340B Drug Pricing Program Database


STD850153 CAN Community Health, Inc. (Active) - information as of 6/8/2025 1:02:26 AM

Main Details
CAN Community Health, Inc.
AZ Suite 6
Sexually Transmitted Diseases
STD850153
6 NU62PS924818-01-01


Direct Funding (dollars received from CDC or an intermediate organization)
 Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.

7/16/2019


Additional Details
Active
10/15/2019
1/1/2020
11/8/2019
5/28/2025
PS24-0047

Contacts

CAN Community Health, Inc.
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127

CAN Community Health, Inc.
Hemali Joshi, SVP, Chief Data Officer
(941) 300-4440 Ext: 10161

Addresses

4350 N 19th Avenue
Suite 6
Phoenix, AZ 85015

CAN Community Health, Inc.
2105 N. Nebraska Ave.
Tampa, FL 33602


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

No
Shipping Addresses

CAN Community Health Pharmacy of Clearwater
2349 Sunset Point Road
Ste 404
Clearwater, FL 33765

CAN Community Health Pharmacy of Jacksonville
4615 Philips Hwy
Ste 3
Jacksonville, FL 32207

CAN Community Health Pharmacy of Ft. Lauderdale
4101 NW 3rd Court
Medical Plaza
Ste 9
Plantation, FL 33317

CAN Community Health Pharmacy of Arlington
603 Matlock Centre Cir
Arlington, TX 76015

JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy
2331 W Royal Palm Rd.
Suite E
Phoenix, AZ 85021

Tampa Family Pharmacy
12470 Telecom Dr
Ste 110W
Temple Terrace, FL 33637

JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy
4244 N 19th Ave
Phoenix, AZ 85015
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750201/22/202004/01/2020  04/01/2020
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884901/22/202004/01/2020  04/01/2020
Contract DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201001/22/202004/01/2020  04/01/2020
Contract DetailACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624101/22/202004/01/2020 06/01/202312/11/2023
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349201/22/202004/01/2020  04/01/2020
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282201/22/202004/01/2020  04/01/2020
Contract DetailARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 09314 3440 WEST GLENDALE AVE
PHOENIXAZ8505111/08/201901/01/2020  01/01/2020
Contract DetailARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 08914 50 W. JEFFERSON ST., SUITE 140
PHOENIXAZ8500311/08/201901/01/2020  01/01/2020
Contract DetailARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 09297 6002 NORTH 7TH STREET
PHOENIXAZ8501411/08/201901/01/2020  01/01/2020
Contract DetailARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 09327 6021 S CENTRAL AVE
PHOENIXAZ8504210/12/202101/01/2022 08/26/202301/10/2025
Contract DetailARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 09347 1525 NORTH CENTRAL AVENUE
PHOENIXAZ8500410/12/202101/01/2022  01/01/2022
Contract DetailARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 09245 12409 N. TATUM BLVD.
PHOENIXAZ8503210/12/202101/01/2022  01/01/2022
Contract DetailARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 09290 4430 EAST RAY ROAD
PHOENIXAZ8504401/12/202204/01/2022  04/01/2022
Contract DetailARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 09237 9856 W. PEORIA AVE.
PEORIAAZ8534501/12/202204/01/2022  04/01/2022
Contract DetailARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03383 7550 SOUTH 19TH AVE.
PHOENIXAZ8504101/12/202204/01/2022  04/01/2022
Contract DetailARIZONA CVS STORES, L.L.C.DBA CVS/PHARMACY # 8983 5125 W. OLIVE AVE
GLENDALEAZ8530204/13/202207/01/2022  07/01/2022
Contract DetailARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 09225 2406 EAST THOMAS RD.
PHOENIXAZ8501604/13/202207/01/2022  07/01/2022
Contract DetailARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 09264 23215 NO PIMA RD.
SCOTTSDALEAZ8525504/13/202207/01/2022  07/01/2022
Contract DetailARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 09213 305 E. BROWN RD.
MESAAZ8520101/25/202504/01/2025  04/01/2025
Contract DetailAVELLA OF ORLANDO100 TECHNOLOGY PARK STE 155
LAKE MARYFL32746-620511/08/201901/01/2020 07/01/202007/15/2020
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526104/15/202407/01/2024  07/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771304/15/202407/01/2024  07/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY, INC3200 LAKE EMMA RD UNIT 1000
LAKE MARYFL3274604/21/202207/01/2022 10/05/202401/28/2025
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/19/202204/01/2022  04/01/2022
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/12/202204/01/2022  04/01/2022
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/12/202204/01/2022  04/01/2022
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/19/202204/01/2022  04/01/2022
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/12/202204/01/2022  04/01/2022
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/19/202204/01/2022  04/01/2022
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/19/202204/01/2022  04/01/2022
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813301/12/202204/01/2022  04/01/2022
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237401/12/202204/01/2022  04/01/2022
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/12/202204/01/2022  04/01/2022
Contract DetailCENTERWELL PHARMACY, INC.9843 WINDISCH RD
WEST CHESTEROH4506904/15/202107/01/2021  07/01/2021
Contract DetailCENTERWELL PHARMACY, INC.10737 MARKS WAY
MIRAMARFL3302504/15/202107/01/2021 10/10/202301/29/2025
Contract DetailCENTERWELL PHARMACY, INC.11010 FLORIDA CROWN DRIVE, SUITE 200
ORLANDOFL3282404/16/202407/01/2024  07/01/2024
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/19/202204/01/2022  04/01/2022
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/19/202204/01/2022  04/01/2022
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/12/202204/01/2022  04/01/2022
Contract DetailCYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503311/08/201901/01/2020  01/01/2020
Contract DetailDIPLOMAT SPECIALTY PHARMACY4100 S SAGINAW ST STE D
FLINTMI48507-268304/15/202107/01/2021 01/24/202212/13/2023
Contract DetailESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111204/17/202007/01/2020  07/01/2020
Contract DetailEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313404/17/202007/01/2020  07/01/2020
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607504/17/202007/01/2020  07/01/2020
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801604/17/202007/01/2020  07/01/2020
Contract DetailGENOA HEALTHCARE LLC4631 S POWER ROAD BUILDING A, SUITE 105
MESAAZ8521204/15/202107/01/2021  07/01/2021
Contract DetailGENOA HEALTHCARE LLC1642 S PRIEST DR BLDG 6, STE 101
TEMPEAZ8528104/15/202107/01/2021  07/01/2021
Contract DetailGENOA HEALTHCARE LLC1075 E FORT LOWELL RD
TUCSONAZ8571904/15/202107/01/2021  07/01/2021
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 05778 4040 N. 19TH AVE.
PHOENIXAZ8501511/08/201901/01/2020  01/01/2020
Contract DetailGERMAN DOBSON CVS, L.L.C.CVS/PHARMACY # 2963 711 E. INDIAN SCHOOL RD.
PHOENIXAZ8501411/08/201901/01/2020  01/01/2020
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 09222 4275 W. THOMAS RD.
PHOENIXAZ8501911/08/201901/01/2020  01/01/2020
Contract DetailGERMAN DOBSON CVS, L.L.C.CVS PHARMACY # 17418 5715 N 19TH AVE
PHOENIXAZ8501511/08/201901/01/2020  01/01/2020
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 08366 1610 E CAMELBACK RD
PHOENIXAZ8501611/08/201901/01/2020  01/01/2020
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 01759 10 E DUNLAP AVE
PHOENIXAZ8502010/12/202101/01/2022 10/26/202301/10/2025
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 00033 1750 E BROADWAY RD
TEMPEAZ8528210/12/202101/01/2022  01/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 07116 1855 W. THUNDERBIRD RD.
PHOENIXAZ8502310/12/202101/01/2022  01/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.CVS PHARMACY # 16675 13731 W BELL RD
SURPRISEAZ8537401/12/202204/01/2022  04/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 05892 5050 W. BASELINE RD.
LAVEENAZ8533901/12/202204/01/2022  04/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 03500 1625 N. 44TH ST.
PHOENIXAZ8500801/12/202204/01/2022  04/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 03436 2809 S. SOSSAMAN RD.
MESAAZ8521201/12/202204/01/2022  04/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.CVS/PHARMACY # 10920 3933 EAST CAMELBACK RD.
PHOENIXAZ8501801/12/202204/01/2022  04/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA CVS/PHARMACY #10229 280 N. AVONDALE BLVD
AVONDALEAZ8532301/12/202204/01/2022  04/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 05791 4890 N. LITCHFIELD RD.
LITCHFIELD PARKAZ8534001/12/202204/01/2022  04/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 09205 802 S. MILL AVE.
TEMPEAZ8528101/12/202204/01/2022  04/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 05026 1212 S. GREENFIELD RD.
MESAAZ8520601/19/202204/01/2022  04/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 05315 2005 N. DOBSON RD.
CHANDLERAZ8522401/19/202204/01/2022  04/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 00086 1686 E FLORENCE BLVD
CASA GRANDEAZ8512201/19/202204/01/2022  04/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA CVS/PHARMACY #5530 15300 N. COTTON LANE
SURPRISEAZ8538801/19/202204/01/2022  04/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 07849 1015 E. RAY RD.
CHANDLERAZ8522501/19/202204/01/2022  04/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 07263 10707 W. CAMELBACK RD.
PHOENIXAZ8503701/19/202204/01/2022  04/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 07872 7499 W. BETHANY HOME RD.
GLENDALEAZ8530301/19/202204/01/2022 06/20/202401/10/2025
Contract DetailGERMAN DOBSON CVS, L.L.C.CVS PHARMACY # 17312 16806 N 7TH ST
PHOENIXAZ8502204/13/202207/01/2022  07/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 03264 3210 E. UNION HILLS DR.
PHOENIXAZ8505004/13/202207/01/2022  07/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.CVS PHARMACY # 16505 2727 W AGUA FRIA FWY
PHOENIXAZ8502704/13/202207/01/2022  07/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 05814 9950 E. GUADALUPE RD.
MESAAZ8521204/13/202207/01/2022  07/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.CVS PHARMACY # 17256 1800 E RIO SALADO PKWY STE 120
TEMPEAZ8528104/13/202207/01/2022  07/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.CVS PHARMACY # 16110 1818 E BASELINE RD
TEMPEAZ8528304/13/202207/01/2022  07/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 07860 1615 E. BASELINE RD.
PHOENIXAZ8504204/13/202207/01/2022  07/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 01716 21087 W. MAIN ST.
BUCKEYEAZ8539604/13/202207/01/2022  07/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 07262 18460 N. 7TH ST.
PHOENIXAZ8502204/13/202207/01/2022  07/01/2022
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 01743 13870 W. GREENWAY RD.
SURPRISEAZ8537401/21/202404/01/2024  04/01/2024
Contract DetailGERMAN DOBSON CVS, L.L.C.CVS/PHARMACY # 11478 3502 WEST CAMELBACK RD
PHOENIXAZ8501907/26/202410/01/2024  10/01/2024
Contract DetailGOODYEAR CVS, L.L.C.DBA: CVS/PHARMACY # 03749 2840 N. DYSART RD.
GOODYEARAZ8539510/12/202101/01/2022  01/01/2022
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04092 2801 E OAKLAND PARK BLVD
FORT LAUDERDALEFL3330601/19/202204/01/2022 04/24/202312/12/2024
Contract DetailJTJ MEDICAL SUPPLY, INCDBA MAIL-MEDS CLINICAL PHARMACY 2331 W ROYAL PALM RD
SUITE E 		PHOENIXAZ85021-494004/07/202004/07/2020 01/28/202501/28/2025
Contract DetailMELROSE PHARMACY706 W. MONTECITO AVE
PHOENIXAZ8501310/15/202001/01/2021  01/01/2021
Contract DetailNEW JERSEY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00817 4 SCHALKS CROSSING RD,
PLAINSBORONJ0853604/13/202207/01/2022  07/01/2022
Contract DetailOKLAHOMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01145 751 W. TUCSON ST (121ST)
BROKEN ARROWOK7401104/13/202207/01/2022  07/01/2022
Contract DetailOPTUM FRONTIER THERAPIES II, LLC6425 SANTA MARGARITA ST UNIT 110
LAS VEGASNV89118-191311/08/201901/01/2020 10/01/202012/13/2023
Contract DetailOPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850701/23/202201/24/2022  01/26/2022
Contract DetailOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713011/08/201901/01/2020  01/01/2020
Contract DetailOPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729811/08/201901/01/2020  01/01/2020
Contract DetailOPTUM PHARMACY 705, LLC3539 BLUECUTT RD
COLUMBUSMS3970510/13/202001/01/2021  01/01/2021
Contract DetailOPTUM PHARMACY 800, INC.3016 GUADALUPE ST STE A
AUSTINTX78705-286111/08/201901/01/2020  01/01/2020
Contract DetailOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508511/08/201901/01/2020  01/01/2020
Contract DetailOPTUM PHARMACY 805, INC1101 N CENTRAL AVE, STE 102
PHOENIXAZ85004-182901/22/202004/01/2020  04/01/2020
Contract DetailOPTUMRX2858 LOKER AVE E STE 100
CARLSBADCA92010-660801/22/202004/01/2020  04/01/2020
Contract DetailOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983810/13/202001/01/2021  01/01/2021
Contract DetailOREGON CVS PHARMACY, L.L.C.CVS PHARMACY # 16336 18101 NW EVERGREEN PKWY
BEAVERTONOR9700604/13/202207/01/2022  07/01/2022
Contract DetailPRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999211/08/201901/01/2020 05/13/202206/05/2022
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/12/202204/01/2022  04/01/2022
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #3129 1002 EAST MCDOWELL ROAD
PHOENIXAZ8500611/08/201901/01/2020  01/01/2020
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920301/19/202204/01/2022  04/01/2022
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523301/19/202204/01/2022  04/01/2022
Contract DetailSAFEWAY INCSAFEWAY PHARMACY #2651 340 E. MCDOWELL ROAD
PHOENIXAZ8500401/22/202004/01/2020  04/01/2020
Contract DetailSAFEWAY INCSAFEWAY PHARMACY #0174 520 WEST OSBORN ROAD
PHOENIXAZ8501301/22/202004/01/2020  04/01/2020
Contract DetailSAFEWAY INCSAFEWAY PHARMACY #1549 14696 N FRANK LLOYD WRIGHT BLV
SCOTTSDALEAZ8526001/22/202004/01/2020  04/01/2020
Contract DetailSAFEWAY INCSAFEWAY PHARMACY #1591 6202 S. 16TH STREET
PHOENIXAZ8504001/22/202004/01/2020  04/01/2020
Contract DetailSMITHS FOOD & DRUG CENTERSDBA FRYS FOOD & DRUG #10 4353 W BETHANY HOME ROAD
GLENDALEAZ8530101/22/202004/01/2020 10/05/202401/28/2025
Contract DetailSMITHS FOOD & DRUG CENTERSDBA FRYS FOOD & DRUG #623 1815 W. GLENDALE AVENUE
PHOENIXAZ8502101/22/202004/01/2020  04/01/2020
Contract DetailTAMPA FAMILY PHARMACY12470 TELECOM DR STE 110W
TEMPLE TERRACEFL3363711/08/201901/01/2020 01/28/202501/28/2025
Contract DetailTHE KROGER CO.FRY'S PHARMACY #128 744 W CAMELBACK ROAD
PHOENIXAZ8501301/22/202004/01/2020  04/01/2020
Contract DetailTHOMAS PHOENIX CVS, L.L.C.DBA: CVS/PHARMACY # 03625 8245 W. THOMAS RD.
PHOENIXAZ8503304/13/202207/01/2022  07/01/2022
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/18/202404/01/2024  04/01/2024
Contract DetailWAL-MART PHARMACY 10-21124915 NORTH PIMA ROAD
SCOTTSDALEAZ8525101/18/202404/01/2024  04/01/2024
Contract DetailWAL-MART PHARMACY 10-21131607 WEST BETHANY HOME RD
PHOENIXAZ8501501/18/202404/01/2024  04/01/2024
Contract DetailWAL-MART PHARMACY 10-2482857 N DOBSON
MESAAZ8520101/18/202404/01/2024  04/01/2024
Contract DetailWAL-MART PHARMACY 10-25121825 W BELL ROAD
PHOENIX (NORTH)AZ8502301/18/202404/01/2024  04/01/2024
Contract DetailWAL-MART PHARMACY 10-25153721 EAST THOMAS ROAD
PHOENIX (EAST)AZ8501801/18/202404/01/2024  04/01/2024
Contract DetailWAL-MART PHARMACY 10-276615355 NO. NORTHSIGHT BLVD
SCOTTSDALE (N)AZ8526001/18/202404/01/2024  04/01/2024
Contract DetailWAL-MART PHARMACY 10-38462725 E MCKELLIPS
MESAAZ8521301/18/202404/01/2024  04/01/2024
Contract DetailWAL-MART PHARMACY 10-53306145 NORTH 35TH AVENUE
PHOENIXAZ8501701/18/202404/01/2024  04/01/2024
Contract DetailWAL-MART PHARMACY 10-53691100 NORTH ESTRELLA PARKWAY
GOODYEARAZ8533801/18/202404/01/2024  04/01/2024
Contract DetailWAL-MART PHARMACY 10-542914111 N. PRASADA GATEWAY AVE
SURPRISEAZ8538801/18/202404/01/2024  04/01/2024
Contract DetailWAL-MART PHARMACY 10-583534399 CAVE CREEK ROAD
CAVE CREEKAZ8533101/18/202404/01/2024  04/01/2024
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/18/202404/01/2024  04/01/2024
Contract DetailWAL-MART PHARMACY 10-64779600 N. METRO PARKWAY W
PHOENIXAZ8505101/18/202404/01/2024  04/01/2024
Contract DetailWAL-MART PHARMACY 10-64803460 W CHANDLER BLVD
CHANDLERAZ8522601/18/202404/01/2024  04/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 05453 6501 E GREENWAY PKWY BLDG 1
SCOTTSDALEAZ8525411/08/201901/01/2020  01/01/2020
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 03177 7011 E. SHEA BLVD.
SCOTTSDALEAZ8525411/08/201901/01/2020  01/01/2020
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04507 15025 N THOMPSON PEAK PKWY
SCOTTSDALEAZ8526011/08/201901/01/2020  01/01/2020
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 03132 2415 E. UNION HILLS DRIVE
PHOENIXAZ85050-314611/08/201901/01/2020  01/01/2020
Contract DetailWALGREEN ARIZONA DRUG CO.WALGREENS SPECIALTY PHARMACY #16431 2302 N. CENTRAL AVE.
SUITE 7 		PHOENIXAZ8500411/08/201901/01/2020  01/01/2020
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 07018 6838 N 7TH STREET
PHOENIXAZ85014-101404/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06527 710 E CAMELBACK ROAD
PHOENIXAZ8501404/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 03769 1616 E. THOMAS
PHOENIXAZ8501604/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 03727 1919 N DOBSON RD
CHANDLERAZ8522404/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06535 2420 E BASELINE ROAD
PHOENIXAZ8504204/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 01272 5101 WEST INDIAN SCHOOL
PHOENIXAZ8503104/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 03163 3420 N. SCOTTSDALE RD
SCOTTSDALEAZ8525104/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 03464 3402 N CENTRAL AVE
PHOENIXAZ8501204/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02851 7000 N 16TH ST
PHOENIXAZ8502004/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 05893 705 EAST MCDOWELL RD
PHOENIXAZ8500604/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04228 5125 W. NORTHERN AVE.
GLENDALEAZ8530104/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 05775 8309 W GLENDALE AVE
GLENDALEAZ8530504/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 05504 4249 W GLENDALE AVE
PHOENIXAZ8505104/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 09179 5115 W BASELINE ROAD
LAVEENAZ8533904/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02771 1305 S GREENFIELD RD
MESAAZ8520604/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06806 17088 W BELL RD
SURPRISEAZ8537404/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 07933 15514 W WADDELL RD
SURPRISEAZ8537904/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 03657 3361 NORTH LITCHFIELD RD
GOODYEARAZ8539504/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06400 8030 N 19TH AVE
PHOENIXAZ85021-510104/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06063 1825 W BETHANY HOME RD
PHOENIXAZ85015-251204/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04139 3450 W. DUNLAP AVE
PHOENIXAZ8505104/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04722 4111 N 24TH STREET
PHOENIXAZ8501604/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06872 2930 N 67TH AVE
PHOENIXAZ8503304/15/202107/01/2021  07/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.WALGREENS CENTRAL FILL #21372 120 N 83RD AVE
STE 200 		TOLLESONAZ8535307/13/202110/01/2021  10/01/2021
Contract DetailWALGREEN ARIZONA DRUG CO.WALGREENS SPECIALTY PHARMACY #16500 1830 E. BROADWAY BLVD.
SUITE 136 		TUCSONAZ8571907/15/202210/01/2022  10/01/2022
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 03087 5625 E THOMAS RD
PHOENIXAZ8501801/21/202404/01/2024  04/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 16082 10602 N. 32ND STREET
PHOENIXAZ8502801/21/202404/01/2024  04/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04762 2435 E GREENWAY PKWY
PHOENIXAZ8503201/21/202404/01/2024  04/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 03593 2610 WEST THUNDERBIRD RD.
PHOENIXAZ8502301/21/202404/01/2024  04/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04951 4006 E BELL RD.
PHOENIXAZ8503201/21/202404/01/2024  04/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 07375 1840 W SOUTHERN AVE
PHOENIXAZ85041-463101/21/202404/01/2024  04/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 05938 4134 N 44TH ST
PHOENIXAZ8501801/21/202404/01/2024  04/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 06935 10 PARK RIDGE DRIVE
STEVENS POINTWI54481-434401/21/202404/01/2024  04/01/2024
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527511/08/201901/01/2020  01/01/2020
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700811/08/201901/01/2020 10/01/202110/12/2021
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818811/08/201901/01/2020  01/01/2020
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503311/08/201901/01/2020  01/01/2020
Contract DetailWALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275601/18/202404/01/2024  04/01/2024
Contract DetailWalmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/18/202404/01/2024  04/01/2024
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification5/27/2024 8:05:37 PM5/28/2025 12:31:47 PM5/28/2025 12:31 PM
DetailsGrant NumberUpdateChange Request1 NU62PS924550-01-006 NU62PS924818-01-014/25/2025 11:01 AM
DetailsNOFO NumberUpdateChange RequestPS18-1802PS24-00474/25/2025 11:01 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestPatel, Rishi President & CEO CAN Community Health, Inc. 9413660461-11127Patel, Rishi President & CEO CAN Community Health, Inc. 9413004440-111271/28/2025 7:30 PM
AddressesShipping AddressUpdateChange RequestCAN Community Health Pharmacy of Ft. Lauderdale 4101 NW 3rd Court Ste 9 Plantation, FL 33317CAN Community Health Pharmacy of Ft. Lauderdale 4101 NW 3rd Court Medical Plaza Ste 9 Plantation, FL 333171/28/2025 9:38 AM
AddressesShipping AddressUpdateChange RequestJTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy 4350 N 19th Ave. Ste 2 Phoenix, AZ 85015JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy 4244 N 19th Ave Phoenix, AZ 850159/13/2024 8:56 AM
AddressesBilling AddressUpdateGroup Change RequestCAN Community Health, Inc. 4440 Fruitville Rd SARASOTA, FL 34232CAN Community Health, Inc. 2105 N. Nebraska Ave. Tampa, FL 336026/20/2024 3:06 PM
DetailsLast Recertification DateUpdateRecertification5/17/2023 10:57:26 AM5/27/2024 8:05:37 PM5/27/2024 8:05 PM
AddressesShipping AddressUpdateChange RequestTampa Family Pharmacy 2919 W Swann Ave. Ste 101 Tampa, FL 33609Tampa Family Pharmacy 12470 Telecom Dr Ste 110W Temple Terrace, FL 3363712/11/2023 1:03 PM
DetailsLast Recertification DateUpdateRecertification6/5/2022 8:39:55 PM5/17/2023 10:57:26 AM5/17/2023 10:57 AM
AddressesShipping AddressInsertChange Request JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy 4350 N 19th Ave. Ste 2 Phoenix, AZ 850159/22/2022 11:02 AM
AddressesShipping AddressInsertChange Request JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy 2331 W Royal Palm Rd. Suite E Phoenix, AZ 850217/22/2022 8:14 AM
AddressesShipping AddressInsertChange Request Tampa Family Pharmacy 2919 W Swann Ave. Ste 101 Tampa, FL 336097/22/2022 8:14 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestPatel, Rishi Interim President & CEO CAN Community Health, Inc. 9413660461-11127Patel, Rishi President & CEO CAN Community Health, Inc. 9413660461-111277/5/2022 4:02 PM
DetailsLast Recertification DateUpdateRecertification6/4/2021 3:12:46 PM6/5/2022 8:39:55 PM6/5/2022 8:39 PM
ContactsPrimary ContactUpdateProfile Change RequestJoshi, Hemali VP Enterprise Systems & Pharmacy Analytics CAN Community Health, Inc. 9413004440-10161Joshi, Hemali SVP, Chief Data Officer CAN Community Health, Inc. 9413004440-101614/8/2022 1:34 PM
AddressesShipping AddressInsertGroup Change Request CAN Community Health Pharmacy of Arlington 603 Matlock Centre Cir Arlington, TX 7601510/13/2021 8:27 AM
ContactsPrimary ContactUpdateProfile Change RequestJoshi, Hemali VP Quality, Analytics & Pharmacy Operations CAN Community Health, Inc. 9413004440-10161Joshi, Hemali VP Enterprise Systems & Pharmacy Analytics CAN Community Health, Inc. 9413004440-1016110/6/2021 12:58 PM
ContactsAuthorizing OfficialUpdateChange RequestCarlisle, Richard E. President & CEO CAN Community Health, Inc. 9413660134-11111Patel, Rishi Interim President & CEO CAN Community Health, Inc. 9413660461-111276/23/2021 12:54 PM
ContactsPrimary ContactUpdateChange RequestPatel, Rishi Interim President & CEO CAN Community Health, Inc. 9413660461-11127Joshi, Hemali VP Quality, Analytics & Pharmacy Operations CAN Community Health, Inc. 9413004440-101616/23/2021 12:54 PM
ContactsPrimary ContactUpdateProfile Change RequestPatel, Rishi Executive Vice President & Chief Operating Officer CAN Community Health, Inc. 9413660461-11127Patel, Rishi Interim President & CEO CAN Community Health, Inc. 9413660461-111276/21/2021 12:48 PM
DetailsNature of Support: Support Received From DateUpdateRecertification 7/16/2019 12:00:00 AM6/4/2021 3:12 PM
DetailsLast Recertification DateUpdateRecertification5/29/2020 3:31:12 PM6/4/2021 3:12:46 PM6/4/2021 3:12 PM
DetailsNOFO NumberUpdateRecertification PS18-18026/4/2021 3:12 PM
ContactsPrimary ContactUpdateProfile Change RequestPatel, Rishi Senior Vice President of Pharmacy Services CAN Community Health, Inc. 9413660461-11127Patel, Rishi Executive Vice President & Chief Operating Officer CAN Community Health, Inc. 9413660461-1112710/1/2020 3:09 PM
AddressesShipping AddressInsertChange Request CAN Community Health Pharmacy of Clearwater 2349 Sunset Point Road Ste 404 Clearwater, FL 337659/23/2020 3:54 PM
AddressesShipping AddressInsertChange Request CAN Community Health Pharmacy of Jacksonville 4615 Philips Hwy Ste 3 Jacksonville, FL 322079/23/2020 3:54 PM
AddressesShipping AddressInsertChange Request CAN Community Health Pharmacy of Ft. Lauderdale 4101 NW 3rd Court Ste 9 Plantation, FL 333179/23/2020 3:54 PM
DetailsLast Recertification DateUpdateRecertification 5/29/2020 3:31:12 PM5/29/2020 3:31 PM
DetailsStateUpdate ApprovedActive1/1/2020 12:04 AM
ContactsSigned ByInsertNew Registration Carlisle, Richard E. President & CEO CAN Community Health, Inc. 9413660134-1111111/8/2019 10:54 AM
Details340B IDUpdateNew Registration STD85015311/8/2019 10:54 AM
DatesParticipating Approval DateUpdateNew Registration 11/8/2019 10:54:03 AM11/8/2019 10:54 AM
DetailsStateUpdateNew RegistrationPendingApproved11/8/2019 10:54 AM
DatesSigned By DateUpdateNew Registration 11/6/2019 5:25:48 PM11/8/2019 10:54 AM
DatesStart DateUpdateNew Registration 1/1/2020 12:00:00 AM11/8/2019 10:54 AM
AddressesMain AddressInsertNew Registration  4350 N 19th Avenue Suite 6 Phoenix, AZ 8501510/15/2019 4:39 PM
AddressesBilling AddressInsertNew Registration CAN Community Health, Inc. 4440 Fruitville Rd SARASOTA, FL 3423210/15/2019 4:39 PM
DetailsNature Of SupportInsertNew Registration Direct Funding (dollars received from CDC or an intermediate organization)10/15/2019 4:39 PM
ContactsPrimary ContactInsertNew Registration Patel, Rishi Senior Vice President of Pharmacy Services CAN Community Health, Inc. 9413660461-1112710/15/2019 4:39 PM
ContactsAuthorizing OfficialInsertNew Registration Carlisle, Richard E. President & CEO CAN Community Health, Inc. 9413660134-1111110/15/2019 4:39 PM
DetailsLast Recertification DateInsertNew Registration  10/15/2019 4:39 PM
DetailsGrant NumberInsertNew Registration 1 NU62PS924550-01-0010/15/2019 4:39 PM
Details340B IDInsertNew Registration  10/15/2019 4:39 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  10/15/2019 4:39 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  10/15/2019 4:39 PM
DetailsMedicare Provider NumberInsertNew Registration  10/15/2019 4:39 PM
DetailsEntity NameInsertNew Registration CAN Community Health, Inc.10/15/2019 4:39 PM
DetailsProgram CodeInsertNew Registration STD10/15/2019 4:39 PM
DetailsEntity SubnameInsertNew Registration AZ Suite 610/15/2019 4:39 PM
DatesParticipating Approval DateInsertNew Registration  10/15/2019 4:39 PM
DetailsStateInsertNew Registration Pending10/15/2019 4:39 PM
DatesRegistration DateInsertNew Registration 10/15/2019 4:39:03 PM10/15/2019 4:39 PM
DatesSigned By DateInsertNew Registration  10/15/2019 4:39 PM
DatesStart DateInsertNew Registration  10/15/2019 4:39 PM
TerminationsTermination CommentsInsertNew Registration  10/15/2019 4:39 PM
TerminationsTermination DateInsertNew Registration  10/15/2019 4:39 PM
TerminationsTermination Effective DateInsertNew Registration  10/15/2019 4:39 PM
TerminationsTermination ReasonInsertNew Registration  10/15/2019 4:39 PM