Yes
CHC29015-00 | APOVIA PHARMACY SERVICES | 313 HENDERSON DR |
| SHARON HILL | PA | 19079-1034 | 10/01/2022 | | |
CHC29015-00 | BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | 376 NORTHLAKE BLVD |
| ALTAMONTE SPRINGS | FL | 32701-5261 | 07/01/2025 | | |
CHC29015-00 | BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | 4900 PROSPECTUS DR STE 300 |
| DURHAM | NC | 27713 | 07/01/2025 | | |
CHC29015-00 | BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | 13925 YALE AVE STE 145 |
| IRVINE | CA | 92620-2670 | 07/01/2025 | | |
CHC29015-00 | BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | BIOPLUS SPECIALTY PHARMACY SERVICES, LLC |
4740 VICTORY LN STE C
| INDIANAPOLIS | IN | 46203 | 07/01/2025 | | |
CHC29015-00 | BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | BIOPLUS SPECIALTY PHARMACY SERVICES, LLC |
145 S 79TH ST STE 70
| CHANDLER | AZ | 85226 | 07/01/2025 | | |
CHC29015-00 | DOGWOOD PHARMACY LLC | D/B/A MEDSCRIPTS MEDICAL PHARMACY |
1325 MILLER RD
STE K
| GREENVILLE | SC | 29607-6541 | 07/01/2025 | | |
CHC29015-00 | FREEDOM PHARMACY | 1248 SUSSEX TPKE # B9 |
| RANDOLPH | NJ | 07869 | 10/01/2022 | | 04/01/2025 |
CHC29015-00 | GIANNOTTO'S PHARMACY | 195 1ST AVE W |
| NEWARK | NJ | 07107-2618 | 10/01/2017 | | 10/01/2017 |
CHC29015-00 | HOME TOWNE RX STORE # 2 | ZOOBEEDU, INC |
635 S. CLINTON AVE
SUITE 400
| TRENTON | NJ | 08611 | 04/01/2017 | | 11/03/2017 |
CHC29015-00 | MEDILINK RX CARE, LLC | 1120 WHITE HORSE RD |
UNIT 112
| VOORHEES | NJ | 08043 | 01/01/2025 | | 04/01/2025 |
CHC29015-00 | MEDILINK RXCARE HAMMONTON, LLC | 44 S. WHITE HORSE PIKE |
| HAMMONTON | NJ | 08037 | 01/01/2025 | | 04/01/2025 |
CHC29015-00 | MEDLY PHARMACY | 40 W MAIN ST |
| SOMERVILLE | NJ | 08876 | 10/01/2017 | | 10/01/2024 |
CHC29015-00 | MEDLY PHARMACY | MEDLY JERSEY CITY INC |
152 NEWARK AVE
| JERSEY CITY | NJ | 07302 | 04/01/2022 | | 10/01/2024 |
CHC29015-00 | OLSHINS PHARMACY | 114 CONGRESS ST |
| NEWARK | NJ | 07105 | 07/01/2016 | | 07/07/2017 |
CHC29015-00 | PHARMACEUTICAL PRESCRIPTION SERVICE, LLC | 155 JEFFERSON ST |
| NEWARK | NJ | 07105-1706 | 07/01/2016 | | 07/07/2017 |
CHC29015-00 | PREMIER PHARMACY SERVICES | 410 CLOVERLEAF DR |
| BALDWIN PARK | CA | 91706 | 10/01/2018 | | 10/01/2024 |
CHC29015-00 | RAINA RX LLC | DBA ROUTE 300 PHARMACY |
1208 ROUTE 300
SUITE 103
| NEWBURGH | NY | 12550 | 07/01/2025 | | |
CHC29015-00 | RIVER MEDICAL PHARMACY LLC | 4752 RESEARCH DR |
| SAN ANTONIO | TX | 78240-5002 | 07/01/2025 | | |
CHC29015-00 | SAINT JAMES PHARMACY | 228 LAFAYETTE ST FL 2 |
| NEWARK | NJ | 07105 | 07/01/2025 | | |
CHC29015-00 | SANTA BARBARA SPECIALTY PHARMACY LLC | 4690 CARPINTERIA AVE STE B |
| CARPINTERIA | CA | 93013 | 07/01/2025 | | |
CHC29015-00 | SIGNIO SPECIALTY PHARMACY | 711 ANDERSON AVE |
| CLIFFSIDE PARK | NJ | 07010 | 02/14/2019 | | 10/01/2024 |
CHC29015-00 | SUNNY PHARMACY | HANKWON DBA SUNNY PHARMACY |
711 ANDERSON AVE
| CLIFFSIDE PARK | NJ | 07010-0701 | 10/01/2018 | | 10/01/2024 |
CHC29015-00 | TOTAL CARE PHARMACY | 267 CENTRAL AVE |
| JERSEY CITY | NJ | 07307-0730 | 10/01/2017 | | 10/01/2017 |
CHC29015-00 | VIDA PHARMACY | FERRY APOTHECARY LLC |
203 FERRY ST
| NEWARK | NJ | 07105 | 01/01/2024 | | 04/01/2025 |
Details | Last Recertification Date | Update | Recertification | 1/30/2024 5:16:50 PM | 2/10/2025 2:29:47 PM | 2/10/2025 2:29 PM |
Contacts | Primary Contact | Update | New Registration | Freeman, Marcus
Interim CFO
Saint James Health
9737898111 | Freeman, Marcus
CFO
Saint James Health
9737898111 | 10/8/2024 4:52 PM |
Details | Last Recertification Date | Update | Recertification | 2/1/2023 4:00:15 PM | 1/30/2024 5:16:50 PM | 1/30/2024 5:16 PM |
Contacts | Primary Contact | Update | Recertification | Carroll, Barbara
COO
Saint James Health
9737898111 | Freeman, Marcus
Interim CFO
Saint James Health
9737898111 | 2/1/2023 4:00 PM |
Details | Last Recertification Date | Update | Recertification | 2/3/2022 12:01:27 PM | 2/1/2023 4:00:15 PM | 2/1/2023 4:00 PM |
Details | Last Recertification Date | Update | Recertification | 2/11/2021 5:00:45 PM | 2/3/2022 12:01:27 PM | 2/3/2022 12:01 PM |
Medicaid Billing | Medicaid: Is Primary | Insert | Recertification | | False | 2/11/2021 5:00 PM |
Medicaid Billing | Medicaid: Number | Insert | Recertification | | 0515230 | 2/11/2021 5:00 PM |
Medicaid Billing | Medicaid: State | Insert | Recertification | | NJ | 2/11/2021 5:00 PM |
Medicaid Billing | NPI: Number | Delete | Recertification | 1295128791 ( ) | | 2/11/2021 5:00 PM |
Medicaid Billing | NPI: Number | Delete | Recertification | 1942456272 ( ) | | 2/11/2021 5:00 PM |
Medicaid Billing | NPI: Number | Delete | Recertification | 1093927659 ( ) | | 2/11/2021 5:00 PM |
Medicaid Billing | NPI: Number | Insert | Recertification | | 1225409675 | 2/11/2021 5:00 PM |
Medicaid Billing | NPI: State | Insert | Recertification | | NJ | 2/11/2021 5:00 PM |
Details | Last Recertification Date | Update | Recertification | 1/28/2020 2:38:32 PM | 2/11/2021 5:00:45 PM | 2/11/2021 5:00 PM |
Details | Last Recertification Date | Update | Recertification | | 1/28/2020 2:38:32 PM | 1/28/2020 2:38 PM |
Details | State | Update | | Approved | Active | 1/1/2020 12:04 AM |
Contacts | Signed By | Insert | New Registration | | Fields, Nicole Marie
President and CEO
Saint James Health
9085787273 | 11/5/2019 10:57 AM |
Details | 340B ID | Update | New Registration | | CHC29015-02 | 11/5/2019 10:57 AM |
Dates | Participating Approval Date | Update | New Registration | | 11/5/2019 10:57:26 AM | 11/5/2019 10:57 AM |
Details | State | Update | New Registration | Pending | Approved | 11/5/2019 10:57 AM |
Dates | Signed By Date | Update | New Registration | | 10/15/2019 2:21:20 PM | 11/5/2019 10:57 AM |
Dates | Start Date | Update | New Registration | | 1/1/2020 12:00:00 AM | 11/5/2019 10:57 AM |
Addresses | Main Address | Insert | New Registration | |
228 Lafayette Street, 4th Floor
Newark, NJ 07105-1815 | 10/7/2019 10:17 AM |
Addresses | Billing Address | Insert | New Registration | | Saint James Health
228 Lafayette St
2nd floor
Newark, NJ 07105 | 10/7/2019 10:17 AM |
Medicaid Billing | NPI: Number | Insert | New Registration | | 1295128791 | 10/7/2019 10:17 AM |
Medicaid Billing | NPI: Number | Insert | New Registration | | 1942456272 | 10/7/2019 10:17 AM |
Medicaid Billing | NPI: Number | Insert | New Registration | | 1093927659 | 10/7/2019 10:17 AM |
Contacts | Authorizing Official | Insert | New Registration | | Fields, Nicole Marie
President and CEO
Saint James Health
9085787273 | 10/7/2019 10:17 AM |
Contacts | Primary Contact | Insert | New Registration | | Carroll, Barbara
COO
Saint James Health
9737898111 | 10/7/2019 10:17 AM |
Details | Last Recertification Date | Insert | New Registration | | | 10/7/2019 10:17 AM |
Details | Grant Number | Insert | New Registration | | H80CS29015 | 10/7/2019 10:17 AM |
Details | 340B ID | Insert | New Registration | | | 10/7/2019 10:17 AM |
Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 10/7/2019 10:17 AM |
Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 10/7/2019 10:17 AM |
Details | Medicare Provider Number | Insert | New Registration | | | 10/7/2019 10:17 AM |
Details | Entity Name | Insert | New Registration | | Saint James Health Inc | 10/7/2019 10:17 AM |
Details | Program Code | Insert | New Registration | | CH | 10/7/2019 10:17 AM |
Details | Entity Subname | Insert | New Registration | | Saint James Health, Inc. | 10/7/2019 10:17 AM |
Dates | Participating Approval Date | Insert | New Registration | | | 10/7/2019 10:17 AM |
Details | State | Insert | New Registration | | Pending | 10/7/2019 10:17 AM |
Dates | Registration Date | Insert | New Registration | | 10/7/2019 10:17:23 AM | 10/7/2019 10:17 AM |
Dates | Signed By Date | Insert | New Registration | | | 10/7/2019 10:17 AM |
Dates | Start Date | Insert | New Registration | | | 10/7/2019 10:17 AM |
Terminations | Termination Comments | Insert | New Registration | | | 10/7/2019 10:17 AM |
Terminations | Termination Date | Insert | New Registration | | | 10/7/2019 10:17 AM |
Terminations | Termination Effective Date | Insert | New Registration | | | 10/7/2019 10:17 AM |
Terminations | Termination Reason | Insert | New Registration | | | 10/7/2019 10:17 AM |