Covered Entity Details

CH06014H EAST ARKANSAS FAMILY HEALTH CENTER, INC. (Active) - information as of 5/13/2025 10:55:10 PM

Main Details

Name

EAST ARKANSAS FAMILY HEALTH CENTER, INC.

Subdivision Name

East Arkansas Family Health Center - Marvell

Type

HRSA-Funded Health Center

Site ID

BPS-H80-021393

340B ID

CH06014H

Grant Number

H80CS00123

Additional Details

Current Program Status

Active

Registration Date

2/8/2018

Participating Start Date

4/1/2018

Participating Approval Date

2/12/2018

Last Recertification Date

2/11/2025

Contacts

Authorizing Official

East Arkansas Family Health Center, Inc
SUSAN WARD-JONES, CEO
(870) 735-3842

Primary Contact

East Arkansas Family Health Center
Judy Ali, Pharmacy Director
(870) 733-6341

Addresses

Street Address

1008 W Main St
Marvell, AR 72366-9486

Billing Address

East Arkansas Family Health Center, Inc
900 N 7th St
West Memphis, AR 72301

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

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
AR	224517749	1508379249

Shipping Addresses

Shipping Address 1

East Arkansas Family Health Center Pharmacy No 3
406 S Mill St
Marvell, AR 72366

Shipping Address 2

East Arkansas Family Health Center Marvell
1008 W Main St
Marvell, AR 72366

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
Contract Detail	HICKORY HILL PHARMACY	HICKORY HILL PHARMACY	109 HICKORY HILLS DR	HELENA	AR	72342	10/16/2023	01/01/2024			01/01/2024

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH060140	Active	BPS-H80-011387	EAST ARKANSAS FAMILY HEALTH CENTER, INC.	East Arkansas Family Health Center, Inc.	900 North 7th St	West Memphis	AR
CH06014A	Active	BPS-H80-003324	EAST ARKANSAS FAMILY HEALTH CENTER, INC.	EAST ARKANSAS FAMILY HEALTH CTR	102 W Broad St	Lepanto	AR
CH06014B	Terminated	BPS-H80-008238	EAST ARKANSAS FAMILY HEALTH CENTER, INC.	Healthy Partners	4102 Memorial Drive	Blytheville	AR
CH06014C	Active	BPS-H80-009490	EAST ARKANSAS FAMILY HEALTH CENTER, INC.	Truman Family Health Center	417 W Main St	Trumann	AR
CH06014D	Active	BPS-H80-012338	EAST ARKANSAS FAMILY HEALTH CENTER, INC.	Helena Family Health Center	513 Porter	Helena	AR
CH06014E	Active	BPS-H80-015328	EAST ARKANSAS FAMILY HEALTH CENTER, INC.	Healthy Partners	605 N. 2nd St.	Blytheville	AR
CH06014F	Active	BPS-H80-017289	EAST ARKANSAS FAMILY HEALTH CENTER, INC.	Earle Family Health Center	216 Arkansas Street	Earle	AR
CH06014G	Active	BPS-H80-019750	EAST ARKANSAS FAMILY HEALTH CENTER, INC.	ASU Mid South Community College	2000 W. Broadway, Trailer I	West Memphis	AR
CH06014H	Active	BPS-H80-021393	EAST ARKANSAS FAMILY HEALTH CENTER, INC.	East Arkansas Family Health Center - Marvell	1008 W Main St	Marvell	AR
CH06014J	Terminated	BPS-H80-021668	EAST ARKANSAS FAMILY HEALTH CENTER, INC.	Marvell-Elaine School Based Health Center	1018 US 49	Marvell	AR
CH06014K	Active	BPS-H80-022179	EAST ARKANSAS FAMILY HEALTH CENTER, INC.	Marion School District School Based Health Center	1 Patriot Drive	Marion	AR
CH06014L	Terminated	BPS-H80-031368	EAST ARKANSAS FAMILY HEALTH CENTER, INC.	Delta Health Mobile MED	900 N 7th St	West Memphis	AR
CH06014M	Active	BPS-H80-036757	EAST ARKANSAS FAMILY HEALTH CENTER, INC.	Forrest City School District Health and Wellness	801 Deadrick Rd	Forrest City	AR
CH06014N	Active	BPS-H80-036909	EAST ARKANSAS FAMILY HEALTH CENTER, INC.	East Arkansas Family Health Center South	301 W Polk Ave	West Memphis	AR

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH060140	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2022
CH060140	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2022
CH060140	ALLCARE PHARMACY	329 HIGHWAY 463 N		TRUMANN	AR	72472-3505	10/01/2017	12/11/2020
CH060140	ALLCARE SPECIALTY PHARMACY, LLC	10620 COLONEL GLENN RD STE 300		LITTLE ROCK	AR	72204-8048	01/01/2018
CH060140	CAMPBELL DRUG CO, INC.	DBA TRUMANN DRUG CO	213 HWY. 463 N.	TRUMANN	AR	72472	05/17/2011	07/22/2016
CH060140	CLARK'S FAMILY PHARMACY	621 COMMERCE ST		EARLE	AR	72331-1616	04/01/2016
CH06014F	CLARK'S FAMILY PHARMACY	621 COMMERCE ST		EARLE	AR	72331-1616	01/01/2024
CH060140	DEAN'S PHARMACIES, INC	DBA MC DRUG STORE	533 PORTER ST	HELENA	AR	72342	04/01/2021
CH060140	EAST ARKANSAS FAMILY HEALTH PHARMACY	NUMBER 3	406 S MILL ST	MARVELL	AR	72366-9302	10/01/2020	10/22/2020
CH060140	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2022
CH060140	HICKORY HILL PHARMACY	HICKORY HILL PHARMACY	109 HICKORY HILLS DR	HELENA	AR	72342	10/22/2012	07/22/2016
CH060140	HICKORY HILL PHARMACY	HICKORY HILL PHARMACY	109 HICKORY HILLS DR	HELENA	AR	72342	10/01/2017
CH06014H	HICKORY HILL PHARMACY	HICKORY HILL PHARMACY	109 HICKORY HILLS DR	HELENA	AR	72342	01/01/2024
CH060140	KROGER PHARMACY #465	400 WEST MOULTRIE		BLYTHEVILLE	AR	72315	07/01/2014
CH060140	KROGER PHARMACY #469	300 SOUTH SERVICE RD		WEST MEMPHIS	AR	72301	10/01/2018
CH06014K	KROGER PHARMACY #469	300 SOUTH SERVICE RD		WEST MEMPHIS	AR	72301	01/01/2024
CH060140	M-C DRUG STORE, LLC	533 PORTER STREET		HELENA	AR	72342	10/01/2017	12/31/2020
CH06014D	M-C DRUG STORE, LLC	533 PORTER STREET		HELENA	AR	72342	01/01/2024
CH060140	OPTUM PHARMACY 701, LLC	1830 S HORNE		MESA	AZ	85204	01/01/2025
CH060140	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	04/01/2024
CH060140	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	04/01/2024
CH060140	ROSE PHARMACY	1003 N 6TH ST		BLYTHEVILLE	AR	72315	07/01/2018
CH060140	SCPG ARKANSAS LLC	DBA: EXPRESS RX OF TRUMANN	329 HIGHWAY 463 N	TRUMANN	AR	72472	04/01/2021
CH060140	SOUTHERN PHARMACY OF ARKANSAS	730 GREENWOOD AVE	SUITE A	LEPANTO	AR	72354-3215	10/01/2024
CH060140	SOUTHERN PHARMACY OF ARKANSAS	203 NEWSOME DR STE A		MARKED TREE	AR	72365-2018	10/01/2024
CH060140	STANLEY AND TURNER DRUG COMPANY	DBA STANLEY PHARMACY COMPOUNDING CENTER	2413 W BEEBE CAPPS EXPY	SEARCY	AR	72143	01/01/2018
CH060140	SUPER D DRUGS ACQUISITION CO.	DBA: WALGREENS #15788	900 N 6TH STREET	BLYTHEVILLE	AR	72315-2714	04/15/2011	07/22/2016
CH06014B	SUPER D DRUGS ACQUISITION CO.	DBA: WALGREENS #15788	900 N 6TH STREET	BLYTHEVILLE	AR	72315-2714	01/13/2011	01/01/2018
CH060140	THE DAILY DOSE PHARMACY	421 HIGHWAY 463 N		TRUMANN	AR	72472-3702	10/01/2021
CH06014C	THE DAILY DOSE PHARMACY	421 HIGHWAY 463 N		TRUMANN	AR	72472-3702	01/01/2024
CH060140	THE MARVELL PHARMACY, INC	406 S. MILL ST		MARVELL	AR	72366-9302	04/01/2018	05/07/2019
CH060140	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2018
CH060140	WAL-MART PHARMACY 10-0062	3700 EAST HIGHWAY 18		BLYTHEVILLE	AR	72315	07/01/2014
CH06014E	WAL-MART PHARMACY 10-0062	3700 EAST HIGHWAY 18		BLYTHEVILLE	AR	72315	01/01/2024
CH060140	WAL-MART PHARMACY 10-0070	798 WEST SERVICE ROAD		WEST MEMPHIS	AR	72301	07/01/2014
CH06014G	WAL-MART PHARMACY 10-0070	798 WEST SERVICE ROAD		WEST MEMPHIS	AR	72301	01/01/2024
CH060140	WAL-MART PHARMACY 10-0074	2720 WEST KEISER AVE		OSCEOLA	AR	72370	01/01/2019
CH060140	WAL-MART PHARMACY 10-0091	205 DEADRICK ROAD		FORREST CITY	AR	72335	07/01/2025
CH060140	WAL-MART PHARMACY 10-0229	512 INDUSTRIAL DRIVE		TRUMANN	AR	72472	07/01/2014
CH060140	WAL-MART PHARMACY 10-0714	STORE 10-0714	602 SHEILA STREET	WEST HELENA	AR	72390	04/01/2016
CH06014J	WAL-MART PHARMACY 10-0714	STORE 10-0714	602 SHEILA STREET	WEST HELENA	AR	72390	01/01/2024	04/01/2024
CH060140	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2018
CH060140	WALGREEN CO.	DBA: WALGREENS # 02774	346 WEST BROADWAY	WEST MEMPHIS	AR	72301	04/01/2018
CH060140	WALGREEN CO.	DBA: WALGREENS # 05789	1800 N MISSOURI ST STE 2	WEST MEMPHIS	AR	72301	04/01/2018
CH060140	WALGREEN CO.	WALGREENS #15788	900 N 6TH STREET	BLYTHEVILLE	AR	72315	04/01/2018
CH060140	WALGREEN CO.	WALGREENS #15794	850 W KEISER AVENUE	OSCEOLA	AR	72370	10/01/2019	07/03/2023
CH060140	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #15317	1424 UNION AVE	MEMPHIS	TN	38104	10/01/2019
CH060140	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	07/01/2022
CH060140	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2023
CH060140	WALMART PHARMACY 10-4654	2100 HIGHWAY 77		MARION	AR	72364	07/01/2019
CH060140	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CH060140	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/5/2024 1:36:29 PM	2/11/2025 5:59:12 PM	2/11/2025 5:59 PM
Details	Last Recertification Date	Update	Recertification	2/10/2023 11:31:43 AM	2/5/2024 1:36:29 PM	2/5/2024 1:36 PM
Details	Last Recertification Date	Update	Recertification	2/8/2022 12:48:53 PM	2/10/2023 11:31:43 AM	2/10/2023 11:31 AM
Details	Last Recertification Date	Update	Recertification	2/10/2021 8:11:22 AM	2/8/2022 12:48:53 PM	2/8/2022 12:48 PM
Addresses	Billing Address	Insert	Recertification		East Arkansas Family Health Center, Inc 900 N 7th St West Memphis, AR 72301	2/10/2021 8:11 AM
Addresses	Shipping Address	Insert	Recertification		East Arkansas Family Health Center Marvell 1008 W Main St Marvell, AR 72366	2/10/2021 8:11 AM
Medicaid Billing	NPI: State	Update	Recertification		AR	2/10/2021 8:11 AM
Details	Last Recertification Date	Update	Recertification	2/5/2020 5:16:52 PM	2/10/2021 8:11:22 AM	2/10/2021 8:11 AM
Addresses	Shipping Address	Insert	Change Request		East Arkansas Family Health Center Pharmacy No 3 406 S Mill St Marvell, AR 72366	10/23/2020 8:10 AM
Details	Last Recertification Date	Update	Recertification	2/22/2019 11:45:28 AM	2/5/2020 5:16:52 PM	2/5/2020 5:16 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/22/2019 11:45 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		224517749	2/22/2019 11:45 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		AR	2/22/2019 11:45 AM
Details	Last Recertification Date	Update	Recertification		2/22/2019 11:45:28 AM	2/22/2019 11:45 AM
Details	State	Update		Approved	Active	4/1/2018 12:00 AM
Contacts	Signed By	Insert	New Registration		WARD-JONES, SUSAN CEO East Arkansas Family Health Center, Inc 8707353842	2/12/2018 11:06 AM
Details	340B ID	Update	New Registration		CH06014H	2/12/2018 11:06 AM
Dates	Participating Approval Date	Update	New Registration		2/12/2018 11:06:47 AM	2/12/2018 11:06 AM
Details	State	Update	New Registration	Pending	Approved	2/12/2018 11:06 AM
Dates	Signed By Date	Update	New Registration		2/8/2018 2:37:03 PM	2/12/2018 11:06 AM
Dates	Start Date	Update	New Registration		4/1/2018 12:00:00 AM	2/12/2018 11:06 AM
Addresses	Main Address	Insert	New Registration		1008 W Main St Marvell, AR 72366-9486	2/8/2018 2:37 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1508379249	2/8/2018 2:37 PM
Contacts	Authorizing Official	Insert	New Registration		WARD-JONES, SUSAN CEO East Arkansas Family Health Center, Inc 8707353842	2/8/2018 2:37 PM
Contacts	Primary Contact	Insert	New Registration		Ali, Judy Pharmacy Director East Arkansas Family Health Center 8707336341	2/8/2018 2:37 PM
Details	Last Recertification Date	Insert	New Registration			2/8/2018 2:37 PM
Details	Grant Number	Insert	New Registration		H80CS00123	2/8/2018 2:37 PM
Details	340B ID	Insert	New Registration			2/8/2018 2:37 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			2/8/2018 2:37 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			2/8/2018 2:37 PM
Details	Medicare Provider Number	Insert	New Registration			2/8/2018 2:37 PM
Details	Entity Name	Insert	New Registration		EAST ARKANSAS FAMILY HEALTH CENTER, INC.	2/8/2018 2:37 PM
Details	Program Code	Insert	New Registration		CH	2/8/2018 2:37 PM
Details	Entity Subname	Insert	New Registration		East Arkansas Family Health Center - Marvell	2/8/2018 2:37 PM
Dates	Participating Approval Date	Insert	New Registration			2/8/2018 2:37 PM
Details	State	Insert	New Registration		Pending	2/8/2018 2:37 PM
Dates	Registration Date	Insert	New Registration		2/8/2018 2:37:01 PM	2/8/2018 2:37 PM
Dates	Signed By Date	Insert	New Registration			2/8/2018 2:37 PM
Dates	Start Date	Insert	New Registration			2/8/2018 2:37 PM
Terminations	Termination Comments	Insert	New Registration			2/8/2018 2:37 PM
Terminations	Termination Date	Insert	New Registration			2/8/2018 2:37 PM
Terminations	Termination Effective Date	Insert	New Registration			2/8/2018 2:37 PM
Terminations	Termination Reason	Insert	New Registration			2/8/2018 2:37 PM

340B Drug Pricing Program Database