Covered Entity Details

CHC26626-02 FoundCare Inc. (Terminated) - information as of 5/2/2025 10:38:29 PM

Main Details

Name

FoundCare Inc.

Subdivision Name

FoundCare Palm Beach Lakes High School Clinic

Type

HRSA-Funded Health Center

Site ID

BPS-H80-021991

340B ID

CHC26626-02

Grant Number

H80CS26626

Additional Details

Current Program Status

Terminated

Registration Date

11/8/2018

Participating Start Date

1/1/2019

Participating Approval Date

11/9/2018

Last Recertification Date

2/4/2020

Termination Date
Termination Reason

4/1/2021
Site closure

Contacts

Authorizing Official

FoundCare, Inc.
Rik Pavlescak, Chief Administrative Officer
(561) 432-7902

Primary Contact

FoundCare, Inc.
James Neff, Director of Pharmacy
(561) 472-9160 Ext: 343

Addresses

Street Address

3505 Shiloh Drive
West Palm Beach, FL 33407-6870

Billing Address

FoundCare, Inc.
2330 South Congress Avenue
West Palm Beach, FL 33406

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
CHC26626-00	Active	BPS-H80-013288	FOUNDCARE INC.	FoundCare Health Center	2330 S. Congress Avenue	West Palm Beach	FL
CHC26626-01	Active	BPS-H80-017294	FOUNDCARE INC.	FoundCare - North Palm Beach	840 U.S. Highway 1 Ste 120	North Palm Beach	FL
CHC26626-02	Terminated	BPS-H80-021991	FoundCare Inc.	FoundCare Palm Beach Lakes High School Clinic	3505 Shiloh Drive	West Palm Beach	FL
CHC26626-03	Active	BPS-H80-024783	FoundCare Inc.	FoundCare West Palm Beach	5205 Greenwood Ave	West Palm Beach	FL
CHC26626-04	Active	BPS-H80-032290	FoundCare Inc.	FoundCare - Corporate Way	5730 Corporate Way Ste 100	West Palm Beach	FL
CHC26626-05	Active	BPS-H80-033500	FOUNDCARE INC.	FoundCare - Yolette Bonnet Center	5867 Okeechobee Blvd	West Palm Beach	FL
CHC26626-06	Active	BPS-H80-021255	FOUNDCARE INC.	FoundCare Belle Glade	1500 NW Avenue L	Belle Glade	FL
CHC26626-07	Active	BPS-H80-021256	FOUNDCARE INC.	FoundCare Boynton Beach	1901 S Congress Ave Ste 100	Boynton Beach	FL
CHC26626-08	Active	BPS-H80-036173	FOUNDCARE	FoundCare Mobile Unit	5205 Greenwood Avenue	West Palm Beach	FL
CHC26626-09	Approved	BPS-H80-039123	FOUNDCARE	FoundCare Dental Mobile Unit	2330 S Congress Ave	West Palm Beach	FL

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC26626-00	ATLANTIS PHARMACY RX LLC	100 JOHN F KENNEDY DR		ATLANTIS	FL	33462	10/01/2023
CHC26626-00	BELLE GLADE DRUGS LLC	K & M DRUGS	624 S MAIN ST STE 1	BELLE GLADE	FL	33430	07/01/2024
CHC26626-00	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/01/2017	06/30/2019
CHC26626-00	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/01/2017	06/30/2019
CHC26626-00	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/01/2017	06/30/2019
CHC26626-00	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	07/01/2017	06/30/2019
CHC26626-00	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	07/01/2017	06/30/2019
CHC26626-00	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/01/2017	06/30/2019
CHC26626-00	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	07/01/2017	06/30/2019
CHC26626-00	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	07/01/2017	06/30/2019
CHC26626-00	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	07/01/2017	06/30/2019
CHC26626-00	CND3, INC.	ROBALO PHARMACY	228 US HIGHWAY-1	LAKE PARK	FL	33403	01/01/2019
CHC26626-00	COMMCARE PHARMACY-FTL, LLC	855 SW 78TH AVE STE C100		PLANTATION	FL	33324-3223	04/01/2014	06/30/2019
CHC26626-00	COMMCARE PHARMACY-WPB, LLC		1689 FORUM PLACE	WEST PALM BEACH	FL	33401	01/01/2015	06/30/2019
CHC26626-00	ENCOMPASS RX, LLC	2700 NORTHEAST EXPRESSWAY	SUITE B-800	ATLANTA	GA	30345	10/01/2017	06/30/2019
CHC26626-00	FOREST HILL PHARMACY LLC	2939 FOREST HILL BLVD		WEST PALM BEACH	FL	33406	01/01/2016	11/20/2018
CHC26626-00	HEALTH FIRST INFUSION	1959 W 9TH ST STE A		RIVIERA BEACH	FL	33404-6440	04/01/2020	06/25/2020
CHC26626-00	INFINITI PHARMACY AND INFUSION SERVICES	1338 NORTH FEDERAL HIGHWAY		POMPANO BEACH	FL	33062	04/01/2016	01/15/2018
CHC26626-00	JTJ MEDICAL SUPPLY, INC	DBA MAIL MEDS CLINICAL PHARMACY	2692 OAK RIDGE CT	FORT MYERS	FL	33901	04/01/2014	02/29/2016
CHC26626-00	MAHANT RX INC	DBA BELLE GLADE PHARMACY	136 S MAIN ST STE B	BELLE GLADE	FL	33430-3424	04/01/2019
CHC26626-00	MED-CARE INFUSION SERVICES	3085 W 80TH ST		HIALEAH	FL	33018-3888	07/01/2025
CHC26626-00	PALMS HEALTH SERVICES LLC	PALMS PHARMACY	3491 S CONGRESS AVE	PALM SPRINGS	FL	33461-3021	07/01/2017
CHC26626-00	PICC LINES PLUS, LLC	300 BUSINESS PARK WAY STE A1		ROYAL PALM BEACH	FL	33411-1756	07/01/2023
CHC26626-00	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/01/2017	06/30/2019
CHC26626-00	PUBLIX PHARMACY #0371	CROSSTOWN PLAZA	2895 N MILITARY TRAIL	WEST PALM BEACH	FL	33409	04/01/2014	02/29/2016
CHC26626-00	PUBLIX SUPER MARKETS	PUBLIX PHARMACY #0055	1700 S CONGRESS AVENUE	PALM SPRINGS	FL	33461	04/01/2014	02/29/2016
CHC26626-00	PUBLIX SUPER MARKETS	PUBLIX PHARMACY #0050	828 SOUTHERN BLVD	WEST PALM BEACH	FL	33405	04/01/2014	02/29/2016
CHC26626-00	PUBLIX SUPER MARKETS	PUBLIX PHARMACY #0023	6790 FOREST HILL BLVD	GREENACRES	FL	33413	04/01/2014	02/29/2016
CHC26626-00	PUBLIX SUPER MARKETS	PUBLIX PHARMACY #0894	6820 OKEECHOBEE BLVD	WEST PALM BEACH	FL	33411	04/01/2014	02/29/2016
CHC26626-00	PUBLIX SUPER MARKETS		PUBLIX PHARMACY #0319 831 VILLAGE BLVD	WEST PALM BEACH	FL	33409-1936	04/01/2014	02/29/2016
CHC26626-00	PUBLIX SUPER MARKETS INC	DBA: PUBLIX PHAMRACY #0895	4849 SOUTH MILITARY TRAIL	GREENACRES	FL	33463	04/01/2014	02/29/2016
CHC26626-00	PUBLIX SUPER MARKETS INC	PUBLIX PHARMACY #0817	1589 WEST LANTAN ROAD	LANTANA	FL	33462	04/01/2014	02/29/2016
CHC26626-00	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY # 1104	926 SOUTH MILITARY TRAIL	WEST PALM BEACH	FL	33415	04/01/2014	02/29/2016
CHC26626-00	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #1384	214 NORTH DIXIE HIGHWAY	LAKE WORTH	FL	33460	04/01/2014	02/29/2016
CHC26626-00	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #1395	135 BRADLEY PLACE	PALM BEACH	FL	33480	04/01/2014	02/29/2016
CHC26626-00	PUBLIX SUPERMARKETS		PUBLIX PHARMACY #0143 1910 LAKE WORTH ROAD	LAKE WORTH	FL	33461	04/01/2014	02/29/2016
CHC26626-00	RELIANCE PHARMACY LLC	GARDENS DRUGS	2100 45TH ST STE B1	WEST PALM BEACH	FL	33407-2063	04/01/2019
CHC26626-00	SKYEMED PHARMACY & INFUSION SERVICE	SKYEMED PHARMACY & INFUSION SVCS	1332 NORTH FEDERAL HWY	POMPANO BEACH	FL	33062	04/01/2014	01/15/2018
CHC26626-00	SKYEMED-PALM BEACH, INC	2330 S CONGRESS AVE, SUITE 237		WEST PALM BEACH	FL	33406-7608	04/01/2016	01/15/2018
CHC26626-01	SKYEMED-PALM BEACH, INC	2330 S CONGRESS AVE, SUITE 237		WEST PALM BEACH	FL	33406-7608	04/01/2016	10/31/2018
CHC26626-00	SUDDHA PHARMACY, LLC	FEDCO DRUGS	255 SUNRISE AVE	PALM BEACH	FL	33480	04/01/2016
CHC26626-00	WAL-MART PHARMACY 10-1398	4545 HYPOLUXO RD		LAKE WORTH	FL	33463	04/01/2014	02/29/2016
CHC26626-00	WAL-MART PHARMACY 10-1436	6294 FOREST HILL BLVD		WEST PALM BEACH	FL	33415	04/01/2014	02/29/2016
CHC26626-00	WAL-MART PHARMACY 10-4560	6901 OKEECHOBEE BLVD		WEST PALM BEACH	FL	33411	04/01/2014	02/29/2016
CHC26626-00	WAL-MART PHARMACY 10-5301	4375 BELVEDERE RD		WEST PALM BEACH	FL	33406	04/01/2014	02/29/2016
CHC26626-00	WAL-MART PHARMACY 10-5758	3911 JOG RD		GREENACRES	FL	33467	04/01/2014	02/29/2016
CHC26626-00	WAL-MART PHARMACY 10-5759	6177 JOG ROAD		LAKE WORTH	FL	33467	04/01/2014	02/29/2016
CHC26626-00	WAL-MART PHARMACY 10-5882	2765 10TH AVE. NORTH		PALM SPRINGS	FL	33461	04/01/2014	02/29/2016
CHC26626-00	WEST PALM PHARMACY	WEST PALM PHARMACY	5760 OKEECHOBEE BLVD	WEST PALM BEACH	FL	33417-3341	04/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Profile Change Request	Pavlescak, Rik Deputy Chief Executive Officer FoundCare, Inc. 5614327902	Pavlescak, Rik Chief Administrative Officer FoundCare, Inc. 5614327902	1/3/2022 11:09 AM
Contacts	Signed By	Update	Profile Change Request	Pavlescak, Rik Deputy Chief Executive Officer FoundCare, Inc. 5614327902	Pavlescak, Rik Chief Administrative Officer FoundCare, Inc. 5614327902	1/3/2022 11:09 AM
Contacts	Authorizing Official	Update	Profile Change Request	Pavlescak, Rik Chief Operating Officer FoundCare, Inc. 5614327902	Pavlescak, Rik Deputy Chief Executive Officer FoundCare, Inc. 5614327902	4/15/2021 2:09 PM
Contacts	Signed By	Update	Profile Change Request	Pavlescak, Rik Chief Operating Officer FoundCare, Inc. 5614327902	Pavlescak, Rik Deputy Chief Executive Officer FoundCare, Inc. 5614327902	4/15/2021 2:09 PM
Details	State	Update		To Be Terminated	Terminated	4/1/2021 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		2/5/2021 12:00:00 AM	2/8/2021 8:53 AM
Details	State	Update	Recertification	Active	To Be Terminated	2/8/2021 8:53 AM
Terminations	Termination Comments	Update	Recertification		Site was a school based clinic which has been removed from scope. We do not believe any 340B drugs have been purchased through this site.	2/8/2021 8:53 AM
Terminations	Termination Date	Update	Recertification		4/1/2021 12:00:00 AM	2/8/2021 8:53 AM
Terminations	Termination Effective Date	Update	Recertification		2/8/2021 12:00:00 AM	2/8/2021 8:53 AM
Terminations	Termination Reason	Update	Recertification		Site closure	2/8/2021 8:53 AM
Details	Last Recertification Date	Update	Recertification	1/29/2019 11:28:11 AM	2/4/2020 8:53:26 AM	2/4/2020 8:53 AM
Details	Last Recertification Date	Update	Recertification		1/29/2019 11:28:11 AM	1/29/2019 11:28 AM
Details	State	Update		Approved	Active	1/1/2019 12:05 AM
Contacts	Signed By	Insert	New Registration		Pavlescak, Rik Chief Operating Officer FoundCare, Inc. 5614327902	11/9/2018 9:33 AM
Details	340B ID	Update	New Registration		CHC26626-02	11/9/2018 9:33 AM
Dates	Participating Approval Date	Update	New Registration		11/9/2018 9:33:51 AM	11/9/2018 9:33 AM
Details	State	Update	New Registration	Pending	Approved	11/9/2018 9:33 AM
Dates	Signed By Date	Update	New Registration		11/8/2018 7:09:05 PM	11/9/2018 9:33 AM
Dates	Start Date	Update	New Registration		1/1/2019 12:00:00 AM	11/9/2018 9:33 AM
Addresses	Main Address	Insert	New Registration		3505 Shiloh Drive West Palm Beach, FL 33407-6870	11/8/2018 7:09 PM
Addresses	Billing Address	Insert	New Registration		FoundCare, Inc. 2330 South Congress Avenue West Palm Beach, FL 33406	11/8/2018 7:09 PM
Contacts	Authorizing Official	Insert	New Registration		Pavlescak, Rik Chief Operating Officer FoundCare, Inc. 5614327902	11/8/2018 7:09 PM
Contacts	Primary Contact	Insert	New Registration		Neff, James Director of Pharmacy FoundCare, Inc. 5614729160-343	11/8/2018 7:09 PM
Details	Last Recertification Date	Insert	New Registration			11/8/2018 7:09 PM
Details	Grant Number	Insert	New Registration		H80CS26626	11/8/2018 7:09 PM
Details	340B ID	Insert	New Registration			11/8/2018 7:09 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			11/8/2018 7:09 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			11/8/2018 7:09 PM
Details	Medicare Provider Number	Insert	New Registration			11/8/2018 7:09 PM
Details	Entity Name	Insert	New Registration		FoundCare Inc.	11/8/2018 7:09 PM
Details	Program Code	Insert	New Registration		CH	11/8/2018 7:09 PM
Details	Entity Subname	Insert	New Registration		FoundCare Palm Beach Lakes High School Clinic	11/8/2018 7:09 PM
Dates	Participating Approval Date	Insert	New Registration			11/8/2018 7:09 PM
Details	State	Insert	New Registration		Pending	11/8/2018 7:09 PM
Dates	Registration Date	Insert	New Registration		11/8/2018 7:09:03 PM	11/8/2018 7:09 PM
Dates	Signed By Date	Insert	New Registration			11/8/2018 7:09 PM
Dates	Start Date	Insert	New Registration			11/8/2018 7:09 PM
Terminations	Termination Comments	Insert	New Registration			11/8/2018 7:09 PM
Terminations	Termination Date	Insert	New Registration			11/8/2018 7:09 PM
Terminations	Termination Effective Date	Insert	New Registration			11/8/2018 7:09 PM
Terminations	Termination Reason	Insert	New Registration			11/8/2018 7:09 PM

340B Drug Pricing Program Database