438 West Brevard Street
Tallahassee, FL 32301

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC26803-00	Active	BPS-H80-013705	Neighborhood Medical Center Inc.	Neighborhood Medical Center Lincoln Center	438 W BREVARD ST	TALLAHASSEE	FL
CHC26803-01	Active	BPS-H80-013710	Neighborhood Medical Center Inc.	Neighborhood Medical Center Smith Williams Center	2295 PASCO ST	TALLAHASSEE	FL
CHC26803-02	Active	BPS-H80-013708	Neighborhood Medical Center Inc.	Neighborhood Medical Center C.V. Butler Building	604 E 5TH AVE	HAVANA	FL
CHC26803-03	Active	BPS-H80-013707	NEIGHBORHOOD MEDICAL CENTER INC.	Neighborhood Medical Center Havana Middle School	1210 KEMP RD	HAVANA	FL
CHC26803-04	Active	BPS-H80-015440	NEIGHBORHOOD MEDICAL CENTER INC.	NMC Mobile Unit	872 W ORANGE AVE	TALLAHASSEE	FL
CHC26803-05	Terminated	BPS-H80-015444	NEIGHBORHOOD MEDICAL CENTER INC.	NMC Orange Avenue Site	872 W ORANGE AVE	TALLAHASSEE	FL
CHC26803-06	Active	BPS-H80-021570	Neighborhood Medical Center Inc.	Neighborhood Medical Center, Inc. at the Milicent Holifield Health Academy	3013 Jim Lee Road	Tallahassee	FL
CHC26803-07	Active	BPS-H80-033766	NEIGHBORHOOD MEDICAL CENTER INC.	Neighborhood Medical Center South Monroe	2613 S Monroe St	Tallahassee	FL

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC26803-00	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	10/01/2018
CHC26803-00	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	10/01/2018
CHC26803-00	ECONOMY DRUG STORE	319 N MACOMB ST		TALLAHASSEE	FL	32301-1017	07/01/2014	04/14/2020
CHC26803-00	FLORIDA A & M UNIVERSITY	FAMU PHARMACY	438 W BREVARD ST FAMU PHARMACY	TALLAHASSEE	FL	32301	07/01/2014
CHC26803-00	FLORIDA A&M UNIVERSITY	FAMU HEALTH DEPT PHARAMCY	872 W ORANGE AVE	TALLAHASSEE	FL	32310	07/01/2014
CHC26803-00	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00633	3090 S MONROE ST	TALLAHASSEE	FL	32301	10/01/2019
CHC26803-00	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00710	1708 N MONROE ST	TALLAHASSEE	FL	32303	10/01/2019
CHC26803-00	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 01256	1300 APALACHEE PKWY	TALLAHASSEE	FL	32301	10/01/2019
CHC26803-00	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03624	1208 W. JEFFERSON ST.	QUINCY	FL	32351	10/01/2019
CHC26803-00	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03910	3479 THOMASVILLE RD	TALLAHASSEE	FL	32309	10/01/2019
CHC26803-00	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04024	5466 THOMASVILLE RD N	TALLAHASSEE	FL	32312	10/01/2019
CHC26803-00	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04469	1819 W TENNESSEE ST	TALLAHASSEE	FL	32304	10/01/2019
CHC26803-00	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04478	3831 N MONROE ST	TALLAHASSEE	FL	32303	10/01/2019
CHC26803-00	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04639	5670 N MONROE ST	TALLAHASSEE	FL	32303	10/01/2019
CHC26803-00	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05025	1875 CAPITAL CIR NE	TALLAHASSEE	FL	32308	10/01/2019
CHC26803-00	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05069	2668 CRAWFORDVILLE HWY	CRAWFORDVILLE	FL	32327	10/01/2019
CHC26803-00	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 07895	3035 APALACHEE PKWY.	TALLAHASSEE	FL	32301	10/01/2019
CHC26803-00	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 07958	3644 COOLIDGE COURT	TALLAHASSEE	FL	32311	10/01/2019
CHC26803-00	HOLIDAY CVS, L.L.C.	DBA CVS/PHARMACY #10482	822 WEST PENSACOLA STREET	TALLAHASSEE	FL	32304-8036	10/01/2019
CHC26803-00	HOLIDAY CVS, L.L.C.	CVS PHARMACY # 16288	2120 APALACHEE PKWY	TALLAHASSEE	FL	32301	10/01/2019
CHC26803-00	HOLIDAY CVS, L.L.C.	CVS PHARMACY # 17089	3700 BRADFORDVILLE RD	TALLAHASSEE	FL	32309	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00633	3090 S MONROE ST	TALLAHASSEE	FL	32301	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00710	1708 N MONROE ST	TALLAHASSEE	FL	32303	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 01256	1300 APALACHEE PKWY	TALLAHASSEE	FL	32301	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03624	1208 W. JEFFERSON ST.	QUINCY	FL	32351	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03910	3479 THOMASVILLE RD	TALLAHASSEE	FL	32309	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04024	5466 THOMASVILLE RD N	TALLAHASSEE	FL	32312	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04469	1819 W TENNESSEE ST	TALLAHASSEE	FL	32304	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04478	3831 N MONROE ST	TALLAHASSEE	FL	32303	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04639	5670 N MONROE ST	TALLAHASSEE	FL	32303	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05025	1875 CAPITAL CIR NE	TALLAHASSEE	FL	32308	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05069	2668 CRAWFORDVILLE HWY	CRAWFORDVILLE	FL	32327	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 07895	3035 APALACHEE PKWY.	TALLAHASSEE	FL	32301	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 07958	3644 COOLIDGE COURT	TALLAHASSEE	FL	32311	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	DBA CVS/PHARMACY #10482	822 WEST PENSACOLA STREET	TALLAHASSEE	FL	32304-8036	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	CVS PHARMACY # 16288	2120 APALACHEE PKWY	TALLAHASSEE	FL	32301	10/01/2019
CHC26803-01	HOLIDAY CVS, L.L.C.	CVS PHARMACY # 17089	3700 BRADFORDVILLE RD	TALLAHASSEE	FL	32309	10/01/2019
CHC26803-02	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00633	3090 S MONROE ST	TALLAHASSEE	FL	32301	10/01/2019
CHC26803-02	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00710	1708 N MONROE ST	TALLAHASSEE	FL	32303	10/01/2019
CHC26803-02	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 01256	1300 APALACHEE PKWY	TALLAHASSEE	FL	32301	10/01/2019
CHC26803-00	PHARMACY INVESTMENT COORDINATORS, INC.	D/B/A BUY RITE DRUGS #6	704 S US HIGHWAY 27 PIC INC	HAVANA	FL	32333	07/01/2014	04/14/2020
CHC26803-00	PUBLIX SUPER MARKETS	PUBLIX PHARMACY #0610	5032 CAPITAL CIRCLE SW, SUITE 1	TALLAHASSEE	FL	32305	04/01/2019
CHC26803-01	PUBLIX SUPER MARKETS	PUBLIX PHARMACY #0610	5032 CAPITAL CIRCLE SW, SUITE 1	TALLAHASSEE	FL	32305	04/01/2019
CHC26803-00	PUBLIX SUPER MARKETS	PUBLIX PHARMACY #0887	3551 BLAIRSTONE RD	TALLAHASSEE	FL	32301	04/01/2019
CHC26803-00	PUBLIX SUPER MARKETS INC	PUBLIX PHARMACY #0782	800 OCALA ROAD	TALLAHASSEE	FL	32304	04/01/2019
CHC26803-00	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	04/01/2019
CHC26803-00	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	04/01/2019
CHC26803-00	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2018
CHC26803-00	WAL-MART PHARMACY 10-0488	1940 PAT THOMAS PARKWAY		QUINCY	FL	32351	10/01/2018	10/22/2022
CHC26803-00	WAL-MART PHARMACY 10-1408	4400 W. TENNESSEE		TALLAHASSEE	FL	32304	10/01/2018
CHC26803-00	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2018
CHC26803-00	WALGREEN CO.	DBA: WALGREENS # 10147	1217 W JEFFERSON ST	QUINCY	FL	32351-2125	04/01/2015
CHC26803-00	WALGREEN CO.	DBA: WALGREENS # 02074	1202 N MAGNOLIA DR	TALLAHASSEE	FL	32308-4634	04/01/2015
CHC26803-00	WALGREEN CO.	DBA: WALGREENS # 04311	3531 THOMASVILLE ROAD	TALLAHASSEE	FL	32309	04/01/2015
CHC26803-00	WALGREEN CO.	DBA: WALGREENS #10717	140 CAPITAL CIRCLE SW	TALLAHASSEE	FL	32304	04/01/2015
CHC26803-00	WALGREEN CO.	DBA: WALGREENS # 04091	2009 W. TENNESSEE STREET	TALLAHASSEE	FL	32304	04/01/2015
CHC26803-00	WALGREEN CO.	DBA: WALGREENS # 03374	100 E MAGNOLIA DR	TALLAHASSEE	FL	32301	04/01/2015	10/23/2017
CHC26803-00	WALGREEN CO.	DBA: WALGREENS # 11537	414 S. MAGNOLIA DRIVE	TALLAHASSEE	FL	32301	10/01/2017
CHC26803-00	Walgreens #21395	Walgreens Central Fill #21395	5710 Young Pine Rd	Orlando	FL	32829	01/01/2023
CHC26803-01	Walgreens #21395	Walgreens Central Fill #21395	5710 Young Pine Rd	Orlando	FL	32829	01/01/2023
CHC26803-00	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	04/01/2015	06/26/2015
CHC26803-00	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	04/01/2015	06/26/2015
CHC26803-00	WINN DIXIE STORE #184	1632 W. JEFFERSON STREET		QUINCY	FL	32351	07/01/2016	04/14/2020

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/11/2024 1:32:05 PM	3/7/2025 10:51:33 AM	3/7/2025 10:51 AM
Details	Last Recertification Date	Update	Recertification	2/26/2023 8:41:40 AM	2/11/2024 1:32:05 PM	2/11/2024 1:32 PM
Details	Last Recertification Date	Update	Recertification	2/17/2022 1:37:00 PM	2/26/2023 8:41:40 AM	2/26/2023 8:41 AM
Details	Last Recertification Date	Update	Recertification	2/13/2021 10:23:24 AM	2/17/2022 1:37:00 PM	2/17/2022 1:37 PM
Details	Last Recertification Date	Update	Recertification	1/30/2020 9:39:26 AM	2/13/2021 10:23:24 AM	2/13/2021 10:23 AM
Addresses	Main Address	Update	Change Request	3013 Jim Lee Road Tallahassee, FL 32310	3013 Jim Lee Road Tallahassee, FL 32301	6/19/2020 10:11 AM
Details	Last Recertification Date	Update	Recertification	2/20/2019 5:51:13 PM	1/30/2020 9:39:26 AM	1/30/2020 9:39 AM
Contacts	Primary Contact	Update	Recertification	Graham, Nellie HR and Credentialing Manager Neighborhood Medical Center, Inc. 8505770045	Kirksey, Otis W Director of Pharmacy Services Neighborhood Medical Center 8505133267	2/20/2019 5:51 PM
Details	Last Recertification Date	Update	Recertification		2/20/2019 5:51:13 PM	2/20/2019 5:51 PM
Details	State	Update		Approved	Active	4/1/2018 12:00 AM
Contacts	Signed By	Insert	New Registration		Freeman, Jeanne S CEO Neighborhood Medical Center, Inc. 8505771558	2/2/2018 8:56 AM
Details	340B ID	Update	New Registration		CHC26803-06	2/2/2018 8:56 AM
Dates	Participating Approval Date	Update	New Registration		2/2/2018 8:56:26 AM	2/2/2018 8:56 AM
Details	State	Update	New Registration	Pending	Approved	2/2/2018 8:56 AM
Dates	Signed By Date	Update	New Registration		2/1/2018 3:01:32 PM	2/2/2018 8:56 AM
Dates	Start Date	Update	New Registration		4/1/2018 12:00:00 AM	2/2/2018 8:56 AM
Addresses	Main Address	Insert	New Registration		3013 Jim Lee Road Tallahassee, FL 32310	2/1/2018 3:01 PM
Addresses	Billing Address	Insert	New Registration		Neighborhood Medical Center, Inc. 438 West Brevard Street Tallahassee, FL 32301	2/1/2018 3:01 PM
Contacts	Authorizing Official	Insert	New Registration		Freeman, Jeanne S CEO Neighborhood Medical Center, Inc. 8505771558	2/1/2018 3:01 PM
Contacts	Primary Contact	Insert	New Registration		Graham, Nellie HR and Credentialing Manager Neighborhood Medical Center, Inc. 8505770045	2/1/2018 3:01 PM
Details	Last Recertification Date	Insert	New Registration			2/1/2018 3:01 PM
Details	Grant Number	Insert	New Registration		H80CS26803	2/1/2018 3:01 PM
Details	340B ID	Insert	New Registration			2/1/2018 3:01 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			2/1/2018 3:01 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			2/1/2018 3:01 PM
Details	Medicare Provider Number	Insert	New Registration			2/1/2018 3:01 PM
Details	Entity Name	Insert	New Registration		Neighborhood Medical Center Inc.	2/1/2018 3:01 PM
Details	Program Code	Insert	New Registration		CH	2/1/2018 3:01 PM
Details	Entity Subname	Insert	New Registration		Neighborhood Medical Center, Inc. at the Milicent Holifield Health Academy	2/1/2018 3:01 PM
Dates	Participating Approval Date	Insert	New Registration			2/1/2018 3:01 PM
Details	State	Insert	New Registration		Pending	2/1/2018 3:01 PM
Dates	Registration Date	Insert	New Registration		2/1/2018 3:01:29 PM	2/1/2018 3:01 PM
Dates	Signed By Date	Insert	New Registration			2/1/2018 3:01 PM
Dates	Start Date	Insert	New Registration			2/1/2018 3:01 PM
Terminations	Termination Comments	Insert	New Registration			2/1/2018 3:01 PM
Terminations	Termination Date	Insert	New Registration			2/1/2018 3:01 PM
Terminations	Termination Effective Date	Insert	New Registration			2/1/2018 3:01 PM
Terminations	Termination Reason	Insert	New Registration			2/1/2018 3:01 PM

340B Drug Pricing Program Database