Covered Entity Details

STD331362 University of Miami PrEP Clinic (Active) - information as of 5/25/2025 1:09:58 AM

Main Details

Name

University of Miami PrEP Clinic

Subdivision Name

Mobile Wellness Unit

Type

Sexually Transmitted Diseases

340B ID

STD331362

Grant Number

6-NU62PS924532-03-02

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

In-Kind products or services (see note below; must have been purchased with section 318 funds)
Direct Funding (dollars received from CDC or an intermediate organization)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
Brochures for STD education
7/1/2020

Additional Details

Current Program Status

Active

Registration Date

7/6/2018

Participating Start Date

10/1/2018

Participating Approval Date

8/17/2018

Last Recertification Date

5/12/2025

Notice of Funding Opportunity (NOFO) Number

PS18-1802

Contacts

Authorizing Official

University of Miami
Susanne Doblecki-Lewis, Professor of Clinical Medicine and Chief, Division of Infectious Diseases
(305) 243-7652

Primary Contact

University of Miami
Gilianne Narcisse, Pharmacist
(305) 243-2584

Addresses

Street Address

1951 NW 7th avenue
480
Miami, FL 33136

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
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

Shipping Address 1

University of Miami
1951 NW 7th avenue Suite 480
Miami, FL 33136

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	01/18/2024	04/01/2024		04/01/2024
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	01/18/2024	04/01/2024		04/01/2024
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	01/18/2024	04/01/2024		04/01/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	01/18/2024	04/01/2024		04/01/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	01/18/2024	04/01/2024		04/01/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	01/18/2024	04/01/2024		04/01/2024
Contract Detail	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	01/16/2020	04/01/2020	10/08/2022	10/15/2022
Contract Detail	AVITA PHARMACY 1047	AVITA DRUGS FLORIDA LLC D/B/A AVITA PHAR	1110 KEVSTIN DR	KISSIMMEE	FL	34744	01/16/2020	04/01/2020	10/08/2022	10/15/2022
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/15/2020	10/01/2020		10/01/2020
Contract Detail	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/15/2020	10/01/2020		10/01/2020
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	10/20/2021	01/01/2022		01/01/2022
Contract Detail	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	10/20/2021	01/01/2022		01/01/2022
Contract Detail	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	10/20/2021	01/01/2022		01/01/2022
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	10/20/2021	01/01/2022		01/01/2022
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	10/20/2021	01/01/2022		01/01/2022
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	10/20/2021	01/01/2022		01/01/2022
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	10/20/2021	01/01/2022		01/01/2022
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	10/20/2021	01/01/2022		01/01/2022
Contract Detail	CENTERWELL PHARMACY, INC.	9843 WINDISCH RD		WEST CHESTER	OH	45069	04/13/2022	07/01/2022	12/26/2023	12/29/2023
Contract Detail	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD N STE 1400		ST PETERSBURG	FL	33716	08/17/2018	10/01/2018	07/17/2018	10/02/2018
Contract Detail	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD N STE 1400		ST PETERSBURG	FL	33716	10/09/2018	01/01/2019		01/01/2019
Contract Detail	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	10/20/2021	01/01/2022		01/01/2022
Contract Detail	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	10/09/2018	01/01/2019		01/01/2019
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	01/18/2024	04/01/2024		04/01/2024
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	01/18/2024	04/01/2024		04/01/2024
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	01/18/2024	04/01/2024		04/01/2024
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	01/18/2024	04/01/2024		04/01/2024
Contract Detail	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	01/16/2020	04/01/2020	10/08/2022	10/15/2022
Contract Detail	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	10/09/2018	01/01/2019	11/14/2022	11/27/2022
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/15/2020	10/01/2020		10/01/2020
Contract Detail	PROCARE PHARMACY, L.L.C.	NAVARRO SPECIALTY SERVICES # 10727	7205 CORPORATE CENTER DRIVE SUITE 104	MIAMI	FL	33126	07/15/2020	10/01/2020		10/01/2020
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	10/20/2021	01/01/2022		01/01/2022
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	10/20/2021	01/01/2022		01/01/2022
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	10/20/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO	DBA: WALGREENS #09401	15711 SW 152ND ST	MIAMI	FL	33187-5417	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO	DBA: WALGREENS #10356	13680 SW 88TH ST	MIAMI	FL	33186	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO	DBA: WALGREENS #10470	16795 S DIXIE HWY	MIAMI	FL	33157	08/17/2018	10/01/2018	09/19/2018	10/04/2018
Contract Detail	WALGREEN CO	DBA: WALGREENS #9552	181 N. UNIVERSITY DR	PLANTATION	FL	33324	08/17/2018	10/01/2018	09/19/2018	10/04/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03626	1800 N NOB HILL ROAD	PLANTATION	FL	33322	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 01532	6700 COLLINS AVE	MIAMI BEACH	FL	33141	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 10900	3490 BIRD RD	MIAMI	FL	33133	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04384	400 HIALEAH DRIVE	HIALEAH	FL	33010	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02184	8327 W FLAGLER ST	MIAMI	FL	33144	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04955	18665 BISCAYNE BLVD	AVENTURA	FL	33180	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	WALGREENS #16542	1475 NW 12TH AVE STE 2307B	MIAMI	FL	33136	08/17/2018	10/01/2018	07/17/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02790	3103 BISCAYNE BLVD	MIAMI	FL	33137	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05130	6800 W 28TH AVE	HIALEAH	FL	33018	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09572	11211 S DIXIE HWY	PINECREST	FL	33156-4441	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #10983	1011 ALTON RD.	MIAMI BEACH	FL	33139	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03105	11920 NW 27TH AVENUE	MIAMI	FL	33167	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 00621	5731 BIRD ROAD	MIAMI	FL	33155	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03211	9675 NW 41ST STREET	DORAL	FL	33178-2974	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #11481	52 EAST PALM DRIVE	FLORIDA CITY	FL	33034	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09361	3090 NE 43RD AVE	HOMESTEAD	FL	33033-3028	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03301	1695 NW 20TH STREET	MIAMI	FL	33142	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03173	9020 BISCAYNE BLVD	MIAMI SHORES	FL	33138	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09206	8650 SW 132ND ST	MIAMI	FL	33156-6507	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05625	1601 SW 107TH AVE	MIAMI	FL	33165	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #09018	1155 W. 68TH ST	HIALEAH	FL	33014-5152	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #13851	9310 SW 56TH STREET	MIAMI	FL	33165	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03782	5701 NW 183RD ST	HIALEAH	FL	33015	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06442	15195 SW 42ND STREET	MIAMI	FL	33185	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	WALGREENS #16354	1780 N. UNIVERSITY DR.	PLANTATION	FL	33322	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #11304	15043 S. DIXIE HWY.	PALMETTO BAY	FL	33176	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03854	15900 NW 27TH AVE	OPA LOCKA	FL	33054	08/17/2018	10/01/2018	09/19/2018	10/04/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03679	161 NE 54TH STREET	MIAMI	FL	33137	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02416	10609 SW 40TH ST	MIAMI	FL	33165	08/17/2018	10/01/2018	09/19/2018	10/04/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04809	3595 CORAL WAY	MIAMI	FL	33145	08/17/2018	10/01/2018	09/19/2018	10/04/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05250	1699 NW 7TH ST	MIAMI	FL	33125	08/17/2018	10/01/2018	09/19/2018	10/04/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #12260	11700 SW 104TH ST	MIAMI	FL	33186	08/17/2018	10/01/2018	09/19/2018	10/04/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 01600	14720 N KENDALL DR	MIAMI	FL	33196	08/17/2018	10/01/2018	09/19/2018	10/04/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02082	15 S OCEAN BLVD	POMPANO BEACH	FL	33062	08/17/2018	10/01/2018	09/19/2018	10/04/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04003	3015 S. UNIVERSITY DR.	DAVIE	FL	33328	08/17/2018	10/01/2018	09/19/2018	10/04/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05050	1610 W 49TH ST	HIALEAH	FL	33012	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03371	7910 NW 27TH AVENUE	MIAMI	FL	33147	08/17/2018	10/01/2018	09/19/2018	10/04/2018
Contract Detail	WALGREEN CO.	DBA WALGREENS #16543	5555 PONCE DE LEON BLVD. SUITE 186	CORAL GABLES	FL	33146	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #11880	6701 MILLER DR	MIAMI	FL	33155	08/17/2018	10/01/2018	09/19/2018	10/04/2018
Contract Detail	WALGREEN CO.	WALGREENS #16541	1400 NW 12TH AVE STE 2002	MIAMI	FL	33136	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #10793	15705 SW 72ND ST	MIAMI	FL	33193	08/17/2018	10/01/2018	09/19/2018	10/04/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06603	16690 SW 88TH STREET	MIAMI	FL	33196	08/17/2018	10/01/2018	09/19/2018	10/04/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05251	1 E FLAGLER ST	MIAMI	FL	33131	08/17/2018	10/01/2018	09/19/2018	10/04/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02743	998 SW 67TH AVE	MIAMI	FL	33144	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #10264	28875 S. DIXIE HWY	HOMESTEAD	FL	33033	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02832	4010 S W 137TH AVE	MIAMI	FL	33175	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02292	1001 SW 2ND AVE UNIT 1001	BOCA RATON	FL	33432	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03835	19935 NW 2ND AVE	MIAMI	FL	33169	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 00748	12295 BISCAYNE BLVD	NORTH MIAMI	FL	33181	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04808	20340 OLD CUTLER RD	CUTLER BAY	FL	33189	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02129	17534 COLLINS AVE	SUNNY ISLES BEACH	FL	33160	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03318	11690 SW 72ND ST	MIAMI	FL	33173	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 01411	21324 ST ANDREWS BLVD	BOCA RATON	FL	33433-2435	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02128	1845 ALTON ROAD	MIAMI BEACH	FL	33139	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07309	15701 SW 56TH STREET	MIAMI	FL	33185-4184	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04324	15911 PINES BLVD.	PEMBROKE PINES	FL	33027	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04915	750 NW 119TH ST.	MIAMI	FL	33168	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04728	6200 NW 7TH AVE	MIAMI	FL	33150	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #15299	1201 NE 26TH ST STE 110	WILTON MANORS	FL	33305	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03784	3655 S DIXIE HWY	MIAMI	FL	33133	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03721	15255 SW 137TH AVENUE	MIAMI	FL	33177	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06873	1201 SW 1ST STREET	MIAMI	FL	33135-2401	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #09748	10181 W. BROWARD BLVD	PLANTATION	FL	33324	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #11920	12711 SW 200TH ST	MIAMI	FL	33177	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07011	4529 W HILLSBORO BLVD	COCONUT CREEK	FL	33073-2006	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #12808	1041 E HILLSBORO BLVD	DEERFIELD BEACH	FL	33441	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04568	10881 W OAKLAND PARK BLVD	SUNRISE	FL	33351	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05742	14190 SW 26TH STREET	MIAMI	FL	33175	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03302	9701 SW 24TH STREET	MIAMI	FL	33165	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07533	12630 SW 120TH STREET	MIAMI	FL	33186	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03316	2700 W. FLAGLER STREET	MIAMI	FL	33135	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 11939	8450 CORAL WAY	MIAMI	FL	33155	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07458	11190 SW 88TH STREET	MIAMI	FL	33176	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03250	18300 NW 37TH AVE.	MIAMI GARDENS	FL	33056-5101	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04654	861 NE 8TH STREET	HOMESTEAD	FL	33030	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03493	9498 NW 7TH AVE	MIAMI	FL	33150	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03317	4200 SW 8TH STREET	CORAL GABLES	FL	33134	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05250	1699 NW 7TH ST	MIAMI	FL	33125	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	WALGREENS SPECIALTY PHARMACY #15106	1250 NW 7TH STREET SUITE 205	MIAMI	FL	33125	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06012	655 NW 57TH AVE	MIAMI	FL	33126	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06013	13698 SW 8TH STREET	MIAMI	FL	33184	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03942	4049 PINE TREE DR	MIAMI BEACH	FL	33140	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03943	200 SW 13TH ST	MIAMI	FL	33130	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03565	18590 SOUTH DIXIE HWY.	CUTLER BAY	FL	33157-6818	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #15137	120 S. POWERLINE RD.	DEERFIELD BEACH	FL	33442	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05293	4895 PALM AVENUE	HIALEAH	FL	33012	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREEN CO.	WALGREENS #16541	1400 NW 12TH AVE STE 2002	MIAMI	FL	33136	10/09/2018	01/01/2019		01/01/2019
Contract Detail	WALGREEN CO.	DBA WALGREENS #16543	5555 PONCE DE LEON BLVD. SUITE 186	CORAL GABLES	FL	33146	10/09/2018	01/01/2019		01/01/2019
Contract Detail	WALGREEN CO.	WALGREENS #16542	1475 NW 12TH AVE STE 2307B	MIAMI	FL	33136	10/09/2018	01/01/2019		01/01/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03679	161 NE 54TH STREET	MIAMI	FL	33137	10/09/2018	01/01/2019	11/20/2020	11/29/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05050	1610 W 49TH ST	HIALEAH	FL	33012	10/09/2018	01/01/2019	11/20/2020	11/29/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS #11481	52 EAST PALM DRIVE	FLORIDA CITY	FL	33034	10/09/2018	01/01/2019	11/20/2020	11/29/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02128	1845 ALTON ROAD	MIAMI BEACH	FL	33139	10/09/2018	01/01/2019	11/20/2020	11/29/2020
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21359	275 NE 35TH ST	MIAMI	FL	33137	07/18/2022	10/01/2022		10/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 15914	1669 COLLINS AVENUE	MIAMI BEACH	FL	33139	04/20/2023	07/01/2023		07/01/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03211	9675 NW 41ST STREET	DORAL	FL	33178-2974	01/10/2025	04/01/2025		04/01/2025
Contract Detail	Walgreens #21395	Walgreens Central Fill #21395	5710 Young Pine Rd	Orlando	FL	32829	10/15/2022	01/01/2023		01/01/2023
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	08/17/2018	10/01/2018	09/19/2018	10/02/2018
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	10/09/2018	01/01/2019	10/01/2021	10/20/2021
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	10/09/2018	01/01/2019		01/01/2019
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	10/09/2018	01/01/2019		01/01/2019
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/09/2018	01/01/2019		01/01/2019

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	5/6/2024 10:14:10 AM	5/12/2025 6:56:05 AM	5/12/2025 6:56 AM
Contacts	Authorizing Official	Update	Profile Change Request	Doblecki-Lewis, Susanne Professor of Clinical Medicine and Director, Division of Infectious Diseases University of Miami 3052437652	Doblecki-Lewis, Susanne Professor of Clinical Medicine and Chief, Division of Infectious Diseases University of Miami 3052437652	8/26/2024 10:23 AM
Contacts	Signed By	Update	Profile Change Request	Doblecki-Lewis, Susanne Professor of Clinical Medicine and Director, Division of Infectious Diseases University of Miami 3052437652	Doblecki-Lewis, Susanne Professor of Clinical Medicine and Chief, Division of Infectious Diseases University of Miami 3052437652	8/26/2024 10:23 AM
Addresses	Shipping Address	Delete	Change Request	University of Miami 1951 NW 7th avenue First Floor 1210 Miami, FL 33136		8/6/2024 10:53 AM
Details	Grant Number	Update	Change Request	6-NU62P5924532-03-02	6-NU62PS924532-03-02	8/6/2024 10:53 AM
Contacts	Authorizing Official	Update	Profile Change Request	Doblecki-Lewis, Susanne Professor of Clinical Medicine and Director, Division of Infectious Diseases University of Miami 3052439213	Doblecki-Lewis, Susanne Professor of Clinical Medicine and Director, Division of Infectious Diseases University of Miami 3052437652	8/2/2024 6:27 AM
Contacts	Signed By	Update	Profile Change Request	Doblecki-Lewis, Susanne Professor of Clinical Medicine and Director, Division of Infectious Diseases University of Miami 3052439213	Doblecki-Lewis, Susanne Professor of Clinical Medicine and Director, Division of Infectious Diseases University of Miami 3052437652	8/2/2024 6:27 AM
Contacts	Primary Contact	Update	Profile Change Request	Narcisse, Gilianne Clinical Pharmacist University of Miami 3052432584	Narcisse, Gilianne Pharmacist University of Miami 3052432584	7/24/2024 12:01 PM
Details	Last Recertification Date	Update	Recertification	5/10/2023 2:58:18 PM	5/6/2024 10:14:10 AM	5/6/2024 10:14 AM
Contacts	Authorizing Official	Update	Profile Change Request	Doblecki-Lewis, Susanne Associate Professor of Clinical Medicine and Clinical Director of Division of Infectious Diseases University of Miami 3052439213	Doblecki-Lewis, Susanne Professor of Clinical Medicine and Director, Division of Infectious Diseases University of Miami 3052439213	4/1/2024 3:23 PM
Contacts	Signed By	Update	Profile Change Request	Doblecki-Lewis, Susanne Associate Professor of Clinical Medicine and Clinical Director of Division of Infectious Diseases University of Miami 3052439213	Doblecki-Lewis, Susanne Professor of Clinical Medicine and Director, Division of Infectious Diseases University of Miami 3052439213	4/1/2024 3:23 PM
Details	Last Recertification Date	Update	Recertification	5/10/2022 9:07:49 AM	5/10/2023 2:58:18 PM	5/10/2023 2:58 PM
Addresses	Shipping Address	Update	Change Request	University of Miami, ACRU Pharmacy 1800 NW 10th ave, Elliott Building Room 157 Miami, FL 33136	University of Miami 1951 NW 7th avenue Suite 480 Miami, FL 33136	3/28/2023 9:29 AM
Addresses	Shipping Address	Update	Change Request	University of Miami 1951 NW 7th avenue Miami, FL 33136	University of Miami 1951 NW 7th avenue First Floor 1210 Miami, FL 33136	9/21/2022 9:49 AM
Addresses	Shipping Address	Insert	Change Request		University of Miami 1951 NW 7th avenue Miami, FL 33136	8/23/2022 7:12 AM
Details	Last Recertification Date	Update	Recertification	5/7/2021 9:46:37 AM	5/10/2022 9:07:49 AM	5/10/2022 9:07 AM
Details	Last Recertification Date	Update	Recertification	5/24/2020 5:57:40 PM	5/7/2021 9:46:37 AM	5/7/2021 9:46 AM
Details	Nature of Support: In Kind Support Description	Update	Change Request		Brochures for STD education	10/20/2020 1:17 PM
Details	Nature of Support: Support Received From Date	Update	Change Request		7/1/2020 12:00:00 AM	10/20/2020 1:17 PM
Details	Nature of Support: In Kind Support Description	Insert	Change Request			10/20/2020 1:17 PM
Details	Nature Of Support	Insert	Change Request		Direct Funding (dollars received from CDC or an intermediate organization)	10/20/2020 1:17 PM
Details	Nature of Support: Support Received From Date	Insert	Change Request		7/1/2020 12:00:00 AM	10/20/2020 1:17 PM
Details	Nature of Support: Support Received To Date	Insert	Change Request			10/20/2020 1:17 PM
Details	Grant Number	Update	Change Request	NH25PS005131	6-NU62P5924532-03-02	10/20/2020 1:17 PM
Details	NOFO Number	Update	Change Request		PS18-1802	10/20/2020 1:17 PM
Addresses	Shipping Address	Insert	Change Request		University of Miami, ACRU Pharmacy 1800 NW 10th ave, Elliott Building Room 157 Miami, FL 33136	7/21/2020 5:08 PM
Details	Last Recertification Date	Update	Recertification	5/22/2019 9:30:45 AM	5/24/2020 5:57:40 PM	5/24/2020 5:57 PM
Addresses	Main Address	Update	Change Request	1800 NW 10th ave Miami, FL 33136	1951 NW 7th avenue 480 Miami, FL 33136	1/29/2020 3:08 PM
Details	Last Recertification Date	Update	Recertification		5/22/2019 9:30:45 AM	5/22/2019 9:30 AM
Details	Grant Number	Update	Recertification	5H25PS004342	NH25PS005131	5/22/2019 9:30 AM
Contacts	Primary Contact	Update	Profile Change Request	Narcisse, Gilianne Clinical Pharmacist University of Miami 3052433458	Narcisse, Gilianne Clinical Pharmacist University of Miami 3052432584	5/17/2019 8:48 AM
Contacts	Primary Contact	Update	Recertification	Narcisse, Gilianne Clinical Pharmacist University of Miami 3052432584	Narcisse, Gilianne Clinical Pharmacist University of Miami 3052433458	5/17/2019 8:47 AM
Contacts	Primary Contact	Update	Profile Change Request	Narcisse, Gilianne Clinical Pharmacist University of Miami 3052433458	Narcisse, Gilianne Clinical Pharmacist University of Miami 3052432584	5/17/2019 8:46 AM
Details	State	Update		Approved	Active	10/1/2018 12:05 AM
Contacts	Signed By	Insert	New Registration		Doblecki-Lewis, Susanne Associate Professor of Clinical Medicine and Clinical Director of Division of Infectious Diseases University of Miami 3052439213	8/17/2018 3:43 PM
Details	340B ID	Update	New Registration		STD331362	8/17/2018 3:43 PM
Dates	Participating Approval Date	Update	New Registration		8/17/2018 3:43:15 PM	8/17/2018 3:43 PM
Details	State	Update	New Registration	Pending	Approved	8/17/2018 3:43 PM
Dates	Signed By Date	Update	New Registration		7/7/2018 12:45:24 PM	8/17/2018 3:43 PM
Dates	Start Date	Update	New Registration		10/1/2018 12:00:00 AM	8/17/2018 3:43 PM
Addresses	Main Address	Insert	New Registration		1800 NW 10th ave Miami, FL 33136	7/6/2018 10:07 AM
Details	Nature Of Support	Insert	New Registration		In-Kind products or services (see note below; must have been purchased with section 318 funds)	7/6/2018 10:07 AM
Contacts	Primary Contact	Insert	New Registration		Narcisse, Gilianne Clinical Pharmacist University of Miami 3052433458	7/6/2018 10:07 AM
Contacts	Authorizing Official	Insert	New Registration		Doblecki-Lewis, Susanne Associate Professor of Clinical Medicine and Clinical Director of Division of Infectious Diseases University of Miami 3052439213	7/6/2018 10:07 AM
Details	Last Recertification Date	Insert	New Registration			7/6/2018 10:07 AM
Details	Grant Number	Insert	New Registration		5H25PS004342	7/6/2018 10:07 AM
Details	340B ID	Insert	New Registration			7/6/2018 10:07 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/6/2018 10:07 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/6/2018 10:07 AM
Details	Medicare Provider Number	Insert	New Registration			7/6/2018 10:07 AM
Details	Entity Name	Insert	New Registration		University of Miami PrEP Clinic	7/6/2018 10:07 AM
Details	Program Code	Insert	New Registration		STD	7/6/2018 10:07 AM
Details	Entity Subname	Insert	New Registration		Mobile Wellness Unit	7/6/2018 10:07 AM
Dates	Participating Approval Date	Insert	New Registration			7/6/2018 10:07 AM
Details	State	Insert	New Registration		Pending	7/6/2018 10:07 AM
Dates	Registration Date	Insert	New Registration		7/6/2018 10:07:15 AM	7/6/2018 10:07 AM
Dates	Signed By Date	Insert	New Registration			7/6/2018 10:07 AM
Dates	Start Date	Insert	New Registration			7/6/2018 10:07 AM
Terminations	Termination Comments	Insert	New Registration			7/6/2018 10:07 AM
Terminations	Termination Date	Insert	New Registration			7/6/2018 10:07 AM
Terminations	Termination Effective Date	Insert	New Registration			7/6/2018 10:07 AM
Terminations	Termination Reason	Insert	New Registration			7/6/2018 10:07 AM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History