340B Drug Pricing Program Database


FQHCLA347B Families Together Of Orange County (Active) - information as of 6/21/2025 12:10:47 AM

Main Details
Families Together Of Orange County
Families Together of Orange County - Garden Grove
Health Center Program Look-Alike
BPS-LAL-027825
FQHCLA347B
LALCS00186


Additional Details
Active
7/12/2019
10/1/2019
8/5/2019
2/21/2025

Contacts

Families Together of Orange County
Alexander Rossel, CEO
(714) 665-9890

Families Together of Orange County
Mary Pham, Pharmacy Director
(714) 665-9890

Addresses

9918 Katella Ave. STE A
Garden Grove, CA 92804-6419

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

Yes
StateMedicaid NumberNPI Number
CA 1194122457,1548813041,1023648623,1144969809
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailA1CARE PHARMACYPLANET HEALTH INC 2001 E 4TH ST STE 112
SANTA ANACA92705-391604/15/202407/01/2024  07/01/2024
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
FQHCLA347ActiveBPS-LAL-018923FAMILIES TOGETHER OF ORANGE COUNTYFamilies Together of Orange County661 W. 1st St., Ste. G TustinCA
FQHCLA347AActiveBPS-LAL-021969Families Together Of Orange CountyFamilies Together of Orange County661 W.1st St. Ste. A TustinCA
FQHCLA347BActiveBPS-LAL-027825Families Together Of Orange CountyFamilies Together of Orange County - Garden Grove9918 Katella Ave. STE A Garden GroveCA
FQHCLA347CActiveBPS-LAL-030237Families Together Of Orange CountyFamilies Together of Orange County-Mobile Clinic661 W 1st St Ste G TustinCA
FQHCLA347DActiveBPS-LAL-035472Families Together Of Orange CountyFamilies Together of Orange County - Fountain Valley11180 Warner Ave STE 351-371 Fountain ValleyCA
FQHCLA347EActiveBPS-LAL-028368FAMILIES TOGETHER OF ORANGE COUNTYFamilies Together of Orange County-Wellness Center621 W 1st St TustinCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
FQHCLA347A1CARE PHARMACYPLANET HEALTH INC 2001 E 4TH ST STE 112
SANTA ANACA92705-391601/01/2019  
FQHCLA347BA1CARE PHARMACYPLANET HEALTH INC 2001 E 4TH ST STE 112
SANTA ANACA92705-391607/01/2024  
FQHCLA347AHCS SPECIALTY CARE12832 VALLEY VIEW ST STE A & B
GARDEN GROVECA9284507/01/2020 07/01/2021
FQHCLA347AHCS SPECIALTY CARE12832 VALLEY VIEW ST STE A
GARDEN GROVECA9284507/01/2021 04/01/2024
FQHCLA347ALLCARE SPECIALTY PHARMACY1403 N. TUSTIN AVE STE 150
SANTA ANACA9270510/01/2020  
FQHCLA347CURA PHARMACY17400 IRVINE BLVD STE P
TUSTINCA92780-303004/01/2023  
FQHCLA347DCURA PHARMACY17400 IRVINE BLVD STE P
TUSTINCA92780-303007/01/2024  
FQHCLA347DIPLOMAT SPECIALTY PHARMACY4100 S SAGINAW ST STE D
FLINTMI48507-268301/01/2021 10/05/2022
FQHCLA347MISSION PLAZA PHARMACY26800 CROWN VALLEY PKWY STE 185
MISSION VIEJOCA92691-730404/01/2020 07/01/2021
FQHCLA347MISSION PLAZA PHARMACY 24631 TELLER AVE STE 110
NEWPORT BEACHCA9266004/01/2021 12/30/2022
FQHCLA347OPTUM INFUSION SERVICES 305, LLC15529 COLLEGE BLVD.
LENEXAKS66219-135110/01/2021 12/30/2022
FQHCLA347OPTUM INFUSION SERVICES 500, INC.4900 RIVERGRADE RD STE E120
IRWINDALECA91706-141910/01/2021 08/02/2022
FQHCLA347OPTUM INFUSION SERVICES 550, LLC1819 ASTON AVE STE 104
CARLSBADCA9200810/01/2022 12/30/2022
FQHCLA347OPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850710/05/2022  
FQHCLA347OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713001/01/2021  
FQHCLA347OPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729810/01/2021  
FQHCLA347OPTUM PHARMACY 707, INC4900 RIVERGRADE RD STE E110
IRWINDALECA91706-140101/01/2021  
FQHCLA347OPTUM PHARMACY 806, INC.2288 AUBURN BLVD STE. 102
SACRAMENTOCA95821-161801/01/2021 10/01/2021
FQHCLA347THERESA PHARMACY INCDBA ACARE PHARMACY 9860 KATELLA AVE
ANAHEIMCA9280407/01/2019 07/01/2019
FQHCLA347TRAN-RX, LLCDBA: ALLCARE PHARMACY #3 1106 E. 17TH ST STE B
SANTA ANACA9270107/01/2020 12/01/2020
FQHCLA347VEGAS PHARMACY8352 W WARM SPRINGS RD, STE #330
LAS VEGASNV8911301/01/2023 02/08/2023
FQHCLA347WALGREEN CO.DBA: WALGREENS # 03636 3237 E. CHAPMAN AVE.
ORANGECA9286904/01/2018 04/30/2018
FQHCLA347WALGREEN CO.DBA: WALGREENS # 06388 1301 E 17TH STREET
SANTA ANACA9270504/01/2018 04/30/2018
FQHCLA347WALGREEN CO.DBA: WALGREENS # 07286 13052 NEWPORT AVE
TUSTINCA9278004/01/2018 04/30/2018
FQHCLA347WALGREEN CO.DBA: WALGREENS #10336 1538 E CHAPMAN AVE
ORANGECA9286604/01/2018 04/30/2018
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/14/2024 7:38:53 AM2/21/2025 6:19:41 PM2/21/2025 6:19 PM
ContactsPrimary ContactUpdateGroup Change RequestSahakian, Izabella Sahakian Operations Director Families Together of Orange County Community Health Center 7146659890Pham, Mary Pharmacy Director Families Together of Orange County 71466598904/12/2024 2:55 PM
ContactsPrimary ContactUpdateRecertificationSahakian, Izabella Operations Director Families Together of Orange County 7146659890Sahakian, Izabella Sahakian Operations Director Families Together of Orange County Community Health Center 71466598902/14/2024 7:38 AM
DetailsLast Recertification DateUpdateRecertification2/8/2023 11:24:25 AM2/14/2024 7:38:53 AM2/14/2024 7:38 AM
DetailsLast Recertification DateUpdateRecertification2/7/2022 2:22:49 PM2/8/2023 11:24:25 AM2/8/2023 11:24 AM
Medicaid BillingNPI: NumberInsertChange Request 11449698091/15/2023 11:39 PM
Medicaid BillingNPI: StateInsertChange Request CA1/15/2023 11:39 PM
DetailsLast Recertification DateUpdateRecertification2/2/2021 8:19:25 PM2/7/2022 2:22:49 PM2/7/2022 2:22 PM
ContactsPrimary ContactUpdateProfile Change RequestSahakian, Izabella Clinic Manager Families Together of Orange County 7146659890Sahakian, Izabella Operations Director Families Together of Orange County 71466598902/7/2022 2:16 PM
Medicaid BillingNPI: StateUpdateRecertification CA2/2/2021 8:19 PM
Medicaid BillingNPI: StateUpdateRecertification CA2/2/2021 8:19 PM
Medicaid BillingNPI: StateUpdateRecertification CA2/2/2021 8:19 PM
DetailsLast Recertification DateUpdateRecertification2/10/2020 11:04:02 AM2/2/2021 8:19:25 PM2/2/2021 8:19 PM
Medicaid BillingNPI: NumberInsertChange Request 11941224577/13/2020 1:16 PM
Medicaid BillingNPI: NumberInsertChange Request 15488130417/13/2020 1:16 PM
Medicaid BillingNPI: NumberInsertChange Request 10236486237/13/2020 1:16 PM
Medicaid BillingNPI: NumberDeleteRecertification1194122457 ( ) 2/10/2020 11:04 AM
ContactsPrimary ContactUpdateRecertificationCabrera, Manuel Office Manager Families Together of Orange County 7149138631Sahakian, Izabella Clinic Manager Families Together of Orange County 71466598902/10/2020 11:04 AM
DetailsLast Recertification DateUpdateRecertification 2/10/2020 11:04:02 AM2/10/2020 11:04 AM
DetailsStateUpdate ApprovedActive10/1/2019 12:04 AM
ContactsSigned ByInsertNew Registration Rossel, Alexander CEO Families Together of Orange County 71466598908/5/2019 11:26 AM
Details340B IDUpdateNew Registration FQHCLA347B8/5/2019 11:26 AM
DatesParticipating Approval DateUpdateNew Registration 8/5/2019 11:26:30 AM8/5/2019 11:26 AM
DetailsStateUpdateNew RegistrationPendingApproved8/5/2019 11:26 AM
DatesSigned By DateUpdateNew Registration 7/12/2019 6:32:42 PM8/5/2019 11:26 AM
DatesStart DateUpdateNew Registration 10/1/2019 12:00:00 AM8/5/2019 11:26 AM
AddressesMain AddressInsertNew Registration  9918 Katella Ave. STE A Garden Grove, CA 92804-64197/12/2019 6:32 PM
Medicaid BillingNPI: NumberInsertNew Registration 11941224577/12/2019 6:32 PM
ContactsPrimary ContactInsertNew Registration Cabrera, Manuel Office Manager Families Together of Orange County 71491386317/12/2019 6:32 PM
ContactsAuthorizing OfficialInsertNew Registration Rossel, Alexander CEO Families Together of Orange County 71466598907/12/2019 6:32 PM
DetailsLast Recertification DateInsertNew Registration  7/12/2019 6:32 PM
DetailsGrant NumberInsertNew Registration LALCS001867/12/2019 6:32 PM
Details340B IDInsertNew Registration  7/12/2019 6:32 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  7/12/2019 6:32 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  7/12/2019 6:32 PM
DetailsMedicare Provider NumberInsertNew Registration  7/12/2019 6:32 PM
DetailsEntity NameInsertNew Registration Families Together Of Orange County7/12/2019 6:32 PM
DetailsProgram CodeInsertNew Registration FQHCLA7/12/2019 6:32 PM
DetailsEntity SubnameInsertNew Registration Families Together of Orange County - Garden Grove7/12/2019 6:32 PM
DatesParticipating Approval DateInsertNew Registration  7/12/2019 6:32 PM
DetailsStateInsertNew Registration Pending7/12/2019 6:32 PM
DatesRegistration DateInsertNew Registration 7/12/2019 6:32:40 PM7/12/2019 6:32 PM
DatesSigned By DateInsertNew Registration  7/12/2019 6:32 PM
DatesStart DateInsertNew Registration  7/12/2019 6:32 PM
TerminationsTermination CommentsInsertNew Registration  7/12/2019 6:32 PM
TerminationsTermination DateInsertNew Registration  7/12/2019 6:32 PM
TerminationsTermination Effective DateInsertNew Registration  7/12/2019 6:32 PM
TerminationsTermination ReasonInsertNew Registration  7/12/2019 6:32 PM