340B Drug Pricing Program Database


CHC26605-03 NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES (Active) - information as of 5/29/2025 1:49:49 AM

Main Details
NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES
Change Point
HRSA-Funded Health Center
BPS-H80-013055
CHC26605-03
H80CS26605


Additional Details
Active
7/11/2022
10/1/2022
7/12/2022
2/19/2025

Contacts

Northern Nevada HIV Outpatient Program Education and Services
Sharon Chamberlain, Chief Executive Officer
(775) 348-2895

Northern Nevada Hopes
Tida Watkins, Director of Pharmacy
(775) 348-1306

Addresses

445 Ralston St
Reno, NV 89503-4432

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
CHC26605-00ActiveBPS-H80-013134NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES.580 W 5th St RenoNV
CHC26605-01TerminatedBPS-H80-013134NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICESNorthern Nevada HIV Outpatient Program Education and Services580 W 5th St RenoNV
CHC26605-02TerminatedBPS-H80-033605NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICESNorthern Nevada HIV Outpatient Program Education and Services--Bell Street Clinic595 Bell St RenoNV
CHC26605-03ActiveBPS-H80-013055NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICESChange Point445 Ralston St RenoNV
CHC26605-04ActiveBPS-H80-038290NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICESNorthern Nevada HIV Outpatient Program Education and Services--4th St. Clinic1905 E 4th St RenoNV
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC26605-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771307/01/2020 09/29/2022
CHC26605-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526107/01/2020 09/29/2022
CHC26605-00CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361410/01/2023  
CHC26605-00CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005604/01/2020  
CHC26605-00CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621904/01/2020  
CHC26605-00CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175710/01/2023  
CHC26605-00CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808310/01/2023  
CHC26605-00CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700404/01/2020  
CHC26605-00CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761710/01/2023  
CHC26605-00CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813304/01/2020  
CHC26605-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237404/01/2020  
CHC26605-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911910/01/2023  
CHC26605-00CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/2022  
CHC26605-00CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/2022  
CHC26605-00CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2024  
CHC26605-00CYSTIC FIBROSIS SERVICESCYSTIC FIBROSIS SERVICES, INC 10530 JOHN W ELLIOTT DR, STE 200
FRISCOTX7503304/01/2017 08/09/2017
CHC26605-00CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503307/01/2017 01/13/2023
CHC26605-00DOGWOOD PHARMACY, INCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER ROAD
SUITE K 		GREENVILLESC29607-654007/01/2020 09/29/2022
CHC26605-00EXACT CARE PHARMACYDDCRX, LLC 2701 HIGHPOINT OAKS DR STE 100
LEWISVILLETX75067-389607/23/2020 09/29/2022
CHC26605-00EXACT CARE PHARMACY, LLC8333 ROCKSIDE RD
CLEVELANDOH4412510/23/2020 09/29/2022
CHC26605-00GENOA HEALTHCARE LLC701 SHADOW LN STE 110
LAS VEGASNV8910607/01/2025  
CHC26605-00GENOA HEALTHCARE LLC401 S MARYLAND PKWY RM P
LAS VEGASNV8910107/01/2025  
CHC26605-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09191 5019 S MCCARRAN BLVD
RENONV8950210/01/2019  
CHC26605-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09840 8005 S VIRGINIA ST
RENONV8951110/01/2019  
CHC26605-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09170 2300 ODDIE BLVD
SPARKSNV8943110/01/2019  
CHC26605-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09974 3360 S MCCARRAN BLVD
RENONV8950210/01/2019  
CHC26605-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09841 1695 ROBB DR
RENONV8952310/01/2019  
CHC26605-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09964 170 LEMMON DR
RENONV8950610/01/2019  
CHC26605-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 07949 75 PRINGLE WAY, STE 102
RENONV8950210/01/2019  
CHC26605-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09838 5485 SUN VALLEY BLVD
SUN VALLEYNV8943310/01/2019  
CHC26605-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09586 55 DAMONTE RANCH PKWY
RENONV8952110/01/2019  
CHC26605-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03948 2878 VISTA BLVD
SPARKSNV8943410/01/2019  
CHC26605-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09168 1119 CALIFORNIA AVE
RENONV8950910/01/2019  
CHC26605-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09981 3240 US HIGHWAY 50 E
CARSON CITYNV8970101/01/2023  
CHC26605-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09376 3471 LAKE TAHOE BLVD
SOUTH LAKE TAHOECA9615001/01/2023  
CHC26605-00NEVADA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08806 1250W 7TH ST
RENONV8950310/01/2019  
CHC26605-00NEVADA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06625 1081 STEAMBOAT PKWY.
RENONV8952110/01/2019  
CHC26605-00NEVADA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00157 2890 NORTHTOWNE LANE
RENONV8951210/01/2019  
CHC26605-00NEVADA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08792 680 N. MCCARRAN BLVD.
SPARKSNV8943110/01/2019  
CHC26605-00NEVADA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04691 5151 SPARKS BLVD.
SPARKSNV8943610/01/2019  
CHC26605-00NEVADA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08801 550 W. IDAHO ST
ELKONV8980107/01/2022  
CHC26605-00NEVADA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08793 299 EAST PLUMB LANE, SUITE 170
RENONV8950201/01/2024  
CHC26605-00NEVADA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08779 220 FAIRVIEW LANE
CARSON CITYNV8970104/01/2025  
CHC26605-00OPTUM PHARMACY 701, LLC8131 W BOSTIAN RD STE A350
WOODINVILLEWA98072-502910/01/2024  
CHC26605-00OPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850710/01/2024  
CHC26605-00OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713010/01/2024  
CHC26605-00OPTUM PHARMACY 707, INC4900 RIVERGRADE RD STE E110
IRWINDALECA91706-140110/01/2024  
CHC26605-00OPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983810/01/2024  
CHC26605-00PRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999210/01/2017  
CHC26605-00PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514604/01/2020  
CHC26605-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681310/01/2023  
CHC26605-00PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523310/01/2023  
CHC26605-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920310/01/2023  
CHC26605-00RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255007/01/2020 09/29/2022
CHC26605-00RIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500207/01/2020 09/29/2022
CHC26605-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2024  
CHC26605-00WAL-MART PHARMACY #10-21062425 E 2ND ST
RENONV89502-121810/01/2024  
CHC26605-00WAL-MART PHARMACY #10-21894855 KIETZKE LN
RENONV8950910/01/2024  
CHC26605-00WAL-MART PHARMACY 10-20521155 AIRPORT PARK BLVD.
UKIAHCA9548210/01/2024  
CHC26605-00WAL-MART PHARMACY 10-24022944 MOUNTAIN CITY HWY
ELKONV8980110/01/2024  
CHC26605-00WAL-MART PHARMACY 10-24532333 RENO HIGHWAY
FALLONNV8940610/01/2024  
CHC26605-00WAL-MART PHARMACY 10-32545260 W 7TH STREET
RENONV8952310/01/2024  
CHC26605-00WAL-MART PHARMACY 10-3277155 DAMONTE RANCH PKWY
RENONV8952110/01/2024  
CHC26605-00WAL-MART PHARMACY 10-34083200 MARKET STREET
CARSON CITYNV8970610/01/2024  
CHC26605-00WAL-MART PHARMACY 10-37295065 PYRAMID LAKE ROAD
SPARKSNV8943610/01/2024  
CHC26605-00WAL-MART PHARMACY 10-4239250 VISTA KNOLL PKWY
RENONV8950610/01/2024  
CHC26605-00WAL-MART PHARMACY 10-43701550 EAST NEWLANDS DRIVE
FERNLEYNV8940810/01/2024  
CHC26605-00WAL-MART PHARMACY 10-53152354 COMMERCE PARK DR.
ORLANDOFL3281910/01/2024  
CHC26605-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2024  
CHC26605-00WALGREEN CO.DBA: WALGREENS # 02474 3000 VISTA BLVD
SPARKSNV89436-670204/01/2017  
CHC26605-00WALGREEN CO.DBA: WALGREENS # 02658 10370 N MCCARRAN BLVD
RENONV8950304/01/2017  
CHC26605-00WALGREEN CO.DBA: WALGREENS # 02662 12645 S VIRGINIA ST
RENONV8951104/01/2017  
CHC26605-00WALGREEN CO.DBA: WALGREENS # 04610 18461 E HAMPDEN AVE
AURORACO8001304/01/2017 11/11/2017
CHC26605-00WALGREEN CO.DBA: WALGREENS # 04788 1465 E WILLIAM ST
CARSON CITYNV8970104/01/2017  
CHC26605-00WALGREEN CO.DBA: WALGREENS # 04789 3495 S VIRGINIA ST
RENONV8950204/01/2017  
CHC26605-00WALGREEN CO.DBA: WALGREENS # 05295 750 N VIRGINIA ST
RENONV89501-100104/01/2017  
CHC26605-00WALGREEN CO.DBA: WALGREENS # 09581 2020 RENO HWY
FALLONNV8940604/01/2017  
CHC26605-00WALGREEN CO.DBA: WALGREENS # 09864 1342 N HWY 395
GARDNERVILLENV8941004/01/2017  
CHC26605-00WALGREEN CO.DBA: WALGREENS # 09902 292 LOS ALTOS PKWY
SPARKSNV89436-770804/01/2017  
CHC26605-00WALGREEN CO.DBA WALGREENS #11226 305 LEMMON DR
RENONV8950604/01/2017  
CHC26605-00WALGREEN CO.DBA: WALGREENS #11227 2299 ODDIE BLVD.
SPARKSNV8943104/01/2017  
CHC26605-00WALGREEN CO.DBA: WALGREENS #12488 1280 US HIGHWAY 95A N
FERNLEYNV8940804/01/2017  
CHC26605-00WALGREEN CO.DBA: WALGREENS #12540 9705 PYRAMID WAY
SPARKSNV8944104/01/2017  
CHC26605-00WALGREEN CO.DBA: WALGREENS #13888 455 S. BROADWAY AVE.
BOISEID8370204/01/2017 11/11/2017
CHC26605-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #21237 300 S WELLS AVE
STE 3 		RENONV8950207/01/2022  
CHC26605-00WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528404/01/2017 11/11/2017
CHC26605-00WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700804/01/2017 01/01/2022
CHC26605-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818804/01/2017 01/13/2023
CHC26605-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503304/01/2017 01/13/2023
CHC26605-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527504/01/2017  
CHC26605-00WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275610/01/2024  
CHC26605-00Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616810/01/2024  
CHC26605-00WARM SPRINGS ROAD CVS, L.L.C.CVS PHARMACY # 17523 1550 E LINCOLN WAY
SPARKSNV8943410/01/2019  
CHC26605-00WARM SPRINGS ROAD CVS, L.L.C.CVS PHARMACY # 16702 6845 SIERRA CENTER PKWY
RENONV8951110/01/2019  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
Medicaid BillingMedicaid: NumberDeleteRecertification001716086 (NV) 2/19/2025 5:45 PM
Medicaid BillingNPI: NumberDeleteRecertification1659792810 (NV) 2/19/2025 5:45 PM
DetailsLast Recertification DateUpdateRecertification1/30/2024 4:32:01 PM2/19/2025 5:45:29 PM2/19/2025 5:45 PM
DetailsLast Recertification DateUpdateRecertification1/30/2023 10:57:20 AM1/30/2024 4:32:01 PM1/30/2024 4:32 PM
DetailsLast Recertification DateUpdateRecertification 1/30/2023 10:57:20 AM1/30/2023 10:57 AM
DetailsStateUpdate ApprovedActive10/1/2022 12:01 AM
ContactsSigned ByInsertNew Registration Chamberlain, Sharon Chief Executive Officer Northern Nevada HIV Outpatient Program Education and Services 77534828957/12/2022 8:27 AM
Details340B IDUpdateNew Registration CHC26605-037/12/2022 8:27 AM
DatesParticipating Approval DateUpdateNew Registration 7/12/2022 8:27:42 AM7/12/2022 8:27 AM
DetailsStateUpdateNew RegistrationPendingApproved7/12/2022 8:27 AM
DatesSigned By DateUpdateNew Registration 7/11/2022 6:17:32 PM7/12/2022 8:27 AM
DatesStart DateUpdateNew Registration 10/1/2022 12:00:00 AM7/12/2022 8:27 AM
AddressesMain AddressInsertNew Registration  445 Ralston St Reno, NV 89503-44327/11/2022 5:44 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/11/2022 5:44 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 0017160867/11/2022 5:44 PM
Medicaid BillingMedicaid: StateInsertNew Registration NV7/11/2022 5:44 PM
Medicaid BillingNPI: NumberInsertNew Registration 16597928107/11/2022 5:44 PM
Medicaid BillingNPI: StateInsertNew Registration NV7/11/2022 5:44 PM
ContactsAuthorizing OfficialInsertNew Registration Chamberlain, Sharon Chief Executive Officer Northern Nevada HIV Outpatient Program Education and Services 77534828957/11/2022 5:44 PM
ContactsPrimary ContactInsertNew Registration Watkins, Tida Director of Pharmacy Northern Nevada Hopes 77534813067/11/2022 5:44 PM
DetailsAssistance Received From DateInsertNew Registration  7/11/2022 5:44 PM
DetailsAssistance Received To DateInsertNew Registration  7/11/2022 5:44 PM
DetailsLast Recertification DateInsertNew Registration  7/11/2022 5:44 PM
DetailsGrant NumberInsertNew Registration H80CS266057/11/2022 5:44 PM
Details340B IDInsertNew Registration  7/11/2022 5:44 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  7/11/2022 5:44 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  7/11/2022 5:44 PM
DetailsMedicare Provider NumberInsertNew Registration  7/11/2022 5:44 PM
DetailsEntity NameInsertNew Registration NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES7/11/2022 5:44 PM
DetailsNOFO NumberInsertNew Registration  7/11/2022 5:44 PM
DetailsProgram CodeInsertNew Registration CH7/11/2022 5:44 PM
DetailsEntity SubnameInsertNew Registration Change Point7/11/2022 5:44 PM
DatesParticipating Approval DateInsertNew Registration  7/11/2022 5:44 PM
DetailsStateInsertNew Registration Pending7/11/2022 5:44 PM
DatesRegistration DateInsertNew Registration 7/11/2022 5:44:07 PM7/11/2022 5:44 PM
DatesSigned By DateInsertNew Registration  7/11/2022 5:44 PM
DatesStart DateInsertNew Registration  7/11/2022 5:44 PM
TerminationsTermination CommentsInsertNew Registration  7/11/2022 5:44 PM
TerminationsTermination DateInsertNew Registration  7/11/2022 5:44 PM
TerminationsTermination Effective DateInsertNew Registration  7/11/2022 5:44 PM
TerminationsTermination ReasonInsertNew Registration  7/11/2022 5:44 PM