340B Drug Pricing Program Database


CH09224J SHASTA COMMUNITY HEALTH CENTER (Terminated) - information as of 6/17/2025 3:17:10 AM

Main Details
SHASTA COMMUNITY HEALTH CENTER
SHASTA COMMUNITY MATERNITY CENTER
HRSA-Funded Health Center
BPS-H80-024971
CH09224J
H80CS00832


Additional Details
Terminated
1/7/2019
1/7/2019
1/7/2019
2/1/2024

7/1/2024
Site closure

Contacts

Shasta Community Health Center
Brandon Thornock, Chief Executive Officer
(530) 229-5074

Shasta Community Health Center
Dan Santi, Chief Financial Officer
(530) 246-5778

Addresses

1900 Railroad Ave
Redding, CA 96001-1802

SHASTA COMMUNITY HEALTH CENTER
PO BOX 992790
REDDING, CA 96099-2790


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
CAFHC70418F1891710638
Shipping Addresses

SHASTA COMMUNITY HEALTH CENTER
1035 Placer St
Redding, CA 96001
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH092240ActiveBPS-H80-004072SHASTA COMMUNITY HEALTH CENTERSHASTA COMMUNITY HEALTH CENTER1035 Placer St ReddingCA
CH09224AActiveBPS-H80-024608SHASTA COMMUNITY HEALTH CENTERANDERSON FAMILY HEALTH CENTER2965 East St. AndersonCA
CH09224BTerminatedBPS-H80-002216SHASTA COMMUNITY HEALTH CENTERHAPPY VALLEY FAMILY HEALTH CTR16300 Cloverdale Rd AndersonCA
CH09224CTerminatedBPS-H80-003502SHASTA COMMUNITY HEALTH CENTERSHASTA COMMUNITY DENTAL CLINIC1400 Market St # 8103 ReddingCA
CH09224EActiveBPS-H80-005374SHASTA COMMUNITY HEALTH CENTERSHASTA LAKE CITY FAMILY HLTH CTR4215 FRONT ST SHASTA LAKECA
CH09224FActiveBPS-H80-004727SHASTA COMMUNITY HEALTH CENTERSCHC PROJ HOPE MED/DENT MOBILE1035 Placer St ReddingCA
CH09224GActiveBPS-H80-001909SHASTA COMMUNITY HEALTH CENTERUrgent Care980 Placer St ReddingCA
CH09224HActiveBPS-H80-014236SHASTA COMMUNITY HEALTH CENTERSCHC Project HOPE Med/dent mobile II1035 Placer St ReddingCA
CH09224JTerminatedBPS-H80-024971SHASTA COMMUNITY HEALTH CENTERSHASTA COMMUNITY MATERNITY CENTER1900 Railroad Ave ReddingCA
CH09224KTerminatedBPS-H80-030289SHASTA COMMUNITY HEALTH CENTEREnterprise Family Health Center3270 Churn Creek Rd ReddingCA
CH09224LActiveBPS-H80-022096SHASTA COMMUNITY HEALTH CENTERShasta Community Telemedicine and Training Center1756 Continental St ReddingCA
CH09224MActiveBPS-H80-038368SHASTA COMMUNITY HEALTH CENTERWomen’s, Babies’ & Children’s Center1000 Placer St ReddingCA
CH09224NActiveBPS-H80-039039SHASTA COMMUNITY HEALTH CENTEREnterprise Family Health and Dental Center1201 Industrial St ReddingCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH092240ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201004/01/2022  
CH092240ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750204/01/2022  
CH092240ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884904/01/2022  
CH092240AMAZON PHARMACY #0014500 S PLEASANT VALLEY RD STE 201
AUSTINTX78744-291101/01/2020  
CH092240AZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503401/01/2020  
CH092240CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2021  
CH092240CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2021  
CH092240CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/01/2021  
CH092240CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2021  
CH092240CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2021  
CH092240CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2021  
CH092240CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2021  
CH092240CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813301/01/2021  
CH092240CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237401/01/2021  
CH092240CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/01/2021  
CH092240COTTONWOOD DRUGS20635 GAS POINT ROAD P.O. BOX 588
COTTONWOODCA9602204/01/2014 08/30/2019
CH092240CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2021  
CH092240ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111204/01/2022  
CH092240EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313404/01/2022  
CH092240GARFIELD BEACH CVS, L.L.C.CVSPHARMACY # 16161 1280 DANA DR
REDDINGCA9600308/13/2019  
CH092240GARFIELD BEACH CVS, L.L.C.CVS/PHARMACY #11345 317 LAKE BLVD STE B
REDDINGCA96003-250411/13/2019  
CH092240GARFIELD BEACH CVS, L.L.C.CVS/PHARMACY #11342 2975 EAST ST
ANDERSONCA96007-348111/13/2019  
CH092240GARFIELD BEACH CVS, L.L.C.CVS/PHARMACY #11344 1035 PLACER ST STE 110
REDDINGCA96001-112511/13/2019  
CH092240GARFIELD BEACH CVS, L.L.C.CVS/PHARMACY #11341 2025 COURT ST STE A
REDDINGCA96001-180511/13/2019  
CH092240GARFIELD BEACH CVS, L.L.C.CVS/PHARMACY #11346 101 W LAKE ST
MOUNT SHASTACA96067-222501/01/2021  
CH092240LIM'S FAMILY PHARMACY1035 PLACER STREET SUITE 110
REDDINGCA96001-112507/02/2010 10/27/2017
CH092240LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03911 1060 E CYPRESS AVE
REDDINGCA9600208/13/2019  
CH092240LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09973 1595 MAIN STREET
WEAVERVILLECA9609308/13/2019  
CH092240LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03937 455 SOUTH MAIN STREET
RED BLUFFCA9608008/13/2019  
CH092240LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09979 3375 PLACER ST
REDDINGCA9600110/01/2019  
CH092240M.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312601/01/2020  
CH092240OVERLAKE PHARMACY, LLC4124 148TH AVE NE STE JA
REDMONDWA9805204/01/2020  
CH092240OWENS HEALTHCARE #4  2510 AIRPARK DRIVE
SUITE 204 		REDDINGCA9600101/01/2016 07/01/2017
CH092240OWENS PHARMACY #32975 EAST ST
ANDERSONCA9600701/01/2015 10/25/2019
CH09224AOWENS PHARMACY #32975 EAST ST
ANDERSONCA9600705/16/2009 10/25/2019
CH092240OWENS PHARMACY #12025 COURT STREET SUITE A
REDDINGCA9600105/16/2009 10/25/2019
CH09224EOWENS PHARMACY #12025 COURT STREET SUITE A
REDDINGCA9600105/16/2009 10/25/2019
CH092240OWENS PHARMACY #17317 LAKE BLVD STE B
REDDINGCA9600308/22/2012 10/31/2019
CH092240OWENS PHARMACY #22880 CHURN CREEK ROAD STE A
REDDINGCA9600207/01/2013 08/13/2019
CH092240OWENS PHARMACY #219387 DESCHUTES ROAD SUITE 1
PALO CEDROCA9607301/01/2016 08/07/2019
CH092240OWENS PHARMACY #61035 PLACER STREET, SUITE 110
REDDINGCA9600101/01/2015 10/31/2019
CH09224COWENS PHARMACY #61035 PLACER STREET, SUITE 110
REDDINGCA9600103/11/2010 10/31/2019
CH092240PHARMACY ALTERNATIVES CALIFORNIA LLCDBA COTTONWOOD DRUGS 20635 GAS POINT RD
PO BOX 588 		COTTONWOODCA9602201/01/2020 08/01/2020
CH092240PILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310101/01/2020  
CH092240PREMIER PHARMACY SERVICES410 CLOVERLEAF DR
BALDWIN PARKCA9170601/01/2018 04/01/2022
CH09224CPREMIER PHARMACY SERVICES410 CLOVERLEAF DR
BALDWIN PARKCA9170601/01/2018 01/01/2025
CH09224EPREMIER PHARMACY SERVICES410 CLOVERLEAF DR
BALDWIN PARKCA9170601/01/2018  
CH09224APREMIER PHARMACY SERVICES410 CLOVERLEAF DR
BALDWIN PARKCA9170601/01/2018  
CH09224BPREMIER PHARMACY SERVICES410 CLOVERLEAF DR
BALDWIN PARKCA9170601/01/2018 01/01/2019
CH092240PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/01/2021  
CH092240PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY 445 CASTRO STREET
SAN FRANCISCOCA9411401/01/2021  
CH092240PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920301/01/2021  
CH092240PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681301/01/2021  
CH092240PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523301/01/2021  
CH092240RALEY'S PHARMACY #248201 LAKE BLVD. UNIT B
REDDINGCA9600301/01/2020  
CH092240REDDING DRUGSTERLING HATTERAS LLC 916 E CYPRESS AVE
STE 300 		REDDINGCA9600207/01/2025  
CH092240SAFEWAY INCSAFEWAY PHARMACY #1954 2275 PINE STREET
REDDINGCA9600101/01/2015  
CH09224BSAFEWAY INCSAFEWAY PHARMACY #1954 2275 PINE STREET
REDDINGCA9600103/20/2010 01/01/2019
CH092240SAFEWAY INCSAFEWAY PHARMACY #1826 1070 EAST CYPRESS AVENUE
REDDINGCA96002-111401/01/2018  
CH092240SAFEWAY INCSAFEWAY PHARMACY #0273 2601 BALLS FERRY ROAD
ANDERSONCA9600701/01/2018  
CH092240THRIFTY PAYLESS, INC.RITE AID #6097 1801 EUREKA WAY
REDDINGCA9600102/15/2012  
CH092240THRIFTY PAYLESS, INC.RITE AID #6100 3095 MCMURRAY DRIVE
ANDERSONCA9600702/15/2012  
CH092240THRIFTY PAYLESS, INC.RITE AID #6480 5350 SHASTA DAM BOULEVARD
SHASTA LAKECA9601902/15/2012  
CH092240THRIFTY PAYLESS, INC.RITE AID #6099 975 EAST CYPRESS AVENUE
REDDINGCA9600202/15/2012  
CH092240THRIFTY PAYLESS, INC.RITE AID #6095 6424 WESTSIDE ROAD
REDDINGCA9600102/15/2012  
CH092240THRIFTY PAYLESS, INC.RITE AID #6714 9340 DESCHUTES RD
PALO CEDROCA9607304/01/2019  
CH092240TRUEPILL3121 DIABLO AVE
HAYWARDCA9454504/01/2020  
CH092240WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2017  
CH092240WAL-MART PHARMACY 10-25371515 DANA DRIVE
REDDINGCA9600307/02/2012  
CH092240WAL-MART PHARMACY 10-51335000 RHONDA RD.
ANDERSONCA9600706/27/2012  
CH092240WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2017  
CH092240WALGREEN CO.DBA: WALGREENS # 04243 980 E CYPRESS AVE
REDDINGCA9600209/19/2012  
CH092240WALGREEN CO.DBA: WALGREENS # 05699 115 LAKE BLVD EAST
REDDINGCA96003-291310/01/2014  
CH092240WALGREEN CO.DBA: WALGREENS # 05781 1775 EUREKA WAY
REDDINGCA96001-042010/01/2014  
CH092240WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/01/2023  
CH092240Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CH092240WESTERN PHARMACY GROUP LLCDBA COMMUNITY MEDICAL CENTER PHARMACY 610 GATEWAY CENTER WAY
SUITES A--E 		SAN DIEGOCA9210201/01/2020  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsStateUpdate To Be TerminatedTerminated7/1/2024 12:01 AM
DatesLast Date That 340B Drugs PurchasedUpdateTermination Request 3/22/2024 12:00:00 AM6/17/2024 3:46 PM
DetailsStateUpdateTermination RequestActiveTo Be Terminated6/17/2024 3:46 PM
TerminationsTermination CommentsUpdateTermination Request The operations at this site were transferred to another 340B eligible site. Changed Last Date 340B Drugs will be purchased to the ineligible date. 6/17/2024 3:46 PM
TerminationsTermination DateUpdateTermination Request 7/1/2024 12:00:00 AM6/17/2024 3:46 PM
TerminationsTermination Effective DateUpdateTermination Request 3/22/2024 12:00:00 AM6/17/2024 3:46 PM
TerminationsTermination ReasonUpdateTermination Request Site closure6/17/2024 3:46 PM
ContactsAuthorizing OfficialUpdateChange RequestGERMANO, DEAN C. CEO Shasta Community Helath Center 5302465704Thornock, Brandon Chief Executive Officer Shasta Community Health Center 53022950743/7/2024 12:42 PM
DetailsLast Recertification DateUpdateRecertification2/1/2023 11:37:04 AM2/1/2024 2:34:49 PM2/1/2024 2:34 PM
ContactsPrimary ContactUpdateProfile Change RequestSanti, Dan Director of Finance Shasta Community Health Center 5302465778Santi, Dan Chief Financial Officer Shasta Community Health Center 53024657781/31/2024 12:53 PM
DetailsLast Recertification DateUpdateRecertification2/1/2022 1:41:31 PM2/1/2023 11:37:04 AM2/1/2023 11:37 AM
DetailsLast Recertification DateUpdateRecertification2/3/2021 1:30:44 PM2/1/2022 1:41:31 PM2/1/2022 1:41 PM
Medicaid BillingNPI: NumberInsertRecertification 18917106382/3/2021 1:30 PM
Medicaid BillingNPI: StateInsertRecertification CA2/3/2021 1:30 PM
Medicaid BillingNPI: NumberDeleteRecertification1891710638 ( ) 2/3/2021 1:30 PM
DetailsLast Recertification DateUpdateRecertification2/11/2020 12:21:28 PM2/3/2021 1:30:44 PM2/3/2021 1:30 PM
DetailsLast Recertification DateUpdateRecertification1/29/2019 11:22:26 AM2/11/2020 12:21:28 PM2/11/2020 12:21 PM
DetailsLast Recertification DateUpdateRecertification 1/29/2019 11:22:26 AM1/29/2019 11:22 AM
DetailsStateUpdateOPA EditApprovedActive1/7/2019 3:57 PM
DatesStart DateUpdateOPA Edit4/1/2019 12:00:00 AM1/7/2019 12:00:00 AM1/7/2019 3:57 PM
ContactsSigned ByInsertNew Registration GERMANO, DEAN C. CEO Shasta Community Helath Center 53024657041/7/2019 2:15 PM
Details340B IDUpdateNew Registration CH09224J1/7/2019 2:15 PM
DatesParticipating Approval DateUpdateNew Registration 1/7/2019 2:15:48 PM1/7/2019 2:15 PM
DetailsStateUpdateNew RegistrationPendingApproved1/7/2019 2:15 PM
DatesSigned By DateUpdateNew Registration 1/7/2019 1:16:43 PM1/7/2019 2:15 PM
DatesStart DateUpdateNew Registration 4/1/2019 12:00:00 AM1/7/2019 2:15 PM
AddressesMain AddressInsertNew Registration  1900 Railroad Ave Redding, CA 96001-18021/7/2019 12:09 PM
AddressesBilling AddressInsertNew Registration SHASTA COMMUNITY HEALTH CENTER PO BOX 992790 REDDING, CA 96099-27901/7/2019 12:09 PM
AddressesShipping AddressInsertNew Registration SHASTA COMMUNITY HEALTH CENTER 1035 Placer St Redding, CA 960011/7/2019 12:09 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/7/2019 12:09 PM
Medicaid BillingMedicaid: NumberInsertNew Registration FHC70418F1/7/2019 12:09 PM
Medicaid BillingMedicaid: StateInsertNew Registration CA1/7/2019 12:09 PM
Medicaid BillingNPI: NumberInsertNew Registration 18917106381/7/2019 12:09 PM
ContactsPrimary ContactInsertNew Registration Santi, Dan Director of Finance Shasta Community Health Center 53024657781/7/2019 12:09 PM
ContactsAuthorizing OfficialInsertNew Registration GERMANO, DEAN C. CEO Shasta Community Helath Center 53024657041/7/2019 12:09 PM
DetailsLast Recertification DateInsertNew Registration  1/7/2019 12:09 PM
DetailsGrant NumberInsertNew Registration H80CS008321/7/2019 12:09 PM
Details340B IDInsertNew Registration  1/7/2019 12:09 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/7/2019 12:09 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/7/2019 12:09 PM
DetailsMedicare Provider NumberInsertNew Registration  1/7/2019 12:09 PM
DetailsEntity NameInsertNew Registration SHASTA COMMUNITY HEALTH CENTER1/7/2019 12:09 PM
DetailsProgram CodeInsertNew Registration CH1/7/2019 12:09 PM
DetailsEntity SubnameInsertNew Registration SHASTA COMMUNITY MATERNITY CENTER1/7/2019 12:09 PM
DatesParticipating Approval DateInsertNew Registration  1/7/2019 12:09 PM
DetailsStateInsertNew Registration Pending1/7/2019 12:09 PM
DatesRegistration DateInsertNew Registration 1/7/2019 12:09:32 PM1/7/2019 12:09 PM
DatesSigned By DateInsertNew Registration  1/7/2019 12:09 PM
DatesStart DateInsertNew Registration  1/7/2019 12:09 PM
TerminationsTermination CommentsInsertNew Registration  1/7/2019 12:09 PM
TerminationsTermination DateInsertNew Registration  1/7/2019 12:09 PM
TerminationsTermination Effective DateInsertNew Registration  1/7/2019 12:09 PM
TerminationsTermination ReasonInsertNew Registration  1/7/2019 12:09 PM