Covered Entity Details

CH01998E GREATER SEACOAST COMMUNITY HEALTH (Terminated) - information as of 5/30/2025 8:17:10 PM

Main Details

Name

GREATER SEACOAST COMMUNITY HEALTH

Subdivision Name

Lilac Pediatrics

Type

HRSA-Funded Health Center

Site ID

BPS-H80-023380

340B ID

CH01998E

Grant Number

H80CS04210

Additional Details

Current Program Status

Terminated

Registration Date

11/26/2018

Participating Start Date

1/1/2019

Participating Approval Date

11/30/2018

Last Recertification Date

1/30/2023

Termination Date
Termination Reason

10/1/2023
Site closure

Contacts

Authorizing Official

Goodwin Community Health
JANET LAATSCH, EXECUTIVE DIRECTOR
(603) 516-2550

Primary Contact

Goodwin Community Health
Sharlene Poitras, IT Director
(603) 516-2569

Addresses

Street Address

180 Farmington Rd
Rochester, NH 03867-4352

Billing Address
Same as Street Address

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
CH019980	Active	BPS-H80-010840	GOODWIN COMMUNITY HEALTH	Somersworth Facility	311 Route 108	Somersworth	NH
CH01998B	Terminated	BPS-H80-021627	GOODWIN COMMUNITY HEALTH	Southern NH Services CAP	146 Lafayette Road	Seabrook	NH
CH01998C	Active	BPS-H80-034064	Families First Health & Support Center	Greater Seacoast Community Health	8 Greenleaf Woods Drive	Portsmouth	NH
CH01998D	Terminated	BPS-H80-021620	GOODWIN COMMUNITY HEALTH	Goodwin Community Health	100 Campus Dr.	Portsmouth	NH
CH01998E	Terminated	BPS-H80-023380	GREATER SEACOAST COMMUNITY HEALTH	Lilac Pediatrics	180 Farmington Rd	Rochester	NH
CH01998F	Terminated	BPS-H80-029945	GREATER SEACOAST COMMUNITY HEALTH	Community Partners	25 Old Dover Rd	Rochester	NH

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH019980	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	04/01/2019
CH019980	CARE PHARMACY	161 SOUTH MAIN ST		ROCHESTER	NH	03867	03/08/2013	07/01/2018
CH019980	CARE PHARMACY OF DOVER		118 CENTRAL AVENUE	DOVER	NH	03820	04/01/2001	07/01/2018
CH019980	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	04/01/2019
CH019980	MAXI DRUG NORTH, INC.	RITE AID #10292	679 CENTRAL AVE.	DOVER	NH	03820	04/01/2014
CH019980	MAXI DRUG NORTH, INC.	RITE AID #10293	865 CENTRAL AVENUE	DOVER	NH	03820	04/01/2014
CH019980	MAXI DRUG NORTH, INC.	RITE AID #10297	73 EXETER ROAD	NEWMARKET	NH	03857	04/01/2014
CH019980	MAXI DRUG NORTH, INC.	RITE AID #10299	190 WAKEFIELD STREET	ROCHESTER	NH	03867	04/01/2014
CH019980	MAXI DRUG NORTH, INC.	RITE AID #10300	105 MILTON ROAD	ROCHESTER	NH	03868	04/01/2014
CH019980	MAXI DRUG NORTH, INC.	RITE AID #10290	1390 LAFAYETTE ROAD UNIT A	PORTSMOUTH	NH	03801	04/01/2018
CH019980	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	04/01/2019
CH019980	RITE AID OF NEW HAMPSHIRE, INC.	RITE AID #4144	341 HIGH STREET	SOMERSWORTH	NH	03878	04/01/2014
CH019980	RITE AID OF NEW HAMPSHIRE, INC.	RITE AID #4165	800 ISLINGTON STREET UNIT 1	PORTSMOUTH	NH	03801	04/01/2018
CH019980	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	04/01/2019
CH019980	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/01/2018	05/01/2023
CH019980	WAL-MART PHARMACY 10-1762	700 LAFAYETTE ROAD		SEABROOK	NH	03874	04/01/2018	05/01/2023
CH019980	WAL-MART PHARMACY 10-2130	2460 LAFAYETTE ROAD		PORTSMOUTH	NH	03801	04/01/2018	05/01/2023
CH019980	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/01/2018	05/01/2023
CH019980	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03520	104 S MAIN STREET	ROCHESTER	NH	03867	10/01/2015
CH019980	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10642	91 CALEF HWY.	LEE	NH	03861-6703	10/01/2015
CH019980	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10780	1 GLENWOOD AVE.	DOVER	NH	03820-2406	10/01/2015
CH019980	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	07/01/2023

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	10/1/2023 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		7/27/2023 12:00:00 AM	7/31/2023 10:50 AM
Details	State	Update	Termination Request	Active	To Be Terminated	7/31/2023 10:50 AM
Terminations	Termination Date	Update	Termination Request		10/1/2023 12:00:00 AM	7/31/2023 10:50 AM
Terminations	Termination Effective Date	Update	Termination Request		7/27/2023 12:00:00 AM	7/31/2023 10:50 AM
Terminations	Termination Reason	Update	Termination Request		Site closure	7/31/2023 10:50 AM
Details	Last Recertification Date	Update	Recertification	2/2/2022 10:50:35 AM	1/30/2023 8:12:42 AM	1/30/2023 8:12 AM
Details	Last Recertification Date	Update	Recertification	2/8/2021 8:42:12 AM	2/2/2022 10:50:35 AM	2/2/2022 10:50 AM
Details	Last Recertification Date	Update	Recertification	1/28/2020 2:53:49 PM	2/8/2021 8:42:12 AM	2/8/2021 8:42 AM
Details	Last Recertification Date	Update	Recertification	1/31/2019 9:54:13 AM	1/28/2020 2:53:49 PM	1/28/2020 2:53 PM
Details	Last Recertification Date	Update	Recertification		1/31/2019 9:54:13 AM	1/31/2019 9:54 AM
Details	State	Update		Approved	Active	1/1/2019 12:05 AM
Addresses	Main Address	Update	OPA Edit	Rochester, NH 03867-4352	180 Farmington Rd Rochester, NH 03867-4352	11/30/2018 12:50 PM
Contacts	Signed By	Insert	New Registration		LAATSCH, JANET EXECUTIVE DIRECTOR Goodwin Community Health 6035162550	11/30/2018 12:45 PM
Details	340B ID	Update	New Registration		CH01998E	11/30/2018 12:45 PM
Dates	Participating Approval Date	Update	New Registration		11/30/2018 12:45:38 PM	11/30/2018 12:45 PM
Details	State	Update	New Registration	Pending	Approved	11/30/2018 12:45 PM
Dates	Signed By Date	Update	New Registration		11/26/2018 1:33:17 PM	11/30/2018 12:45 PM
Dates	Start Date	Update	New Registration		1/1/2019 12:00:00 AM	11/30/2018 12:45 PM
Addresses	Main Address	Insert	New Registration		Rochester, NH 03867-4352	11/26/2018 1:33 PM
Contacts	Authorizing Official	Insert	New Registration		LAATSCH, JANET EXECUTIVE DIRECTOR Goodwin Community Health 6035162550	11/26/2018 1:33 PM
Contacts	Primary Contact	Insert	New Registration		Poitras, Sharlene IT Director Goodwin Community Health 6035162569	11/26/2018 1:33 PM
Details	Last Recertification Date	Insert	New Registration			11/26/2018 1:33 PM
Details	Grant Number	Insert	New Registration		H80CS04210	11/26/2018 1:33 PM
Details	340B ID	Insert	New Registration			11/26/2018 1:33 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			11/26/2018 1:33 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			11/26/2018 1:33 PM
Details	Medicare Provider Number	Insert	New Registration			11/26/2018 1:33 PM
Details	Entity Name	Insert	New Registration		GREATER SEACOAST COMMUNITY HEALTH	11/26/2018 1:33 PM
Details	Program Code	Insert	New Registration		CH	11/26/2018 1:33 PM
Details	Entity Subname	Insert	New Registration		Lilac Pediatrics	11/26/2018 1:33 PM
Dates	Participating Approval Date	Insert	New Registration			11/26/2018 1:33 PM
Details	State	Insert	New Registration		Pending	11/26/2018 1:33 PM
Dates	Registration Date	Insert	New Registration		11/26/2018 1:33:15 PM	11/26/2018 1:33 PM
Dates	Signed By Date	Insert	New Registration			11/26/2018 1:33 PM
Dates	Start Date	Insert	New Registration			11/26/2018 1:33 PM
Terminations	Termination Comments	Insert	New Registration			11/26/2018 1:33 PM
Terminations	Termination Date	Insert	New Registration			11/26/2018 1:33 PM
Terminations	Termination Effective Date	Insert	New Registration			11/26/2018 1:33 PM
Terminations	Termination Reason	Insert	New Registration			11/26/2018 1:33 PM

340B Drug Pricing Program Database