340B Drug Pricing Program Database


CH09103L ASIAN HEALTH SERVICES (Terminated) - information as of 4/28/2025 1:50:52 AM

Main Details
ASIAN HEALTH SERVICES
San Leandro Mental Health Clinic
HRSA-Funded Health Center
BPS-H80-020873
CH09103L
H80CS00773


Additional Details
Terminated
1/15/2019
4/1/2019
1/16/2019
2/3/2021

10/1/2021
Site closure

Contacts

Asian Health Services
SHERRY HIROTA, CEO
(510) 735-3111

Asian Health Services
Karen Matsuoka, Compliance & Administrative Operations Manager
(510) 735-3115

Addresses

433 Callan Avenue, Suite 301
San Leandro, CA 94577-4641

Asian Health Services
101 8th St, Ste 100
Oakland, CA 94607


  • 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
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH091030ActiveBPS-H80-001620ASIAN HEALTH SERVICESASIAN HEALTH SERVICES818 Webster St OaklandCA
CH09103AActiveBPS-H80-012706ASIAN HEALTH SERVICESRolland & Kathryn Lowe Medical Center835 Webster St OaklandCA
CH09103BActiveBPS-H80-008804ASIAN HEALTH SERVICESFRANK KIANG MEDICAL CENTER250 EAST 18TH STREETFL 2OAKLANDCA
CH09103CActiveBPS-H80-010006ASIAN HEALTH SERVICESAHS Dental Clinic @ CoA555 Ralph Appezzato Memorial Parkway BLDG A218 AlamedaCA
CH09103DActiveBPS-H80-004620ASIAN HEALTH SERVICESASIAN HEALTH SERV DENTAL CLINIC345 9th St STE 302 OaklandCA
CH09103EActiveBPS-H80-011482ASIAN HEALTH SERVICESAsian Resource Center Clinic817 Harrison St OaklandCA
CH09103FTerminatedBPS-H80-010508ASIAN HEALTH SERVICESAHS Laney College Clinic900 Fallon St 410-A OaklandCA
CH09103GActiveBPS-H80-008571ASIAN HEALTH SERVICESWildcat Wellness Center1023 MacArthur Blvd. OaklandCA
CH09103HActiveBPS-H80-022146ASIAN HEALTH SERVICESARC 210 Mental Health Clinic310 8th Street, Suite 210 OaklandCA
CH09103JActiveBPS-H80-021600ASIAN HEALTH SERVICESHarry and Jeanette Weinberg Dental & Wellness Clinic190 11th Street OaklandCA
CH09103KActiveBPS-H80-012434ASIAN HEALTH SERVICESFranklin Elementary School915 Foothill Blvd, Room 35 OaklandCA
CH09103LTerminatedBPS-H80-020873ASIAN HEALTH SERVICESSan Leandro Mental Health Clinic433 Callan Avenue, Suite 301 San LeandroCA
CH09103MActiveBPS-H80-024972ASIAN HEALTH SERVICESAsian Health Services Pediatrics San Leandro101 Callan Avenue STE 105 San LeandroCA
CH09103NActiveBPS-H80-014508ASIAN HEALTH SERVICESLincoln Elementary School225 11TH ST OAKLANDCA
CH09103PActiveBPS-H80-035110ASIAN HEALTH SERVICESAHS Mobile Unit #12000 Doolittle Dr San LeandroCA
CH09103QActiveBPS-H80-037756ASIAN HEALTH SERVICESMobile Unit #21699 W Grand Ave OaklandCA
CH09103RActiveBPS-H80-039327ASIAN HEALTH SERVICESAsian Health Services Dental and Wellness Clinic770 E 14th St San LeandroCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH091030ALTO PHARMACY LLCDBA ALTO PHARMACY 2360 QUME DR
STE A 		SAN JOSECA9513110/01/2021 10/01/2024
CH091030ALTO PHARMACY, LLCDBA ALTO PHARMACY 1400 TENNESSEE ST UNIT 2
SAN FRANCISCOCA94107-342110/01/2021 10/01/2024
CH091030GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17624 1555 40TH STREET
EMERYVILLECA9460804/01/2020  
CH091030GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16764 15555 E 14TH ST STE 400
SAN LEANDROCA9457804/01/2020  
CH091030GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10475 2964 BROADWAY
OAKLANDCA9461104/01/2020 01/09/2023
CH091030GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17657 2700 5TH ST
ALAMEDACA9450104/01/2020  
CH091030GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17265 19661 HESPERIAN BLVD
HAYWARDCA9454104/01/2020  
CH091030GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY # 8431 7200 BANCROFT AVE.
OAKLANDCA9460504/01/2020  
CH091030GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17658 2004 EL CAMINO REAL
SANTA CLARACA9505010/01/2020  
CH091030GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY # 4675 377 32ND AVENUE
SAN FRANCISCOCA9412110/01/2020  
CH091030GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17412 16858 GOLDEN VALLEY PKWY
LATHROPCA9533010/01/2020  
CH091030GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17582 95 HOLGER WAY
SAN JOSECA9513404/01/2021  
CH091030GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17674 1830 OCEAN AVE
SAN FRANCISCOCA9411204/01/2021 06/30/2021
CH091030GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16746 133 SERRAMONTE CTR
DALY CITYCA9401504/01/2021  
CH091030GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10199 26059 MISSION BLVD
HAYWARDCA9454407/01/2021  
CH091030GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16222 1400 FITZGERALD DR
PINOLECA9456410/01/2021  
CH091030GARFIELD BEACH CVS, L.L.C.CVS/PHARMACY # 17712 1414 UNIVERSITY AVE
BERKELEYCA9470210/01/2021  
CH091030GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #17781 2650 BROADWAY
OAKLANDCA9461210/01/2021 10/19/2023
CH091030GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16804 2499 WHIPPLE RD
HAYWARDCA9454407/01/2022  
CH091030GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16837 4500 MACDONALD AVE
RICHMONDCA9480507/01/2022  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09957 344 THOMAS L. BERKLEY WAY
OAKLANDCA9461204/01/2020 03/04/2022
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09942 1401 WASHINGTON AVE
SAN LEANDROCA9457704/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09635 1550 EAST 14TH STREET
SAN LEANDROCA9457704/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 01283 3236 LAKESHORE AVE
OAKLANDCA9461004/01/2020 01/29/2020
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09876 699 LEWELLING BLVD
SAN LEANDROCA9457904/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09622 243 W JACKSON ST
HAYWARDCA9454404/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09226 3320 FRUITVALE AVE
OAKLANDCA9460204/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09553 4349 SAN PABLO AVE
EMERYVILLECA9460804/01/2020 09/08/2022
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09130 175 41ST ST
OAKLANDCA9461104/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09378 4100 REDWOOD RD
OAKLANDCA9461904/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09250 885 ISLAND DR STE A
ALAMEDACA9450204/01/2020 06/07/2022
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09904 3667 CASTRO VALLEY BLVD
CASTRO VALLEYCA9454604/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 00414 14869 E 14TH ST
SAN LEANDROCA9457804/01/2020 05/01/2020
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09255 931 MARINA VILLAGE PKWY
ALAMEDACA9450104/01/2020 01/24/2023
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09128 2314 SANTA CLARA AVE
ALAMEDACA9450104/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09086 670 EL CERRITO PLZ
EL CERRITOCA9453004/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09322 2085 FAIR OAKS BLVD
SACRAMENTOCA9582510/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09158 850 ORO DAM BLVD E
OROVILLECA9596510/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09371 300 TRAVIS BLVD
FAIRFIELDCA9453310/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03079 2224 PATTERSON RD
RIVERBANKCA9536710/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09977 124 DE ANZA BLVD
SAN MATEOCA9440210/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09595 1382 SOLANO AVE
ALBANYCA9470610/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09941 1451 SHATTUCK AVE
BERKELEYCA9470910/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09834 12940 SARATOGA SUNNYVALE RD
SARATOGACA9507010/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 00331 2000 DRISCOLL RD
FREMONTCA9453910/01/2020 11/01/2023
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09945 800 FIRST STREET
GILROYCA9502010/01/2020  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09234 46445 MISSION BLVD
FREMONTCA9453901/01/2021  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09815 738 BANCROFT RD
WALNUT CREEKCA9459804/01/2021  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09099 4020 FREMONT HUB
FREMONTCA9453804/01/2021  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09329 1039 EL CAMINO REAL
REDWOOD CITYCA9406304/01/2021  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09600 35720 FREMONT BLVD
FREMONTCA9453604/01/2021  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA CVS/PHARMACY # 4326 4028 LONE TREE WAY
ANTIOCHCA9453104/01/2021  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09203 580 MORAGA RD
MORAGACA9455610/01/2021  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03053 10650 SAN PABLO AVE
EL CERRITOCA9453010/01/2021 04/18/2023
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09536 490 MARKET PL
SAN RAMONCA9458310/01/2021 04/17/2024
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03026 2300 SHATTUCK AVE
BERKELEYCA9470410/01/2021 06/15/2019
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 00816 22501 FOOTHILL BLVD
HAYWARDCA9454110/01/2021 09/11/2023
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09299 1617 CANYON DR
PINOLECA9456410/01/2021  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09251 3999 SANTA RITA ROAD
PLEASANTONCA9458810/01/2021  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09868 2455 SAN RAMON VALLEY BLVD
SAN RAMONCA9458307/01/2022  
CH091030LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03024 7201 REGIONAL ST
DUBLINCA9456801/01/2023  
CH091030NEW OAKLAND PHARMACY  822 WEBSTER STREET
OAKLANDCA9460707/01/2004 05/31/2017
CH09103ANEW OAKLAND PHARMACY  822 WEBSTER STREET
OAKLANDCA9460708/11/2010 05/31/2017
CH09103BNEW OAKLAND PHARMACY  822 WEBSTER STREET
OAKLANDCA9460710/01/2010 05/31/2017
CH09103BNEW OAKLAND PHARMACY - LAKE MERRITT250 E 18TH ST FL 3
OAKLANDCA94606-171607/01/2024  
CH09103ANEW OAKLAND PHARMACY - LAKE MERRITT250 E 18TH ST FL 3
OAKLANDCA94606-171607/01/2024  
CH091030New Oakland Pharmacy Lake Merritt250 E. 18th Street, 3rd Floor
OaklandCA9460606/28/2012  
CH091030NEW OAKLAND PHARMACY_#1333 9TH ST
OAKLANDCA94607-421104/01/2015  
CH09103ANEW OAKLAND PHARMACY_#1333 9TH ST
OAKLANDCA94607-421107/01/2024  
CH09103BNEW OAKLAND PHARMACY_#1333 9TH ST
OAKLANDCA94607-421107/01/2024  
CH091030OAKLAND PHARMACY INC.DBA NEW OAKLAND PHARMACY #2 388 9TH ST STE 108
ALVIN LEUNG 		OAKLANDCA9460704/01/2015  
CH09103BOAKLAND PHARMACY INC.DBA NEW OAKLAND PHARMACY #2 388 9TH ST STE 108
ALVIN LEUNG 		OAKLANDCA9460707/01/2024  
CH09103AOAKLAND PHARMACY INC.DBA NEW OAKLAND PHARMACY #2 388 9TH ST STE 108
ALVIN LEUNG 		OAKLANDCA9460707/01/2024  
CH091030PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY 445 CASTRO STREET
SAN FRANCISCOCA9411407/01/2022  
CH091030WALGREEN CODBA: WALGREENS #10045 2310 TELEGRAPH AVE
BERKELEYCA9470401/01/2020 02/28/2022
CH091030WALGREEN CODBA: WALGREENS #11614 2750 PINOLE VALLEY RD
PINOLECA9456401/01/2020  
CH091030WALGREEN CODBA: WALGREENS #10526 3250 LAKESHORE AVE STE B
OAKLANDCA94610-272001/01/2020  
CH091030WALGREEN CO.DBA: WALGREENS # 00101 3382 CASTRO VALLEY BLVD
CASTRO VALLEYCA9454610/01/2013  
CH091030WALGREEN CO.DBA: WALGREENS # 01536 3434 HIGH STREET
OAKLANDCA9461910/01/2013 01/22/2025
CH091030WALGREEN CO.DBA: WALGREENS # 01537 3232 FOOTHILL BLVD
OAKLANDCA9460110/01/2013  
CH091030WALGREEN CO.DBA: WALGREENS # 02366 3860 DECOTO ROAD
FREMONTCA9455510/01/2013  
CH091030WALGREEN CO.DBA: WALGREENS # 02426 15500 WASHINGTON AVE
SAN LEANDROCA9457910/01/2013  
CH091030WALGREEN CO.DBA: WALGREENS # 03032 15850 E 14TH STREET
SAN LEANDROCA9457810/01/2013 04/17/2018
CH091030WALGREEN CO.DBA: WALGREENS # 03170 3400 TELEGRAPH AVENUE
OAKLANDCA9460910/01/2013 11/08/2022
CH091030WALGREEN CO.DBA: WALGREENS # 03295 8102 INTERNATIONAL BLVD
OAKLANDCA9462110/01/2013 07/29/2021
CH091030WALGREEN CO.DBA: WALGREENS # 04050 1916 WEBSTER ST.
ALAMEDACA9450110/01/2013  
CH091030WALGREEN CO.DBA: WALGREENS # 09248 2300 OTIS DRIVE
ALAMEDACA9450110/01/2013  
CH091030WALGREEN CO.DBA: WALGREENS #11706 301 E. 18TH STREET
OAKLANDCA94606-181310/01/2013 02/24/2025
CH091030WALGREEN CO.DBA: WALGREENS # 13595 1333 BROADWAY STE 145
OAKLANDCA9461210/01/2013  
CH091030WALGREEN CO.DBA: WALGREENS # 07274 1456 136TH AVE
SAN LEANDROCA94578-255204/01/2015 03/27/2025
CH091030WALGREEN CO.DBA: WALGREENS # 06502 23958 HESPERIAN BLVD
HAYWARDCA94541-724104/01/2015  
CH091030WALGREEN CO.DBA: WALGREENS # 02306 1138 W TENNYSON RD
HAYWARDCA9454404/01/2015  
CH091030WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #16477 3009 BROADWAY
OAKLANDCA9461104/01/2019  
CH091030WALGREEN CO.DBA: WALGREENS # 01625 5055 TELEGRAPH AVE
OAKLANDCA9460901/01/2020 02/27/2025
CH091030WALGREEN CO.DBA: WALGREENS # 02401 21463 FOOTHILL BLVD.
HAYWARDCA9454101/01/2020 04/15/2024
CH091030WALGREEN CO.DBA: WALGREENS # 04659 164 W. JACKSON ST.
HAYWARDCA9454401/01/2020 05/19/2025
CH091030WALGREEN CO.DBA: WALGREENS # 04491 15650 SAN PABLO AVE.
SAN PABLOCA9480601/01/2020  
CH091030WALGREEN CO.DBA: WALGREENS # 15025 2190 SHATTUCK AVENUE
BERKELEYCA94704-130701/01/2020 08/30/2023
CH091030WALGREEN CO.DBA: WALGREENS # 05480 1833 N. MILPITAS BLVD.
MILPITASCA9503501/01/2020  
CH091030WALGREEN CO.DBA: WALGREENS # 02150 1763 SANTA RITA RD
PLEASANTONCA9456601/01/2020  
CH091030WALGREEN CO.DBA: WALGREENS # 04049 3630 SAN PABLO DAM RD
EL SOBRANTECA9480301/01/2020  
CH091030WALGREEN CO.DBA: WALGREENS # 02485 21001 SAN RAMON VALLEY BLVD
SAN RAMONCA9458301/01/2020 06/30/2021
CH091030WALGREEN CO.DBA: WALGREENS # 04517 2600 MOWRY AVE
FREMONTCA9453801/01/2020  
CH091030WALGREEN CO.DBA: WALGREENS # 04614 2801 ADELINE ST
BERKELEYCA9470301/01/2020  
CH091030WALGREEN CO.DBA: WALGREENS # 02609 2995 SAN PABLO AVE.
BERKELEYCA9470201/01/2020 02/01/2022
CH091030WALGREEN CO.DBA: WALGREENS # 02314 1050 GILMAN ST
BERKELEYCA9471001/01/2020  
CH091030WALGREEN CO.WALGREENS #16090 11440 WINDEMERE PKWY
SAN RAMONCA9458201/01/2020  
CH091030WALGREEN CO.WALGREENS #15330 5809 FOOTHILL BLVD
OAKLANDCA9460501/01/2020 01/30/2025
CH091030WALGREEN CO.DBA: WALGREENS #15666 1600 PARK ST
ALAMEDACA9450101/01/2020 08/31/2021
CH091030WALGREEN CO.DBA: WALGREENS # 03770 11565 SAN PABLO AVE
EL CERRITOCA9453001/01/2020  
CH091030WALGREEN CO.DBA: WALGREENS # 05487 5300 3RD STREET
SAN FRANCISCOCA9412401/01/2020 02/27/2025
CH091030WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15296 2262 MARKET ST
SAN FRANCISCOCA9411410/01/2021  
CH091030WALGREEN CO.DBA: WALGREENS # 02660 41400 BLACOW RD
FREMONTCA9453801/01/2022  
CH091030WALGREEN CO.DBA: WALGREENS #15331 500 PARNASSUS AVENUE
LEVEL J, ROOM MU-145 		SAN FRANCISCOCA9414301/01/2022 12/14/2023
CH091030WALGREEN CO.DBA: WALGREENS # 03711 1189 POTRERO AVE
SAN FRANCISCOCA9411001/01/2022 02/26/2025
CH091030WALGREEN CO.DBA: WALGREENS #15946 3614 MT DIABLO BLVD
LAFAYETTECA9454901/01/2022 04/02/2024
CH091030WALGREEN CO.DBA: WALGREENS #15397 2238 WESTBOROUGH BLVD
SOUTH SAN FRANCISCOCA9408001/01/2022  
CH091030WALGREEN CO.DBA: WALGREENS # 03707 2100 WEBSTER STREET SUITE 105
SAN FRANCISCOCA9411501/01/2022  
CH091030WALGREEN CO.DBA: WALGREENS # 01626 2494 SAN BRUNO AVE
SAN FRANCISCOCA9413404/01/2025  
CH091030WALGREEN CO.DBA: WALGREENS # 04231 2690 MISSION ST
SAN FRANCISCOCA9411004/01/2025  
CH091030WALGREENS MAIL SERVICE, INC.  8337 S PARK CIRCLE
ORLANDOFL32819-904910/01/2013 08/10/2015
CH091030WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528410/01/2013 08/10/2015
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsPrimary ContactUpdateProfile Change RequestMatsuoka, Karen Administrative Services Manager Asian Health Services 5107353115Matsuoka, Karen Compliance & Administrative Operations Manager Asian Health Services 51073531159/18/2024 12:35 PM
DetailsStateUpdate To Be TerminatedTerminated10/1/2021 12:01 AM
DatesLast Date That 340B Drugs PurchasedUpdateTermination Request 4/1/2021 12:00:00 AM7/13/2021 7:47 AM
DetailsStateUpdateTermination RequestActiveTo Be Terminated7/13/2021 7:47 AM
TerminationsTermination DateUpdateTermination Request 10/1/2021 12:00:00 AM7/13/2021 7:47 AM
TerminationsTermination Effective DateUpdateTermination Request 4/1/2021 12:00:00 AM7/13/2021 7:47 AM
TerminationsTermination ReasonUpdateTermination Request Site closure7/13/2021 7:47 AM
DetailsLast Recertification DateUpdateRecertification1/31/2020 1:09:31 PM2/3/2021 4:19:04 PM2/3/2021 4:19 PM
Medicaid BillingNPI: StateUpdateChange Request CA9/28/2020 4:40 PM
DetailsLast Recertification DateUpdateRecertification 1/31/2020 1:09:31 PM1/31/2020 1:09 PM
DetailsStateUpdate ApprovedActive4/1/2019 12:05 AM
ContactsSigned ByInsertNew Registration HIROTA, SHERRY CEO Asian Health Services 51073531111/16/2019 10:16 AM
Details340B IDUpdateNew Registration CH09103L1/16/2019 10:16 AM
DatesParticipating Approval DateUpdateNew Registration 1/16/2019 10:16:24 AM1/16/2019 10:16 AM
DetailsStateUpdateNew RegistrationPendingApproved1/16/2019 10:16 AM
DatesSigned By DateUpdateNew Registration 1/15/2019 5:26:43 PM1/16/2019 10:16 AM
DatesStart DateUpdateNew Registration 4/1/2019 12:00:00 AM1/16/2019 10:16 AM
AddressesMain AddressInsertNew Registration  433 Callan Avenue, Suite 301 San Leandro, CA 94577-46411/15/2019 5:26 PM
AddressesBilling AddressInsertNew Registration Asian Health Services 101 8th St, Ste 100 Oakland, CA 946071/15/2019 5:26 PM
Medicaid BillingNPI: NumberInsertNew Registration 14473917191/15/2019 5:26 PM
ContactsAuthorizing OfficialInsertNew Registration HIROTA, SHERRY CEO Asian Health Services 51073531111/15/2019 5:26 PM
ContactsPrimary ContactInsertNew Registration Matsuoka, Karen Administrative Services Manager Asian Health Services 51073531151/15/2019 5:26 PM
DetailsLast Recertification DateInsertNew Registration  1/15/2019 5:26 PM
DetailsGrant NumberInsertNew Registration H80CS007731/15/2019 5:26 PM
Details340B IDInsertNew Registration  1/15/2019 5:26 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/15/2019 5:26 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/15/2019 5:26 PM
DetailsMedicare Provider NumberInsertNew Registration  1/15/2019 5:26 PM
DetailsEntity NameInsertNew Registration ASIAN HEALTH SERVICES1/15/2019 5:26 PM
DetailsProgram CodeInsertNew Registration CH1/15/2019 5:26 PM
DetailsEntity SubnameInsertNew Registration San Leandro Mental Health Clinic1/15/2019 5:26 PM
DatesParticipating Approval DateInsertNew Registration  1/15/2019 5:26 PM
DetailsStateInsertNew Registration Pending1/15/2019 5:26 PM
DatesRegistration DateInsertNew Registration 1/15/2019 5:26:41 PM1/15/2019 5:26 PM
DatesSigned By DateInsertNew Registration  1/15/2019 5:26 PM
DatesStart DateInsertNew Registration  1/15/2019 5:26 PM
TerminationsTermination CommentsInsertNew Registration  1/15/2019 5:26 PM
TerminationsTermination DateInsertNew Registration  1/15/2019 5:26 PM
TerminationsTermination Effective DateInsertNew Registration  1/15/2019 5:26 PM
TerminationsTermination ReasonInsertNew Registration  1/15/2019 5:26 PM