Covered Entity Details

CH04668V Rural Health Group, Inc. (Active) - information as of 5/13/2025 11:03:22 PM

Main Details

Name

Rural Health Group, Inc.

Subdivision Name

Rural Health Group at Halifax Medical Specialist

Type

HRSA-Funded Health Center

Site ID

BPS-H80-021734

340B ID

CH04668V

Grant Number

H80CS00866

Additional Details

Current Program Status

Active

Registration Date

7/12/2018

Participating Start Date

10/1/2018

Participating Approval Date

7/17/2018

Last Recertification Date

2/12/2025

Contacts

Authorizing Official

Rural Health Group
Yvonne Long-Gee, CEO
(252) 536-5820

Primary Contact

Rural Health Group
Dawn Nichole Rush, Pharmacy Director
(252) 536-5885

Addresses

Street Address

270 Smith Church Rd
Roanoke Rapids, NC 27870-4914

Billing Address

Rural Health Group
PO Box 640
500 Jackson Street
Roanoke Rapids, NC 27870

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
CH046680	Active	BPS-H80-001105	RURAL HEALTH GROUP, INC.	Rural Health Group at Jackson	9425 NC HIGHWAY 305	JACKSON	NC
CH04668A	Active	BPS-H80-000857	RURAL HEALTH GROUP	Rural Health Group at Rich Square	200 S MAIN STREET	RICH SQUARE	NC
CH04668B	Active	BPS-H80-000114	RURAL HEALTH GROUP	Rural Health Group at Roanoke Rapids	2066 HWY 125	ROANOKE RAPIDS	NC
CH04668B1	Active	BPS-H80-001000	RURAL HEALTH GROUP, INC.	Rural Health Group Pediatrics and Dental	2064 NC HIGHWAY 125	ROANOKE RAPIDS	NC
CH04668C	Active	BPS-H80-007610	RURAL HEALTH GROUP, INC.	Rural Health Group at Scotland Neck	919 Jr High School Rd	Scotland Neck	NC
CH04668E	Active	BPS-H80-003209	RURAL HEALTH GROUP, Inc.	Rural Health Group at Lake Gaston	108 MOSBY AVENUE	LITTLETON	NC
CH04668F	Active	BPS-H80-005468	RURAL HEALTH GROUP, Inc.	Rural Health Group at Twin County	204 EVANS ROAD	HOLLISTER	NC
CH04668I	Active	BPS-H80-008055	RURAL HEALTH GROUP, Inc.	Rural Health Group at Norlina	110 DIVISION STREET	NORLINA	NC
CH04668J	Active	BPS-H80-008191	RURAL HEALTH GROUP, INC.	Rural Health Group at Henderson and Dental	100 W PARKVIEW DR	Henderson	NC
CH04668K	Active	BPS-H80-008118	RURAL HEALTH GROUP, Inc.	Rural Health Group at Whitakers	105 SE RAILROAD ST	WHITAKERS	NC
CH04668L	Active	BPS-H80-004081	Rural Health Group, Inc.	Rural Health Group Dental at Jackson	9409 NC 305 Highway	Jackson	NC
CH04668M	Active	BPS-H80-011720	Rural Health Group, Inc.	Rural Health Group at Enfield	114 Market St	Enfield	NC
CH04668N	Terminated	BPS-H80-011065	Rural Health Group, Inc.	Rural Health Group at Weldon	805 Washington Ave	Weldon	NC
CH04668P	Active	BPS-H80-013479	RURAL HEALTH GROUP, INC.	Rural Health Group at HRMC	250 Smith Church Rd	Roanoke Rapids	NC
CH04668Q	Active	BPS-H80-013432	RURAL HEALTH GROUP, INC.	Rural Health Group Administration	500 JACKSON ST	ROANOKE RAPIDS	NC
CH04668R	Active	BPS-H80-015752	RURAL HEALTH GROUP, INC.	Rural Health Group at GCP	320 Pleasant Hill Rd	Gaston	NC
CH04668S	Active	BPS-H80-017414	RURAL HEALTH GROUP, INC.	Rural Health Group Women's Health	1381 Medical Center Dr	Roanoke Rapids	NC
CH04668T	Active	BPS-H80-017641	RURAL HEALTH GROUP, INC.	Rural Health Group at Stovall	100 Durham Street	Stovall	NC
CH04668U	Active	BPS-H80-021767	Rural Health Group, Inc.	Rural Health Group at Halifax Community College	100 College Drive, Building 700	Weldon	NC
CH04668V	Active	BPS-H80-021734	Rural Health Group, Inc.	Rural Health Group at Halifax Medical Specialist	270 Smith Church Rd	Roanoke Rapids	NC
CH04668W	Active	BPS-H80-023381	Rural Health Group, Inc.	Rural Health Group at Drugco Express	1096 E 10th St	Roanoke Rapids	NC

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH046680	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	01/01/2025
CH046680	AFFINITY SPECIALTY PHARMACY	DBA SONA SPECIALTY PHARMACY	1070 TUNNEL RD BLDG 3	ASHEVILLE	NC	28805-2014	01/01/2025
CH046680	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2025
CH046680	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2025
CH046680	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2025
CH046680	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/01/2025
CH046680	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	01/01/2025
CH046680	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	01/01/2025
CH046680	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	01/01/2025
CH046680	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	01/01/2025
CH046680	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2025
CH046680	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2025
CH046680	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	01/01/2025
CH046680	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	01/01/2025
CH046680	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/01/2025
CH046680	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	10/01/2024
CH046680	DDP PHARMACY	DBA DRUGCO DISCOUNT PHARMACY	107 SMITH CHURCH RD	ROANOKE RAPIDS	NC	27870	04/01/2016
CH046680	DDP PHARMACY, INC.	DBA DRUGCO EXPRESS	1096 E 10TH ST	ROANOKE RAPIDS	NC	27870-3052	01/01/2019
CH046680	DRUGCARE PHARMACY	132 WHITFIELD ST		ENFIELD	NC	27823	01/01/2017	06/25/2019
CH046680	DRUGCO DISCOUNT PHARMACY	139 ELAMS RD		LITTLETON	NC	27850-8479	04/01/2016
CH046680	DRUGCO DISCOUNT PHARMACY	312 ACADEMY ST S		AHOSKIE	NC	27910-3200	04/01/2016
CH04668B	DRUGCO DISCOUNT PHARMACY	139 ELAMS RD		LITTLETON	NC	27850-8479	06/07/2012
CH04668B	DRUGCO DISCOUNT PHARMACY	312 ACADEMY ST S		AHOSKIE	NC	27910-3200	06/07/2012
CH046680	DRUGCO HEALTH	107 SMITH CHURCH RD.	SUITE A	ROANOKE RAPIDS	NC	27870	04/01/2016
CH04668B	DRUGCO HEALTH	107 SMITH CHURCH RD.	SUITE A	ROANOKE RAPIDS	NC	27870	06/07/2012
CH046680	DRUGCO PHARMACY - NASHVILLE	163 NASHVILLE COMMONS DR		NASHVILLE	NC	27856	10/01/2018
CH046680	DRUGCO PHARMACY AT RHG	270 SMITH CHURCH RD		ROANOKE RAPIDS	NC	27870	07/01/2019	04/01/2024
CH046680	DRUM'S PHARMACY INC.	132 WHITFIELD ST	PO BOX 606	ENFIELD	NC	27823	04/01/2016	05/23/2016
CH04668B1	DRUM'S PHARMACY INC.	132 WHITFIELD ST	PO BOX 606	ENFIELD	NC	27823	01/01/2011	05/23/2016
CH046680	ECKERD CORPORATION	RITE AID #11420	1825 EAST 10TH STREET	ROANOKE RAPIDS	NC	27870	04/01/2014	02/14/2018
CH046680	FUTRELL PHARMACY OF LITTLETON	123 EAST SOUTH MAIN ST		LITTLETON	NC	27850-0532	01/01/2016
CH04668E	FUTRELL PHARMACY OF LITTLETON	123 EAST SOUTH MAIN ST		LITTLETON	NC	27850-0532	01/01/2009
CH046680	FUTRELL PHARMACY OF WARRENTON	108 S MAIN ST STE B		WARRENTON	NC	27589-1965	01/01/2016
CH04668I	FUTRELL PHARMACY OF WARRENTON	108 S MAIN ST STE B		WARRENTON	NC	27589-1965	01/01/2014
CH046680	FUTRELL PHARMACY SERVICES INC.	119 W JEFFERSON ST	WILLIAM R FUTRELL	JACKSON	NC	27845	06/06/2005
CH046680	FUTRELL PHARMACY SERVICES, INC.	FUTRELL PHARMACY SERVICES, INC.	124 S MAIN ST	RICH SQUARE	NC	27869	01/01/2016
CH04668A	FUTRELL PHARMACY SERVICES, INC.	FUTRELL PHARMACY SERVICES, INC.	124 S MAIN ST	RICH SQUARE	NC	27869	06/30/2006
CH046680	MC DOWELLS PHCY INC	1004 MAIN ST	PO BOX 160	SCOTLAND NECK	NC	27874	04/01/2016
CH04668C	MC DOWELLS PHCY INC	1004 MAIN ST	PO BOX 160	SCOTLAND NECK	NC	27874	10/23/2008
CH046680	MEDICAL ARTS PHARMACY	253 RUIN CREEK RD		HENDERSON	NC	27536	04/01/2016
CH04668B1	MEDICAL ARTS PHARMACY	253 RUIN CREEK RD		HENDERSON	NC	27536	01/01/2011
CH046680	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03387	1124 E 10TH ST	ROANOKE RAPIDS	NC	27870	07/01/2017	07/03/2017
CH046680	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07330	2605 SUNSET AVENUE	ROCKY MOUNT	NC	27804	01/01/2025
CH046680	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07324	420 W. MAIN ST.	MURFREESBORO	NC	27855	01/01/2025
CH046680	NORTH CAROLINA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16371	731 SUTTERS CREEK BLVD	ROCKY MOUNT	NC	27804	01/01/2025
CH046680	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07055	109 DABNEY DR.	HENDERSON	NC	27536	01/01/2025
CH046680	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03973	1630 BENVENUE ROAD	ROCKY MOUNT	NC	27804	01/01/2025
CH046680	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03985	215 WILLIAMSBORO ST	OXFORD	NC	27565	01/01/2025
CH046680	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03831	102 N. BICKETT BLVD.	LOUISBURG	NC	27549	01/01/2025
CH046680	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03387	1124 E 10TH ST	ROANOKE RAPIDS	NC	27870	01/01/2025
CH046680	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01246	612 N. MAIN ST.	CREEDMOOR	NC	27522	01/01/2025
CH046680	NORTHSIDE FAMILY PHARMACY	3920 BISHOP ROAD		BATTLEBORO	NC	27809	04/01/2016	10/01/2019
CH04668B1	NORTHSIDE FAMILY PHARMACY	3920 BISHOP ROAD		BATTLEBORO	NC	27809	03/24/2011
CH046680	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2025
CH046680	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	01/01/2025
CH046680	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	01/01/2025
CH046680	ROCKY MOUNT MEDICAL PARK PHARMACY, INC	DBA ROCKY MOUNT MEDICAL PARK PHCY	901 N WINSTEAD AVE STE 100	ROCKY MOUNT	NC	27804-8712	01/01/2022
CH046680	SONA HEALTH INC DBA SONA PHARMACY + CLIN	106 LONG SHOALS RD STE 100		ARDEN	NC	28704	01/01/2025
CH046680	SONA HEALTH INC DBA SONA PHARMACY + CLIN	805 FAIRVIEW RD STE 100	DBA SONA PHARMACY CLINIC	ASHEVILLE	NC	28803-1011	01/01/2025
CH046680	SPEARS PHARMACY INC	405 BECKER DR		ROANOKE RAPIDS	NC	27870-3301	04/01/2016
CH04668B	SPEARS PHARMACY INC	405 BECKER DR		ROANOKE RAPIDS	NC	27870-3301	01/01/2009
CH046680	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2017
CH046680	WAL-MART PHARMACY #10-4459	1205 EASTERN AVE.		NASHVILLE	NC	27856	01/01/2022
CH046680	WAL-MART PHARMACY 10-1197	1511 BENVENUE ROAD		ROCKY MOUNT	NC	27804	01/01/2022
CH046680	WAL-MART PHARMACY 10-1502	251 PREMIER BLVD		ROANOKE RAPIDS	NC	27870	07/01/2014
CH04668B1	WAL-MART PHARMACY 10-1502	251 PREMIER BLVD		ROANOKE RAPIDS	NC	27870	04/01/2014
CH046680	WAL-MART PHARMACY 10-1579	1015 LEWIS ST		OXFORD	NC	27565	01/01/2022
CH046680	WAL-MART PHARMACY 10-1953	705 RETAIL WAY		LOUISBURG	NC	27549	01/01/2022
CH046680	WAL-MART PHARMACY 10-2256	200 N COOPER DR		HENDERSON	NC	27536	07/01/2014
CH04668B1	WAL-MART PHARMACY 10-2256	200 N COOPER DR		HENDERSON	NC	27536	04/01/2014
CH046680	WAL-MART PHARMACY 10-2730	110 RIVER OAKS DRIVE		TARBORO	NC	27886	01/01/2022
CH046680	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2017
CH046680	WALGREEN CO.	DBA: WALGREENS # 07398	1411 OXFORD ROAD	HENDERSON	NC	27536-4967	06/11/2012
CH046680	WALGREEN CO.	DBA: WALGREENS # 07475	101 SMITH CHURCH ROAD	ROANOKE RAPIDS	NC	27870-4911	06/11/2012
CH046680	WALGREEN CO.	DBA: WALGREENS # 07548	2624 SUNSET AVE	ROCKY MOUNT	NC	27804-3747	06/11/2012
CH046680	WALGREEN CO.	DBA: WALGREENS #11667	1590 BENVENUE RD.	ROCKY MOUNT	NC	27804	06/11/2012
CH046680	WALGREEN CO.	DBA: WALGREENS # 06926	3001 NORTH CAROLINA HWY 42 W	WILSON	NC	27893	08/17/2012
CH046680	WALGREEN CO.	DBA: WALGREENS #15251	700 CATHERINE CREEK RD. S	AHOSKIE	NC	27910-3906	07/01/2013
CH046680	WALGREEN CO.	RITE AID #11420	1825 EAST 10TH ST	ROANOKE RAPIDS	NC	27870	04/12/2018	07/23/2018
CH046680	WALGREEN CO.	DBA: WALGREENS #12630	201 HILLSBORO ST.	OXFORD	NC	27565	10/01/2018
CH046680	WALGREEN CO.	DBA:WALGREENS #15475	1519 N. MAIN STREET	TARBORO	NC	27886	10/01/2018
CH046680	WALGREEN CO.	WALGREENS #19096	201 TRADE ST	HENDERSON	NC	27536	10/01/2018
CH046680	WALGREEN CO.	WALGREENS #18400	1123 E RALEIGH BLVD	ROCKY MOUNT	NC	27801	07/01/2019	11/10/2020
CH046680	WALGREEN CO.	WALGREENS #19865	3590 SUNSET AVE	ROCKY MOUNT	NC	27804	07/01/2019
CH046680	WALGREEN CO.	WALGREENS #19008	304 N MADISON BLVD	ROXBORO	NC	27573	07/01/2019
CH046680	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16405	1500 E 3RD ST STE A	CHARLOTTE	NC	28204	10/01/2024
CH046680	Walgreens #21420	Walgreens Central Fill #21420	8440 Times Dispatch Blvd Ste. 400	Mechanicsville	VA	23116	10/01/2023
CH046680	WALGREENS OF NORTH CAROLINA INC.	DBA: WALGREENS #16150	126 E MACON ST	WARRENTON	NC	27589	01/01/2015
CH046680	WALGREENS OF NORTH CAROLINA INC.	DBA: WALGREENS #16169	805 MAIN ST	SCOTLAND NECK	NC	27874	01/01/2015	10/20/2016
CH046680	WALGREENS OF NORTH CAROLINA INC.	COMMUNITY, A WALGREENS PHARMACY #16313	2816 ERWIN ROAD SUITE 105	DURHAM	NC	27705	10/01/2024
CH046680	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	10/01/2024
CH046680	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/01/2024
CH046680	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	10/01/2024
CH046680	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	07/01/2023
CH046680	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH046680	WH PHARMACY 1, LLC.	DBA DRUGCO DISCOUNT PHARMACY - TARBORO	1507 N MAIN ST	TARBORO	NC	27886	04/01/2019

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/2/2024 10:14:14 AM	2/12/2025 2:03:31 PM	2/12/2025 2:03 PM
Details	Last Recertification Date	Update	Recertification	2/3/2023 4:29:19 PM	2/2/2024 10:14:14 AM	2/2/2024 10:14 AM
Details	Last Recertification Date	Update	Recertification	2/4/2022 9:20:45 AM	2/3/2023 4:29:19 PM	2/3/2023 4:29 PM
Details	Last Recertification Date	Update	Recertification	2/8/2021 7:10:03 PM	2/4/2022 9:20:45 AM	2/4/2022 9:20 AM
Details	Last Recertification Date	Update	Recertification	1/28/2020 6:18:59 PM	2/8/2021 7:10:03 PM	2/8/2021 7:10 PM
Details	Last Recertification Date	Update	Recertification	1/29/2019 10:14:43 AM	1/28/2020 6:18:59 PM	1/28/2020 6:18 PM
Addresses	Billing Address	Insert	Recertification		Rural Health Group PO Box 640 500 Jackson Street Roanoke Rapids, NC 27870	1/29/2019 10:14 AM
Details	Last Recertification Date	Update	Recertification		1/29/2019 10:14:43 AM	1/29/2019 10:14 AM
Details	State	Update		Approved	Active	10/1/2018 12:05 AM
Contacts	Signed By	Insert	New Registration		Long-Gee, Yvonne CEO Rural Health Group 2525365820	7/17/2018 10:54 AM
Details	340B ID	Update	New Registration		CH04668V	7/17/2018 10:54 AM
Dates	Participating Approval Date	Update	New Registration		7/17/2018 10:54:30 AM	7/17/2018 10:54 AM
Details	State	Update	New Registration	Pending	Approved	7/17/2018 10:54 AM
Dates	Signed By Date	Update	New Registration		7/12/2018 2:00:08 PM	7/17/2018 10:54 AM
Dates	Start Date	Update	New Registration		10/1/2018 12:00:00 AM	7/17/2018 10:54 AM
Addresses	Main Address	Insert	New Registration		270 Smith Church Rd Roanoke Rapids, NC 27870-4914	7/12/2018 2:00 PM
Contacts	Authorizing Official	Insert	New Registration		Long-Gee, Yvonne CEO Rural Health Group 2525365820	7/12/2018 2:00 PM
Contacts	Primary Contact	Insert	New Registration		Rush, Dawn Nichole Pharmacy Director Rural Health Group 2525365885	7/12/2018 2:00 PM
Details	Last Recertification Date	Insert	New Registration			7/12/2018 2:00 PM
Details	Grant Number	Insert	New Registration		H80CS00866	7/12/2018 2:00 PM
Details	340B ID	Insert	New Registration			7/12/2018 2:00 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/12/2018 2:00 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/12/2018 2:00 PM
Details	Medicare Provider Number	Insert	New Registration			7/12/2018 2:00 PM
Details	Entity Name	Insert	New Registration		Rural Health Group, Inc.	7/12/2018 2:00 PM
Details	Program Code	Insert	New Registration		CH	7/12/2018 2:00 PM
Details	Entity Subname	Insert	New Registration		Rural Health Group at Halifax Medical Specialist	7/12/2018 2:00 PM
Dates	Participating Approval Date	Insert	New Registration			7/12/2018 2:00 PM
Details	State	Insert	New Registration		Pending	7/12/2018 2:00 PM
Dates	Registration Date	Insert	New Registration		7/12/2018 2:00:06 PM	7/12/2018 2:00 PM
Dates	Signed By Date	Insert	New Registration			7/12/2018 2:00 PM
Dates	Start Date	Insert	New Registration			7/12/2018 2:00 PM
Terminations	Termination Comments	Insert	New Registration			7/12/2018 2:00 PM
Terminations	Termination Date	Insert	New Registration			7/12/2018 2:00 PM
Terminations	Termination Effective Date	Insert	New Registration			7/12/2018 2:00 PM
Terminations	Termination Reason	Insert	New Registration			7/12/2018 2:00 PM

340B Drug Pricing Program Database