340B Drug Pricing Program Database


CHC29018-20 NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (Active) - information as of 5/13/2025 10:59:47 PM

Main Details
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Vanderbilit Community Health Center
HRSA-Funded Health Center
BPS-H80-022230
CHC29018-20
H80CS29018


Additional Details
Active
7/2/2018
10/1/2018
7/16/2018
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

165 Vanderbilt Avenue
Staten Island, NY 10304

NEW YORK CITY HEALTH + HOSPITALS CUMBERLAND
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
NY010058981356406136
Shipping Addresses

Cumberland Diagnostic & Treatment 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 DateUpdateRecertification2/14/2024 7:22:36 AM3/5/2025 3:42:09 PM3/5/2025 3:42 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
AddressesMain AddressUpdateRecertification 155 Vanderbilt Avenue Staten Island, NY 10304 165 Vanderbilt Avenue Staten Island, NY 103042/14/2024 7:22 AM
DetailsLast Recertification DateUpdateRecertification2/24/2023 12:50:38 PM2/14/2024 7:22:36 AM2/14/2024 7:22 AM
DetailsLast Recertification DateUpdateRecertification2/21/2022 1:03:38 PM2/24/2023 12:50:38 PM2/24/2023 12:50 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 6:47 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 3:15 PM
DetailsLast Recertification DateUpdateRecertification2/26/2021 10:27:28 AM2/21/2022 1:03:38 PM2/21/2022 1:03 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 BillingMedicaid: Is PrimaryInsertRecertification False2/26/2021 10:27 AM
Medicaid BillingMedicaid: NumberInsertRecertification 010058982/26/2021 10:27 AM
Medicaid BillingMedicaid: StateInsertRecertification NY2/26/2021 10:27 AM
Medicaid BillingNPI: StateUpdateRecertification NY2/26/2021 10:27 AM
DetailsLast Recertification DateUpdateRecertification2/10/2020 8:24:04 AM2/26/2021 10:27:28 AM2/26/2021 10:27 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 1:10 PM
DetailsLast Recertification DateUpdateRecertification2/11/2019 11:14:05 AM2/10/2020 8:24:04 AM2/10/2020 8:24 AM
AddressesShipping AddressInsertRecertification Cumberland Diagnostic & Treatment Center 100 North Portland Avenue Brooklyn, NY 112052/11/2019 11:14 AM
DetailsLast Recertification DateUpdateRecertification 2/11/2019 11:14:05 AM2/11/2019 11:14 AM
DetailsStateUpdate ApprovedActive10/1/2018 12:05 AM
ContactsSigned ByInsertNew Registration Albertson, Paul Vice President New York City Health and Hospitals 21274822567/16/2018 3:18 PM
Details340B IDUpdateNew Registration CHC29018-207/16/2018 3:18 PM
DatesParticipating Approval DateUpdateNew Registration 7/16/2018 3:18:11 PM7/16/2018 3:18 PM
DetailsStateUpdateNew RegistrationPendingApproved7/16/2018 3:18 PM
DatesSigned By DateUpdateNew Registration 7/11/2018 4:15:58 PM7/16/2018 3:18 PM
DatesStart DateUpdateNew Registration 10/1/2018 12:00:00 AM7/16/2018 3:18 PM
AddressesMain AddressInsertNew Registration  155 Vanderbilt Avenue Staten Island, NY 103047/2/2018 4:53 PM
AddressesBilling AddressInsertNew Registration NEW YORK CITY HEALTH + HOSPITALS CUMBERLAND 100 North Portland Avenue Brooklyn, NY 112057/2/2018 4:53 PM
Medicaid BillingNPI: NumberInsertNew Registration 13564061367/2/2018 4:53 PM
ContactsAuthorizing OfficialInsertNew Registration Albertson, Paul Vice President New York City Health and Hospitals 21274822567/2/2018 4:53 PM
ContactsPrimary ContactInsertNew Registration Sestito, Danielle Senior Director, 340B Operations New York City Health + Hospitals 21244238927/2/2018 4:53 PM
DetailsLast Recertification DateInsertNew Registration  7/2/2018 4:53 PM
DetailsGrant NumberInsertNew Registration H80CS290187/2/2018 4:53 PM
Details340B IDInsertNew Registration  7/2/2018 4:53 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  7/2/2018 4:53 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  7/2/2018 4:53 PM
DetailsMedicare Provider NumberInsertNew Registration  7/2/2018 4:53 PM
DetailsEntity NameInsertNew Registration NEW YORK CITY HEALTH AND HOSPITALS CORPORATION7/2/2018 4:53 PM
DetailsProgram CodeInsertNew Registration CH7/2/2018 4:53 PM
DetailsEntity SubnameInsertNew Registration Vanderbilit Community Health Center7/2/2018 4:53 PM
DatesParticipating Approval DateInsertNew Registration  7/2/2018 4:53 PM
DetailsStateInsertNew Registration Pending7/2/2018 4:53 PM
DatesRegistration DateInsertNew Registration 7/2/2018 4:53:27 PM7/2/2018 4:53 PM
DatesSigned By DateInsertNew Registration  7/2/2018 4:53 PM
DatesStart DateInsertNew Registration  7/2/2018 4:53 PM
TerminationsTermination CommentsInsertNew Registration  7/2/2018 4:53 PM
TerminationsTermination DateInsertNew Registration  7/2/2018 4:53 PM
TerminationsTermination Effective DateInsertNew Registration  7/2/2018 4:53 PM
TerminationsTermination ReasonInsertNew Registration  7/2/2018 4:53 PM