No
CHC28978-00 | ALTO PHARMACY, LLC | DBA ALTO PHARMACY |
1400 TENNESSEE ST UNIT 2
| SAN FRANCISCO | CA | 94107-3421 | 07/01/2018 | | |
CHC28978-00 | GARFIELD BEACH CVS, L.L.C. | DBA CVS/PHARMACY #10189 |
1285 SUTTER ST
| SAN FRANCISCO | CA | 94109 | 10/01/2020 | | 07/17/2020 |
CHC28978-00 | GARFIELD BEACH CVS, L.L.C. | DBA CVS/PHARMACY # 2852 |
731 MARKET ST.
| SAN FRANCISCO | CA | 94103 | 10/01/2020 | | |
CHC28978-00 | GARFIELD BEACH CVS, L.L.C. | CVS/PHARMACY # 17709 |
233 WINSTON DRIVE
| SAN FRANCISCO | CA | 94132 | 10/01/2020 | | |
CHC28978-00 | GARFIELD BEACH CVS, L.L.C. | DBA CVS/PHARMACY #10622 |
995 MARKET STREET
| SAN FRANCISCO | CA | 94103 | 10/01/2020 | | 07/17/2020 |
CHC28978-00 | GARFIELD BEACH CVS, L.L.C. | DBA CVS/PHARMACY #5131 |
1900 19TH AVENUE
| SAN FRANCISCO | CA | 94116 | 10/01/2020 | | |
CHC28978-00 | GARFIELD BEACH CVS, L.L.C. | DBA CVS/PHARMACY #4770 |
1101 MARKET STREET
| SAN FRANCISCO | CA | 94103 | 10/01/2020 | | 07/17/2020 |
CHC28978-00 | GARFIELD BEACH CVS, L.L.C. | DBA CVS/PHARMACY #10188 |
499 HAIGHT STREET
| SAN FRANCISCO | CA | 94117 | 10/01/2020 | | |
CHC28978-00 | GARFIELD BEACH CVS, L.L.C. | CVS PHARMACY # 16764 |
15555 E 14TH ST STE 400
| SAN LEANDRO | CA | 94578 | 10/01/2020 | | |
CHC28978-00 | GARFIELD BEACH CVS, L.L.C. | CVS PHARMACY # 17673 |
2187 SHATTUCK AVE
| BERKELEY | CA | 94704 | 10/01/2020 | | |
CHC28978-00 | GARFIELD BEACH CVS, L.L.C. | CVS/PHARMACY# 1983 |
701 PORTOLA DR
| SAN FRANCISCO | CA | 94127 | 10/01/2020 | | |
CHC28978-00 | GARFIELD BEACH CVS, L.L.C. | DBA CVS/PHARMACY #10330 |
3600 GEARY BLVD
| SAN FRANCISCO | CA | 94118 | 10/01/2020 | | |
CHC28978-00 | GARFIELD BEACH CVS, L.L.C. | CVS/PHARMACY # 10035 |
581 MARKET ST
| SAN FRANCISCO | CA | 94105 | 10/01/2020 | | |
CHC28978-00 | GARFIELD BEACH CVS, L.L.C. | DBA CVS/PHARMACY # 4675 |
377 32ND AVENUE
| SAN FRANCISCO | CA | 94121 | 10/01/2020 | | |
CHC28978-00 | GARFIELD BEACH CVS, L.L.C. | DBA CVS/PHARMACY #10368 |
400 SUTTER ST.
| SAN FRANCISCO | CA | 94108 | 10/01/2020 | | |
CHC28978-00 | GARFIELD BEACH CVS, L.L.C. | CVS/PHARMACY # 17757 |
1690 FOLSOM ST
| SAN FRANCISCO | CA | 94103 | 10/01/2020 | | |
CHC28978-00 | LONGS DRUG STORES CALIFORNIA, L.L.C. | DBA: CVS/PHARMACY # 09349 |
347 E ALISAL ST
| SALINAS | CA | 93901 | 10/01/2020 | | |
CHC28978-00 | LONGS DRUG STORES CALIFORNIA, L.L.C. | DBA: CVS/PHARMACY # 09216 |
60 CABRILLO HWY N
| HALF MOON BAY | CA | 94019 | 10/01/2020 | | |
CHC28978-00 | LONGS DRUG STORES CALIFORNIA, L.L.C. | DBA: CVS/PHARMACY # 03078 |
2151 MEEKER AVE
| RICHMOND | CA | 94804 | 10/01/2020 | | |
CHC28978-00 | LONGS DRUG STORES CALIFORNIA, L.L.C. | DBA: CVS/PHARMACY # 09879 |
987 E HILLSDALE BLVD
| FOSTER CITY | CA | 94404 | 10/01/2020 | | |
CHC28978-00 | LONGS DRUG STORES CALIFORNIA, L.L.C. | DBA: CVS/PHARMACY # 01173 |
455 CENTER ST
| HEALDSBURG | CA | 95448 | 10/01/2020 | | |
CHC28978-00 | LONGS DRUG STORES CALIFORNIA, L.L.C. | DBA: CVS/PHARMACY # 09635 |
1550 EAST 14TH STREET
| SAN LEANDRO | CA | 94577 | 10/01/2020 | | |
CHC28978-00 | PROCARE PHARMACY, L.L.C. | DBA CVS/PHARMACY |
445 CASTRO STREET
| SAN FRANCISCO | CA | 94114 | 10/01/2020 | | |
CHC28978-00 | SCRIPTSITE PHARMACY | 870 MARKET ST STE 1028 |
| SAN FRANCISCO | CA | 94102-2914 | 07/01/2018 | | |
CHC28978-00 | WALGREEN CO | DBA: WALGREENS #10044 |
45 CASTRO ST SUITE 124
| SAN FRANCISCO | CA | 94114 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 01327 |
498 CASTRO ST
| SAN FRANCISCO | CA | 94114 | 01/01/2017 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 02153 |
790 VAN NESS AVE
| SAN FRANCISCO | CA | 94102 | 01/01/2017 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 04609 |
1301 MARKET STREET
| SAN FRANCISCO | CA | 94103 | 01/01/2017 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS #13583 |
901 HYDE STREET
| SAN FRANCISCO | CA | 94109 | 01/01/2017 | | 07/16/2019 |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 01126 |
1979 MISSION STREET
| SAN FRANCISCO | CA | 94103 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 01297 |
670 FOURTH STREET
| SAN FRANCISCO | CA | 94107 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 00887 |
1524 POLK STREET
| SAN FRANCISCO | CA | 94109 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 02244 |
3801 3RD STREET, SUITE 550
| SAN FRANCISCO | CA | 94124 | 04/01/2019 | | 07/22/2019 |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS #00890 |
135 POWELL STREET
| SAN FRANCISCO | CA | 94102 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 01626 |
2494 SAN BRUNO AVE
| SAN FRANCISCO | CA | 94134 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS #13668 |
1496 MARKET STREET
| SAN FRANCISCO | CA | 94102 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 03711 |
1189 POTRERO AVE
| SAN FRANCISCO | CA | 94110 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 06557 |
199 PARNASSUS
| SAN FRANCISCO | CA | 94117-4260 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 07150 |
965 GENEVA AVE
| SAN FRANCISCO | CA | 94112 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA WALGREENS SPECIALTY PHARMACY #15296 |
2262 MARKET ST
| SAN FRANCISCO | CA | 94114 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 04231 |
2690 MISSION ST
| SAN FRANCISCO | CA | 94110 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 04529 |
2145 MARKET STREET
| SAN FRANCISCO | CA | 94114 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS #13666 |
1300 BUSH STREET
| SAN FRANCISCO | CA | 94109 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 03185 |
825 MARKET STREET
| SAN FRANCISCO | CA | 94103 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 06291 |
116 NEW MONTGOMERY ST
| SAN FRANCISCO | CA | 94105 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS #15331 |
500 PARNASSUS AVENUE
LEVEL J, ROOM MU-145
| SAN FRANCISCO | CA | 94143 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 03711 |
1189 POTRERO AVE
| SAN FRANCISCO | CA | 94110 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA: WALGREENS # 04558 |
300 GOUGH STREET
| SAN FRANCISCO | CA | 94102 | 04/01/2019 | | |
CHC28978-00 | WALGREEN CO. | DBA WALGREENS SPECIALTY PHARMACY #04318 |
4129 18TH STREET
| SAN FRANCISCO | CA | 94114 | 07/01/2019 | | |
Contacts | Primary Contact | Update | Change Request | OTIBRIBI, NANA
CLINIC NURSE MANAGER
San Francisco community Health Clinic
4159302263 | O'Neill, Daniel
Chief Medical Officer
Asian and Pacific Islander Wellness Center, Inc.
4152923400 | 3/12/2025 6:36 AM |
Details | Last Recertification Date | Update | Recertification | 2/14/2024 2:10:19 PM | 3/10/2025 6:04:48 PM | 3/10/2025 6:04 PM |
Contacts | Primary Contact | Update | AO Change Request | Franza, Kate
Director of Clinic Operations and QI
San Francisco Community Health Center
4152923420 | OTIBRIBI, NANA
CLINIC NURSE MANAGER
San Francisco community Health Clinic
4159302263 | 2/13/2025 6:48 AM |
Details | Last Recertification Date | Update | Recertification | 2/27/2023 7:54:59 PM | 2/14/2024 2:10:19 PM | 2/14/2024 2:10 PM |
Details | Last Recertification Date | Update | Recertification | 2/2/2022 5:41:25 PM | 2/27/2023 7:54:59 PM | 2/27/2023 7:54 PM |
Details | Last Recertification Date | Update | Recertification | 2/22/2021 1:04:16 PM | 2/2/2022 5:41:25 PM | 2/2/2022 5:41 PM |
Medicaid Billing | NPI: Number | Delete | Recertification | 1376798413 ( ) | | 2/22/2021 1:04 PM |
Details | Last Recertification Date | Update | Recertification | | 2/22/2021 1:04:16 PM | 2/22/2021 1:04 PM |
Contacts | Authorizing Official | Update | AO Change Request | Toma, Lance
CEO
San Francisco Community Health Center
4152923420 | Gunhouse-Vigil, Kristina
Associate Director of Contracts and Compliance
Asian and Pacific Islander Wellness Center, Inc.
4152923400-325 | 2/22/2021 12:45 PM |
Details | State | Update | | Approved | Active | 4/1/2020 12:05 AM |
Contacts | Signed By | Insert | New Registration | | Toma, Lance
CEO
San Francisco Community Health Center
4152923420 | 1/8/2020 7:51 AM |
Details | 340B ID | Update | New Registration | | CHC28978-01 | 1/8/2020 7:51 AM |
Dates | Participating Approval Date | Update | New Registration | | 1/8/2020 7:51:16 AM | 1/8/2020 7:51 AM |
Details | State | Update | New Registration | Pending | Approved | 1/8/2020 7:51 AM |
Dates | Signed By Date | Update | New Registration | | 1/7/2020 5:14:55 PM | 1/8/2020 7:51 AM |
Dates | Start Date | Update | New Registration | | 4/1/2020 12:00:00 AM | 1/8/2020 7:51 AM |
Addresses | Main Address | Insert | New Registration | |
1800 Market St Ste 401
San Francisco, CA 94102-6227 | 1/7/2020 4:37 PM |
Medicaid Billing | NPI: Number | Insert | New Registration | | 1376798413 | 1/7/2020 4:37 PM |
Contacts | Primary Contact | Insert | New Registration | | Franza, Kate
Director of Clinic Operations and QI
San Francisco Community Health Center
4152923420 | 1/7/2020 4:37 PM |
Contacts | Authorizing Official | Insert | New Registration | | Toma, Lance
CEO
San Francisco Community Health Center
4152923420 | 1/7/2020 4:37 PM |
Details | Last Recertification Date | Insert | New Registration | | | 1/7/2020 4:37 PM |
Details | Grant Number | Insert | New Registration | | H80CS28978 | 1/7/2020 4:37 PM |
Details | 340B ID | Insert | New Registration | | | 1/7/2020 4:37 PM |
Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 1/7/2020 4:37 PM |
Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 1/7/2020 4:37 PM |
Details | Medicare Provider Number | Insert | New Registration | | | 1/7/2020 4:37 PM |
Details | Entity Name | Insert | New Registration | | ASIAN AND PACIFIC ISLANDER WELLNESS CENTER, INC. | 1/7/2020 4:37 PM |
Details | Program Code | Insert | New Registration | | CH | 1/7/2020 4:37 PM |
Details | Entity Subname | Insert | New Registration | | API Wellness at San Francisco LGBT Center | 1/7/2020 4:37 PM |
Dates | Participating Approval Date | Insert | New Registration | | | 1/7/2020 4:37 PM |
Details | State | Insert | New Registration | | Pending | 1/7/2020 4:37 PM |
Dates | Registration Date | Insert | New Registration | | 1/7/2020 4:37:40 PM | 1/7/2020 4:37 PM |
Dates | Signed By Date | Insert | New Registration | | | 1/7/2020 4:37 PM |
Dates | Start Date | Insert | New Registration | | | 1/7/2020 4:37 PM |
Terminations | Termination Comments | Insert | New Registration | | | 1/7/2020 4:37 PM |
Terminations | Termination Date | Insert | New Registration | | | 1/7/2020 4:37 PM |
Terminations | Termination Effective Date | Insert | New Registration | | | 1/7/2020 4:37 PM |
Terminations | Termination Reason | Insert | New Registration | | | 1/7/2020 4:37 PM |