340B Drug Pricing Program Database


CHC28986-01 Community Medical Wellness Centers USA (Active) - information as of 5/26/2025 12:55:52 AM

Main Details
Community Medical Wellness Centers USA
Community Medical Wellness Centers USA-Sylmar
HRSA-Funded Health Center
BPS-H80-021700
CHC28986-01
H80CS28986


Additional Details
Active
7/10/2019
10/1/2019
8/29/2019
2/11/2025

Contacts

Community Medical Wellness Centers
Sompia Paigne, CEO
(562) 270-0324

CMWC USA
Bakheng Pheng, CMO
(562) 270-0324

Addresses

14117 Hubbard St. Ste. M
Sylmar, CA 91342-4700

Community Medical Wellness Centers, USA
1360 E. Anaheim St
suite 101
Long Beach, CA 90813


  • 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
CHC28986-00ActiveBPS-H80-015505COMMUNITY MEDICAL WELLNESS CENTERS USACommunity Medical Wellness Centers USA1360 E ANAHEIM ST, Suite 101 LONG BEACHCA
CHC28986-01ActiveBPS-H80-021700Community Medical Wellness Centers USACommunity Medical Wellness Centers USA-Sylmar14117 Hubbard St. Ste. M SylmarCA
CHC28986-02ActiveBPS-H80-020963COMMUNITY MEDICAL WELLNESS CENTERS, USACommunity Medical Wellness Centers USA1360 E Anaheim St Ste 202-203 Long BeachCA
CHC28986-03ToBeTerminatedBPS-H80-030819COMMUNITY MEDICAL WELLNESS CENTERS, USACommunity Medical Wellness Centers USA--Khemara1533 Alamitos Ave Long BeachCA
CHC28986-04TerminatedBPS-H80-031050COMMUNITY MEDICAL WELLNESS CENTERS, USACommunity Medical Wellness Centers USA - Long Beach, Bellflower Blvd.2700 N Bellflower Blvd Ste 115 Long BeachCA
CHC28986-05ActiveBPS-H80-030939COMMUNITY MEDICAL WELLNESS CENTERS, USACommunity Medical Wellness Centers USA - Long Beach Mobile1360 E Anaheim St Ste 101 Long BeachCA
CHC28986-06ActiveBPS-H80-034337COMMUNITY MEDICAL WELLNESS CENTERS, USACMWC - Palo Verde3325 Palo Verde Ave Long BeachCA
CHC28986-07ActiveBPS-H80-033857COMMUNITY MEDICAL WELLNESS CENTERS, USACMWC Cultural Awareness Community Annex1350 E Anaheim St Long BeachCA
CHC28986-08ActiveBPS-H80-035705COMMUNITY MEDICAL WELLNESS CENTERS, USACMWC - Rio Hondo12444 Washington Blvd WhittierCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC28986-00ABSOLUTE CARE INC541 N MACLAY AVE STE 104
SAN FERNANDOCA91340-247810/01/2019  
CHC28986-00GALAXY INVESTMENT PHARMACY INCDBA GALAXY PHARMACY 10879 LOS ALAMITOS BLVD
LOS ALAMITOSCA9072007/01/2022 09/29/2023
CHC28986-00GALAXY PHARMACY INCDBA GALAXY PHARMACY 1295 E ANAHEIM ST
LONG BEACHCA9081301/01/2017  
CHC28986-00GALAXY PHARMACY INCDBA GALAXY PHARMACY 1360 E ANAHEIM ST STE 106
LONG BEACHCA9081307/01/2022  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 00819 155 5TH ST., SUITE 175
HUNTINGTON BEACHCA9264807/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 01176 25829 NARBONNE AVE.
LOMITACA9071707/01/2020 05/03/2024
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 03986 8400 FIRESTONE BLVD.
DOWNEYCA9024107/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #4019 5837 S. CENTRAL AVE.
LOS ANGELESCA9000107/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 04043 3401 KATELLA AVE
LOS ALAMITOSCA9072007/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 05012 23806 MAIN STREET
CARSONCA9074507/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 05014 4909 PARAMOUNT BLVD.
LAKEWOODCA9071207/01/2020 08/23/2024
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 05803 1875 N. KRAEMER BLVD.
PLACENTIACA9287007/01/2020 08/21/2024
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 05809 4775 W. ROSECRANS AVE.
HAWTHORNECA9025007/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 05837 7065 LA PALMA AVE.
BUENA PARKCA9062007/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 05841 2330 SOUTH MAIN STREET
SANTA ANACA9270707/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 06705 316 SOUTH PACIFIC COAST HWY.
REDONDO BEACHCA9027707/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 06755 5030 LONG BEACH BLVD.
LONG BEACHCA9080507/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09101 155 PACIFIC COAST HIGHWAY
HERMOSA BEACHCA9025407/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08868 5020 WEST 190TH STREET
TORRANCECA9050307/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08889 12618 STUDEBAKER ROAD
NORWALKCA9065007/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08867 7915 FLORENCE AVENUE
DOWNEYCA9024007/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 07079 2200 N. HARBOR BLVD. (NEC)
FULLERTONCA9283507/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 07191 15718 HAWTHORNE BLVD (NEC)
LAWNDALECA9026007/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY 24 HOUR # 06782 18872 BEACH BLVD.
HUNTINGTON BEACHCA9264807/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08835 3710 TWEEDY BOULEVARD
SOUTH GATECA9028007/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08831 3880 W. ROSECRANS AVE.
HAWTHORNECA9025007/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08838 2130 N. BELLFLOWER BLVD.
LONG BEACHCA9081507/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08840 311W. PACIFIC COAST HWY. SUITE C
WILMINGTONCA9074407/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08844 6510 SOUTH ST.
LAKEWOODCA9071307/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08876 233 EAST WILLOW STREET
LONG BEACHCA9080607/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09122 700 S. GAFFEY ST.
SAN PEDROCA9073107/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09557 1250 E.PACIFIC COAST HIGHWAY
LONG BEACHCA9080607/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09566 596 LONG BEACH BOULEVARD
LONG BEACHCA9080207/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09571 950 NORTH WESTERN AVENUE
SAN PEDROCA9073207/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09579 4570 ATLANTIC AVENUE
LONG BEACHCA9080707/01/2020 07/20/2023
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09590 6000 ATLANTIC AVENUE
LONG BEACHCA9080507/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10008 6265 EAST 2ND ST.
LONG BEACHCA9080307/01/2020  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09651 12717 GLENOAKS BLVD.
SYLMARCA9134210/01/2021  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09505 4400 EAST LOS COYOTES DIAGONAL
LONG BEACHCA9081507/01/2022  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09488 11851 ARTESIA BOULEVARD
ARTESIACA9070107/01/2022  
CHC28986-00GARFIELD BEACH CVS, L.L.C.CVS/PHARMACY # 16040 9725 LAUREL CANYON BLVD
ARLETACA9133107/01/2022  
CHC28986-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17385 950 E 33RD ST
SIGNAL HILLCA9075507/01/2022  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08841 11623 ROSECRANS AVE.
NORWALKCA9065001/01/2023  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09572 5117 LAKEWOOD BOULEVARD
LAKEWOODCA9071201/01/2025  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09543 2001 PACIFIC COAST HIGHWAY
LOMITACA9071701/01/2025  
CHC28986-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09747 150 EAST YORBA LINDA BOULEVARD
PLACENTIACA9287001/01/2025  
CHC28986-00GOOD LIFE PHARMACY INCDBA AVIVA PHARMACY 2633 ATLANTIC AVE
LONG BEACHCA9080607/01/2020  
CHC28986-02HV HEALTHCARE, INC. DBA VO PHARMACY12464 E. WASHINGTON BLVD
WHITTIERCA9060210/01/2023  
CHC28986-00HV HEALTHCARE, INC. DBA VO PHARMACY12464 E. WASHINGTON BLVD
WHITTIERCA9060210/01/2024  
CHC28986-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03931 650 N BELLFLOWER BLVD
LONG BEACHCA9081407/01/2020  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/16/2024 6:48:28 AM2/11/2025 3:32:22 PM2/11/2025 3:32 PM
ContactsPrimary ContactUpdateRecertificationPheng, Boza Clinical Management Community Medical Wellness Centers, USA 5622700324Pheng, Bakheng CMO CMWC USA 56227003242/16/2024 6:48 AM
DetailsLast Recertification DateUpdateRecertification2/3/2023 4:55:54 PM2/16/2024 6:48:28 AM2/16/2024 6:48 AM
DetailsLast Recertification DateUpdateRecertification2/3/2022 1:28:42 PM2/3/2023 4:55:54 PM2/3/2023 4:55 PM
DetailsLast Recertification DateUpdateRecertification2/4/2021 1:57:59 PM2/3/2022 1:28:42 PM2/3/2022 1:28 PM
DetailsLast Recertification DateUpdateRecertification1/28/2020 12:59:04 PM2/4/2021 1:57:59 PM2/4/2021 1:57 PM
Medicaid BillingNPI: NumberDeleteChange Request1972005528 ( ) 1/25/2021 3:22 PM
DetailsLast Recertification DateUpdateRecertification 1/28/2020 12:59:04 PM1/28/2020 12:59 PM
DetailsStateUpdate ApprovedActive10/1/2019 12:04 AM
ContactsSigned ByInsertNew Registration Paigne, Sompia CEO Community Medical Wellness Centers 56227003248/29/2019 9:54 AM
Details340B IDUpdateNew Registration CHC28986-018/29/2019 9:54 AM
DatesParticipating Approval DateUpdateNew Registration 8/29/2019 9:54:12 AM8/29/2019 9:54 AM
DetailsStateUpdateNew RegistrationPendingApproved8/29/2019 9:54 AM
DatesSigned By DateUpdateNew Registration 7/10/2019 6:23:50 PM8/29/2019 9:54 AM
DatesStart DateUpdateNew Registration 10/1/2019 12:00:00 AM8/29/2019 9:54 AM
ContactsPrimary ContactUpdateProfile Change RequestBoyd, Chris Program Director Community Medical Wellness Centers, USA 5622700324-113Pheng, Boza Clinical Management Community Medical Wellness Centers, USA 56227003248/20/2019 3:37 PM
ContactsPrimary ContactInsertNew Registration Boyd, Chris Program Director Community Medical Wellness Centers, USA 5622700324-1137/10/2019 6:23 PM
AddressesMain AddressInsertNew Registration  14117 Hubbard St. Ste. M Sylmar, CA 91342-47007/10/2019 6:23 PM
AddressesBilling AddressInsertNew Registration Community Medical Wellness Centers, USA 1360 E. Anaheim St suite 101 Long Beach, CA 908137/10/2019 6:23 PM
Medicaid BillingNPI: NumberInsertNew Registration 19720055287/10/2019 6:23 PM
ContactsAuthorizing OfficialInsertNew Registration Paigne, Sompia CEO Community Medical Wellness Centers 56227003247/10/2019 6:23 PM
DetailsLast Recertification DateInsertNew Registration  7/10/2019 6:23 PM
DetailsGrant NumberInsertNew Registration H80CS289867/10/2019 6:23 PM
Details340B IDInsertNew Registration  7/10/2019 6:23 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  7/10/2019 6:23 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  7/10/2019 6:23 PM
DetailsMedicare Provider NumberInsertNew Registration  7/10/2019 6:23 PM
DetailsEntity NameInsertNew Registration Community Medical Wellness Centers USA7/10/2019 6:23 PM
DetailsProgram CodeInsertNew Registration CH7/10/2019 6:23 PM
DetailsEntity SubnameInsertNew Registration Community Medical Wellness Centers USA-Sylmar7/10/2019 6:23 PM
DatesParticipating Approval DateInsertNew Registration  7/10/2019 6:23 PM
DetailsStateInsertNew Registration Pending7/10/2019 6:23 PM
DatesRegistration DateInsertNew Registration 7/10/2019 6:23:48 PM7/10/2019 6:23 PM
DatesSigned By DateInsertNew Registration  7/10/2019 6:23 PM
DatesStart DateInsertNew Registration  7/10/2019 6:23 PM
TerminationsTermination CommentsInsertNew Registration  7/10/2019 6:23 PM
TerminationsTermination DateInsertNew Registration  7/10/2019 6:23 PM
TerminationsTermination Effective DateInsertNew Registration  7/10/2019 6:23 PM
TerminationsTermination ReasonInsertNew Registration  7/10/2019 6:23 PM