340B Drug Pricing Program Database


CH09364AL Family Healthcare Network (Active) - information as of 6/23/2025 12:36:16 AM

Main Details
Family Healthcare Network
Family HealthCare Network - Visalia Mooney
HRSA-Funded Health Center
BPS-H80-027045
CH09364AL
H80CS00786


Additional Details
Active
1/28/2019
4/1/2019
1/29/2019
3/4/2025

Contacts

Family HealthCare Network
Kerry Hydash, President and CEO
(559) 737-4700

Family HealthCare Network
Chad Vawter, Deputy CEO and Senior Vice President
(559) 737-4700

Addresses

2333 S Mooney Blvd
Visalia, CA 93277-6228

FHCN
305 E Center Ave
Visalia, CA 93291


  • 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
CA 1689158941,1316257959,1154772705,1619302031,1932613536,1386295350,1871144329,1699423814,1659120046
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH093640ActiveBPS-H80-002499FAMILY HEALTHCARE NETWORKFAMILY HEALTHCARE NETWORK - Porterville Health Center1107 W Poplar Ave PortervilleCA
CH09364AActiveBPS-H80-001686FAMILY HEALTHCARE NETWORKFAMILY HEALTHCARE NETWORK - IVANHOE HEALTH CENTER33025 Road 159 IvanhoeCA
CH09364AAActiveBPS-H80-022256Family Healthcare NetworkFamily HealthCare Network - ACC290 N Wayte LaneSuite 2100FresnoCA
CH09364ABActiveBPS-H80-022250Family Healthcare NetworkFamily HealthCare Network - ACC290 N Wayte LaneSuite 2500FresnoCA
CH09364ACActiveBPS-H80-022249Family Healthcare NetworkFamily HealthCare Network - ACC290 N Wayte LaneSuite 2300FresnoCA
CH09364ADActiveBPS-H80-022150Family Healthcare NetworkFamily HealthCare Network - Surgical Consultation Center255 N. Herwaldt Drive FresnoCA
CH09364AEActiveBPS-H80-022147Family Healthcare NetworkFamily HealthCare Network - ACC290 N. Wayte Lane,Suite 1700FresnoCA
CH09364AFActiveBPS-H80-022151Family Healthcare NetworkFamily HealthCare Network - Dinuba Health Center324 N Vermont Ave. DinubaCA
CH09364AGActiveBPS-H80-021676Family Healthcare NetworkFamily HealthCare Network - Mobile Van #231180 Road 72 VisaliaCA
CH09364AHActiveBPS-H80-022358Family Healthcare NetworkFamily HealthCare Network - ACC290 N. Wayte Lane, Suite 1300 FresnoCA
CH09364AJActiveBPS-H80-024962Family Healthcare NetworkFamily HealthCare Network - Fresno Illinois2210 E. Illinois Ave. STE 206 FresnoCA
CH09364AKTerminatedBPS-H80-022125Family Healthcare NetworkFamily HealthCare Network - Chronic Care Management Center2315 E. Illinois Avenue FresnoCA
CH09364ALActiveBPS-H80-027045Family Healthcare NetworkFamily HealthCare Network - Visalia Mooney2333 S Mooney Blvd VisaliaCA
CH09364AMActiveBPS-H80-027365Family Healthcare NetworkFamily HealthCare Network - Porterville Downtown65 N Hockett St PortervilleCA
CH09364ANActiveBPS-H80-027708Family Healthcare NetworkFamily HealthCare Network - Selma1850 Whitson St. SelmaCA
CH09364APActiveBPS-H80-028327Family Healthcare NetworkFamily HealthCare Network - Reedley826 E Manning Ave ReedleyCA
CH09364AQActiveBPS-H80-028329Family Healthcare NetworkFamily HealthCare Network - Exeter330 E Pine St ExeterCA
CH09364ARActiveBPS-H80-028328Family Healthcare NetworkFamily HealthCare Network - Squaw Valley30924 E Kings Canyon Rd Squaw ValleyCA
CH09364ASActiveBPS-H80-028326Family Healthcare NetworkFamily HealthCare Network - Farmersville East682 E Visalia Rd FarmersvilleCA
CH09364ATTerminatedBPS-H80-030043Family Healthcare NetworkFamily HealthCare Network - Fresno Shields3505 E Shields Ave FresnoCA
CH09364AUActiveBPS-H80-030476Family Healthcare NetworkFamily HealthCare Network - Fresno Recreation7060 N Recreation Ave Ste 101 FresnoCA
CH09364AVActiveBPS-H80-031049Family Healthcare NetworkFamily HealthCare Network - Tulare Hillman1062 S K St TulareCA
CH09364AWActiveBPS-H80-034916Family Healthcare NetworkFamily HealthCare Network - City Center3837 N Clark St FresnoCA
CH09364AXActiveBPS-H80-033479FAMILY HEALTHCARE NETWORKFamily HealthCare Network - Fresno First3425 N First St FresnoCA
CH09364AYActiveBPS-H80-035759FAMILY HEALTHCARE NETWORKFamily HealthCare Network - Fresno Clinton1344 W Clinton Ave FresnoCA
CH09364AZActiveBPS-H80-037882FAMILY HEALTHCARE NETWORKFamily HealthCare Network - Hanford 12th Avenue Health Center939 S. 12th Avenue HanfordCA
CH09364BActiveBPS-H80-002896FAMILY HEALTHCARE NETWORKFAMILY HEALTHCARE NETWORK - VISALIA BRIDGE HEALTH CENTER501 N Bridge St VisaliaCA
CH09364BAActiveBPS-H80-038241FAMILY HEALTHCARE NETWORKFamily HealthCare Network - Delano1230 Jefferson St DelanoCA
CH09364CActiveBPS-H80-011869FAMILY HEALTHCARE NETWORKFAMILY HEALTHCARE NETWORK - WOODLAKE HEALTH CENTER201 E. Lakeview Avenue WoodlakeCA
CH09364DActiveBPS-H80-000346FAMILY HEALTHCARE NETWORKFAMILY HEALTHCARE NETWORK - CUTLER/OROSI HEALTH CENTER12586 Avenue 408 OrosiCA
CH09364EActiveBPS-H80-004257FAMILY HEALTHCARE NETWORKFAMILY HEALTHCARE NETWORK - THREE RIVERS HEALTH CENTER41651 SIERRA DR. STE A THREE RIVERSCA
CH09364FActiveBPS-H80-039633FAMILY HEALTHCARE NETWORKFAMILY HEALTHCARE NETWORK - SPRINGVILLE HEALTH CENTER31954 Country Club Dr PortervilleCA
CH09364GActiveBPS-H80-002463FAMILY HEALTHCARE NETWORKFAMILY HEALTHCARE NETWORK - VISALIA OAK HEALTH CENTER400 E Oak Ave VisaliaCA
CH09364JActiveBPS-H80-013841FAMILY HEALTHCARE NETWORKFAMILY HEALTHCARE NETWORK - GOSHEN HEALTH CENTER31180 Road 72 GOSHENCA
CH09364KActiveBPS-H80-021390FAMILY HEALTHCARE NETWORKFAMILY HEALTHCARE NETWORK - HANFORD 5TH STREET HEALTH CENTER250 W Fifth Street HanfordCA
CH09364LActiveBPS-H80-011508FAMILY HEALTHCARE NETWORKFamily HealthCare Network - Farmersville Health Center730 N. Farmersville Blvd FarmersvilleCA
CH09364MActiveBPS-H80-013067FAMILY HEALTHCARE NETWORKFamily HealthCare Network - Terra Bella Health Center9416 Road 238 Terra BellaCA
CH09364NActiveBPS-H80-011365FAMILY HEALTHCARE NETWORKFamily HealthCare Network Visalia-School Avenue Health Center401 E SCHOOL AVE VisaliaCA
CH09364PActiveBPS-H80-011876FAMILY HEALTHCARE NETWORKFamily HealthCare Network - Porterville Dental Center1133 W Poplar Ave PortervilleCA
CH09364QActiveBPS-H80-015799FAMILY HEALTHCARE NETWORKFamily HealthCare Network - Tulare West Health Center263 S. West Street TulareCA
CH09364RActiveBPS-H80-015566FAMILY HEALTHCARE NETWORKFamily HealthCare Network-Traver Health Center4177 Avenue 368 TraverCA
CH09364SActiveBPS-H80-018019FAMILY HEALTHCARE NETWORKFamily HealthCare Network - Tulare Cherry Street Health Center1008 North Cherry Street TulareCA
CH09364TActiveBPS-H80-018753FAMILY HEALTHCARE NETWORKFamily HealthCare Network - Pixley Health Center927 Center Street PixleyCA
CH09364UActiveBPS-H80-019392Family Healthcare NetworkFamily HealthCare Network - Mobile Van #131180 Road 72 VisaliaCA
CH09364VActiveBPS-H80-021433Family Healthcare NetworkFamily HealthCare Network - Strathmore Health Center22817 Avenue 196 StrathmoreCA
CH09364WActiveBPS-H80-022272Family Healthcare NetworkFamily HealthCare Network - ACC290 N Wayte LaneSuite 1200FresnoCA
CH09364XActiveBPS-H80-022252Family Healthcare NetworkFamily HealthCare Network - ACC290 N Wayte LaneSuite 2200FresnoCA
CH09364YActiveBPS-H80-022254Family Healthcare NetworkFamily HealthCare Network - ACC290 N Wayte LaneSuite 1600FresnoCA
CH09364ZActiveBPS-H80-022257Family Healthcare NetworkFamily HealthCare Network - ACC290 N Wayte LaneSuite 1800FresnoCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH093640ACARIAHEALTH PHARMACY #11, INC1311 W SAM HOUSTON PKWY N STE 130
HOUSTONTX77043-401501/01/2023  
CH093640ACARIAHEALTH PHARMACY #13, INC3302 GARFIELD AVE.
COMMERCECA90040-310201/01/2023  
CH093640ACARIAHEALTH PHARMACY #14, INC.4151 E COMMERCE WAY # 1041
SACRAMENTOCA95834-967901/01/2023  
CH093640ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884901/01/2019  
CH093640ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750201/01/2019 08/01/2020
CH093640ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201001/01/2019  
CH093640ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349201/01/2019 08/01/2020
CH093640ACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624101/01/2019 08/01/2020
CH093640ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282201/01/2019 08/01/2020
CH093640ALTO PHARMACY LLCDBA ALTO PHARMACY 2360 QUME DR
STE A 		SAN JOSECA9513101/01/2023  
CH093640ALTO PHARMACY, LLCDBA ALTO PHARMACY 1400 TENNESSEE ST UNIT 2
SAN FRANCISCOCA94107-342101/01/2023  
CH093640AMAZON PHARMACY #0014500 S PLEASANT VALLEY RD STE 201
AUSTINTX78744-291104/01/2020  
CH093640AMAZON PHARMACY #0063620 PLAINFIELD RD
INDIANAPOLISIN46231-700310/01/2024  
CH093640AMAZON PHARMACY #008408 TECHNOLOGY PARKWAY BUILDING B, STE 101
COLLEGE STATIONTX7784510/01/2024  
CH093640AMAZON PHARMACY #0097469 KINGSPOINTE PKWY STE 400
ORLANDOFL3281910/01/2024  
CH093640AMAZON PHARMACY #0101331 E 6TH ST
CORONACA9287910/01/2024  
CH093640AVELLA OF DEER VALLEY, INC. #38DBA AVELLA SPECIALTY PHARMACY 24416 N. 19TH AVE
PHOENIXAZ8508507/01/2018 07/15/2020
CH093640AVELLA OF SACRAMENTO, INC.2288 AUBURN BLVD #102
SACRAMENTOCA9582107/01/2018 07/15/2020
CH093640AZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503404/01/2020  
CH093640BIOPLUS SPECIALTY INFUSION CA, LLC19110 VAN NESS AVE.
TORRANCECA9050107/19/2022  
CH093640BIOPLUS SPECIALTY PHARMACY CA7373 LINCOLN WAY
GARDEN GROVECA9284107/19/2022  
CH093640BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526101/01/2020  
CH093640BIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771301/01/2020  
CH093640BIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267010/01/2024  
CH093640BIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522610/01/2024  
CH093640BIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620310/01/2024  
CH093640BIOPLUS SPECIALTY PHARMACY, INC3200 LAKE EMMA RD UNIT 1000
LAKE MARYFL3274607/19/2022  
CH093640CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2019  
CH093640CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2019  
CH093640CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/01/2019  
CH093640CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2019  
CH093640CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2019  
CH093640CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2019  
CH093640CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2019  
CH093640CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813301/01/2019  
CH093640CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237401/01/2019  
CH093640CAREPLUS HEALTHCARE INCD/B/A VALLEY PHARMACY 560 W PUTNAM AVE STE 2
PORTERVILLECA93257-326910/01/2021  
CH093640CENTERWELL PHARMACY, INC.9843 WINDISCH RD
WEST CHESTEROH4506904/07/2022  
CH093640CENTERWELL PHARMACY, INC.10737 MARKS WAY
MIRAMARFL3302504/07/2022 07/07/2023
CH093640CENTERWELL PHARMACY, INC.11010 FLORIDA CROWN DRIVE, SUITE 200
ORLANDOFL3282410/01/2024  
CH093640CLINICA PHARMACYOMGANESH CORPORATION 355 DOVER PKWY STE C
DELANOCA9321507/01/2025  
CH093640CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/01/2021  
CH093640CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/01/2021  
CH093640CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503301/01/2019  
CH093640DINUBA PHARMACYDINUBA PHARMACY 172 N L ST.
DINUBACA9361807/01/2019  
CH09364AWDINUBA PHARMACYDINUBA PHARMACY 172 N L ST.
DINUBACA9361810/01/2024  
CH093640DIPLOMAT SPECIALTY PHARMACY4100 S SAGINAW ST STE D
FLINTMI48507-268301/01/2022 03/21/2022
CH093640DOGWOOD PHARMACY, INCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER ROAD
SUITE K 		GREENVILLESC29607-654001/01/2020  
CH093640ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111207/19/2022  
CH093640EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313407/19/2022  
CH093640EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607507/19/2022  
CH093640EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801607/19/2022  
CH093640FOUNDATION CARE LLC111 CHESTERFIELD INDUSTRIAL BLVD STE 115
CHESTERFIELDMO6300501/01/2023  
CH093640GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 00035 800 N. WESTWOOD ST.
PORTERVILLECA9325710/01/2015  
CH093640GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 02711 2135 N. DINUBA BLVD.
VISALIACA9329110/01/2015 02/14/2017
CH093640GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 02944 53 E. OLIVE AVE.
PORTERVILLECA9325710/01/2015  
CH093640GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 05551 109 SOUTH WEST ST.
TULARECA9327410/01/2015  
CH093640GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17477 1363 W HENDERSON AVE
PORTERVILLECA9325707/01/2017  
CH093640GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17520 3308 N DINUBA BLVD
VISALIACA9329107/01/2017  
CH093640GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16928 4247 S MOONEY BLVD
VISALIACA9327704/09/2020  
CH093640GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 00912 2175 E. BARDSLEY AVE.
TULARECA9327404/09/2020  
CH093640GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17025 140 N 12TH AVE
HANFORDCA9323004/09/2020  
CH093640GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17414 2195 E PROSPERITY AVE
TULARECA9327404/09/2020  
CH093640GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 02541 1102 N. DEMAREE ST.
VISALIACA9329104/09/2020  
CH093640GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10074 5995 EAST KINGS CANYON RD
FRESNOCA9372710/01/2020  
CH093640GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16108 3173 E SHIELDS AVE
FRESNOCA9372610/01/2020  
CH093640GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 06772 4987 N. FRESNO ST.
FRESNOCA9372610/01/2020  
CH093640GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16084 3150 W SHAW AVE
FRESNOCA9371110/01/2020  
CH093640GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 05422 5180 E. KINGS CANYON ROAD
FRESNOCA9372710/01/2020  
CH093640GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16136 900 SHAW AVE
CLOVISCA9361207/01/2021  
CH093640GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10801 6720 N. FRESNO ST.
FRESNOCA9371010/01/2021  
CH093640GARFIELD BEACH CVS, L.L.C.CVS/PHARMACY # 11339 777 S. HARBOR BLVD., SUITE E-164
LA HABRACA9063110/01/2021  
CH093640GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16337 7600 N BLACKSTONE AVE
FRESNOCA9372010/01/2021  
CH093640GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08895 775 E. FOOTHILL BOULEVARD
POMONACA9176710/01/2021  
CH09364APGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 02541 1102 N. DEMAREE ST.
VISALIACA9329110/01/2024  
CH09364JGARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17520 3308 N DINUBA BLVD
VISALIACA9329110/01/2024  
CH09364VGARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17477 1363 W HENDERSON AVE
PORTERVILLECA9325710/01/2024  
CH09364ARGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 06772 4987 N. FRESNO ST.
FRESNOCA9372610/01/2024  
CH09364QGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 05551 109 SOUTH WEST ST.
TULARECA9327410/01/2024  
CH09364WGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 00912 2175 E. BARDSLEY AVE.
TULARECA9327410/01/2024  
CH09364UGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 02944 53 E. OLIVE AVE.
PORTERVILLECA9325710/01/2024  
CH09364ZGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 05422 5180 E. KINGS CANYON ROAD
FRESNOCA9372710/01/2024  
CH09364AEGARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17414 2195 E PROSPERITY AVE
TULARECA9327410/01/2024  
CH09364EGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 00035 800 N. WESTWOOD ST.
PORTERVILLECA9325710/01/2024  
CH093640GENOA HEALTHCARE LLC11721 E TELEGRAPH RD UNIT I
SANTA FE SPRINGSCA9067001/01/2022  
CH093640GENOA HEALTHCARE LLC1850 W FLORIDA AVE
HEMETCA9254501/01/2022 01/08/2025
CH093640GENOA HEALTHCARE LLC17782 COWAN ST STE G
IRVINECA9261401/01/2022  
CH093640GENOA HEALTHCARE LLC1701 MISSION AVE STE 230 RM P1
OCEANSIDECA9205801/01/2022  
CH093640GENOA HEALTHCARE LLC245 11TH ST STE P1
SAN FRANCISCOCA9410301/01/2022  
CH093640GENOA HEALTHCARE LLC1393 BAILEY DR STE 149
HANFORDCA9323004/01/2024  
CH093640GENOA HEALTHCARE LLC2550 WEST CLINTON AVE STE 123
FRESNOCA9370504/01/2024  
CH093640GENOA HEALTHCARE LLC474 W VERMONT AVE, STE 104
ESCONDIDOCA9202504/01/2025  
CH093640IC PHARMACY LLCAMAZON PHARMACY #004 34 35TH STREET
STE 4BSW, UNIT 28 		BROOKLYNNY1123210/01/2024  
CH093640IVANHOE PHARMACY  33060 RD 159
IVANHOECA93235-123504/01/2014 01/31/2016
CH093640LA PHARMACY LLC1048 S GARFIELD AVE STE 101
ALHAMBRACA9180104/09/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09271 3619 W. CALDWELL AVE
VISALIACA9327710/01/2015  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09500 1455 E NOBLE AVE
VISALIACA9329210/01/2015  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09845 1155 W HENDERSON AVE
PORTERVILLECA9325710/01/2015  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09176 1395 E PROSPERITY AVE
TULARECA9327404/09/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09893 2539 N 11TH AVE
HANFORDCA9323004/09/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09171 2900 STANDIFORD AVE
MODESTOCA9535004/09/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09377 1065 W MANNING AVE
REEDLEYCA9365404/09/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09828 574 W LACEY BLVD
HANFORDCA9323004/09/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 04652 590 W PUTNAM AVE
PORTERVILLECA9325704/09/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09983 929 SIERRA ST
KINGSBURGCA9363110/01/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09149 6750 N CEDAR AVE
FRESNOCA9371010/01/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09592 1435 E GRAND AVE
ARROYO GRANDECA9342010/01/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09846 6800 N MILBURN AVE
FRESNOCA9372210/01/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 07553 3011 E SHIELDS AVE
FRESNOCA9372610/01/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09129 1302 FULTON MALL
FRESNOCA9372110/01/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03034 333 ACADEMY AVE
SANGERCA9365710/01/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09537 1325 W SHIELDS AVENUE
FRESNOCA9370510/01/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09971 4077 W CLINTON AVE
FRESNOCA9372210/01/2020  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09994 728 W SHAW AVE
FRESNOCA9370407/01/2021  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09159 1109 COUNTRY CLUB DR
MADERACA9363807/01/2021  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09801 10 SHAW AVE
CLOVISCA9361207/01/2021  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 07910 1794 ASHLAN AVE
CLOVISCA9361107/01/2021  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09865 7096 N WEST AVE
FRESNOCA9371107/01/2021  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09933 1405 HERNDON AVENUE
CLOVISCA9361107/01/2021  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09320 686 LIGHTHOUSE AVE
MONTEREYCA9394007/01/2021  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09623 649 W. OLIVE AVENUE
MERCEDCA9534810/01/2021  
CH093640LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09935 40044 HIGHWAY 49
OAKHURSTCA9364410/01/2021  
CH09364BLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09500 1455 E NOBLE AVE
VISALIACA9329210/01/2024  
CH09364RLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09176 1395 E PROSPERITY AVE
TULARECA9327410/01/2024  
CH09364ATLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09893 2539 N 11TH AVE
HANFORDCA9323010/01/2024 04/01/2025
CH09364AJLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09828 574 W LACEY BLVD
HANFORDCA9323010/01/2024  
CH09364AALONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09271 3619 W. CALDWELL AVE
VISALIACA9327710/01/2024  
CH09364AXLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09377 1065 W MANNING AVE
REEDLEYCA9365410/01/2024  
CH09364TLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09845 1155 W HENDERSON AVE
PORTERVILLECA9325710/01/2024  
CH09364AYLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09537 1325 W SHIELDS AVENUE
FRESNOCA9370510/01/2024  
CH093640M.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312607/01/2018  
CH093640OPTUM FRONTIER THERAPIES II, LLC6425 SANTA MARGARITA ST UNIT 110
LAS VEGASNV89118-191304/09/2020 10/01/2021
CH093640OPTUM INFUSION SERVICES 401, LLC4610 NORTHGATE BLVD. STE. 130
SACRAMENTOCA95834-115407/01/2023  
CH093640OPTUM INFUSION SERVICES 550, LLC1819 ASTON AVE STE 104
CARLSBADCA9200804/01/2024  
CH093640OPTUM PHARMACY 701, LLC8131 W BOSTIAN RD STE A350
WOODINVILLEWA98072-502901/01/2022  
CH093640OPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850704/07/2022  
CH093640OPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520404/01/2024  
CH093640OPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302504/01/2024  
CH093640OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713004/09/2020  
CH093640OPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824907/01/2023  
CH093640OPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729807/01/2023  
CH093640OPTUM PHARMACY 707, INC4900 RIVERGRADE RD STE E110
IRWINDALECA91706-140104/09/2020 10/01/2021
CH093640OPTUM PHARMACY 707, INC4900 RIVERGRADE RD STE E110
IRWINDALECA91706-140107/01/2023  
CH093640OPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508507/15/2020  
CH093640OPTUM PHARMACY 806, INC.2288 AUBURN BLVD STE. 102
SACRAMENTOCA95821-161807/15/2020 10/01/2021
CH093640OPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983801/01/2022  
CH093640OPTUMRX2858 LOKER AVE E STE 100
CARLSBADCA92010-660801/01/2022 05/27/2022
CH093640OVERLAKE PHARMACY, LLC4124 148TH AVE NE STE JA
REDMONDWA9805204/09/2020 07/01/2024
CH093640PILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310107/01/2018  
CH093640PILLPACK LLCAMAZON PHARMACY #005 20416 72ND AVE S
KENTWA98032-231910/01/2024  
CH093640PORTERVILLE PHARMACY406 W PUTNAM AVE
PORTERVILLECA9325701/01/2018  
CH093640PORTERVILLE PHARMACY #21270 W HENDERSON AVE
PORTERVILLECA9325710/01/2018  
CH09364FPORTERVILLE PHARMACY #21270 W HENDERSON AVE
PORTERVILLECA9325710/01/2024  
CH093640PREMIER PHARMACY SERVICES410 CLOVERLEAF DR
BALDWIN PARKCA9170607/01/2020  
CH093640PRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999201/01/2019 10/01/2022
CH093640PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/01/2019  
CH093640PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY 445 CASTRO STREET
SAN FRANCISCOCA9411407/01/2021  
CH093640RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255001/01/2020  
CH093640RALEY'S PHARMACY #34040041 HIGHWAY 49
OAKHURSTCA9364410/01/2024  
CH093640RIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500201/01/2020  
CH093640SAVE MART PHARMACY # 657  3615 W. NOBLE AVENUE
VISALIACA9327701/01/2014 09/30/2022
CH093640SAVE MART PHARMACY #45  900 WEST HENDERSON
PORTERVILLECA9325701/01/2014 09/30/2022
CH093640SAVE MART PHARMACY #522179 SHAW AVE
CLOVISCA93611-893710/01/2020 09/30/2022
CH093640SAVE MART PHARMACY #83  5203 WEST WALNUT AVE
VISALIACA9327704/01/2014 09/30/2022
CH093640SAVE MART PHARMACY #89  5201 W. GOSHEN AVE
VISALIACA9329110/01/2016 09/30/2022
CH093640SENDERRA RX PHARMACYSENDERRA RX PARTNERS, LLC 3712 E PLANO PKWY STE 200
PLANOTX7507404/07/2022  
CH093640SIERRA VISTA PHARMACY, INC.650 E VISALIA RD
FARMERSVILLECA9322310/01/2020  
CH09364CSIERRA VISTA PHARMACY, INC.650 E VISALIA RD
FARMERSVILLECA9322310/01/2024  
CH093640THE VONS COMPANIES INCVONS PHARMACY #1756 1650 HERNDON AVENUE
CLOVISCA9361104/01/2024  
CH093640THE VONS COMPANIES INCVONS PHARMACY #2188 8949 NORTH CEDAR AVENUE
FRESNOCA9372004/01/2024  
CH093640THE VONS COMPANIES INCVONS PHARMACY #2701 3100 FOWLER AVENUE
CLOVISCA9361104/01/2024  
CH093640THE VONS COMPANIES INCVONS PHARMACY #1754 5638 EAST KINGS CANYON RD
FRESNOCA9372710/01/2024  
CH093640THE VONS COMPANIES INCVONS PHARMACY #2409 40044 HIGHWAY 49
STE D 		OAKHURSTCA9364410/01/2024  
CH093640THRIFTY PAYLESS INCRITE AID #6768 150 W KERN AVE
MC FARLANDCA9325004/01/2025  
CH093640THRIFTY PAYLESS INC.RITE AID #5852 2200 EAST EL MONTE WAY
DINUBACA9361801/01/2014 02/05/2019
CH093640THRIFTY PAYLESS INC.RITE AID #5803 110 EAST CROSS AVENUE
TULARECA9327407/01/2016 04/03/2018
CH093640THRIFTY PAYLESS, INC.RITE AID #5795 1051 W VISALIA RD
EXETERCA9322101/01/2014  
CH093640THRIFTY PAYLESS, INC.RITE AID #5796 707 WEST LACEY BOULEVARD
HANFORDCA9323001/01/2014  
CH093640THRIFTY PAYLESS, INC.RITE AID #5798 262 NORTH HIGHWAY 65
LINDSAYCA9324701/01/2014  
CH093640THRIFTY PAYLESS, INC.RITE AID #5799 66 WEST MORTON AVENUE
PORTERVILLECA9325701/01/2014  
CH093640THRIFTY PAYLESS, INC.RITE AID #5805 2727 SOUTH MOONEY BLVD.
VISALIACA9327701/01/2014 01/19/2022
CH093640THRIFTY PAYLESS, INC.RITE AID #5806 5212 WEST WALNUT AVENUE
VISALIACA9327701/01/2014  
CH093640THRIFTY PAYLESS, INC.RITE AID #6459 1735 E WALNUT AVENUE
VISALIACA9329201/01/2014  
CH093640THRIFTY PAYLESS, INC.RITE AID #6764 1710 N FARMERSVILLE BLVD
FARMERSVILLECA9322307/01/2016  
CH093640THRIFTY PAYLESS, INC.DBA RITE AID #6723 160 E ANTELOPE AVE
WOODLAKECA9328607/01/2016  
CH093640THRIFTY PAYLESS, INC.RITE AID #5861 4224 EAST SHIELDS AVENUE
FRESNOCA9372607/01/2019  
CH093640THRIFTY PAYLESS, INC.RITE AID #5794 1809 CECIL AVENUE
DELANOCA9321507/01/2019  
CH093640THRIFTY PAYLESS, INC.RITE AID #5865 2011 WEST SHAW AVENUE
FRESNOCA9371107/01/2019  
CH093640THRIFTY PAYLESS, INC.RITE AID #6295 1101 FRESNO STREET
FRESNOCA9370607/01/2019  
CH093640THRIFTY PAYLESS, INC.RITE AID #5869 3795 WEST SHIELDS AVENUE
FRESNOCA9372207/01/2019  
CH093640THRIFTY PAYLESS, INC.RITE AID #4072 2020 E COPPER AVENUE
FRESNOCA9373007/01/2019  
CH093640THRIFTY PAYLESS, INC.RITE AID #5863 6074 NORTH 1ST AVE.
FRESNOCA9371007/01/2019 03/15/2022
CH093640THRIFTY PAYLESS, INC.RITE AID #6476 2990 EAST NEES AVENUE
FRESNOCA9372007/01/2019 03/31/2022
CH093640THRIFTY PAYLESS, INC.RITE AID #6289 4593 NORTH CEDAR AVENUE
FRESNOCA9372607/01/2019  
CH093640THRIFTY PAYLESS, INC.RITE AID #6454 1645 E TULARE AVENUE
TULARECA9327407/01/2019  
CH093640THRIFTY PAYLESS, INC.RITE AID #6378 8027 NORTH CEDAR AVENUE
FRESNOCA9372007/01/2019  
CH093640THRIFTY PAYLESS, INC.RITE AID #5862 1210 NORTH BLACKSTONE AVENUE
FRESNOCA9370307/01/2019  
CH093640THRIFTY PAYLESS, INC.RITE AID #6475 820 N LEMOORE AVENUE
LEMOORECA9324507/01/2019  
CH093640THRIFTY PAYLESS, INC.RITE AID #6243 2500 NORTH 10TH AVENUE
HANFORDCA9323007/01/2019  
CH093640THRIFTY PAYLESS, INC.RITE AID #6395 1500 WHITLEY AVENUE
CORCORANCA9321207/01/2019  
CH093640THRIFTY PAYLESS, INC.RITE AID #5872 5574 EAST KINGS CANYON
FRESNOCA9372707/01/2019  
CH093640THRIFTY PAYLESS, INC.RITE AID #6522 875 NORTH ALTA AVENUE
DINUBACA9361807/01/2019  
CH093640THRIFTY PAYLESS, INC.RITE AID #6475 820 N LEMOORE AVENUE
LEMOORECA9324507/01/2019 02/10/2020
CH093640THRIFTY PAYLESS, INC.RITE AID #5858 1721 EAST MANNING AVENUE
REEDLEYCA9365410/01/2023  
CH09364ANTHRIFTY PAYLESS, INC.DBA RITE AID #6723 160 E ANTELOPE AVE
WOODLAKECA9328610/01/2024  
CH09364BATHRIFTY PAYLESS, INC.RITE AID #5794 1809 CECIL AVENUE
DELANOCA9321510/01/2024  
CH09364LTHRIFTY PAYLESS, INC.RITE AID #6764 1710 N FARMERSVILLE BLVD
FARMERSVILLECA9322310/01/2024  
CH09364ASTHRIFTY PAYLESS, INC.RITE AID #5795 1051 W VISALIA RD
EXETERCA9322110/01/2024  
CH09364AQTHRIFTY PAYLESS, INC.RITE AID #5798 262 NORTH HIGHWAY 65
LINDSAYCA9324710/01/2024  
CH09364AFTHRIFTY PAYLESS, INC.RITE AID #6459 1735 E WALNUT AVENUE
VISALIACA9329210/01/2024  
CH093640TRUEPILL3121 DIABLO AVE
HAYWARDCA9454504/09/2020 07/01/2024
CH093640TRUXTUN PHARMACY DELANO1228 JEFFERSON ST
DELANOCA9321507/01/2024  
CH09364YTRUXTUN PHARMACY DELANO1228 JEFFERSON ST
DELANOCA9321510/01/2024  
CH093640TULARE PHARMACY858 N CHERRY ST STE A
TULARECA9327407/01/2025  
CH093640UNIVERSITY MEDICAL CENTER PHARMACY290 N WAYTE LN FL 1
FRESNOCA93701-212410/01/2018  
CH09364AHUNIVERSITY MEDICAL CENTER PHARMACY290 N WAYTE LN FL 1
FRESNOCA93701-212410/01/2024  
CH093640WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2017  
CH093640WAL-MART PHARMACY 10-1645250 S 12TH AVE
HANFORDCA9323004/01/2014 05/29/2016
CH093640WAL-MART PHARMACY 10-1645250 S 12TH AVE
HANFORDCA9323010/01/2018  
CH093640WAL-MART PHARMACY 10-18154080 W SHAW AVE
FRESNOCA9372210/01/2024  
CH093640WAL-MART PHARMACY 10-18261819 EAST NOBLE AVE.
VISALIACA9329204/01/2014  
CH09364NWAL-MART PHARMACY 10-18261819 EAST NOBLE AVE.
VISALIACA9329210/01/2024  
CH09364AGWAL-MART PHARMACY 10-18261819 EAST NOBLE AVE.
VISALIACA9329210/01/2024  
CH093640WAL-MART PHARMACY 10-18771250 WEST HENDERSON AVE
PORTERVILLECA9325704/01/2014  
CH09364PWAL-MART PHARMACY 10-18771250 WEST HENDERSON AVE
PORTERVILLECA9325710/01/2024  
CH093640WAL-MART PHARMACY 10-18823400 FLORAL AVE
SELMACA9366210/01/2020  
CH093640WAL-MART PHARMACY 10-20015125 EAST KINGS CANYON
FRESNOCA9372710/01/2024  
CH093640WAL-MART PHARMACY 10-25361110 EAST PROSPERITY AVE
TULARECA9327404/01/2014  
CH09364SWAL-MART PHARMACY 10-25361110 EAST PROSPERITY AVE
TULARECA9327410/01/2024  
CH093640WAL-MART PHARMACY 10-5215530 WOOLLOMES AVE
DELANOCA9321510/01/2020  
CH09364MWAL-MART PHARMACY 10-5215530 WOOLLOMES AVE
DELANOCA9321510/01/2024  
CH093640WAL-MART PHARMACY 10-5394770 WEST EL MONTE WAY
DINUBACA9361804/01/2014  
CH09364AUWAL-MART PHARMACY 10-5394770 WEST EL MONTE WAY
DINUBACA9361810/01/2024  
CH093640WAL-MART PHARMACY 10-56351320 N DEMAREE ST
VISALIACA9329107/01/2016  
CH09364ADWAL-MART PHARMACY 10-56351320 N DEMAREE ST
VISALIACA9329110/01/2024  
CH093640WAL-MART PHARMACY 10-59563750 S MOONEY BLVD.
VISALIACA9327704/01/2014  
CH09364ABWAL-MART PHARMACY 10-59563750 S MOONEY BLVD.
VISALIACA9327710/01/2024  
CH093640WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2017  
CH093640WAL-MART PHARMACY WHSE #452250 NORTH 8TH STREET SUITE 102-A
ROGERSAR7275610/01/2024 04/28/2025
CH093640WALGREEN CODBA: WALGREENS #11612 12 W HANFORD ARMONA RD
LEMOORECA93245-232010/01/2013  
CH093640WALGREEN CODBA: WALGREENS #10243 2420 N BLACKSTONE AVE
FRESNOCA93703-174701/01/2021 12/14/2020
CH093640WALGREEN CODBA: WALGREENS #10243 2420 N BLACKSTONE AVE
FRESNOCA93703-174707/01/2021 01/28/2025
CH093640WALGREEN CODBA: WALGREENS #10335 2424 N BRAWLEY AVE
FRESNOCA9372207/01/2021  
CH093640WALGREEN CODBA: WALGREENS #09702 5785 N FIRST ST
FRESNOCA93710-620310/01/2021  
CH093640WALGREEN CODBA: WALGREENS #11242 2020 W CLEVELAND AVE
MADERACA9363701/01/2022  
CH093640WALGREEN CO.DBA: WALGREENS # 02869 1407 N DINUBA BLVD
VISALIACA9329110/01/2013 05/30/2018
CH093640WALGREEN CO.DBA: WALGREENS # 03476 100 W WALNUT AVE
VISALIACA9327710/01/2013  
CH093640WALGREEN CO.DBA: WALGREENS # 05411 710 W GRANGEVILLE BLVD
HANFORDCA9323010/01/2013  
CH093640WALGREEN CO.DBA: WALGREENS # 06298 49 W TULARE AVE
TULARECA9327410/01/2013 07/27/2020
CH093640WALGREEN CO.DBA: WALGREENS # 06683 5328 W CYPRESS AVENUE
VISALIACA9327710/01/2013  
CH093640WALGREEN CO.DBA: WALGREENS #09844 416 W. OLIVE AVE
PORTERVILLECA9325710/01/2013  
CH093640WALGREEN CO.DBA: WALGREENS # 10002 1418 EAST PROSPERITY AVENUE
TULARECA93274-805410/01/2013  
CH093640WALGREEN CO.DBA: WALGREENS # 10201 170 W EL MONTE WAY
DINUBACA93618-156110/01/2013  
CH093640WALGREEN CO.DBA: WALGREENS #11407 3010 N DEMAREE ST
VISALIACA93291-714710/01/2013  
CH093640WALGREEN CO.DBA: WALGREENS # 06082 626 S CLOVIS AVE
FRESNOCA9372710/01/2018  
CH093640WALGREEN CO.DBA: WALGREENS #12574 1219 N CEDAR AVE
FRESNOCA9370310/01/2018  
CH093640WALGREEN CO.DBA: WALGREENS # 06942 6010 N FIGARDEN DRIVE
FRESNOCA93722-603010/01/2018  
CH093640WALGREEN CO.DBA WALGREENS #06386 4810 E CESAR CHAVEZ BLVD
FRESNOCA9372710/01/2018  
CH093640WALGREEN CO.DBA: WALGREENS # 07266 8975 N CHESTNUT AVE
FRESNOCA9372010/01/2018  
CH093640WALGREEN CO.DBA: WALGREENS #11877 4771 W ASHLAN AVE
FRESNOCA9372210/01/2018  
CH093640WALGREEN CO.DBA: WALGREENS # 13871 1016 W SHAW AVE
FRESNOCA9371110/01/2018  
CH093640WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #16382 2323 16TH ST STE 100
BAKERSFIELDCA9330101/01/2019  
CH093640WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #12761 41169 GOODWIN WAY STE 110
MADERACA9363601/01/2019  
CH093640WALGREEN CO.DBA: WALGREENS #12298 852 E MANNING AVE
REEDLEYCA9365404/09/2020  
CH093640WALGREEN CO.DBA: WALGREENS # 07830 205 W SHAW AVENUE
CLOVISCA93612-360201/01/2021  
CH093640WALGREEN CO.DBA: WALGREENS # 09815 988 SIERRA STREET
KINGSBURGCA9363101/01/2021  
CH093640WALGREEN CO.DBA: WALGREENS # 05847 610 E NEES AVENUE
FRESNOCA9372007/01/2021  
CH093640WALGREEN CO.DBA: WALGREENS #12282 2589 JENSEN AVE
SANGERCA9365701/01/2022  
CH093640WALGREEN CO.DBA: WALGREENS #12337 2795 FLORAL AVE
SELMACA93662-260301/01/2022  
CH093640WALGREEN CO.DBA: WALGREENS # 06453 1300 W YOSEMITE AVE
MADERACA9363701/01/2022  
CH093640WALGREEN CO.DBA: WALGREENS # 12707 4172 N. 1ST STREET
FRESNOCA9372601/01/2022  
CH093640WALGREEN CO.DBA: WALGREENS # 07204 7015 N WEST AVE
FRESNOCA93711-046101/01/2022  
CH093640WALGREEN CO.DBA: WALGREENS # 06387 1815 HERNDON AVE
CLOVISCA9361101/01/2022  
CH093640WALGREEN CO.DBA WALGREENS #10827 1435 HIGH ST.
DELANOCA9321501/01/2022  
CH093640WALGREEN CO.DBA: WALGREENS # 10334 1790 SHAW AVE
CLOVISCA9361101/01/2022  
CH09364ACWALGREEN CO.DBA: WALGREENS #11407 3010 N DEMAREE ST
VISALIACA93291-714710/01/2024  
CH09364AWALGREEN CO.DBA WALGREENS #10827 1435 HIGH ST.
DELANOCA9321510/01/2024  
CH09364XWALGREEN CO.DBA: WALGREENS #12298 852 E MANNING AVE
REEDLEYCA9365410/01/2024  
CH09364AZWALGREEN CO.DBA: WALGREENS # 03476 100 W WALNUT AVE
VISALIACA9327710/01/2024  
CH093640WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528410/01/2013 07/08/2015
CH093640WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700801/01/2019 10/01/2021
CH093640WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818801/01/2019  
CH093640WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527501/01/2019  
CH093640WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503301/01/2019  
CH093640WALMART PHARMACY 10-26893131 N CEDAR AVENUE
FRESNOCA9370310/01/2024  
CH093640WALMART PHARMACY 10-56321804 EAST ASHLAN AVE.
FRESNOCA9372610/01/2024  
CH093640Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616810/01/2024  
CH093640WESTERN PHARMACY GROUP LLCDBA COMMUNITY MEDICAL CENTER PHARMACY 610 GATEWAY CENTER WAY
SUITES A--E 		SAN DIEGOCA9210207/01/2018 07/01/2023
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/16/2024 8:20:59 AM3/4/2025 11:04:29 AM3/4/2025 11:04 AM
Medicaid BillingNPI: NumberInsertChange Request 165912004610/7/2024 6:59 PM
Medicaid BillingNPI: StateInsertChange Request CA10/7/2024 6:59 PM
ContactsPrimary ContactUpdateProfile Change RequestVawter, Chad CFO Family HealthCare Network 5597374700Vawter, Chad Deputy CEO and Senior Vice President Family HealthCare Network 559737470010/7/2024 5:27 PM
DetailsLast Recertification DateUpdateRecertification2/24/2023 5:28:06 PM2/16/2024 8:20:59 AM2/16/2024 8:20 AM
DetailsLast Recertification DateUpdateRecertification2/17/2022 11:08:46 AM2/24/2023 5:28:06 PM2/24/2023 5:28 PM
Medicaid BillingNPI: NumberInsertChange Request 131625795911/28/2022 2:50 PM
Medicaid BillingNPI: StateInsertChange Request CA11/28/2022 2:50 PM
Medicaid BillingNPI: NumberInsertChange Request 115477270511/28/2022 2:50 PM
Medicaid BillingNPI: StateInsertChange Request CA11/28/2022 2:50 PM
Medicaid BillingNPI: NumberInsertChange Request 161930203111/28/2022 2:50 PM
Medicaid BillingNPI: StateInsertChange Request CA11/28/2022 2:50 PM
Medicaid BillingNPI: NumberInsertChange Request 193261353611/28/2022 2:50 PM
Medicaid BillingNPI: StateInsertChange Request CA11/28/2022 2:50 PM
Medicaid BillingNPI: NumberInsertChange Request 138629535011/28/2022 2:50 PM
Medicaid BillingNPI: StateInsertChange Request CA11/28/2022 2:50 PM
Medicaid BillingNPI: NumberInsertChange Request 187114432911/28/2022 2:50 PM
Medicaid BillingNPI: StateInsertChange Request CA11/28/2022 2:50 PM
Medicaid BillingNPI: NumberInsertChange Request 169942381411/28/2022 2:50 PM
Medicaid BillingNPI: StateInsertChange Request CA11/28/2022 2:50 PM
DetailsLast Recertification DateUpdateRecertification2/19/2021 9:16:59 AM2/17/2022 11:08:46 AM2/17/2022 11:08 AM
Medicaid BillingNPI: StateUpdateRecertification CA2/19/2021 9:16 AM
DetailsLast Recertification DateUpdateRecertification2/11/2020 3:39:44 PM2/19/2021 9:16:59 AM2/19/2021 9:16 AM
DetailsLast Recertification DateUpdateRecertification 2/11/2020 3:39:44 PM2/11/2020 3:39 PM
DetailsStateUpdate ApprovedActive4/1/2019 12:05 AM
ContactsSigned ByInsertNew Registration Hydash, Kerry President and CEO Family HealthCare Network 55973747001/29/2019 8:08 AM
Details340B IDUpdateNew Registration CH09364AL1/29/2019 8:08 AM
DatesParticipating Approval DateUpdateNew Registration 1/29/2019 8:08:48 AM1/29/2019 8:08 AM
DetailsStateUpdateNew RegistrationPendingApproved1/29/2019 8:08 AM
DatesSigned By DateUpdateNew Registration 1/28/2019 4:01:53 PM1/29/2019 8:08 AM
DatesStart DateUpdateNew Registration 4/1/2019 12:00:00 AM1/29/2019 8:08 AM
AddressesMain AddressInsertNew Registration  2333 S Mooney Blvd Visalia, CA 93277-62281/28/2019 4:01 PM
AddressesBilling AddressInsertNew Registration FHCN 305 E Center Ave Visalia, CA 932911/28/2019 4:01 PM
Medicaid BillingNPI: NumberInsertNew Registration 16891589411/28/2019 4:01 PM
ContactsAuthorizing OfficialInsertNew Registration Hydash, Kerry President and CEO Family HealthCare Network 55973747001/28/2019 4:01 PM
ContactsPrimary ContactInsertNew Registration Vawter, Chad CFO Family HealthCare Network 55973747001/28/2019 4:01 PM
DetailsLast Recertification DateInsertNew Registration  1/28/2019 4:01 PM
DetailsGrant NumberInsertNew Registration H80CS007861/28/2019 4:01 PM
Details340B IDInsertNew Registration  1/28/2019 4:01 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/28/2019 4:01 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/28/2019 4:01 PM
DetailsMedicare Provider NumberInsertNew Registration  1/28/2019 4:01 PM
DetailsEntity NameInsertNew Registration Family Healthcare Network1/28/2019 4:01 PM
DetailsProgram CodeInsertNew Registration CH1/28/2019 4:01 PM
DetailsEntity SubnameInsertNew Registration Family HealthCare Network - Visalia Mooney1/28/2019 4:01 PM
DatesParticipating Approval DateInsertNew Registration  1/28/2019 4:01 PM
DetailsStateInsertNew Registration Pending1/28/2019 4:01 PM
DatesRegistration DateInsertNew Registration 1/28/2019 4:01:49 PM1/28/2019 4:01 PM
DatesSigned By DateInsertNew Registration  1/28/2019 4:01 PM
DatesStart DateInsertNew Registration  1/28/2019 4:01 PM
TerminationsTermination CommentsInsertNew Registration  1/28/2019 4:01 PM
TerminationsTermination DateInsertNew Registration  1/28/2019 4:01 PM
TerminationsTermination Effective DateInsertNew Registration  1/28/2019 4:01 PM
TerminationsTermination ReasonInsertNew Registration  1/28/2019 4:01 PM