340B Drug Pricing Program Database


CH09067N North East Medical Services (Active) - information as of 5/14/2025 10:54:18 PM

Main Details
North East Medical Services
NEMS Traditional Medicine Center - Suite 503
HRSA-Funded Health Center
BPS-H80-027743
CH09067N
H80CS00221


Additional Details
Active
10/28/2019
1/1/2020
10/29/2019
2/25/2025

Contacts

NORTH EAST MEDICAL SERVICES
EDDIE W. CHAN, PRESIDENT AND CEO
(415) 391-9686 Ext: 5905

nems
BEVERLEY CHAN, PHARMACY DIRECTOR
(415) 391-9686 Ext: 5731

Addresses

728 Pacific Ave
STE 503
San Francisco, CA 94133-4449

NORTH EAST MEDICAL SERVICES
2171 Junipero Serra Blvd
Attn: Pharmacy Department
Suite 260
Daly City, CA 94014


  • 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
CA1891254603,1518911304,1992747109,1013241199,1902128648,1013339977,1396169793,1982064549,1578211504,12056938271891254603,1518911304,1992747109,1013241199,1902128648,1013339977,1396169793,1982064549,1578211504,1205693827
Shipping Addresses

NEMS Traditional Medicine Center - Suite 503
728 Pacific Ave
STE 503
San Francisco, CA 94133-4449

NORTH EAST MEDICAL SERVICES
1520 STOCKTON STREET
ATTN: PHARMACY
San Francisco, CA 94133-3354

NEMS Integrative Medicine
728 Pacific Ave Ste 303
San Francisco, CA 94133

North East Medical Services
728 Pacific Ave Ste 115
Attn: NEMS Pacific Pharmacy
San Francisco, CA 94133
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH090670ActiveBPS-H80-005605NORTH EAST MEDICAL SERVICESNORTH EAST MEDICAL SERVICES1520 Stockton St San FranciscoCA
CH09067AActiveBPS-H80-009132NORTH EAST MEDICAL SERVICESNorth East Medical Services - San Bruno Avenue2574 San Bruno Ave San FranciscoCA
CH09067AAActiveBPS-H80-038686NORTH EAST MEDICAL SERVICESNEMS Integrative Medicine728 Pacific Ave, Ste 303 San FranciscoCA
CH09067ABActiveBPS-H80-038881NORTH EAST MEDICAL SERVICESNorth East Medical Services - Sullivan Suite 1901850 Sullivan Ave, Ste 190 Daly CityCA
CH09067ACActiveBPS-H80-039814NORTH EAST MEDICAL SERVICESNorth East Medical Services - Las Vegas5580 W Flamingo Rd, Ste 105 Las VegasNV
CH09067BTerminatedBPS-H80-009158NORTH EAST MEDICAL SERVICESNORTH EAST MEDICAL SERVICES - LUNDY1715 LUNDY AVE STE 108-116 SAN JOSECA
CH09067CActiveBPS-H80-008688NORTH EAST MEDICAL SERVICESNORTH EAST MEDICAL SERVICES - NORIEGA1450 Noriega St San FranciscoCA
CH09067DActiveBPS-H80-002962NORTH EAST MEDICAL SERVICESNORTH EAST MEDICAL SERVICES - LELAND82 LELAND AVE SAN FRANCISCOCA
CH09067EActiveBPS-H80-005398NORTH EAST MEDICAL SERVICESNORTH EAST MEDICAL SERVICES - 2308 TARAVAL2308 TARAVAL ST SAN FRANCISCOCA
CH09067FActiveBPS-H80-009426NORTH EAST MEDICAL SERVICESNorth East Medical Services - Eastmoor211 Eastmoor Ave Daly CityCA
CH09067GActiveBPS-H80-012129NORTH EAST MEDICAL SERVICESNORTH EAST MEDICAL SERVICES - CLEMENT1019-1033 Clement Street San FranciscoCA
CH09067HActiveBPS-H80-012240NORTH EAST MEDICAL SERVICESNORTH EAST MEDICAL SERVICES - 1400 NORIEGA1400 Noriega St San FranciscoCA
CH09067JActiveBPS-H80-013448NORTH EAST MEDICAL SERVICESNORTH EAST MEDICAL SERVICES - 1870 LUNDY1870 Lundy Ave San JoseCA
CH09067KActiveBPS-H80-019315NORTH EAST MEDICAL SERVICESNORTH EAST MEDICAL SERVICES - PACIFIC728 Pacific Ave San FranciscoCA
CH09067LTerminatedBPS-H80-019758NORTH EAST MEDICAL SERVICESNORTH EAST MEDICAL SERVICES - ELLIS518 Ellis St San FranciscoCA
CH09067MActiveBPS-H80-015071North East Medical ServicesNEMS SUNSET ENROLLMENT SERVICE CENTER AND RADIOLOGY1422 Noriega St San FranciscoCA
CH09067NActiveBPS-H80-027743North East Medical ServicesNEMS Traditional Medicine Center - Suite 503728 Pacific Ave San FranciscoCA
CH09067PActiveBPS-H80-027742North East Medical ServicesNEMS Traditional Medicine Center - Suite 403728 Pacific Ave San FranciscoCA
CH09067QActiveBPS-H80-027906North East Medical ServicesNORTH EAST MEDICAL SERVICES - TARAVAL STREET3431 Taraval St San FranciscoCA
CH09067RActiveBPS-H80-030236North East Medical ServicesNORTH EAST MEDICAL SERVICES - OCEAN1443 Ocean Ave San FranciscoCA
CH09067SActiveBPS-H80-030574North East Medical ServicesNORTH EAST MEDICAL SERVICES - POLK650 Polk St San FranciscoCA
CH09067TActiveBPS-H80-031695North East Medical ServicesNORTH EAST MEDICAL SERVICES - 2633 SAN BRUNO2633 San Bruno Ave San FranciscoCA
CH09067UTerminatedBPS-H80-034423North East Medical ServicesNorth East Medical Services - Pacific Pharmacy728 Pacific Ave STE 114-115 San FranciscoCA
CH09067VActiveBPS-H80-038196North East Medical ServicesNorth East Medical Services - Medical Oncology728 Pacific Ave San FranciscoCA
CH09067WActiveBPS-H80-035750North East Medical ServicesNorth East Medical Services – 1798 19th Avenue1798 19th Ave San FranciscoCA
CH09067XActiveBPS-H80-036159North East Medical ServicesNorth East Medical Services - Sullivan Suite 1501850 Sullivan Avenue Daly CityCA
CH09067YActiveBPS-H80-036437North East Medical ServicesNORTH EAST MEDICAL SERVICES - 1430 NORIEGA1430 Noriega St San FranciscoCA
CH09067ZActiveBPS-H80-037757North East Medical ServicesNORTH EAST MEDICAL SERVICES - 1430 TARAVAL1430 Taraval St San FranciscoCA
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesShipping AddressDeleteRecertificationNORTH EAST MEDICAL SERVICES 1520 STOCKTON STREET ATTN: PHARMACY ATTN: PHARMACY, CA 94133-3354 2/25/2025 10:24 AM
AddressesShipping AddressInsertRecertification NORTH EAST MEDICAL SERVICES 1520 STOCKTON STREET ATTN: PHARMACY San Francisco, CA 94133-33542/25/2025 10:24 AM
AddressesShipping AddressInsertRecertification NEMS Integrative Medicine 728 Pacific Ave Ste 303 San Francisco, CA 941332/25/2025 10:24 AM
AddressesShipping AddressInsertRecertification North East Medical Services 728 Pacific Ave Ste 115 Attn: NEMS Pacific Pharmacy San Francisco, CA 941332/25/2025 10:24 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/25/2025 10:24 AM
Medicaid BillingMedicaid: NumberInsertRecertification 12056938272/25/2025 10:24 AM
Medicaid BillingMedicaid: StateInsertRecertification CA2/25/2025 10:24 AM
Medicaid BillingNPI: NumberInsertRecertification 12056938272/25/2025 10:24 AM
Medicaid BillingNPI: StateInsertRecertification CA2/25/2025 10:24 AM
DetailsLast Recertification DateUpdateRecertification2/21/2024 5:15:57 PM2/25/2025 10:24:46 AM2/25/2025 10:24 AM
AddressesBilling AddressUpdateGroup Change RequestNORTH EAST MEDICAL SERVICES 1520 STOCKTON STREET ATTN: PHARMACY SAN FRANCISCO, CA 94133-3354NORTH EAST MEDICAL SERVICES 2171 Junipero Serra Blvd Attn: Pharmacy Department Suite 260 Daly City, CA 940142/21/2024 6:19 PM
DetailsLast Recertification DateUpdateRecertification2/21/2023 3:27:53 PM2/21/2024 5:15:57 PM2/21/2024 5:15 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/21/2023 3:27 PM
Medicaid BillingMedicaid: NumberInsertRecertification 15782115042/21/2023 3:27 PM
Medicaid BillingMedicaid: StateInsertRecertification CA2/21/2023 3:27 PM
Medicaid BillingNPI: NumberInsertRecertification 15782115042/21/2023 3:27 PM
Medicaid BillingNPI: StateInsertRecertification CA2/21/2023 3:27 PM
DetailsLast Recertification DateUpdateRecertification2/15/2022 12:57:32 PM2/21/2023 3:27:53 PM2/21/2023 3:27 PM
DetailsLast Recertification DateUpdateRecertification2/26/2021 5:42:54 PM2/15/2022 12:57:32 PM2/15/2022 12:57 PM
Medicaid BillingNPI: StateUpdateRecertification CA2/26/2021 5:42 PM
Medicaid BillingNPI: StateUpdateRecertification CA2/26/2021 5:42 PM
Medicaid BillingNPI: StateUpdateRecertification CA2/26/2021 5:42 PM
Medicaid BillingNPI: StateUpdateRecertification CA2/26/2021 5:42 PM
Medicaid BillingNPI: StateUpdateRecertification CA2/26/2021 5:42 PM
Medicaid BillingNPI: StateUpdateRecertification CA2/26/2021 5:42 PM
Medicaid BillingNPI: StateUpdateRecertification CA2/26/2021 5:42 PM
Medicaid BillingNPI: StateUpdateRecertification CA2/26/2021 5:42 PM
DetailsLast Recertification DateUpdateRecertification2/12/2020 2:31:23 PM2/26/2021 5:42:54 PM2/26/2021 5:42 PM
ContactsAuthorizing OfficialUpdateNew RegistrationCHAN, EDDIE W. PRESIDENT AND CEO NORTH EAST MEDICAL SERVICES 4153919686CHAN, EDDIE W. PRESIDENT AND CEO NORTH EAST MEDICAL SERVICES 4153919686-59056/5/2020 7:39 PM
ContactsSigned ByUpdateNew RegistrationCHAN, EDDIE W. PRESIDENT AND CEO NORTH EAST MEDICAL SERVICES 4153919686CHAN, EDDIE W. PRESIDENT AND CEO NORTH EAST MEDICAL SERVICES 4153919686-59056/5/2020 7:39 PM
AddressesMain AddressUpdateRecertification 728 Pacific Ave STE 503 San Francisco, CA 94133-4449 728 Pacific Ave STE 503 San Francisco, CA 94133-44492/12/2020 2:31 PM
AddressesShipping AddressInsertRecertification NEMS Traditional Medicine Center - Suite 503 728 Pacific Ave STE 503 San Francisco, CA 94133-44492/12/2020 2:31 PM
AddressesShipping AddressInsertRecertification NORTH EAST MEDICAL SERVICES 1520 STOCKTON STREET ATTN: PHARMACY ATTN: PHARMACY, CA 94133-33542/12/2020 2:31 PM
DetailsLast Recertification DateUpdateRecertification 2/12/2020 2:31:23 PM2/12/2020 2:31 PM
DetailsStateUpdate ApprovedActive1/1/2020 12:04 AM
ContactsSigned ByInsertNew Registration CHAN, EDDIE W. PRESIDENT AND CEO NORTH EAST MEDICAL SERVICES 415391968610/29/2019 8:21 AM
Details340B IDUpdateNew Registration CH09067N10/29/2019 8:21 AM
DatesParticipating Approval DateUpdateNew Registration 10/29/2019 8:21:16 AM10/29/2019 8:21 AM
DetailsStateUpdateNew RegistrationPendingApproved10/29/2019 8:21 AM
DatesSigned By DateUpdateNew Registration 10/28/2019 6:04:45 PM10/29/2019 8:21 AM
DatesStart DateUpdateNew Registration 1/1/2020 12:00:00 AM10/29/2019 8:21 AM
AddressesMain AddressInsertNew Registration  728 Pacific Ave STE 503 San Francisco, CA 94133-444910/28/2019 6:04 PM
AddressesBilling AddressInsertNew Registration NORTH EAST MEDICAL SERVICES 1520 STOCKTON STREET ATTN: PHARMACY SAN FRANCISCO, CA 94133-335410/28/2019 6:04 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False10/28/2019 6:04 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 189125460310/28/2019 6:04 PM
Medicaid BillingMedicaid: StateInsertNew Registration CA10/28/2019 6:04 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False10/28/2019 6:04 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 151891130410/28/2019 6:04 PM
Medicaid BillingMedicaid: StateInsertNew Registration CA10/28/2019 6:04 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False10/28/2019 6:04 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 199274710910/28/2019 6:04 PM
Medicaid BillingMedicaid: StateInsertNew Registration CA10/28/2019 6:04 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False10/28/2019 6:04 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 101324119910/28/2019 6:04 PM
Medicaid BillingMedicaid: StateInsertNew Registration CA10/28/2019 6:04 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False10/28/2019 6:04 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 190212864810/28/2019 6:04 PM
Medicaid BillingMedicaid: StateInsertNew Registration CA10/28/2019 6:04 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False10/28/2019 6:04 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 101333997710/28/2019 6:04 PM
Medicaid BillingMedicaid: StateInsertNew Registration CA10/28/2019 6:04 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False10/28/2019 6:04 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 139616979310/28/2019 6:04 PM
Medicaid BillingMedicaid: StateInsertNew Registration CA10/28/2019 6:04 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False10/28/2019 6:04 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 198206454910/28/2019 6:04 PM
Medicaid BillingMedicaid: StateInsertNew Registration CA10/28/2019 6:04 PM
Medicaid BillingNPI: NumberInsertNew Registration 189125460310/28/2019 6:04 PM
Medicaid BillingNPI: NumberInsertNew Registration 151891130410/28/2019 6:04 PM
Medicaid BillingNPI: NumberInsertNew Registration 199274710910/28/2019 6:04 PM
Medicaid BillingNPI: NumberInsertNew Registration 101324119910/28/2019 6:04 PM
Medicaid BillingNPI: NumberInsertNew Registration 190212864810/28/2019 6:04 PM
Medicaid BillingNPI: NumberInsertNew Registration 101333997710/28/2019 6:04 PM
Medicaid BillingNPI: NumberInsertNew Registration 139616979310/28/2019 6:04 PM
Medicaid BillingNPI: NumberInsertNew Registration 198206454910/28/2019 6:04 PM
ContactsPrimary ContactInsertNew Registration CHAN, BEVERLEY PHARMACY DIRECTOR nems 4153919686-573110/28/2019 6:04 PM
ContactsAuthorizing OfficialInsertNew Registration CHAN, EDDIE W. PRESIDENT AND CEO NORTH EAST MEDICAL SERVICES 415391968610/28/2019 6:04 PM
DetailsLast Recertification DateInsertNew Registration  10/28/2019 6:04 PM
DetailsGrant NumberInsertNew Registration H80CS0022110/28/2019 6:04 PM
Details340B IDInsertNew Registration  10/28/2019 6:04 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  10/28/2019 6:04 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  10/28/2019 6:04 PM
DetailsMedicare Provider NumberInsertNew Registration  10/28/2019 6:04 PM
DetailsEntity NameInsertNew Registration North East Medical Services10/28/2019 6:04 PM
DetailsProgram CodeInsertNew Registration CH10/28/2019 6:04 PM
DetailsEntity SubnameInsertNew Registration NEMS Traditional Medicine Center - Suite 50310/28/2019 6:04 PM
DatesParticipating Approval DateInsertNew Registration  10/28/2019 6:04 PM
DetailsStateInsertNew Registration Pending10/28/2019 6:04 PM
DatesRegistration DateInsertNew Registration 10/28/2019 6:04:43 PM10/28/2019 6:04 PM
DatesSigned By DateInsertNew Registration  10/28/2019 6:04 PM
DatesStart DateInsertNew Registration  10/28/2019 6:04 PM
TerminationsTermination CommentsInsertNew Registration  10/28/2019 6:04 PM
TerminationsTermination DateInsertNew Registration  10/28/2019 6:04 PM
TerminationsTermination Effective DateInsertNew Registration  10/28/2019 6:04 PM
TerminationsTermination ReasonInsertNew Registration  10/28/2019 6:04 PM