340B Drug Pricing Program Database


CHC26512-05 PREFERRED FAMILY HEALTHCARE, INCORPORATED (Active) - information as of 5/10/2025 11:00:44 PM

Main Details
PREFERRED FAMILY HEALTHCARE, INCORPORATED
Clarity Healthcare
HRSA-Funded Health Center
BPS-H80-022117
CHC26512-05
H80CS26512


Additional Details
Active
4/14/2020
7/1/2020
4/20/2020
2/10/2025

Contacts

Preferred Family Healthcare
amanda wosman, VP CHC
(573) 231-2384

Adult and Child Health
Dhvani Derasari, 340B Program Manager
(682) 559-8205

Addresses

1 Healthcare Pl
Bowling Green, MO 63334-3602

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

No
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC26512-00TerminatedBPS-H80-012931PREFERRED FAMILY HEALTHCARE, INCORPORATEDPreferred Family Healthcare4355 Paris Gravel Rd. HannibalMO
CHC26512-01ActiveBPS-H80-013908PREFERRED FAMILY HEALTHCARE, INCORPORATEDPreferred Family Healthcare dba Clarity Healthcare141 COMMUNICATION DR HANNIBALMO
CHC26512-02ActiveBPS-H80-015455PREFERRED FAMILY HEALTHCARE, INCORPORATEDQuincy Senior and Family Resource Center639 YORK ST QUINCYIL
CHC26512-03ActiveBPS-H80-015459PREFERRED FAMILY HEALTHCARE, INCORPORATEDQuincy Housing Authority540 HARRISON ST QUINCYIL
CHC26512-04ActiveBPS-H80-020917PREFERRED FAMILY HEALTHCARE, INCORPORATEDClarity Healthcare4600 McMasters Avenue HannibalMO
CHC26512-05ActiveBPS-H80-022117PREFERRED FAMILY HEALTHCARE, INCORPORATEDClarity Healthcare1 Healthcare Pl Bowling GreenMO
CHC26512-06ActiveBPS-H80-029444PREFERRED FAMILY HEALTHCARE, INCORPORATEDClarity Healthcare1625 Gratz Brown St MoberlyMO
CHC26512-07TerminatedBPS-H80-024837PREFERRED FAMILY HEALTHCARE, INCORPORATEDClarity Healthcare655 Clinic Rd HannibalMO
CHC26512-08ActiveBPS-H80-027790PREFERRED FAMILY HEALTHCARE, INCORPORATEDPreferred Family Healthcare428 S 36TH ST QUINCYIL
CHC26512-09ActiveBPS-H80-027425PREFERRED FAMILY HEALTHCARE, INCORPORATEDClarity Healthcare Mobile 1141 COMMUNICATION DR HANNIBALMO
CHC26512-10ActiveBPS-H80-028307PREFERRED FAMILY HEALTHCARE, INCORPORATEDClarity Healthcare400 Salisbury St Montgomery CityMO
CHC26512-11ActiveBPS-H80-030729PREFERRED FAMILY HEALTHCARE, INCORPORATEDPreferred Family Healthcare4066 Dunnica Ave Saint LouisMO
CHC26512-12ActiveBPS-H80-027424PREFERRED FAMILY HEALTHCARE, INCORPORATEDClarity Healthcare700 W Adams St Bowling GreenMO
CHC26512-13ActiveBPS-H80-031735PREFERRED FAMILY HEALTHCARE, INCORPORATEDClarity Healthcare3557 Stardust Dr HannibalMO
CHC26512-14ActiveBPS-H80-031734PREFERRED FAMILY HEALTHCARE, INCORPORATEDClarity Healthcare3531 Stardust Dr HannibalMO
CHC26512-15ActiveBPS-H80-033127PREFERRED FAMILY HEALTHCARE, INCORPORATEDClarity Healthcare1805 E Walnut St ColumbiaMO
CHC26512-16ActiveBPS-H80-034157PREFERRED FAMILY HEALTHCARE, INCORPORATEDClarity Healthcare Mobile Medical/BH MO141 COMMUNICATION DR HANNIBALMO
CHC26512-17ActiveBPS-H80-036289PREFERRED FAMILY HEALTHCARE INCRalls County Health Department -Clarity405 W 1st St New LondonMO
CHC26512-18ActiveBPS-H80-034739PREFERRED FAMILY HEALTHCARE INCClarity Healthcare3407 Berrywood Dr STE 200 ColumbiaMO
CHC26512-19ActiveBPS-H80-035321PREFERRED FAMILY HEALTHCARE INCClarity Healthcare3401 Berrywood Dr ColumbiaMO
CHC26512-20ActiveBPS-H80-034324PREFERRED FAMILY HEALTHCARE INCClarity Healthcare Mobile BH/PC IL428 S 36th St QuincyIL
CHC26512-21ActiveBPS-H80-037461PREFERRED FAMILY HEALTHCARE INCClarity Healthcare1010 Range Line St ColumbiaMO
CHC26512-22ActiveBPS-H80-027423PREFERRED FAMILY HEALTHCARE INCClarity Healthcare301 W Martin St CairoMO
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC26512-01ALPS LONG TERM CARE PHARMACY105 S RIDGECREST AVE STE 2
NIXAMO6571407/01/2020 03/07/2024
CHC26512-01ALPS PHARMACYFOOD MERCHANTS LLC 2650 W KEARNEY
STE 116
SPRINGFIELDMO65803-205501/01/2021 03/07/2024
CHC26512-01ALPS SPECIALTY PHARMACY105 S RIDGECREST AVE STE 3A
NIXAMO6571407/01/2020 03/07/2024
CHC26512-01BOND DRUG COMPANY OF ILLINOIS, L.L.C.DBA: WALGREENS #15249 1723 BROADWAY ST.
QUINCYIL6230107/01/2016  
CHC26512-02BOND DRUG COMPANY OF ILLINOIS, L.L.C.DBA: WALGREENS #15249 1723 BROADWAY ST.
QUINCYIL6230104/01/2019  
CHC26512-01BURRELL PHARMACY3401 BERRYWOOD DR STE 102
COLUMBIAMO65201-651504/01/2022 01/14/2025
CHC26512-01CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/01/2023  
CHC26512-01CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621907/01/2023  
CHC26512-01CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813307/01/2023  
CHC26512-01CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/01/2021  
CHC26512-01CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005601/01/2021  
CHC26512-01CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502807/01/2023  
CHC26512-01CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503304/01/2019  
CHC26512-02CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503304/01/2019  
CHC26512-01GRAND PHARMACY733 GRAND AVENUE
HANNIBALMO6340110/01/2016  
CHC26512-04GRAND PHARMACY733 GRAND AVENUE
HANNIBALMO6340104/01/2019  
CHC26512-02GRAND PHARMACY733 GRAND AVENUE
HANNIBALMO6340104/01/2019  
CHC26512-01HIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 08636 436 NORTH 30TH STREET
QUINCYIL6230110/01/2020  
CHC26512-01KILGORE'S MEDICAL PHARMACYKILGORE INC 700 N. PROVIDENCE RD
COLUMBIAMO65203-437301/01/2025  
CHC26512-01KILGORE'S MEDICAL PHARMACY1608 CHAPEL HILL RD STE E
COLUMBIAMO65203-546401/01/2025  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY #04191 4100 GRAVOIS AVE.
ST. LOUISMO6311610/01/2020 03/27/2025
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10345 3603 MCMASTERS AVE.
HANNIBALMO6340110/01/2020  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 3897 3030 SOUTH CAMPBELL AVE
SPRINGFIELDMO6580710/01/2020 07/11/2024
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 2363 8021 WATSON RD.
WEBSTER GROVESMO6311901/01/2021  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 2376 3925 LINDELL BLVD.
ST. LOUISMO6310801/01/2021  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 4403 7470 MANCHESTER RD.
MAPLEWOODMO6314301/01/2021  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05669 7320 GRAVOIS AVE.
ST LOUISMO6311601/01/2021  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.CVS PHARMACY # 16845 4255 HAMPTON AVE
SAINT LOUISMO6310901/01/2021  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #18005 7450 HAMPTON AVE
SAINT LOUISMO6310901/01/2021  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #18029 3430 S GRAND BLVD
SAINT LOUISMO63118-100401/01/2021  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #18034 5055 ARSENAL ST
SAINT LOUISMO6313901/01/2021  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #18044 1020 LOUGHBOROUGH AVE
SAINT LOUISMO6311101/01/2021  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #18050 7057 CHIPPEWA ST.
SAINT LOUISMO6311901/01/2021  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #18055 1032 LEMAY FERRY RD
SAINT LOUISMO6312501/01/2021  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #18057 4171 LINDELL BLVD
SAINT LOUISMO6310801/01/2021  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #18064 60 HAMPTON VILLAGE PLZ
SAINT LOUISMO63109-212701/01/2021  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #18067 6600 CLAYTON RD.
SAINT LOUISMO6311701/01/2021  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #18070 315 N 9TH ST
SAINT LOUISMO6310101/01/2021  
CHC26512-01MISSOURI CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10115 1220 EAST REPUBLIC RD.
SPRINGFIELDMO6580410/01/2024  
CHC26512-01OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713004/01/2024  
CHC26512-01OPTUM PHARMACY 705, LLC1893 GENERAL GEORGE PATTON DR STE 106
FRANKLINTN37067-265504/01/2024  
CHC26512-01OPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983804/01/2024  
CHC26512-02PRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDOFL32819-999204/01/2019  
CHC26512-01PRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDOFL32819-999204/01/2019 10/05/2022
CHC26512-01WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738604/01/2017  
CHC26512-00WAL-MART PHARMACY 10-06093650 STAR DUST DRIVE
HANNIBALMO6340104/01/2016 07/01/2016
CHC26512-01WAL-MART PHARMACY 10-06093650 STAR DUST DRIVE
HANNIBALMO6340104/01/2016  
CHC26512-00WAL-MART PHARMACY 10-14545211 BROADWAY STREET
QUINCYIL6230107/01/2016 07/01/2016
CHC26512-01WAL-MART PHARMACY 10-14545211 BROADWAY STREET
QUINCYIL6230104/01/2016  
CHC26512-02WAL-MART PHARMACY 10-14545211 BROADWAY STREET
QUINCYIL6230104/01/2019  
CHC26512-01WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283704/01/2017  
CHC26512-01WALGREEN CODBA: WALGREENS #7811 100 JASON DR.
TROYMO6337907/01/2025  
CHC26512-01WALGREEN CO.DBA: WALGREENS # 02616 455 HWY 61 NORTH
HANNIBALMO6340110/01/2014  
CHC26512-04WALGREEN CO.DBA: WALGREENS # 02616 455 HWY 61 NORTH
HANNIBALMO6340104/01/2019  
CHC26512-01WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15311 115 N EUCLID AVE STE A
SAINT LOUISMO6310807/01/2022  
CHC26512-01Walgreens Central Fill #213942601 Hughes Road
Suite 103
LibertyMO6406801/01/2024  
CHC26512-01WALGREENS MAIL SERVICE, INC.  8337 S PARK CIRCLE
ORLANDOFL32819-904910/01/2014 08/17/2015
CHC26512-01WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528410/01/2014 08/17/2015
CHC26512-01WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700804/01/2019 04/04/2024
CHC26512-02WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503304/01/2019  
CHC26512-02WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527504/01/2019  
CHC26512-01WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503304/01/2019  
CHC26512-01WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527504/01/2019  
CHC26512-01WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818804/01/2019  
CHC26512-02WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818804/01/2019  
CHC26512-02WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700804/01/2019  
CHC26512-01WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A
ROGERSAR7275607/01/2023  
CHC26512-01Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CHC26512-01WEST PINE PHARMACYFR HAEFNER, INC 11 N SARAH ST
SAINT LOUISMO6310810/01/2021 04/02/2024
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsPrimary ContactUpdateChange RequestScott, Naomi Executive VP of Organizational Affairs Preferred Family Healthcare, Inc 6606651962Derasari, Dhvani 340B Program Manager Adult and Child Health 68255982053/4/2025 11:53 AM
ContactsAuthorizing OfficialUpdateChange RequestConover, Mark Chief Revenue Officer Preferred Family Healthcare 5733530014wosman, amanda VP CHC Preferred Family Healthcare 57323123843/4/2025 11:53 AM
DetailsLast Recertification DateUpdateRecertification2/5/2024 2:31:45 PM2/10/2025 1:10:53 PM2/10/2025 1:10 PM
DetailsLast Recertification DateUpdateRecertification1/31/2023 2:52:49 PM2/5/2024 2:31:45 PM2/5/2024 2:31 PM
ContactsAuthorizing OfficialUpdateGroup Change RequestConover, Mark CRO Preferred Family Healthcare 5733530014Conover, Mark Chief Revenue Officer Preferred Family Healthcare 57335300144/13/2023 11:35 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestConover, Mark COO Preferred Family Healthcare 5733530014Conover, Mark CRO Preferred Family Healthcare 57335300142/1/2023 6:36 AM
ContactsSigned ByUpdateProfile Change RequestConover, Mark COO Preferred Family Healthcare 5733530014Conover, Mark CRO Preferred Family Healthcare 57335300142/1/2023 6:36 AM
DetailsLast Recertification DateUpdateRecertification2/1/2022 5:02:43 PM1/31/2023 2:52:49 PM1/31/2023 2:52 PM
DetailsLast Recertification DateUpdateRecertification2/3/2021 12:17:39 PM2/1/2022 5:02:43 PM2/1/2022 5:02 PM
DetailsLast Recertification DateUpdateRecertification 2/3/2021 12:17:39 PM2/3/2021 12:17 PM
DetailsStateUpdate ApprovedActive7/1/2020 12:00 AM
ContactsSigned ByInsertNew Registration Conover, Mark COO Preferred Family Healthcare 57335300144/20/2020 4:13 PM
Details340B IDUpdateNew Registration CHC26512-054/20/2020 4:13 PM
DatesParticipating Approval DateUpdateNew Registration 4/20/2020 4:13:43 PM4/20/2020 4:13 PM
DetailsStateUpdateNew RegistrationPendingApproved4/20/2020 4:13 PM
DatesSigned By DateUpdateNew Registration 4/14/2020 2:06:52 PM4/20/2020 4:13 PM
DatesStart DateUpdateNew Registration 7/1/2020 12:00:00 AM4/20/2020 4:13 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestConover, Mark VP Health Services Preferred Family Healthcare 5733530014Conover, Mark COO Preferred Family Healthcare 57335300144/14/2020 2:10 PM
AddressesMain AddressInsertNew Registration  1 Healthcare Pl Bowling Green, MO 63334-36024/14/2020 2:06 PM
ContactsAuthorizing OfficialInsertNew Registration Conover, Mark VP Health Services Preferred Family Healthcare 57335300144/14/2020 2:06 PM
ContactsPrimary ContactInsertNew Registration Scott, Naomi Executive VP of Organizational Affairs Preferred Family Healthcare, Inc 66066519624/14/2020 2:06 PM
DetailsLast Recertification DateInsertNew Registration  4/14/2020 2:06 PM
DetailsGrant NumberInsertNew Registration H80CS265124/14/2020 2:06 PM
Details340B IDInsertNew Registration  4/14/2020 2:06 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  4/14/2020 2:06 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  4/14/2020 2:06 PM
DetailsMedicare Provider NumberInsertNew Registration  4/14/2020 2:06 PM
DetailsEntity NameInsertNew Registration PREFERRED FAMILY HEALTHCARE, INCORPORATED4/14/2020 2:06 PM
DetailsProgram CodeInsertNew Registration CH4/14/2020 2:06 PM
DetailsEntity SubnameInsertNew Registration Clarity Healthcare4/14/2020 2:06 PM
DatesParticipating Approval DateInsertNew Registration  4/14/2020 2:06 PM
DetailsStateInsertNew Registration Pending4/14/2020 2:06 PM
DatesRegistration DateInsertNew Registration 4/14/2020 2:06:50 PM4/14/2020 2:06 PM
DatesSigned By DateInsertNew Registration  4/14/2020 2:06 PM
DatesStart DateInsertNew Registration  4/14/2020 2:06 PM
TerminationsTermination CommentsInsertNew Registration  4/14/2020 2:06 PM
TerminationsTermination DateInsertNew Registration  4/14/2020 2:06 PM
TerminationsTermination Effective DateInsertNew Registration  4/14/2020 2:06 PM
TerminationsTermination ReasonInsertNew Registration  4/14/2020 2:06 PM