Covered Entity Details

CH05227F Hopewell Health Centers, Inc. (Active) - information as of 4/23/2025 10:52:03 PM

Main Details

Name

Hopewell Health Centers, Inc.

Subdivision Name

Hopewell Health Centers - McArthur

Type

HRSA-Funded Health Center

Site ID

BPS-H80-000299

340B ID

CH05227F

Grant Number

H80CS00193

Additional Details

Current Program Status

Active

Registration Date

1/1/2001

Participating Start Date

1/1/2001

Participating Approval Date

12/7/2004

Last Recertification Date

2/12/2025

Contacts

Authorizing Official

Hopewell Health Centers, Inc.
Mark Bridenbaugh, Chief Executive Officer
(740) 773-1006 Ext: 2004

Primary Contact

Hopewell Health Centers
Kelley Kristine Pate, 340B Program Manager
(740) 773-1006 Ext: 2071

Addresses

Street Address

31891 STATE ROUTE 93N
MC ARTHUR, OH 45651-9006

Billing Address

Hopewell Health Centers, Inc.
1049 WESTERN AVENUE
PO BOX 188
CHILLICOTHE, OH 45601-0188

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
6/4/10 ADDED BILLING TO	06/04/2010

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
OH	2809063,0836608	1003903360,1497746101,1568970333

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	GILL'S FAMILY PHARMACY	530 NORTH MARKETSTREET	MCARTHUR	OH	45651	05/06/2010	05/11/2010	12/31/2015	01/05/2016
Contract Detail	KROGER PHARMACY 901	919 E. STATE ST.	ATHENS	OH	45701	08/24/2007	08/24/2007		03/28/2013
Contract Detail	SHRIVERS PHARMACY #7	530 N MARKET ST	MC ARTHUR	OH	45651-1131	01/05/2017	04/01/2017		01/05/2017

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH052270	Active	BPS-H80-002006	Hopewell Health Centers, Inc.	Hopewell Health Centers - Chillicothe	1049 WESTERN AVENUE	CHILLICOTHE	OH
CH05227AA	Active	BPS-H80-021578	Hopewell Health Centers, Inc.	Jackson Burlington Road	500 Burlington Road, Suite 240	Jackson	OH
CH05227AB	Active	BPS-H80-022093	Hopewell Health Centers, Inc.	Athens WIC Clinic	215 Columbus Rd Ste 106	Athens	OH
CH05227AC	Active	BPS-H80-024949	Hopewell Health Centers, Inc.	Washington County REACH	10595 State Route 550	Vincent	OH
CH05227AD	Active	BPS-H80-027579	Hopewell Health Centers, Inc.	Columbus Road	141 Columbus Rd	Athens	OH
CH05227AE	ToBeTerminated	BPS-H80-029400	Hopewell Health Centers, Inc.	Mount Logan School Clinic	841 East Main Street STE 178	Chillicothe	OH
CH05227AF	Active	BPS-H80-031499	Hopewell Health Centers, Inc.	Eastern School Based Clinic	38900 Ohio State Route 7 STE 105-A	Reedsville	OH
CH05227AG	Active	BPS-H80-033534	Hopewell Health Centers, Inc.	Hopewell Health Centers - Racine Dental	106 Tyree Blvd	Racine	OH
CH05227AH	Active	BPS-H80-034130	Hopewell Health Centers, Inc.	Nelsonville School-Based Health Clinic	4 Buckeye Dr Ste E302	Nelsonville	OH
CH05227AJ	Active	BPS-H80-035926	Hopewell Health Centers, Inc.	Reynoldsburg Clinic	7335 East Livingston Avenue	Reynoldsburg	OH
CH05227AK	Active	BPS-H80-036530	HOPEWELL HEALTH CENTERS INC.	Hopewell Health Centers--Marietta Clinic	207 Colegate Dr	Marietta	OH
CH05227AL	Active	BPS-H80-037023	HOPEWELL HEALTH CENTERS INC.	Wellston Intermediate Behavioral Health School Clinic	225 Golden Rocket Drive OFC E126	Wellston	OH
CH05227E	Active	BPS-H80-012505	Hopewell Health Centers, Inc.	Hopewell Health Centers - New Lexington	2541 Panther Drive	New Lexington	OH
CH05227F	Active	BPS-H80-000299	Hopewell Health Centers, Inc.	Hopewell Health Centers - McArthur	31891 STATE ROUTE 93N	MC ARTHUR	OH
CH05227H	Active	BPS-H80-027580	Hopewell Health Centers, Inc.	Hopewell Health Centers - Nelsonville	1950 Mount Saint Mary's Drive	Nelsonville	OH
CH05227J	Active	BPS-H80-017071	Hopewell Health Centers, Inc.	Hopewell Health Centers - Logan	30381 Chieftain Dr	Logan	OH
CH05227K	Active	BPS-H80-008949	Hopewell Health Centers, Inc.	Hopewell Health Centers - Pomeroy	41865 Pomeroy Pike	Pomeroy	OH
CH05227L	Active	BPS-H80-014268	Hopewell Health Centers, Inc.	Tom Cat Health Center	18500 JACKSONVILLE RD	GLOUSTER	OH
CH05227M	Active	BPS-H80-019489	Hopewell Health Centers, Inc.	Hopewell Health Centers - Coolville	25716 Wilson St	Coolville	OH
CH05227N	Active	BPS-H80-014926	Hopewell Health Centers, Inc.	Hopewell Health Centers - Athens	90 HOSPITAL DR	ATHENS	OH
CH05227P	Active	BPS-H80-018211	Hopewell Health Centers, Inc.	Hopewell Health Centers - Logan Behavioral Health	541 State Route 664 N Ste C	Logan	OH
CH05227Q	Active	BPS-H80-018577	Hopewell Health Centers, Inc.	Federal Hocking School Health Center	8461 State Route 144	Stewart	OH
CH05227R	Active	BPS-H80-021579	Hopewell Health Centers, Inc.	Hopewell Health Centers - Belpre	2434 Richmiller Ln Unit F	Belpre	OH
CH05227S	Active	BPS-H80-021323	Hopewell Health Centers, Inc.	Hopewell 9 Kenny Drive	9 Kenny Dr	Athens	OH
CH05227T	Terminated	BPS-H80-020828	Hopewell Health Centers, Inc.	Hopewell Health Centers Vinton County Behavioral Health	313 West Main Street	McArthur	OH
CH05227U	Active	BPS-H80-020898	Hopewell Health Centers, Inc.	Hopewell Health Centers - Jackson McCarty	502 Mccarty Ln	Jackson	OH
CH05227V	Active	BPS-H80-021022	Hopewell Health Centers, Inc.	Hopewell Health Centers - Nelsonville REACH	14455 Kimberley Rd	Nelsonville	OH
CH05227W	Active	BPS-H80-021023	Hopewell Health Centers, Inc.	Respite	7976 Dairy Lane	Athens	OH
CH05227X	ToBeTerminated	BPS-H80-021580	Hopewell Health Centers, Inc.	Meigs Behavioral Health	112 East Memorial Drive	Pomeroy	OH
CH05227Y	Active	BPS-H80-021605	Hopewell Health Centers, Inc.	Gallia County	3086 State Route 160	Gallipolis	OH
CH05227Z	Active	BPS-H80-021410	Hopewell Health Centers, Inc.	Hopewell Health Centers - Chillicothe Dental	622 Central Ctr	Chillicothe	OH

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH052270	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	04/01/2024
CH052270	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	01/01/2017	10/10/2021
CH052270	ALLEN'S MEDICAL PHARMACY INC	215 OLD EASTERN AVE		CHILLICOTHE	OH	45601-3462	10/01/2015	05/11/2023
CH052270	ALLEN'S MEDICAL PHARMACY, INC.	215 OLD EASTERN AVE		CHILLICOTHE	OH	45601	05/11/2023
CH052270	AMAZON PHARMACY #001	4500 S PLEASANT VALLEY RD STE 201		AUSTIN	TX	78744-2911	07/01/2018	10/10/2021
CH052270	AVELLA OF COLUMBUS	4830 KNIGHTSBRIDGE BLVD STE C		COLUMBUS	OH	43214-2300	07/01/2018	07/01/2020
CH052270	AZ PHARMACY, LLC	DBA AMAZON PHARMACY #002	3809 E WATKINS ST	PHOENIX	AZ	85034	04/01/2019	10/10/2021
CH052270	BELPRE HEALTHCARE LLC	D.B.A SHRIVERS PHARMACY AND WELLNESS IV	812 FARSON ST	BELPRE	OH	45714	10/01/2023
CH052270	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	01/01/2018	01/30/2023
CH052270	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	04/01/2024
CH052270	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	13925 YALE AVE STE 145		IRVINE	CA	92620-2670	04/01/2024
CH052270	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	04/01/2024
CH052270	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4740 VICTORY LN STE C	INDIANAPOLIS	IN	46203	10/01/2024
CH052270	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2021
CH052270	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/01/2021
CH052270	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/01/2021
CH052270	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/01/2021
CH052270	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/01/2021
CH052270	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/01/2021
CH052270	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/01/2021
CH052270	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2021
CH052270	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/01/2021
CH052270	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/01/2021
CH052270	CENTERWELL PHARMACY, INC.	11010 FLORIDA CROWN DRIVE, SUITE 200		ORLANDO	FL	32824	01/01/2024
CH052270	CENTERWELL PHARMACY, INC.	9843 WINDISCH RD		WEST CHESTER	OH	45069	01/01/2024
CH05227E	COLER DRUG BRIGHTON LTD	SHRIVERS PHARMACY 3	406 BRIGHTON BLVD	ZANESVILLE	OH	43701	05/21/2012	12/31/2015
CH05227H	COLER DRUG NELSONVILLE	DBA: SHRIVERS PHARMACY #4	40 WATKINS ST	NELSONVILLE	OH	45764-1452	05/21/2012	12/31/2015
CH05227H	COLER DRUG NELSONVILLE	DBA: SHRIVERS PHARMACY #4	40 WATKINS ST	NELSONVILLE	OH	45764-1452	04/01/2017
CH05227N	COLER DRUG NELSONVILLE	DBA: SHRIVERS PHARMACY #4	40 WATKINS ST	NELSONVILLE	OH	45764-1452	10/01/2017
CH052270	COLER DRUG NELSONVILLE	DBA: SHRIVERS PHARMACY #4	40 WATKINS ST	NELSONVILLE	OH	45764-1452	01/01/2024
CH052270	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/01/2021
CH052270	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/01/2021
CH052270	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2021
CH052270	DELIVERCARERX PHARMACY LLC	DELIVERCARERX PHARMACY LLC	1471 E BUSINESS CENTER DR STE 200	MT PROSPECT	IL	60056	01/01/2018	03/10/2020
CH052270	DOGWOOD PHARMACY LLC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER RD STE K	GREENVILLE	SC	29607-6541	04/01/2024
CH052270	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	01/01/2018	01/30/2023
CH052270	FRUTH PHARMACY	FRUTH PHARMACY #15	1401 WASHINGTON BLVD FRUTH PHARMACY	BELPRE	OH	45714-2200	04/01/2014
CH052270	FRUTH PHARMACY	FRUTH PHARMACY #11	425 CAMDEN RD FRUTH PHARMACY	HUNTINGTON	WV	25704-2764	01/01/2015
CH052270	FRUTH PHARMACY #16	101 JAMES RD		WAVERLY	OH	45690-1017	06/15/2012	05/12/2017
CH052270	FRUTH PHARMACY #22	FRUTH PHARMACY #22	10 W WASHINGTON ST FRUTH PHARMACY 22	NELSONVILLE	OH	45764-1178	06/15/2012	09/24/2019
CH052270	FRUTH PHARMACY OF OHIO INC	FRUTH PHARMACY #3	2991 STATE ROUTE 160	GALLIPOLIS	OH	45631	07/01/2018	07/01/2018
CH052270	FRUTH PHARMACY OF OHIO INC	FRUTH PHARMACY #3	2991 STATE ROUTE 160	GALLIPOLIS	OH	45631	07/01/2019
CH052270	FRUTH PHARMACY OF OHIO INC #6	FRUTH PHARMACY #6	706 WEST MAIN STREET	POMEROY	OH	45769	06/15/2012
CH052270	FRUTH PHARMACY OF WELLSTON	FRUTH PHARMACY #4	120 W 2ND ST FRUTH PHARMACY	WELLSTON	OH	45692-1499	06/15/2012
CH052270	FRUTH PHCY	FRUTH PHARMACY #21	204 SECOND AVENUE	GALLIPOLIS	OH	45631	07/01/2018	07/01/2018
CH052270	FRUTH PHCY	FRUTH PHARMACY #21	204 SECOND AVENUE	GALLIPOLIS	OH	45631	07/01/2019
CH052270	FRUTH PHCY OF OHIO INC	FRUTH PHARMACY #9	8972 UNITED LANE	ATHENS	OH	45701	06/15/2012
CH052270	GENOA HEALTHCARE LLC	BUILDING 1, SUITE 101	4900 PERRY HIGHWAY	PITTSBURGH	PA	15229	04/01/2018
CH05227F	GILL'S FAMILY PHARMACY	530 NORTH MARKETSTREET		MCARTHUR	OH	45651	05/11/2010	12/31/2015
CH052270	HENDERSON PHARMACY SERVICES INC	186 W MAIN ST		CHILLICOTHE	OH	45601	06/09/2011
CH052270	HOOK-SUPERX, L.L.C.	CVS/PHARMACY #11114	2800 ENTERPRISE ST STE 5	INDIANAPOLIS	IN	46219-1106	07/01/2021	08/31/2023
CH052270	KROGER	1141 E MAIN ST		LANCASTER	OH	43130	10/01/2018
CH052270	KROGER COLUMBUS CENTRAL FILL #019	2270 RICKENBACKER PKWY W		COLUMBUS	OH	43217	01/01/2019
CH052270	KROGER PHARMACY	1165 WESTERN AVENUE		CHILLICOTHE	OH	45601	08/24/2007
CH052270	KROGER PHARMACY	31550 CHIEFTAIN DR		LOGAN	OH	43138	04/01/2016
CH05227J	KROGER PHARMACY	31550 CHIEFTAIN DR		LOGAN	OH	43138	08/24/2007
CH052270	KROGER PHARMACY	530 E. MAIN STREET		JACKSON	OH	45640	10/01/2018	07/17/2018
CH052270	KROGER PHARMACY	530 E. MAIN STREET		JACKSON	OH	45640	10/01/2019
CH052270	KROGER PHARMACY #01600232	KROGER COMPANY N-216	6580 E MAIN ST	REYNOLDSBURG	OH	43068-2319	07/01/2022
CH052270	KROGER PHARMACY #16831	19471 LAKE DRIVE	P.O. BOX 158	TRIMBLE	OH	45782-0158	04/01/2015
CH052270	KROGER PHARMACY #543	8460 E. MAIN ST.		REYNOLDSBURG	OH	43068	07/01/2022
CH052270	KROGER PHARMACY 901	919 E. STATE ST.		ATHENS	OH	45701	04/01/2016
CH05227F	KROGER PHARMACY 901	919 E. STATE ST.		ATHENS	OH	45701	08/24/2007
CH05227H	KROGER PHARMACY 901	919 E. STATE ST.		ATHENS	OH	45701	08/24/2007
CH052270	KROGER PHARMACY N-313	610 CARROL STREET		NEW LEXIINGTON	OH	43764	04/01/2016
CH05227E	KROGER PHARMACY N-313	610 CARROL STREET		NEW LEXIINGTON	OH	43764	08/24/2007
CH052270	KROGER PHARMACY N-348	887 N BRIDGE STREET		CHILLICOTHE	OH	45601	04/10/2012
CH052270	KROGER PHARMACY N-529	965 POPLAR STREET		NELSONVILLE	OH	45764	04/10/2012
CH052270	KROGER PHARMACY N-844	175 LANCASTER PIKE		CIRCLEVILLE	OH	43113	10/01/2018
CH052270	KROGER PHARMACY#799	1008 WASHINGTON BLVD		BELPRE	OH	45714	10/01/2016
CH052270	KROGER SAV-ON PHARMACY N-853	7000 EAST BROAD STREET		COLUMBUS	OH	43213	07/01/2022
CH052270	M.N. PHARMACY LLC	DBA AMAZON PHARMACY #003	6701 NW 7TH ST., STE. #199	MIAMI	FL	33126	07/01/2018	10/10/2021
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03454	1390 W. HUNTER ST.	LOGAN	OH	43138	01/01/2016
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 06184	555 E. STATE ST.	ATHENS	OH	45701	01/01/2016
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 06189	11 CENTENNIAL BLVD.	CHILLICOTHE	OH	45601	01/01/2016
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 06190	1021 NORTH BRIDGE ST.	CHILLICOTHE	OH	45601	01/01/2016
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03499	251 E BROADWAY	NEW LEXINGTON	OH	43764	10/01/2018
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 02394	1013 WASHINGTON BLVD.	BELPRE	OH	45714	10/01/2018
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 04400	3066 STATE RT. 160	GALLIPOLIS	OH	45631	10/01/2018	07/17/2018
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03419	353 E. MAIN ST.	JACKSON	OH	45640	10/01/2018	07/17/2018
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03612	407 NORTH FRONT ST	OAK HILL	OH	45656	07/01/2019
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03422	131 3RD ST.	MARIETTA	OH	45750	07/01/2019
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 06195	205 EAST MAIN ST	CIRCLEVILLE	OH	43113	07/01/2019
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 06188	111 SOUTH MEMORIAL DRIVE	LANCASTER	OH	43130	07/01/2019
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03416	802 11TH ST	PORTSMOUTH	OH	45662	07/01/2019
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03408	1795 COLUMBUS AVENUE	WASHINGTONCOURTHSE	OH	43160	07/01/2019
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 06411	3282 TREMONT RD	UPPER ARLINGTON	OH	43221	07/01/2019
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03484	591 E. LIVINGSTON AVE.	COLUMBUS	OH	43215	07/01/2019
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03403	219 THIRD AVENUE	CHESAPEAKE	OH	45619	07/01/2019
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03419	353 E. MAIN ST.	JACKSON	OH	45640	07/01/2019
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 04400	3066 STATE RT. 160	GALLIPOLIS	OH	45631	07/01/2019
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 06193	32 S. COURT ST.	ATHENS	OH	45701	04/01/2020
CH052270	OHIO CVS STORES, L.L.C.	CVS/PHARMACY # 11086	210 EAST EMMITT AVE.	WAVERLY	OH	45690	04/01/2020
CH052270	OHIO CVS STORES, L.L.C.	CVS PHARMACY # 16384	1300 RIVER VALLEY BLVD	LANCASTER	OH	43130	04/01/2021
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03427	103 N MAYSVILLE ROAD	ZANESVILLE	OH	43701	04/01/2021
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 07777	2812 SCIOTO TRAIL	PORTSMOUTH	OH	45662	04/01/2021
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03446	1400 N. HIGH ST	HILLSBORO	OH	45133	04/01/2021
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 07694	804 W. MAIN ST.	TROY	OH	45373	07/01/2021
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 05949	775 NEIL AVE	COLUMBUS	OH	43215	07/01/2021
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03402	115 NORTH COLLEGE ST.,	PIQUA	OH	45356	07/01/2021
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 05425	8910 E. BROAD ST.	PATASKALA	OH	43062	07/01/2021
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 06185	1100 HILL RD. N	PICKERINGTON	OH	43147	07/01/2021
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 04810	1208 MAPLE AVENUE	ZANESVILLE	OH	43701	04/01/2022
CH052270	OHIO CVS STORES, L.L.C.	CVS PHARMACY # 17504	2437 TAYLOR PARK DR	REYNOLDSBURG	OH	43068	07/01/2022
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 01756	8467 E. MAIN ST.	REYNOLDSBURG	OH	43068	07/01/2022
CH052270	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 06953	6659 E. MAIN ST.	REYNOLDSBURG	OH	43068	07/01/2022
CH052270	OHIO CVS STORES, L.L.C.	CVS PHARMACY # 17174	8100 E BROAD ST	REYNOLDSBURG	OH	43068	07/01/2022
CH052270	PILLPACK LLC	DBA PILLPACK BY AMAZON PHARMACY	250 COMMERCIAL ST STE 2012	MANCHESTER	NH	03101	07/01/2018	10/10/2021
CH052270	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/01/2021
CH052270	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/01/2021
CH052270	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/01/2021
CH052270	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	04/01/2021
CH052270	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	01/01/2018	01/30/2023
CH052270	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	04/01/2024
CH052270	RAVENSWOOD DRUG, INC.		408 WASHINGTON ST	RAVENSWOOD	WV	26164	10/01/2013	12/14/2015
CH052270	RAVENSWOOD PHARMACY LLC DBA RAVENSWOOD D	DBA RAVENSWOOD DRUG	408 WASHINGTON ST	RAVENSWOOD	WV	26164-1706	12/17/2015	08/04/2020
CH052270	RITE AID OF OHIO, INC.	RITE AID #3057	93 NORTH PLAINS ROAD	THE PLAINS	OH	45780	10/01/2014	10/14/2015
CH052270	RITE AID OF OHIO, INC.	RITE AID #1635	306 EAST MAIN STREET	POMEROY	OH	45769	10/01/2014	10/14/2015
CH052270	RITE AID OF OHIO, INC.	RITE AID #1430	201 WASHINGTON BOULEVARD	BELPRE	OH	45714	10/01/2014	10/14/2015
CH052270	RITE AID OF OHIO, INC.	RITE AID #1379	301 GREENE STREET	MARIETTA	OH	45750	10/01/2014	10/14/2015
CH052270	RITE AID OF WEST VIRGINIA, INC.	RITE AID #280	406 WASHINGTON STREET	RAVENSWOOD	WV	26164	07/01/2019	04/11/2019
CH052270	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	01/01/2018	01/30/2023
CH052270	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	04/01/2024
CH052270	SANTA BARBARA SPECIALTY PHARMACY LLC	4690 CARPINTERIA AVE STE B		CARPINTERIA	CA	93013	04/01/2024
CH052270	SHRIVERS PHARMACY	120 S. BUCKEYE ST		CROOKSVILLE	OH	43731	10/01/2021
CH05227E	SHRIVERS PHARMACY #1	105 N KENNEBEC AVE		MCCONNELSVILLE	OH	43756	05/21/2012	12/31/2015
CH052270	SHRIVERS PHARMACY #1	105 N KENNEBEC AVE		MCCONNELSVILLE	OH	43756	01/01/2024
CH05227E	SHRIVERS PHARMACY #2		510 N MAIN STREET	NEW LEXINGTON	OH	43764	05/21/2012	12/31/2015
CH05227F	SHRIVERS PHARMACY #7	530 N MARKET ST		MC ARTHUR	OH	45651-1131	04/01/2017
CH05227J	SHRIVERS PHARMACY #8	21 HOCKING MALL		LOGAN	OH	43138	07/01/2017
CH052270	SHRIVERS PHARMACY #8	21 HOCKING MALL		LOGAN	OH	43138	01/01/2018
CH052270	SHRIVERS PHARMACY AND WELLNESS	310 W UNION ST	SUITE 101	ATHENS	OH	45701-2312	07/01/2018
CH052270	SWISHER & LOHSE DRUGS	636 E MAIN ST		POMEROY	OH	45769-1161	01/01/2015
CH05227K	SWISHER & LOHSE DRUGS	636 E MAIN ST		POMEROY	OH	45769-1161	02/01/2009	12/31/2015
CH052270	THE DRUG STORE @ OU	THE DRUGSTORE AT OU	2 HEALTH CENTER DR	ATHENS	OH	45701-4570	10/01/2015	09/07/2016
CH052270	THE KROGER CO	KROGER PHARMACY #264	1621 NORTH MEMORIAL DRIVE	LANCASTER	OH	43130	10/01/2018
CH052270	THEDRUGSTORE ON EAST STATE	934 E STATE ST		ATHENS	OH	45701	04/01/2013
CH052270	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2017
CH052270	WAL-MART PHARMACY 10-1427	1470 SO. COURT ST.		CIRCLEVILLE	OH	43113	07/01/2018
CH052270	WAL-MART PHARMACY 10-1519	100 WAL-MART DRIVE		JACKSON	OH	45640	04/10/2012
CH052270	WAL-MART PHARMACY 10-2078	804 PIKE ST		MARIETTA	OH	45750	07/01/2018
CH052270	WAL-MART PHARMACY 10-2400	85 RIVER TRACE LANE		CHILLICOTHE	OH	45601	04/10/2012
CH052270	WAL-MART PHARMACY 10-2572	990 WEST EMMITT AVENUE		WAVERLY	OH	45690	07/01/2018
CH052270	WAL-MART PHARMACY 10-2605	2145 EASTERN AVENUE		GALLIPOLIS	OH	45631	07/01/2018
CH052270	WAL-MART PHARMACY 10-2726	2793 TAYLOR ROAD EXT		REYNOLDSBURG	OH	43068	07/01/2022
CH052270	WAL-MART PHARMACY 10-2849	320 MALLARD LANE		MASON	WV	25260	04/10/2012
CH052270	WAL-MART PHARMACY 10-3282	12910 STATE ROUTE 664		LOGAN	OH	43138	04/10/2012
CH052270	WAL-MART PHARMACY 10-3486	929 EAST STATE STREET		ATHENS	OH	45701	04/10/2012
CH052270	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2017
CH052270	WALGREEN CO.	DBA: WALGREENS # 07799	850 NORTH BRIDGE STREET	CHILLICOTHE	OH	45601	11/29/2011
CH052270	WALGREEN CO.	DBA: WALGREENS #11294	1070 WESTERN AVE.	CHILLICOTHE	OH	45601-1174	11/29/2011
CH052270	WALGREEN CO.	DBA: WALGREENS #12476	521 EAST MAIN STREET	JACKSON	OH	45640	11/29/2011
CH052270	WALGREEN CO.	DBA: WALGREENS # 09120	859 E MAIN ST	LANCASTER	OH	43130	11/29/2011
CH052270	WALGREEN CO.	DBA: WALGREENS # 07798	911 N MEMORIAL DRIVE	LANCASTER	OH	43130-1745	11/29/2011
CH052270	WALGREEN CO.	DBA: WALGREENS # 07392	1033 MILITARY ROAD	ZANESVILLE	OH	43701-1342	11/29/2011
CH052270	WALGREEN CO.	DBA: WALGREENS #11293	300 GREENE ST.	MARIETTA	OH	45750	04/01/2018
CH052270	WALGREEN CO.	WALGREENS #17280	406 WASHINGTON ST	RAVENSWOOD	WV	26164-1706	07/01/2019
CH052270	WALGREEN CO.	DBA: WALGREENS #10050	6201 E. BROAD STREET	COLUMBUS	OH	43213-5500	07/01/2022
CH052270	WALGREEN CO.	DBA: WALGREENS # 06119	7900 E BROAD STREET	BLACKLICK	OH	43004	07/01/2022
CH052270	WALGREEN CO.	DBA: WALGREENS # 07942	4617 E MAIN ST	WHITEHALL	OH	43213-3219	07/01/2022
CH052270	WALGREEN CO.	DBA: WALGREENS #21338	6300 E MAIN ST	REYNOLDSBURG	OH	43068	07/01/2022
CH052270	Walgreens #21423	Walgreens Central Fill #21423	6275 Winchester Blvd	Canal WInchester	OH	43110-6537	01/01/2024
CH052270	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH052270	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07604	2323 MURDOCH AVE	PARKERSBURG	WV	26101	07/01/2019
CH052270	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06281	4418 EMERSON AVE	PARKERSBURG	WV	26104	04/01/2021
CH052270	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03391	2901 FIFTH AVE	HUNTINGTON	WV	25702	07/01/2023

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/1/2024 9:00:15 AM	2/12/2025 7:08:46 AM	2/12/2025 7:08 AM
Details	Last Recertification Date	Update	Recertification	2/1/2023 8:07:35 AM	2/1/2024 9:00:15 AM	2/1/2024 9:00 AM
Medicaid Billing	NPI: Number	Insert	Group Change Request		1568970333	3/20/2023 3:51 PM
Medicaid Billing	NPI: State	Insert	Group Change Request		OH	3/20/2023 3:51 PM
Details	Last Recertification Date	Update	Recertification	2/10/2022 4:12:32 PM	2/1/2023 8:07:35 AM	2/1/2023 8:07 AM
Details	Last Recertification Date	Update	Recertification	2/5/2021 7:43:51 AM	2/10/2022 4:12:32 PM	2/10/2022 4:12 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	0836608 (OH)		2/5/2021 7:43 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/5/2021 7:43 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		2809063	2/5/2021 7:43 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		OH	2/5/2021 7:43 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/5/2021 7:43 AM
Medicaid Billing	Medicaid: Number	Update	Recertification	0836608	0836608	2/5/2021 7:43 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		0836608	2/5/2021 7:43 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		OH	2/5/2021 7:43 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1003903360	2/5/2021 7:43 AM
Medicaid Billing	NPI: State	Insert	Recertification		OH	2/5/2021 7:43 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1497746101	2/5/2021 7:43 AM
Medicaid Billing	NPI: State	Insert	Recertification		OH	2/5/2021 7:43 AM
Details	Last Recertification Date	Update	Recertification	1/29/2020 7:11:48 AM	2/5/2021 7:43:51 AM	2/5/2021 7:43 AM
Details	Last Recertification Date	Update	Recertification	1/30/2019 9:35:02 AM	1/29/2020 7:11:48 AM	1/29/2020 7:11 AM
Details	Last Recertification Date	Update	Recertification	2/9/2018 3:59:04 PM	1/30/2019 9:35:02 AM	1/30/2019 9:35 AM
Details	Last Recertification Date	Update	Recertification	1/25/2017 12:00:00 AM	2/9/2018 3:59:04 PM	2/9/2018 3:59 PM
Contacts	Primary Contact	Update	Change Request	BRIDENBAUGH, MARK CEO Hopewell Health Centers 7407731006-2004	Pate, Kelley Kristine 340B Program Manager Hopewell Health Centers 7407731006-2071	1/10/2018 6:55 AM
Contacts	Primary Contact	Update		BRIDENBAUGH, MARK CEO 7407731006-2004	BRIDENBAUGH, MARK CEO Hopewell Health Centers 7407731006-2004	1/8/2018 12:10 PM
Contacts	Authorizing Official	Insert	AO Change Request		Bridenbaugh, Mark Chief Executive Officer Hopewell Health Centers, Inc. 7407731006-2004	10/13/2017 2:33 PM
Contacts	Primary Contact	Insert			BRIDENBAUGH, MARK CEO 7407731006-2004	8/4/2017 2:10 PM
Addresses	Main Address	Insert			31891 STATE ROUTE 93N MC ARTHUR, OH 45651-9006	1/25/2017 8:22 AM
Details	Last Recertification Date	Update		2/16/2016 12:00:00 AM	1/25/2017 12:00:00 AM	1/25/2017 8:22 AM
Details	Last Recertification Date	Update		2/3/2015 12:00:00 AM	2/16/2016 12:00:00 AM	2/16/2016 11:01 AM
Details	Last Recertification Date	Update		2/14/2014 12:00:00 AM	2/3/2015 12:00:00 AM	2/3/2015 1:16 PM
Addresses	Billing Address	Insert			Hopewell Health Centers, Inc. 1049 WESTERN AVENUE PO BOX 188 CHILLICOTHE, OH 45601-0188	7/11/2014 10:56 PM
Details	Entity Name	Update		FAMILY HEALTHCARE, INC.	Hopewell Health Centers, Inc.	7/11/2014 10:56 PM
Details	Entity Subname	Update		FAMILY HEALTHCARE-MCARTHUR	Hopewell Health Centers - McArthur	7/11/2014 10:56 PM
Details	Entity Name	Update		Hopewell Health Centers, Inc.	FAMILY HEALTHCARE, INC.	3/31/2014 4:25 PM
Details	Entity Subname	Update			FAMILY HEALTHCARE-MCARTHUR	3/31/2014 4:25 PM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	2/14/2014 12:00:00 AM	2/14/2014 8:46 AM
Medicaid Billing	Medicaid: Is Primary	Insert			False	10/17/2013 1:46 PM
Medicaid Billing	Medicaid: Number	Insert			0836608	10/17/2013 1:46 PM
Medicaid Billing	Medicaid: State	Insert			OH	10/17/2013 1:46 PM
Details	Entity Name	Update		FAMILY HEALTHCARE, INC.	Hopewell Health Centers, Inc.	10/17/2013 1:46 PM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	2/7/2013 8:21 AM
Details	Last Recertification Date	Insert				6/4/2010 12:13 PM
Details	Grant Number	Insert			H80CS00193	6/4/2010 12:13 PM
Details	340B ID	Insert			CH05227F	6/4/2010 12:13 PM
Details	Is Authorizing Official EHB Data	Insert				6/4/2010 12:13 PM
Dates	Last Date That 340B Drugs Purchased	Insert				6/4/2010 12:13 PM
Details	Medicare Provider Number	Insert				6/4/2010 12:13 PM
Details	Entity Name	Insert			FAMILY HEALTHCARE, INC.	6/4/2010 12:13 PM
Details	Program Code	Insert			CH	6/4/2010 12:13 PM
Details	Entity Subname	Insert				6/4/2010 12:13 PM
Dates	Participating Approval Date	Insert			12/7/2004 12:00:00 AM	6/4/2010 12:13 PM
Details	State	Insert			Active	6/4/2010 12:13 PM
Dates	Registration Date	Insert			1/1/2001 12:00:00 AM	6/4/2010 12:13 PM
Dates	Signed By Date	Insert				6/4/2010 12:13 PM
Dates	Start Date	Insert			1/1/2001 12:00:00 AM	6/4/2010 12:13 PM
Terminations	Termination Comments	Insert				6/4/2010 12:13 PM
Terminations	Termination Date	Insert				6/4/2010 12:13 PM
Terminations	Termination Effective Date	Insert				6/4/2010 12:13 PM
Terminations	Termination Reason	Insert				6/4/2010 12:13 PM
Details	Comments Public	Insert			6/4/10 ADDED BILLING TO	6/4/2010 12:13 PM

340B Drug Pricing Program Database