Covered Entity Details

CHC11427-05 Matagorda Episcopal Health Outreach Program Corporation (Active) - information as of 6/16/2025 11:17:12 PM

Main Details

Name

Matagorda Episcopal Health Outreach Program Corporation

Subdivision Name

MEHOP Clinic Adminstration

Type

HRSA-Funded Health Center

Site ID

BPS-H80-008651

340B ID

CHC11427-05

Grant Number

H80CS12889

Additional Details

Current Program Status

Active

Registration Date

10/22/2018

Participating Start Date

1/1/2019

Participating Approval Date

10/23/2018

Last Recertification Date

2/14/2025

Contacts

Authorizing Official

MEHOP
Tayyab Pasha, DO
(979) 245-2008 Ext: 1121

Primary Contact

Matagorda Episcopal Health Outreach Progam
Celeste Harrison, CEO
(979) 245-2008 Ext: 302

Addresses

Street Address

205B Ida Street
Bay City, TX 77414

Billing Address

MEHOP
101 Ave F N
Bay City, TX 77414

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

Shipping Address 1

MEHOP
101 Ave F N
Bay City, TX 77414

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
CHC11427-00	Active	BPS-H80-008377	Matagorda Episcopal Health Outreach Program	MEHOP Administration and Outreach	101 Ave F N	Bay City	TX
CHC11427-01	Terminated	BPS-H80-012472	MEHOP	MEHOP Behavioral Health	2400 Avenue I	Bay City	TX
CHC11427-02	Active	BPS-H80-012413	MEHOP	MEHOP Primary and Behavioral Health	1700 Golden Ave	Bay CIty	TX
CHC11427-03	Active	BPS-H80-014670	Matagorda Episcopal Health Outreach Program Corporation	MEHOP Women and Children Center	111 AVENUE F	BAY CITY	TX
CHC11427-04	Terminated	BPS-H80-008375	MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM CORPORATION	MEHOP Clinic	205 Ida	Bay City	TX
CHC11427-05	Active	BPS-H80-008651	Matagorda Episcopal Health Outreach Program Corporation	MEHOP Clinic Adminstration	205B Ida Street	Bay City	TX
CHC11427-06	Active	BPS-H80-036110	Matagorda Episcopal Health Outreach Program Corporation	MEHOP Health Services Wharton	10119 US 59 Hwy	Wharton	TX
CHC11427-07	Terminated	BPS-H80-028171	Matagorda Episcopal Health Outreach Program Corporation	MEHOP Palacios	307 Green Ave Ste A	Palacios	TX
CHC11427-08	Active	BPS-H80-030761	Matagorda Episcopal Health Outreach Program Corporation	MEHOP Wharton Specialty	2112 Regional Medical Dr Ste 1313	Wharton	TX

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC11427-00	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	10/01/2024
CHC11427-00	AMAZON PHARMACY #001	4500 S PLEASANT VALLEY RD STE 201		AUSTIN	TX	78744-2911	04/01/2018	02/10/2025
CHC11427-00	ASPCARES	3009 FANNIN ST		HOUSTON	TX	77004-2805	10/01/2017	04/01/2021
CHC11427-00	ASPCARES	12811 BEAMER RD STE 2A		HOUSTON	TX	77089-6140	10/01/2017	04/01/2021
CHC11427-00	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	10/01/2024
CHC11427-00	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	10/01/2024
CHC11427-00	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	10/01/2024
CHC11427-00	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	10/01/2024
CHC11427-00	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	10/01/2024
CHC11427-00	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	10/01/2024
CHC11427-00	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	10/01/2024
CHC11427-00	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	10/01/2024
CHC11427-00	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	10/01/2024
CHC11427-00	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	10/01/2024
CHC11427-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06723	2711 7TH ST.	BAY CITY	TX	77414	07/01/2015	01/06/2022
CHC11427-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06738	1710 N RICHMOND RD	WHARTON	TX	77488	01/01/2022
CHC11427-00	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06723	2711 7TH ST.	BAY CITY	TX	77414	04/01/2022
CHC11427-00	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	10/01/2024
CHC11427-00	DELIVERCARERX PHARMACY LLC	DELIVERCARERX PHARMACY LLC	1471 E BUSINESS CENTER DR STE 200	MT PROSPECT	IL	60056	04/01/2018
CHC11427-00	H E B FULFILLMENT CENTER		6520 FRATT ROAD	SAN ANTONIO	TX	78218	10/01/2018	01/06/2023
CHC11427-00	H-E-B, LP	H-E-B PHARMACY WAREHOUSE	6520 FRATT RD	SAN ANTONIO	TX	78218	01/01/2019
CHC11427-00	HEB PHARMACY #233	1616 N. ALABAMA		WHARTON	TX	77488	04/01/2023
CHC11427-00	HEB PHARMACY #292	2700 7TH ST		BAY CITY	TX	77414	10/01/2017
CHC11427-00	HEB Pharmacy #701	6520 Fratt Road		San Antonio	TX	78218	04/01/2023
CHC11427-00	HEB PHARMACY WAREHOUSE 208	H-E-B, LP	5311 DIETRICH RD STE 100	SAN ANTONIO	TX	78219	07/03/2023
CHC11427-00	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	01/01/2025
CHC11427-00	PILLPACK LLC	DBA PILLPACK BY AMAZON PHARMACY	250 COMMERCIAL ST STE 2012	MANCHESTER	NH	03101	04/01/2018	02/10/2025
CHC11427-00	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	10/01/2024
CHC11427-00	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	10/01/2024
CHC11427-00	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	10/01/2024
CHC11427-00	RECEPT PHARMACY # 75	10412 VISTA DEL SOL DR STE 1A		EL PASO	TX	79925	07/01/2021	09/01/2022
CHC11427-00	RECEPT PHARMACY #1	800 8TH AVE STE 130		FORT WORTH	TX	76104	07/01/2021	05/02/2022
CHC11427-00	RECEPT PHARMACY #1	800 8TH AVE STE 130		FORT WORTH	TX	76104	07/01/2022	09/01/2022
CHC11427-00	RECEPT PHARMACY #31	4703 RICHMOND AVE STE E		HOUSTON	TX	77027-6616	07/01/2021	09/01/2022
CHC11427-00	THE MUECKE CO, INC. HIBBS PHARMACY	1415 AVE. G		BAY CITY	TX	77414	01/08/2010	02/01/2022
CHC11427-00	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/01/2017
CHC11427-00	WAL-MART PHARMACY 10-0344	3413 WEST LOOP		EL CAMPO	TX	77437	07/01/2015	01/10/2024
CHC11427-00	WAL-MART PHARMACY 10-0482	301 N. COLUMBIA DR		WEST COLUMBIA	TX	77486	04/01/2021	01/10/2024
CHC11427-00	WAL-MART PHARMACY 10-0808	121 HIGHWAY 332 WEST		LAKE JACKSON	TX	77566	07/01/2015	01/10/2024
CHC11427-00	WAL-MART PHARMACY 10-1405	4600 7TH STREET		BAY CITY	TX	77414	07/01/2015
CHC11427-00	WAL-MART PHARMACY 10-5246	1255 HWY 59 LOOP		WHARTON	TX	77488	07/01/2015
CHC11427-00	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/01/2017
CHC11427-00	WALGREEN CO.	DBA: WALGREENS # 09440	3018 7TH STEET	BAY CITY	TX	77414	01/01/2017
CHC11427-00	WALGREEN CO.	DBA: WALGREENS # 09739	203 N MECHANIC ST	EL CAMPO	TX	77437-4417	04/01/2019
CHC11427-00	WALGREEN CO.	DBA: WALGREENS #12052	100 E. BRAZOS AVE.	WEST COLUMBIA	TX	77486-2726	07/01/2020
CHC11427-00	Walgreens #21373	Walgreens Central Fill #21373	4100 Dale Earnhardt Way STE 200	Northlake	TX	76262	01/01/2022
CHC11427-00	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC11427-00	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/30/2024 9:36:20 AM	2/14/2025 11:39:36 AM	2/14/2025 11:39 AM
Details	Last Recertification Date	Update	Recertification	1/30/2023 8:53:23 AM	1/30/2024 9:36:20 AM	1/30/2024 9:36 AM
Details	Last Recertification Date	Update	Recertification	2/7/2022 8:41:22 AM	1/30/2023 8:53:23 AM	1/30/2023 8:53 AM
Details	Last Recertification Date	Update	Recertification	2/2/2021 9:56:33 PM	2/7/2022 8:41:22 AM	2/7/2022 8:41 AM
Contacts	Authorizing Official	Update	AO Change Request	Chen, Eve CFO Matagorda Episcopal Health Outreach Program 9792452008-300	Pasha, Tayyab DO MEHOP 9792452008-1121	7/27/2021 9:22 AM
Details	Last Recertification Date	Update	Recertification	1/28/2020 11:36:25 AM	2/2/2021 9:56:33 PM	2/2/2021 9:56 PM
Details	Last Recertification Date	Update	Recertification	1/29/2019 10:32:23 AM	1/28/2020 11:36:25 AM	1/28/2020 11:36 AM
Details	Last Recertification Date	Update	Recertification		1/29/2019 10:32:23 AM	1/29/2019 10:32 AM
Details	State	Update		Approved	Active	1/1/2019 12:05 AM
Contacts	Signed By	Insert	New Registration		Chen, Eve CFO Matagorda Episcopal Health Outreach Program 9792452008-300	10/23/2018 9:59 AM
Details	340B ID	Update	New Registration		CHC11427-05	10/23/2018 9:59 AM
Dates	Participating Approval Date	Update	New Registration		10/23/2018 9:59:59 AM	10/23/2018 9:59 AM
Details	State	Update	New Registration	Pending	Approved	10/23/2018 9:59 AM
Dates	Signed By Date	Update	New Registration		10/22/2018 10:32:24 AM	10/23/2018 9:59 AM
Dates	Start Date	Update	New Registration		1/1/2019 12:00:00 AM	10/23/2018 9:59 AM
Addresses	Main Address	Insert	New Registration		205B Ida Street Bay City, TX 77414	10/22/2018 10:32 AM
Addresses	Billing Address	Insert	New Registration		MEHOP 101 Ave F N Bay City, TX 77414	10/22/2018 10:32 AM
Addresses	Shipping Address	Insert	New Registration		MEHOP 101 Ave F N Bay City, TX 77414	10/22/2018 10:32 AM
Contacts	Primary Contact	Insert	New Registration		Harrison, Celeste CEO Matagorda Episcopal Health Outreach Progam 9792452008-302	10/22/2018 10:32 AM
Contacts	Authorizing Official	Insert	New Registration		Chen, Eve CFO Matagorda Episcopal Health Outreach Program 9792452008-300	10/22/2018 10:32 AM
Details	Last Recertification Date	Insert	New Registration			10/22/2018 10:32 AM
Details	Grant Number	Insert	New Registration		H80CS12889	10/22/2018 10:32 AM
Details	340B ID	Insert	New Registration			10/22/2018 10:32 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			10/22/2018 10:32 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			10/22/2018 10:32 AM
Details	Medicare Provider Number	Insert	New Registration			10/22/2018 10:32 AM
Details	Entity Name	Insert	New Registration		Matagorda Episcopal Health Outreach Program Corporation	10/22/2018 10:32 AM
Details	Program Code	Insert	New Registration		CH	10/22/2018 10:32 AM
Details	Entity Subname	Insert	New Registration		MEHOP Clinic Adminstration	10/22/2018 10:32 AM
Dates	Participating Approval Date	Insert	New Registration			10/22/2018 10:32 AM
Details	State	Insert	New Registration		Pending	10/22/2018 10:32 AM
Dates	Registration Date	Insert	New Registration		10/22/2018 10:32:22 AM	10/22/2018 10:32 AM
Dates	Signed By Date	Insert	New Registration			10/22/2018 10:32 AM
Dates	Start Date	Insert	New Registration			10/22/2018 10:32 AM
Terminations	Termination Comments	Insert	New Registration			10/22/2018 10:32 AM
Terminations	Termination Date	Insert	New Registration			10/22/2018 10:32 AM
Terminations	Termination Effective Date	Insert	New Registration			10/22/2018 10:32 AM
Terminations	Termination Reason	Insert	New Registration			10/22/2018 10:32 AM

340B Drug Pricing Program Database