Covered Entity Details

STD33884 Community Care Resources Inc (Active) - information as of 5/20/2025 11:44:21 PM

Main Details

Name

Community Care Resources Inc

Subdivision Name

Community Care Resources of FL

Type

Sexually Transmitted Diseases

340B ID

STD33884

Grant Number

NH25PS005131

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

In-Kind products or services (see note below; must have been purchased with section 318 funds)
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.
FL DOH in-kind testing supplies and education
4/1/2020

Additional Details

Current Program Status

Active

Registration Date

5/26/2020

Participating Start Date

7/1/2020

Participating Approval Date

5/26/2020

Last Recertification Date

5/9/2025

Notice of Funding Opportunity (NOFO) Number

PS19-1901

Contacts

Authorizing Official

Community Care Resources Inc
Victoria Barnhart, CEO
(754) 210-2735

Primary Contact

Community Care Resources of FL
Rebecca Charles, Administrator
(407) 401-7457

Addresses

Street Address

280 Patterson Road
Suite 3
Haines City, FL 33844

Billing Address

Community Care Resources Inc
15800 Pines Boulevard
Suite 330
Pembroke Pines, FL 33027

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Shipping Address 1

Community Care Resources Pharmacy
280 Patterson Road
Suite 3
Haines City, FL 33844-6261

Shipping Address 2

Community Care Resources Inc
280 Patterson Road
Suite 3
Haines City, FL 33844

Shipping Address 3

COMMUNITY CARE RESOURCES INC
106 BOSTON AVENUE
SUITE 204
ALTAMONTE SPRINGS, FL 32701

Shipping Address 4

COMMUNITY CARE RESOURCES INC
1008 West Hallandale Beach Blvd
Hallandale Beach, FL 33008

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/15/2021	01/01/2022		01/01/2022
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/15/2021	01/01/2022		01/01/2022
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/15/2021	01/01/2022		01/01/2022
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	10/15/2021	01/01/2022		01/01/2022
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/15/2021	01/01/2022		01/01/2022
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/15/2021	01/01/2022		01/01/2022
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/15/2021	04/23/2021		04/23/2021
Contract Detail	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/15/2021	04/23/2021		04/23/2021
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/15/2021	04/23/2021		04/23/2021
Contract Detail	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/15/2021	04/23/2021		04/23/2021
Contract Detail	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/15/2021	04/23/2021		04/23/2021
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/15/2021	04/23/2021		04/23/2021
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/15/2021	04/23/2021		04/23/2021
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/15/2021	04/23/2021		04/23/2021
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/15/2021	04/23/2021		04/23/2021
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/15/2021	04/23/2021		04/23/2021
Contract Detail	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/15/2021	04/23/2021		04/23/2021
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	10/15/2021	01/01/2022		01/01/2022
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	10/15/2021	01/01/2022		01/01/2022
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	10/15/2021	01/01/2022		01/01/2022
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	10/15/2021	01/01/2022		01/01/2022
Contract Detail	FAMILY PHYSICIANS RX	PHARMCORX 1103	1160 S SEMORAN BLVD STE DEF	ORLANDO	FL	32807	01/07/2021	01/11/2021	07/15/2024	08/18/2024
Contract Detail	FAMILY PHYSICIANS RX	DBA PHARMCORX 1204	901 N MIAMI BEACH BLVD STE 1	NORTH MIAMI BEACH	FL	33162-3720	01/17/2023	04/01/2023	07/15/2024	08/18/2024
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03630	16850 COLLINS AVE UNIT #101	SUNNY ISLES BEACH	FL	33160	07/15/2022	10/01/2022		10/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	CVS/PHARMACY # 5966	1600 S FEDERAL HIGHWAY	HOLLYWOOD	FL	33020	07/15/2022	10/01/2022		10/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 07219	277 W. SR 436	ALTAMONTE SPRINGS	FL	32714	09/13/2023	09/13/2023		09/13/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00511	35799 HWY 27	HAINES CITY	FL	33844	09/13/2023	09/13/2023		09/13/2023
Contract Detail	PHARMA BUDDIES CORP	ROSEMONT SPECIALTY PHARMACY	1727 ORLANDO CENTRAL PKWY	ORLANDO	FL	32809	10/01/2024	01/01/2025		01/01/2025
Contract Detail	PHARMCO, LLC	PHARMCO	400 ANSIN BLVD STE A	HALLANDALE BEACH	FL	33009-3104	01/07/2021	01/11/2021	07/15/2024	08/18/2024
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/15/2021	04/23/2021		04/23/2021
Contract Detail	PROCARE PHARMACY, L.L.C.	NAVARRO SPECIALTY SERVICES # 10727	7205 CORPORATE CENTER DRIVE SUITE 104	MIAMI	FL	33126	04/15/2021	04/23/2021		04/23/2021
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/15/2021	04/23/2021		04/23/2021
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/15/2021	04/23/2021		04/23/2021
Contract Detail	PRX INCORPORATED	PRX PHARMACY	5040 NW 7TH ST SUITE 470	MIAMI	FL	33126	05/26/2020	07/01/2020	01/22/2021	01/22/2021
Contract Detail	PRX INCORPORATED	PRX PHARMACY	5040 NW 7TH ST SUITE 470	MIAMI	FL	33126	03/12/2021	03/12/2021	03/12/2021	12/18/2024
Contract Detail	RELIANT PHARMACY LLC	DBA PINE BROOK PHARMACY	10507 SPRING HILL DR	SPRING HILL	FL	34608-5047	10/02/2024	10/02/2024		10/02/2024
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #15300	2100 N ORANGE AVE STE B	ORLANDO	FL	32804	04/15/2021	04/23/2021		04/23/2021
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #15299	1201 NE 26TH ST STE 110	WILTON MANORS	FL	33305	04/15/2021	04/23/2021		04/23/2021
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #13849	2540 NE 15TH AVE	WILTON MANORS	FL	33305	04/15/2021	04/23/2021		04/23/2021
Contract Detail	WALGREEN CO.	DBA: WALGREENS SPECIALTY PHARMACY #12146	1200 KUHL AVE	ORLANDO	FL	32806	04/15/2021	04/23/2021		04/23/2021
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04005	705 1ST STREET SOUTH	WINTER HAVEN	FL	33880	04/15/2021	04/23/2021		04/23/2021
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04591	509 W HALLANDALE BEACH BLVD.	HALLANDALE BEACH	FL	33009	04/15/2021	04/23/2021		04/23/2021
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06922	113 MAITLAND AVE	ALTAMONTE SPRINGS	FL	32701-4901	04/15/2021	04/23/2021		04/23/2021
Contract Detail	WALGREEN CO.	DBA: WALGREENS #11190	24170 HWY 27	LAKE WALES	FL	33859	04/15/2021	04/23/2021		04/23/2021
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16331	5361 NW 22ND AVE STE 2	MIAMI	FL	33142	10/11/2022	01/01/2023		01/01/2023
Contract Detail	Walgreens #21395	Walgreens Central Fill #21395	5710 Young Pine Rd	Orlando	FL	32829	10/11/2022	01/01/2023		01/01/2023

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Billing Address	Update	Recertification	Community Care Resources Inc 15800 Pines Boulevard Suite 330 Suite 330 Pembroke Pines, FL 33027	Community Care Resources Inc 15800 Pines Boulevard Suite 330 Pembroke Pines, FL 33027	5/9/2025 9:38 AM
Addresses	Shipping Address	Insert	Recertification		COMMUNITY CARE RESOURCES INC 106 BOSTON AVENUE SUITE 204 ALTAMONTE SPRINGS, FL 32701	5/9/2025 9:38 AM
Addresses	Shipping Address	Insert	Recertification		COMMUNITY CARE RESOURCES INC 1008 West Hallandale Beach Blvd Hallandale Beach, FL 33008	5/9/2025 9:38 AM
Details	Last Recertification Date	Update	Recertification	5/7/2024 10:22:38 AM	5/9/2025 9:38:42 AM	5/9/2025 9:38 AM
Addresses	Shipping Address	Insert	Change Request		Community Care Resources Inc 280 Patterson Road Suite 3 Haines City, FL 33844	7/11/2024 8:03 AM
Addresses	Shipping Address	Insert	Group Change Request		Community Care Resources Pharmacy 280 Patterson Road Suite 3 Haines City, FL 33844-6261	7/8/2024 8:14 AM
Details	Last Recertification Date	Update	Recertification	5/10/2023 3:32:17 PM	5/7/2024 10:22:38 AM	5/7/2024 10:22 AM
Details	Last Recertification Date	Update	Recertification	5/18/2022 2:16:08 PM	5/10/2023 3:32:17 PM	5/10/2023 3:32 PM
Addresses	Main Address	Update	Change Request	7492 Cypress Gardens Blvd Winter Haven, FL 33884	280 Patterson Road Suite 3 Haines City, FL 33844	5/9/2023 8:54 AM
Addresses	Billing Address	Update	Change Request	Community Care Resources of FL 15800 Pines Boulevard Suite 332 Suite 330 Pembroke Pines, FL 33027	Community Care Resources Inc 15800 Pines Boulevard Suite 330 Suite 330 Pembroke Pines, FL 33027	5/9/2023 8:54 AM
Details	Last Recertification Date	Update	Recertification	5/5/2021 9:43:30 AM	5/18/2022 2:16:08 PM	5/18/2022 2:16 PM
Contacts	Authorizing Official	Update	AO Change Request	Barnhart, Victoria Director Community Care Resources of FL 9543625432	Barnhart, Victoria CEO Community Care Resources Inc 7542102735	5/18/2022 2:14 PM
Details	Nature of Support: In Kind Support Description	Update	Recertification		FL DOH in-kind testing supplies and education	5/5/2021 9:43 AM
Details	Nature of Support: Support Received From Date	Update	Recertification		4/1/2020 12:00:00 AM	5/5/2021 9:43 AM
Details	Last Recertification Date	Update	Recertification		5/5/2021 9:43:30 AM	5/5/2021 9:43 AM
Details	NOFO Number	Update	Recertification		PS19-1901	5/5/2021 9:43 AM
Addresses	Billing Address	Update	Change Request	Community Care Resources of FL 15800 Pines Boulevard Suite 332 Suite 332 Pembroke Pines, FL 33027	Community Care Resources of FL 15800 Pines Boulevard Suite 332 Suite 330 Pembroke Pines, FL 33027	4/23/2021 10:07 AM
Details	Entity Name	Update	Change Request	Community Care Resources	Community Care Resources Inc	4/23/2021 10:07 AM
Details	Entity Name	Update	Change Request	Community Care Resources of FL	Community Care Resources	10/9/2020 7:29 AM
Details	Entity Subname	Update	Change Request		Community Care Resources of FL	10/9/2020 7:29 AM
Details	State	Update		Approved	Active	7/1/2020 12:00 AM
Contacts	Signed By	Insert	New Registration		Barnhart, Victoria Director Community Care Resources of FL 9543625432	5/26/2020 9:33 AM
Details	340B ID	Update	New Registration		STD33884	5/26/2020 9:33 AM
Dates	Participating Approval Date	Update	New Registration		5/26/2020 9:33:14 AM	5/26/2020 9:33 AM
Details	State	Update	New Registration	Pending	Approved	5/26/2020 9:33 AM
Dates	Signed By Date	Update	New Registration		5/26/2020 9:07:34 AM	5/26/2020 9:33 AM
Dates	Start Date	Update	New Registration		7/1/2020 12:00:00 AM	5/26/2020 9:33 AM
Addresses	Main Address	Insert	New Registration		7492 Cypress Gardens Blvd Winter Haven, FL 33884	5/26/2020 9:07 AM
Addresses	Billing Address	Insert	New Registration		Community Care Resources of FL 15800 Pines Boulevard Suite 332 Suite 332 Pembroke Pines, FL 33027	5/26/2020 9:07 AM
Details	Nature Of Support	Insert	New Registration		In-Kind products or services (see note below; must have been purchased with section 318 funds)	5/26/2020 9:07 AM
Contacts	Authorizing Official	Insert	New Registration		Barnhart, Victoria Director Community Care Resources of FL 9543625432	5/26/2020 9:07 AM
Contacts	Primary Contact	Insert	New Registration		Charles, Rebecca Administrator Community Care Resources of FL 4074017457	5/26/2020 9:07 AM
Details	Last Recertification Date	Insert	New Registration			5/26/2020 9:07 AM
Details	Grant Number	Insert	New Registration		NH25PS005131	5/26/2020 9:07 AM
Details	340B ID	Insert	New Registration			5/26/2020 9:07 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			5/26/2020 9:07 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			5/26/2020 9:07 AM
Details	Medicare Provider Number	Insert	New Registration			5/26/2020 9:07 AM
Details	Entity Name	Insert	New Registration		Community Care Resources of FL	5/26/2020 9:07 AM
Details	Program Code	Insert	New Registration		STD	5/26/2020 9:07 AM
Details	Entity Subname	Insert	New Registration			5/26/2020 9:07 AM
Dates	Participating Approval Date	Insert	New Registration			5/26/2020 9:07 AM
Details	State	Insert	New Registration		Pending	5/26/2020 9:07 AM
Dates	Registration Date	Insert	New Registration		5/26/2020 9:07:31 AM	5/26/2020 9:07 AM
Dates	Signed By Date	Insert	New Registration			5/26/2020 9:07 AM
Dates	Start Date	Insert	New Registration			5/26/2020 9:07 AM
Terminations	Termination Comments	Insert	New Registration			5/26/2020 9:07 AM
Terminations	Termination Date	Insert	New Registration			5/26/2020 9:07 AM
Terminations	Termination Effective Date	Insert	New Registration			5/26/2020 9:07 AM
Terminations	Termination Reason	Insert	New Registration			5/26/2020 9:07 AM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History