340B Drug Pricing Program Database


CHC12887-03 Arkansas Verdgris Valley Health Centers Inc (Active) - information as of 4/24/2025 12:00:14 AM

Main Details
Arkansas Verdgris Valley Health Centers Inc
Coweta Health Center
HRSA-Funded Health Center
BPS-H80-027351
CHC12887-03
H80CS12887


Additional Details
Active
4/11/2019
7/1/2019
4/12/2019
2/11/2025

Contacts

AVVHC
Sonya Smith, Chief Executive Officer
(918) 483-0111

AVV Health Centers, Inc.
Dedra Shipman, Administrative Director
(918) 912-1001

Addresses

607 S Broadway
Coweta, OK 74429-5000

Same as Street Address


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

No
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC12887-00ActiveBPS-H80-010620ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS INCArkansas Verdgris Valley Health Center505 S Main PorterOK
CHC12887-01ActiveBPS-H80-035730ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS, INC.Muskogee Health Center-Green Country Campus110 W. Martin Luther King St. MuskogeeOK
CHC12887-02ActiveBPS-H80-021411ARKANSAS VERDGRIS VALLEY HEALTH CENTERS INCMuskogee Health Center West201 N. 32nd St. MuskogeeOK
CHC12887-03ActiveBPS-H80-027351Arkansas Verdgris Valley Health Centers IncCoweta Health Center607 S Broadway CowetaOK
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC12887-00ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750207/01/2024  
CHC12887-00ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884907/01/2024  
CHC12887-00ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201007/01/2024  
CHC12887-00ACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607507/01/2024  
CHC12887-00ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349207/01/2024  
CHC12887-00ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282207/01/2024  
CHC12887-00AHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271201/01/2018  
CHC12887-00AMAZON PHARMACY #0014500 S PLEASANT VALLEY RD STE 201
AUSTINTX78744-291107/01/2018  
CHC12887-00AMAZON PHARMACY #0063620 PLAINFIELD RD
INDIANAPOLISIN46231-700304/01/2025  
CHC12887-00AVELLA OF DEER VALLEY, INC. #38DBA AVELLA SPECIALTY PHARMACY 24416 N. 19TH AVE
PHOENIXAZ8508501/01/2019  
CHC12887-00AZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503404/01/2019  
CHC12887-00BIOPLUS SPECIALTY PHARMACY CA7373 LINCOLN WAY
GARDEN GROVECA9284104/01/2025  
CHC12887-00BIOPLUS SPECIALTY PHARMACY LA, LLC2731 MANHATTAN BLVD STE B17
HARVEYLA7005804/01/2025  
CHC12887-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526111/17/2020  
CHC12887-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620304/01/2025  
CHC12887-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267004/01/2025  
CHC12887-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771304/01/2025  
CHC12887-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522604/01/2025  
CHC12887-00BIOPLUS SPECIALTY PHARMACY, INC3200 LAKE EMMA RD UNIT 1000
LAKE MARYFL3274604/01/2025  
CHC12887-00DELIVERCARERX PHARMACY LLCDELIVERCARERX PHARMACY LLC 1471 E BUSINESS CENTER DR
STE 200 		MT PROSPECTIL6005601/01/2018 11/23/2020
CHC12887-00DOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K 		GREENVILLESC29607-654104/01/2025  
CHC12887-00ECONOMY DISCOUNT PHARMACYECONOMY PHARMACY INC 3414 W OKMULGEE ST
MUSKOGEEOK74401-507110/01/2020  
CHC12887-00ECONOMY PHARMACY412 N YORK ST
MUSKOGEEOK74403-396010/01/2020  
CHC12887-00ERNIE'S PHARMACY & WELLNESS CENTER, INC.410 S 32ND ST
MUSKOGEEOK74401-500710/01/2020  
CHC12887-00ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111207/01/2024  
CHC12887-00EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313407/01/2024  
CHC12887-00EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801607/01/2024  
CHC12887-00EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607507/01/2024  
CHC12887-00M.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312607/01/2018  
CHC12887-00MAY'S DRUG STORES, INC.DBA: WALGREENS #15756 14003 SOUTH HIGHWAY 51
COWETAOK7442907/01/2013  
CHC12887-00OPTUM PHARMACY 800, INC.3016 GUADALUPE ST STE A
AUSTINTX78705-286101/01/2019  
CHC12887-00OWL DRUG AND THE GIFT HOUSESTEINHEIL PHARMACY SVCS, LLC 418 W CHEROKEE ST
WAGONEROK74467-460801/01/2020 09/18/2020
CHC12887-00OWL DRUG AND THE GIFT HOUSESTEINHEIL PHARMACY SVCS, LLC 418 W CHEROKEE ST
WAGONEROK74467-460807/01/2024  
CHC12887-00PILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310107/01/2018  
CHC12887-00RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255004/01/2025  
CHC12887-00RIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500204/01/2025  
CHC12887-00SANTA BARBARA SPECIALTY PHARMACY LLC4690 CARPINTERIA AVE STE B
CARPINTERIACA9301304/01/2025  
CHC12887-00TRUEPILL3121 DIABLO AVE
HAYWARDCA9454509/30/2020 12/19/2023
CHC12887-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738607/01/2021  
CHC12887-00WAL-MART PHARMACY 10-01301000 W SHAWNEE ST
MUSKOGEEOK7440107/01/2021  
CHC12887-00WAL-MART PHARMACY 10-037411207 S. HWY 51
COWETAOK7442907/01/2021  
CHC12887-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283707/01/2021  
CHC12887-00WALGREEN CO.DBA: WALGREENS # 05529 2330 CHANDLER RD
MUSKOGEEOK7440307/01/2013  
CHC12887-00WALGREEN CO.DBA: WALGREENS # 10223 100 NORTH 32ND STREET
MUSKOGEEOK74401-210107/01/2013  
CHC12887-00WALGREEN CO.DBA: WALGREENS #11559 1305 W. CHEROKEE ST.
WAGONEROK7446707/01/2013  
CHC12887-00WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275607/01/2023  
CHC12887-00Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616807/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/19/2024 1:43:33 PM2/11/2025 1:51:48 PM2/11/2025 1:51 PM
DetailsLast Recertification DateUpdateRecertification2/1/2023 3:26:20 PM2/19/2024 1:43:33 PM2/19/2024 1:43 PM
DetailsLast Recertification DateUpdateRecertification2/18/2022 5:30:12 PM2/1/2023 3:26:20 PM2/1/2023 3:26 PM
DetailsLast Recertification DateUpdateRecertification2/9/2021 4:44:50 PM2/18/2022 5:30:12 PM2/18/2022 5:30 PM
DetailsLast Recertification DateUpdateRecertification2/3/2020 6:24:10 AM2/9/2021 4:44:50 PM2/9/2021 4:44 PM
ContactsPrimary ContactUpdateRecertificationSchilling, Roger Chief Compliance Officer Arkansas Verdigris Valley Health Centers, Inc. 9184830111Shipman, Dedra Administrative Director AVV Health Centers, Inc. 91891210012/3/2020 6:24 AM
DetailsLast Recertification DateUpdateRecertification 2/3/2020 6:24:10 AM2/3/2020 6:24 AM
DetailsStateUpdate ApprovedActive7/1/2019 12:05 AM
ContactsSigned ByInsertNew Registration Smith, Sonya Chief Executive Officer AVVHC 91848301114/12/2019 4:58 PM
Details340B IDUpdateNew Registration CHC12887-034/12/2019 4:58 PM
DatesParticipating Approval DateUpdateNew Registration 4/12/2019 4:58:26 PM4/12/2019 4:58 PM
DetailsStateUpdateNew RegistrationPendingApproved4/12/2019 4:58 PM
DatesSigned By DateUpdateNew Registration 4/12/2019 11:29:32 AM4/12/2019 4:58 PM
DatesStart DateUpdateNew Registration 7/1/2019 12:00:00 AM4/12/2019 4:58 PM
AddressesMain AddressInsertNew Registration  607 S Broadway Coweta, OK 74429-50004/11/2019 5:01 PM
ContactsPrimary ContactInsertNew Registration Schilling, Roger Chief Compliance Officer Arkansas Verdigris Valley Health Centers, Inc. 91848301114/11/2019 5:01 PM
ContactsAuthorizing OfficialInsertNew Registration Smith, Sonya Chief Executive Officer AVVHC 91848301114/11/2019 5:01 PM
DetailsLast Recertification DateInsertNew Registration  4/11/2019 5:01 PM
DetailsGrant NumberInsertNew Registration H80CS128874/11/2019 5:01 PM
Details340B IDInsertNew Registration  4/11/2019 5:01 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  4/11/2019 5:01 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  4/11/2019 5:01 PM
DetailsMedicare Provider NumberInsertNew Registration  4/11/2019 5:01 PM
DetailsEntity NameInsertNew Registration Arkansas Verdgris Valley Health Centers Inc4/11/2019 5:01 PM
DetailsProgram CodeInsertNew Registration CH4/11/2019 5:01 PM
DetailsEntity SubnameInsertNew Registration Coweta Health Center4/11/2019 5:01 PM
DatesParticipating Approval DateInsertNew Registration  4/11/2019 5:01 PM
DetailsStateInsertNew Registration Pending4/11/2019 5:01 PM
DatesRegistration DateInsertNew Registration 4/11/2019 5:01:53 PM4/11/2019 5:01 PM
DatesSigned By DateInsertNew Registration  4/11/2019 5:01 PM
DatesStart DateInsertNew Registration  4/11/2019 5:01 PM
TerminationsTermination CommentsInsertNew Registration  4/11/2019 5:01 PM
TerminationsTermination DateInsertNew Registration  4/11/2019 5:01 PM
TerminationsTermination Effective DateInsertNew Registration  4/11/2019 5:01 PM
TerminationsTermination ReasonInsertNew Registration  4/11/2019 5:01 PM