340B Drug Pricing Program Database


CH04118K FAMILY HEALTH CENTERS, INC. (Active) - information as of 6/4/2025 12:06:19 PM

Main Details
FAMILY HEALTH CENTERS, INC.
Family Health Center at Holly Hill
HRSA-Funded Health Center
BPS-H80-014461
CH04118K
H80CS00090


Additional Details
Active
7/7/2021
10/1/2021
7/9/2021
2/18/2025

Contacts

Family Health Centers, Inc
Stan Wardlaw, CEO
(803) 531-6905

Family Health Centers, Inc
Whitney Brown, Interim Director of Pharmacy
(803) 531-6940

Addresses

922 HOLLY ST
HOLLY HILL, SC 29059-2762

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

Yes
StateMedicaid NumberNPI Number
SCFQC1841609279744
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH041180ActiveBPS-H80-000515FAMILY HEALTH CENTERS, INC. 3310 MAGNOLIA ST ORANGEBURGSC
CH04118AActiveBPS-H80-002222FAMILY HEALTH CENTERS, INC.Community Medical Center10278 OLD NUMBER 6 HWY VANCESC
CH04118FActiveBPS-H80-005099FAMILY HEALTH CENTERS, INC.ST. GEORGE MEDICAL CENTER401 RIDGE STREET ST. GEORGESC
CH04118GActiveBPS-H80-001022FAMILY HEALTH CENTERS, INC.ST. MATTHEWS HEALTH CENTER558 CHESTNUT STREET ST. MATTHEWSSC
CH04118HActiveBPS-H80-002632FAMILY HEALTH CENTERS, INC.NORFIELD MEDICAL CENTER7061 NORWAY ROAD NEESESSC
CH04118JActiveBPS-H80-017937FAMILY HEALTH CENTERS, INC.DENMARK MEDICAL CENTER5616 Carolina Highway DENMARKSC
CH04118KActiveBPS-H80-014461FAMILY HEALTH CENTERS, INC.Family Health Center at Holly Hill922 HOLLY ST HOLLY HILLSC
CH04118LActiveBPS-H80-018178FAMILY HEALTH CENTERS, INC.Family Health Centers, Inc. Mobile Dental Unit3310 Magnolia St OrangeburgSC
CH04118MActiveBPS-H80-027847FAMILY HEALTH CENTERS, INC.Family Health Centers, Inc. Optometry Mobile Unit3310 Magnolia St OrangeburgSC
CH04118NActiveBPS-H80-036384FAMILY HEALTH CENTERS, INC.Family Health Centers, Inc., Primary Care Mobile Unit3310 Magnolia St OrangeburgSC
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH041180CASH DISCOUNT DRUG STORE INC  208 NORTH PARLER AVE
PO BOX 26 		ST GEORGESC2947707/01/2013 07/25/2017
CH041180CHUCK'S PHARMACY INCDBA HOLLY HILL PHARMACY 904 HOLLY STREET
PO BOX 370 		HOLLY HILLSC2905907/01/2013 08/31/2015
CH04118GCURANT HEALTH FLORIDA, LLC11001 ROOSEVELT BLVD N STE 1400
ST PETERSBURGFL3371601/04/2010 08/09/2021
CH041180DANIELS' PHARMACY #1JOHN DUNCAN WILLIAMS 5036 CAROLINA HIGHWAY
PO BOX 27 		DENMARKSC2904207/01/2014 07/25/2017
CH041180DENMARK HEALTH INVESTORS INCD/B/A DANIELS PHARMACY OF DENMARK 5036 CAROLINA HWY
DENMARKSC2904207/01/2024  
CH041180DONNA'S PHARMACY LLCDBA EHRHARDT PHARMACY 12930 BROXTON BRIDGE ROAD
PO BOX 309 		EHRHARDTSC2908107/01/2023  
CH041180ELLOREE PHARMACYD/B/A DELTA PHARMACY & MEDICAL SUPPLY 2611 CLEVELAND ST
ELLOREESC2904707/01/2013 07/25/2017
CH041180EUTAWVILLE PHARMACY, LLCD/B/A DELTA PHARMACY 226 PORCHER AVE
EUTAWVILLESC2904807/01/2013 07/25/2017
CH041180GIANT HEALTH INVESTORS, INC.GIANT DISCOUNT PHARMACY 6611 SAVANNAH HWY
NEESESSC2910707/01/2023  
CH041180GROVE PARK PHARMACY1324 GROVE PARK DR
ORANGEBURGSC29115-291107/01/2014 07/25/2017
CH041180GROVE PARK PHARMACY1324 GROVE PARK DR
ORANGEBURGSC29115-291104/01/2023  
CH041180H& M HEALTHCARE INC.R & J DRUGS 4633 SAVANNAH HWY
NORTHSC2911207/01/2023  
CH041180HOLLY STREET DRUGS, LLCD/B/A HOLLY HILL PHARMACY 904 HOLLY ST
PO BOX 370 		HOLLY HILLSC29059-290501/01/2016  
CH041180JAMISON'S PHARMACYJAMISON MARK A 1225 GOFF AVE
ORANGEBURGSC2911507/01/2014 07/25/2017
CH041180JAMISON'S PHARMACYJAMISON MARK A 1225 GOFF AVE
ORANGEBURGSC2911504/01/2023  
CH041180SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03572 1535 JOHN C. CALHOUN DRIVE
ORANGEBURGSC2911510/01/2015  
CH041180SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03892 18252 HERITAGE HWY
DENMARKSC2904210/01/2015  
CH041180SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05386 8523 OLD STATE ROAD, POB 730
HOLLY HILLSC2905910/01/2015  
CH041180SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05531 2195 MAGNOLIA STREET
ORANGEBURGSC2911510/01/2015  
CH041180SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05555 8910 OLD NUMBER SIX HWY
SANTEESC2914210/01/2015  
CH041180SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05548 5742 MEMORIAL BLVD.
SAINT GEORGESC2947701/01/2022  
CH041180SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07508 9912 DUNBARTON BOULEVARD
BARNWELLSC2981201/01/2025  
CH041180SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03876 2410 CHARLESTON HWY
CAYCESC2903301/01/2025  
CH041180SOUTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03585 555 ROBERTSON BLVD.
WALTERBOROSC2948801/01/2025  
CH041180ST MATTHEWS PHARMACY708 N F R HUFF DR
ST. MATTHEWSSC2913510/01/2013 07/25/2017
CH041180WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2020  
CH041180WAL-MART PHARMACY #10-10172010 PAXVILLE HIGHWAY
MANNINGSC2910207/01/2013 07/25/2017
CH041180WAL-MART PHARMACY 10-06162795 NORTH RD
ORANGEBURGSC2911807/01/2013  
CH041180WAL-MART PHARMACY 10-06289880 DORCHESTER RD
SUMMERVILLESC2948507/01/2013 07/26/2017
CH041180WAL-MART PHARMACY 10-079511391 DUNBARTON BLVD
BARNWELLSC2981207/01/2013  
CH041180WAL-MART PHARMACY 10-10371317 N MAIN STREET
SUMMERVILLESC2948307/01/2013 07/26/2017
CH041180WAL-MART PHARMACY 10-13582110 BELLS HIGHWAY
WALTERBOROSC2948807/01/2013 11/14/2020
CH041180WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2020  
CH041180WALGREEN CO.DBA: WALGREENS # 07506 1290 CHESTNUT STREET
ORANGEBURGSC29115-356705/04/2012  
CH041180WALGREEN CO.DBA: WALGREENS # 09879 1106 JOHN C CALHOUN DRIVE
ORANGEBURGSC2911505/04/2012  
CH041180WALGREEN CO.DBA: WALGREENS # 01072 1120 N MAIN STREET
SUMMERVILLESC29483-732605/04/2012  
CH041180WALGREEN CO.DBA: WALGREENS # 10257 395 N HWY 52
MONCKS CORNERSC29461-391905/04/2012 01/07/2019
CH041180WALGREEN CO.DBA: WALGREENS # 09284 1326 N JEFFERIES BLVD
WALTERBOROSC29488-273307/23/2012  
CH041180WALGREEN CO.WALGREENS #17118 3518 MAIN HWY
BAMBERGSC2900310/01/2019 02/05/2021
CH041180WALGREEN CO.DBA: WALGREENS #11698 101 HAMPTON AVE.
PICKENSSC29671-246201/01/2025  
CH041180WALGREEN CO.DBA: WALGREENS # 06137 2224 AUGUSTA ROAD
WEST COLUMBIASC29169-452401/01/2025  
CH041180WALGREEN CO.WALGREENS #17118 3518 MAIN HWY
BAMBERGSC2900301/01/2025  
CH041180WALMART PHARMACY 10-3724332 STONE WALL JACKSON BLVD
ORANGEBURGSC2911501/01/2018  
CH041180WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275607/01/2023  
CH041180Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616807/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/7/2024 3:06:32 PM2/18/2025 1:32:53 PM2/18/2025 1:32 PM
ContactsAuthorizing OfficialUpdateChange RequestBrunson Sr., Leon A. CEO Family Health Centers, Inc 8035316905Wardlaw, Stan CEO Family Health Centers, Inc 80353169052/3/2025 12:55 PM
DetailsLast Recertification DateUpdateRecertification2/22/2023 9:15:02 AM2/7/2024 3:06:32 PM2/7/2024 3:06 PM
ContactsPrimary ContactUpdatePC Change RequestRichardson, Tamara Director of Pharmacy Family Health Centers, Inc. 8035316824Brown, Whitney Interim Director of Pharmacy Family Health Centers, Inc 80353169402/2/2024 10:27 AM
DetailsLast Recertification DateUpdateRecertification2/14/2022 5:57:58 PM2/22/2023 9:15:02 AM2/22/2023 9:15 AM
ContactsPrimary ContactUpdateRecertificationSmith, Juanita Director of Pharmacy Family Health Centers, Inc. 8035316824-8035316940Richardson, Tamara Director of Pharmacy Family Health Centers, Inc. 80353168242/14/2022 5:57 PM
DetailsLast Recertification DateUpdateRecertification 2/14/2022 5:57:58 PM2/14/2022 5:57 PM
DetailsStateUpdate ApprovedActive10/1/2021 12:01 AM
ContactsSigned ByInsertNew Registration Brunson Sr., Leon A. CEO Family Health Centers, Inc 80353169057/9/2021 10:05 AM
Details340B IDUpdateNew Registration CH04118K7/9/2021 10:05 AM
DatesParticipating Approval DateUpdateNew Registration 7/9/2021 10:05:49 AM7/9/2021 10:05 AM
DetailsStateUpdateNew RegistrationPendingApproved7/9/2021 10:05 AM
DatesSigned By DateUpdateNew Registration 7/8/2021 9:27:03 AM7/9/2021 10:05 AM
DatesStart DateUpdateNew Registration 10/1/2021 12:00:00 AM7/9/2021 10:05 AM
AddressesMain AddressInsertNew Registration  922 HOLLY ST HOLLY HILL, SC 29059-27627/7/2021 12:16 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/7/2021 12:16 PM
Medicaid BillingMedicaid: NumberInsertNew Registration FQC1847/7/2021 12:16 PM
Medicaid BillingMedicaid: StateInsertNew Registration SC7/7/2021 12:16 PM
Medicaid BillingNPI: NumberInsertNew Registration 16092797447/7/2021 12:16 PM
Medicaid BillingNPI: StateInsertNew Registration SC7/7/2021 12:16 PM
ContactsAuthorizing OfficialInsertNew Registration Brunson Sr., Leon A. CEO Family Health Centers, Inc 80353169057/7/2021 12:16 PM
ContactsPrimary ContactInsertNew Registration Smith, Juanita Director of Pharmacy Family Health Centers, Inc. 8035316824-80353169407/7/2021 12:16 PM
DetailsAssistance Received From DateInsertNew Registration  7/7/2021 12:16 PM
DetailsAssistance Received To DateInsertNew Registration  7/7/2021 12:16 PM
DetailsLast Recertification DateInsertNew Registration  7/7/2021 12:16 PM
DetailsGrant NumberInsertNew Registration H80CS000907/7/2021 12:16 PM
Details340B IDInsertNew Registration  7/7/2021 12:16 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  7/7/2021 12:16 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  7/7/2021 12:16 PM
DetailsMedicare Provider NumberInsertNew Registration  7/7/2021 12:16 PM
DetailsEntity NameInsertNew Registration FAMILY HEALTH CENTERS, INC.7/7/2021 12:16 PM
DetailsNOFO NumberInsertNew Registration  7/7/2021 12:16 PM
DetailsProgram CodeInsertNew Registration CH7/7/2021 12:16 PM
DetailsEntity SubnameInsertNew Registration Family Health Center at Holly Hill7/7/2021 12:16 PM
DatesParticipating Approval DateInsertNew Registration  7/7/2021 12:16 PM
DetailsStateInsertNew Registration Pending7/7/2021 12:16 PM
DatesRegistration DateInsertNew Registration 7/7/2021 12:16:36 PM7/7/2021 12:16 PM
DatesSigned By DateInsertNew Registration  7/7/2021 12:16 PM
DatesStart DateInsertNew Registration  7/7/2021 12:16 PM
TerminationsTermination CommentsInsertNew Registration  7/7/2021 12:16 PM
TerminationsTermination DateInsertNew Registration  7/7/2021 12:16 PM
TerminationsTermination Effective DateInsertNew Registration  7/7/2021 12:16 PM
TerminationsTermination ReasonInsertNew Registration  7/7/2021 12:16 PM