Covered Entity Details

CH04094BG Blue Ridge Community Health Services, Inc. (Active) - information as of 5/20/2025 11:42:57 PM

Main Details

Name

Blue Ridge Community Health Services, Inc.

Subdivision Name

Pardee BlueMD 2695 Hendersonville Road Suite 202

Type

HRSA-Funded Health Center

Site ID

BPS-H80-035419

340B ID

CH04094BG

Grant Number

H80CS00650

Additional Details

Current Program Status

Active

Registration Date

9/12/2022

Participating Start Date

9/13/2022

Participating Approval Date

9/13/2022

Last Recertification Date

2/17/2025

Contacts

Authorizing Official

Henderson County Hospital Corporation
Michael Sunday, VP Finance, CFO
(828) 696-1175

Primary Contact

Henderson County Hospital Corporation
Adrienne Paige Giddens, Director of Pharmacy
(828) 694-7712

Addresses

Street Address

2695 Hendersonville Rd STE 202
Arden, NC 28704-8576

Billing Address

Henderson County Hospital Corporation D/B/A Pardee BlueMD
800 North Justice Street
Hendersonville, NC 28791

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites 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?
Yes

State	Medicaid Number	NPI Number
NC		1962131656

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
Contract Detail	WAL-MART PHARMACY 10-1242	250 HIGHLANDS SQUARE DRIVE		HENDERSONVILLE	NC	28792	10/13/2023	01/01/2024			01/01/2024

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	Address Cont.	City	State
CH040940	Active	BPS-H80-002454	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	BLUE RIDGE HEALTH CENTER	2579 CHIMNEY ROCK RD		HENDERSONVILLE	NC
CH04094AA	Active	BPS-H80-024831	Blue Ridge Community Health Services, Inc.	Blue Ridge Health - Administration	220 5th Ave E		Hendersonville	NC
CH04094AB	Active	BPS-H80-027243	Blue Ridge Community Health Services, Inc.	Polk County Middle School	321 Wolverine Trail		Mill Spring	NC
CH04094AC	Terminated	BPS-H80-028003	Blue Ridge Community Health Services, Inc.	Blue Ridge Health-Givens Gerber	60 Gerber Rd Bldg		Asheville	NC
CH04094AD	Active	BPS-H80-033399	Blue Ridge Community Health Services, Inc.	Blue Ridge Health - Swain	264 Highway 19 S Ste 4		Bryson City	NC
CH04094AE	Active	BPS-H80-030206	Blue Ridge Community Health Services, Inc.	Blue Ridge Health--Swain County Middle School	135 Arlington Ave		Bryson City	NC
CH04094AF	Active	BPS-H80-027771	Blue Ridge Community Health Services, Inc.	Blue Ridge Health-Fairview School	251 Big Orange Way		Sylva	NC
CH04094AG	Active	BPS-H80-028369	Blue Ridge Community Health Services, Inc.	Blue Ridge Health-IC Imagine Public Charter School	110 Champion Way		Asheville	NC
CH04094AH	Active	BPS-H80-028384	Blue Ridge Community Health Services, Inc.	Blue Ridge Health-Lake Lure Classical Academy	1058 Island Creek Rd		Lake Lure	NC
CH04094AJ	Active	BPS-H80-027770	Blue Ridge Community Health Services, Inc.	Blue Ridge Health-Smoky Mountain High School	100 Smoky Mountain Dr		Sylva	NC
CH04094AK	Active	BPS-H80-030341	Blue Ridge Community Health Services, Inc.	Blue Ridge Health-Edneyville Elementary School	2875 Pace Rd		Hendersonville	NC
CH04094AL	Active	BPS-H80-031380	Blue Ridge Community Health Services, Inc.	Blue Ridge Health - Rosman High School	749 Pickens Hwy		Rosman	NC
CH04094AM	Active	BPS-H80-031381	Blue Ridge Community Health Services, Inc.	Blue Ridge Health - Rosman Middle School	2770 Old Rosman Hwy		Rosman	NC
CH04094AN	Active	BPS-H80-031442	Blue Ridge Community Health Services, Inc.	Blue Ridge Health - Rosman Elementary	167 Rosman School Rd		Rosman	NC
CH04094AP	Active	BPS-H80-029596	Blue Ridge Community Health Services, Inc.	Blue Ride Health Mobile Dental Bus	2579 Chimney Rock Rd		Hendersonville	NC
CH04094AQ	Terminated	BPS-H80-027965	Blue Ridge Community Health Services, Inc.	Blue Ridge Health Mobile Dental	2579 Chimney Rock Rd		Hendersonville	NC
CH04094AR	Active	BPS-H80-032588	Blue Ridge Community Health Services, Inc.	Blue Ridge Health - Highlands Cashier	209 Hospital Dr		Highlands	NC
CH04094AS	Terminated	BPS-H80-031761	Blue Ridge Community Health Services, Inc.	Blue Ridge Health - Franklin School of Innovation	21 Innovation Dr		Asheville	NC
CH04094AT	Active	BPS-H80-032089	Blue Ridge Community Health Services, Inc.	Blue Ridge Health - Rainbow Pediatrics	110 Chadwick Square Ct Ste C		Hendersonville	NC
CH04094AU	Active	BPS-H80-032587	Blue Ridge Community Health Services, Inc.	Blue Ridge Health - Rainbow Pediatrics	100 Chadwick Square Ct Ste D		Hendersonville	NC
CH04094AV	Active	BPS-H80-033592	Blue Ridge Community Health Services, Inc.	Blue Ridge Health Mobile Dental Bus 3	2579 Chimney Rock Rd		Hendersonville	NC
CH04094AW	Active	BPS-H80-033396	Blue Ridge Community Health Services, Inc.	Blue Ridge Health-Meridian Broadview	307 Broadview Rd		Waynesville	NC
CH04094AX	Active	BPS-H80-033394	Blue Ridge Community Health Services, Inc.	Blue Ridge Health-Meridian Macon	674 Highlands Rd		Franklin	NC
CH04094AY	Active	BPS-H80-033400	Blue Ridge Community Health Services, Inc.	Blue Ridge Health-Meridian Walnut	131 Walnut St		Waynesville	NC
CH04094AZ	Active	BPS-H80-033395	Blue Ridge Community Health Services, Inc.	Blue Ridge Health-Meridian 69 North Broad	69 N Broad St		Brevard	NC
CH04094BA	Active	BPS-H80-033397	Blue Ridge Community Health Services, Inc.	Blue Ridge Health-Meridian East	1207 East St		Waynesville	NC
CH04094BB	Active	BPS-H80-033398	Blue Ridge Community Health Services, Inc.	Blue Ridge Health-Meridian 65 North Broad	65 N Broad St		Brevard	NC
CH04094BC	Active	BPS-H80-034367	Blue Ridge Community Health Services, Inc.	Blue Ridge Health - Asheville Middle School	211 S French Broad Ave		Asheville	NC
CH04094BD	Active	BPS-H80-034901	Blue Ridge Community Health Services, Inc.	Blue Ridge Health - Meridian Bonnie Lane	44 Bonnie Ln		Sylva	NC
CH04094BE	Active	BPS-H80-035370	Blue Ridge Community Health Services, Inc.	Pardee BlueMD 712 Fleming Street	712 Fleming St		Hendersonville	NC
CH04094BF	Active	BPS-H80-035369	Blue Ridge Community Health Services, Inc.	Pardee BlueMD 156 Cross Road Drive	156 Cross Road Dr		Mills River	NC
CH04094BG	Active	BPS-H80-035419	Blue Ridge Community Health Services, Inc.	Pardee BlueMD 2695 Hendersonville Road Suite 202	2695 Hendersonville Rd STE 202		Arden	NC
CH04094BH	Active	BPS-H80-035368	Blue Ridge Community Health Services, Inc.	Pardee BlueMD 1409 Asheville Highway	1409 Asheville Hwy		Brevard	NC
CH04094BJ	Active	BPS-H80-035418	Blue Ridge Community Health Services, Inc.	Pardee BlueMD 2695 Hendersonville Road Suite 200	2695 Hendersonville Rd STE 200		Arden	NC
CH04094BK	Active	BPS-H80-035366	Blue Ridge Community Health Services, Inc.	Pardee BlueMD 3334 Boylston Highway Suite 20	3334 Boylston Hwy STE 20		Mills River	NC
CH04094BL	Active	BPS-H80-035367	Blue Ridge Community Health Services, Inc.	Pardee BlueMD 643 Fifth Avenue West	643 5th Ave W		Hendersonville	NC
CH04094BM	Active	BPS-H80-035417	Blue Ridge Community Health Services, Inc.	Pardee BlueMD 805 Fairview Road Suite 200	805 Fairview Rd STE 200		Asheville	NC
CH04094BN	Active	BPS-H80-035164	Blue Ridge Community Health Services, Inc.	Pardee BlueMD 1824 Pisgah Drive	1824 Pisgah Drive		Hendersonville	NC
CH04094BP	Active	BPS-H80-035416	Blue Ridge Community Health Services, Inc.	Pardee BlueMD 6503 Brevard Road	6503 Brevard Rd		Etowah	NC
CH04094BQ	Active	BPS-H80-035415	Blue Ridge Community Health Services, Inc.	Pardee BlueMD 2775 Hendersonville Road	2775 Hendersonville Rd		Arden	NC
CH04094BR	Active	BPS-H80-034373	BLUE RIDGE COMMUNITY HEALTH SERVICES INC	Blue Ridge Health - Erwin Middle School	20 Erwin Hills Rd		Asheville	NC
CH04094BS	Active	BPS-H80-034873	BLUE RIDGE COMMUNITY HEALTH SERVICES INC	Blue Ridge Health - Brevard Elementary School	399 Greenville Hwy		Brevard	NC
CH04094BT	Active	BPS-H80-034874	BLUE RIDGE COMMUNITY HEALTH SERVICES INC	Blue Ridge Health - Brevard High School	609 N Country Club Rd		Brevard	NC
CH04094BU	Active	BPS-H80-034745	BLUE RIDGE COMMUNITY HEALTH SERVICES INC	Blue Ridge Health-Brevard Middle School	400 Fisher Rd		Brevard	NC
CH04094BV	Active	BPS-H80-034746	BLUE RIDGE COMMUNITY HEALTH SERVICES INC	Blue Ridge Health-Pisgah Forest Elementary School	1160 Ecusta Rd		Brevard	NC
CH04094BW	Active	BPS-H80-034875	BLUE RIDGE COMMUNITY HEALTH SERVICES INC	Blue Ridge Health- Davidson River School	970 Ecusta Rd		Brevard	NC
CH04094BX	Active	BPS-H80-035365	BLUE RIDGE COMMUNITY HEALTH SERVICES INC	Pardee BlueMD 611B Fifth Avenue West	611 5th Ave W STE B		Hendersonville	NC
CH04094BY	Active	BPS-H80-036364	BLUE RIDGE COMMUNITY HEALTH SERVICES INC	Blue Ridge Health - Swain County High School	1415 Fontana Rd		Bryson City	NC
CH04094BZ	Active	BPS-H80-037834	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health - Sunnyview Elementary School	86 Sunny View School Road		Mill Spring	NC
CH04094CA	Active	BPS-H80-037833	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health - Polk Central Elementary	2141 Highway 9S		Mill Spring	NC
CH04094CB	Active	BPS-H80-037835	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health - Tryon Elementary School	100 School Place		Tryon	NC
CH04094CC	Active	BPS-H80-038166	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Pardee BlueMD 1027 Fleming Street	1027 Fleming Street STE A		Hendersonville	NC
CH04094CD	Active	BPS-H80-038423	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health - Brevard	29 West French Broad Street, #210		Brevard	NC
CH04094CE	Active	BPS-H80-038626	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health - Enka Middle School	390 Asbury Road		Candler	NC
CH04094CF	Active	BPS-H80-039246	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health - Upward Elementary	45 Education Drive		Flat Rock	NC
CH04094CG	Active	BPS-H80-039203	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health - Innovative High School	300 East Campus Drive		Flat Rock	NC
CH04094CH	Active	BPS-H80-039242	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health - Dana Elementary	690 Ridge Road		Hendersonville	NC
CH04094CJ	Active	BPS-H80-039243	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health - Hendersonville Middle	825 North Whitted Street		Hendersonville	NC
CH04094CK	Active	BPS-H80-039244	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health - Blue Ridge School and Early College	95 Bobcat Dr		Cashiers	NC
CH04094CL	Active	BPS-H80-039429	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health - Brevard Academy	1110 Hendersonville Highway		Pisgah Forest	NC
CH04094CM	Approved	BPS-H80-040033	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health - Atkinson Elementary School	2510 Old Kanuga Road		Hendersonville	NC
CH04094CN	Approved	BPS-H80-040031	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health - Hendersonville Elementary School	1039 Randall Circle		Hendersonville	NC
CH04094D	Active	BPS-H80-002613	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	APPLE VALLEY SCHOOL HLTH CTR	43 FRUITLAND RD		HENDERSONVILLE	NC
CH04094F	Active	BPS-H80-005380	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	STOKES DENTAL CENTER	2595 CHIMNEY ROCK RD		HENDERSONVILLE	NC
CH04094H	Active	BPS-H80-028386	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health - Brevard	29 W French Broad St	STE 202/203	Brevard	NC
CH04094J	Active	BPS-H80-008576	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	NORTH HENDERSON HIGH SCHOOL	35 Fruitland Rd		Hendersonville	NC
CH04094K	Active	BPS-H80-008059	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	BRUCE DRYSDALE ELEMENTARY SCHOOL	271 Bearcat Boulevard		Hendersonville	NC
CH04094L	Active	BPS-H80-012507	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Hendersonville Family Health Center	709 N Justice St		Hendersonville	NC
CH04094M	Active	BPS-H80-018863	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	HILLANDALE ELEMENTARY SCHOOL	40 Preston Ln		East Flat Rock	NC
CH04094N	Active	BPS-H80-032912	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health-Arden	303 Airport Rd		Arden	NC
CH04094P	Active	BPS-H80-013271	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Rutherford Health Center	187 W Main St		Spindale	NC
CH04094Q	Active	BPS-H80-017662	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	7th Avenue Health Center	628 7th Avenue		Hendersonville	NC
CH04094R	Active	BPS-H80-028122	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	Blue Ridge Health-Polk	161 Walker St Bldg		COLUMBUS	NC
CH04094S	Active	BPS-H80-021592	BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.	HAYWOOD HEALTH CENTER	490 Hospital Dr		Clyde	NC
CH04094T	Terminated	BPS-H80-012403	Blue Ridge Community Health Services, Inc.	Mainstay-Safelight	2579 Chimney Rock Road		Hendersonville	NC
CH04094V	Active	BPS-H80-018400	Blue Ridge Community Health Services, Inc.	Sugarloaf Elementary School	2270 Sugarloaf Rd		Hendersonville	NC
CH04094W	Active	BPS-H80-019348	Blue Ridge Community Health Services, Inc.	Blue Ridge Health - Rainbow Pediatrics	110 Chadwick Square Ct Ste A		Hendersonville	NC
CH04094X	Active	BPS-H80-019436	Blue Ridge Community Health Services, Inc.	Sylva Health Center	293 Hospital Rd		Sylva	NC
CH04094Y	Active	BPS-H80-022242	Blue Ridge Community Health Services, Inc.	Blue Ridge Health - Collins Dental	158 White Dr.		Columbus	NC
CH04094Z	Active	BPS-H80-027194	Blue Ridge Community Health Services, Inc.	Blue Ridge Health - Lake Lure	146 Nesbitt Ridge		Lake Lure	NC

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH040940	A TO Z DRUGS	DBA CASHIERS VALLEY PHARMACY	52 CASHIERS SHOPPING CTR	CASHIERS	NC	28717-4501	10/01/2021
CH04094AR	A TO Z DRUGS	DBA CASHIERS VALLEY PHARMACY	52 CASHIERS SHOPPING CTR	CASHIERS	NC	28717-4501	01/01/2024
CH040940	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2022
CH040940	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2022
CH040940	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2022
CH04094BN	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/05/2022	10/01/2023
CH04094BN	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/05/2022	10/01/2023
CH04094BN	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/05/2022
CH04094BP	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	01/01/2024
CH040940	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2022
CH040940	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2022	06/01/2023
CH040940	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2022
CH04094BN	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	10/05/2022	10/01/2023
CH04094BN	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/05/2022	10/01/2023
CH04094BN	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/05/2022	10/01/2023
CH04094BN	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	10/05/2022	10/01/2023
CH04094BU	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/01/2024
CH04094CG	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2025
CH04094BN	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	04/01/2024
CH04094BN	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	04/01/2024
CH040940	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	04/01/2024
CH040940	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	13925 YALE AVE STE 145		IRVINE	CA	92620-2670	04/01/2024
CH040940	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	04/01/2024
CH04094BN	BIOPLUS SPECIALTY PHARMACY, INC	3200 LAKE EMMA RD UNIT 1000		LAKE MARY	FL	32746	07/01/2023	07/01/2023
CH040940	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2021
CH04094BN	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	09/13/2022
CH04094CA	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2025
CH040940	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/01/2021
CH04094BN	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	09/13/2022
CH040940	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/01/2021
CH04094BN	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	09/13/2022
CH040940	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/01/2021
CH04094BN	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	09/13/2022
CH040940	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/01/2021
CH04094BN	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	09/13/2022
CH040940	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/01/2021
CH04094BN	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	09/13/2022
CH04094CB	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	10/01/2024
CH040940	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/01/2021
CH04094BN	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	09/13/2022
CH04094BT	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	10/01/2024
CH040940	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2021
CH04094BN	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	09/13/2022
CH04094CE	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2025
CH040940	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/01/2021
CH04094BN	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	09/13/2022
CH040940	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/01/2021
CH04094BN	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	09/13/2022
CH04094BN	CENTERWELL PHARMACY, INC.	9843 WINDISCH RD		WEST CHESTER	OH	45069	10/11/2022	07/02/2024
CH04094BX	CENTERWELL PHARMACY, INC.	9843 WINDISCH RD		WEST CHESTER	OH	45069	01/01/2024	07/02/2024
CH040940	CENTERWELL PHARMACY, INC.	9843 WINDISCH RD		WEST CHESTER	OH	45069	10/01/2024
CH04094J	CENTERWELL PHARMACY, INC.	9843 WINDISCH RD		WEST CHESTER	OH	45069	01/01/2025
CH040940	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/01/2021
CH04094BN	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	09/13/2022
CH04094BZ	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	10/01/2024
CH040940	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/01/2021
CH04094BN	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	09/13/2022
CH040940	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2021
CH04094BN	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	09/13/2022
CH04094BY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	10/01/2024	01/03/2025
CH04094AF	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/01/2025
CH04094BN	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	10/01/2023
CH040940	DOGWOOD PHARMACY LLC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER RD STE K	GREENVILLE	SC	29607-6541	04/01/2024
CH040940	ECKERD CORPORATION	RITE AID #11564	640 SPARTANBURG HIGHWAY	HENDERSONVILLE	NC	28792	10/01/2016	01/30/2018
CH040940	ECKERD CORPORATION	RITE AID #11563	1257 ASHEVILLE HIGHWAY	HENDERSONVILLE	NC	28791	10/01/2016	01/30/2018
CH040940	ECKERD CORPORATION	RITE AID #11461	121 RAILROAD AVENUE	RUTHERFORDTON	NC	28139	10/01/2016	01/30/2018
CH040940	ECKERD CORPORATION	RITE AID #11559	45 HENDERSONVILLE HWY	PISGAH FOREST	NC	28768	07/01/2017	01/30/2018
CH040940	ECONOMY DRUGS	605 5TH AVE W	JOHN JAMES ROMER RPH	HENDERSONVILLE	NC	28739-4205	07/01/2015	05/19/2017
CH04094BN	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	10/05/2022	10/01/2023
CH040940	ETOWAH PHARMACY	6527 BREVARD RD		ETOWAH	NC	28729	07/01/2015	05/19/2017
CH04094BN	ETOWAH PHARMACY	6527 BREVARD RD		ETOWAH	NC	28729	04/01/2025
CH04094BN	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	10/05/2022
CH04094BN	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	10/05/2022	10/01/2023
CH04094BN	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	10/05/2022	10/01/2023
CH04094BN	FERNHILL PHARM INC	DBA GORDON FAMILY PHARMACY	518 S BROAD ST	BREVARD	NC	28712-4438	03/02/2023
CH04094BL	FERNHILL PHARM INC	DBA GORDON FAMILY PHARMACY	518 S BROAD ST	BREVARD	NC	28712-4438	01/01/2024
CH040940	GENOA HEALTHCARE LLC	139 EAST TRADE STREET		FOREST CITY	NC	28043	01/01/2025
CH040940	GENOA HEALTHCARE LLC	5700 EXECUTIVE CENTER DR STE 216		CHARLOTTE	NC	28212	01/01/2025
CH040940	GENOA HEALTHCARE LLC	4 HARBISON WAY		COLUMBIA	SC	29212	01/01/2025
CH040940	GENOA HEALTHCARE LLC	1314 PATTON AVE STE E		ASHEVILLE	NC	28806	01/01/2025	01/14/2025
CH040940	GENOA HEALTHCARE LLC	119 TUNNEL RD STE G		ASHEVILLE	NC	28805	01/01/2025
CH040940	GENOA HEALTHCARE LLC	835 JOHNS HOPKINS DR STE D		GREENVILLE	NC	27834	01/01/2025
CH040940	GORDON FAMILY PHARMACY		518 SOUTH BROAD ST	BREVARD	NC	28712	01/01/2015
CH04094H	GORDON FAMILY PHARMACY		518 SOUTH BROAD ST	BREVARD	NC	28712	07/01/2013	01/11/2022
CH04094H	GORDON FAMILY PHARMACY		518 SOUTH BROAD ST	BREVARD	NC	28712	01/01/2024
CH04094BN	HARRIS TEETER PHARMACY #0379	636 SPARTANBURG HWY		HENDERSONVILLE	NC	28792	07/01/2023
CH040940	INGLES MARKETS #27	756 S CHURCH STREET	SUITE 132	FOREST CITY	NC	28043	01/01/2019	11/09/2022
CH040940	INGLES MARKETS INCORPORATED	INGLES MARKETS #179	3643 HOWARD GAP ROAD	HENDERSONVILLE	NC	28792	01/01/2019	11/09/2022
CH040940	INGLES MARKETS PHARMACY #205	1851 HIGHWAY 14 E		LANDRUM	SC	29356	01/01/2019	12/17/2019
CH040940	INGLES MARKETS PHARMACY #77	625 SPARTANBURG HIGHWAY		HENDERSONVILLE	NC	28792	01/01/2019	11/09/2022
CH040940	INGLES PHARMACY #127	276 NC HIGHWAY 9		LAKE LURE	NC	28746	01/01/2019	11/09/2022
CH040940	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07008	333 W MILLS ST.	COLUMBUS	NC	28722	04/01/2018
CH040940	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03582	1605 FOUR SEASONS BLVD.	HENDERSONVILLE	NC	28792	04/01/2018
CH040940	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03559	111 S. MAIN ST.	RUTHERFORDTON	NC	28139	07/01/2019
CH040940	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04197	3450 HENDERSONVILLE RD.	FLETCHER	NC	28732	07/01/2019
CH040940	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04165	371 ASHEVILLE HIGHWAY	BREVARD	NC	28712	07/01/2019
CH040940	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04183	2001 SPARTANBURG HIGHWAY	HENDERSONVILLE	NC	28792	07/01/2019
CH040940	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05537	522 S. MAIN STREET	HENDERSONVILLE	NC	28792	07/01/2019
CH040940	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04467	128 CROSS ROAD DR.	MILLS RIVER	NC	28759	04/01/2020
CH040940	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07884	324 LONG SHOALS ROAD	ARDEN	NC	28704	04/01/2020
CH040940	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04176	11 RIVER RIDGE DR.	ASHEVILLE	NC	28803	04/01/2020
CH040940	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07521	773 RUSS AVE.	WAYNESVILLE	NC	28786	04/01/2020
CH040940	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03847	505 SMOKEY PARK HWY.	ASHEVILLE	NC	28806	04/01/2021
CH040940	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07546	88 NC HWY 107	SYLVA	NC	28779	10/01/2021
CH04094BN	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03582	1605 FOUR SEASONS BLVD.	HENDERSONVILLE	NC	28792	09/13/2022
CH04094BN	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04165	371 ASHEVILLE HIGHWAY	BREVARD	NC	28712	09/13/2022
CH04094BN	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04183	2001 SPARTANBURG HIGHWAY	HENDERSONVILLE	NC	28792	09/13/2022
CH04094BN	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04197	3450 HENDERSONVILLE RD.	FLETCHER	NC	28732	09/13/2022
CH04094BN	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04467	128 CROSS ROAD DR.	MILLS RIVER	NC	28759	09/13/2022
CH04094BN	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05537	522 S. MAIN STREET	HENDERSONVILLE	NC	28792	09/13/2022
CH04094BN	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07884	324 LONG SHOALS ROAD	ARDEN	NC	28704	09/13/2022
CH04094BN	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07008	333 W MILLS ST.	COLUMBUS	NC	28722	09/13/2022
CH04094AC	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05537	522 S. MAIN STREET	HENDERSONVILLE	NC	28792	04/01/2023	10/01/2023
CH04094R	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07008	333 W MILLS ST.	COLUMBUS	NC	28722	04/01/2023
CH04094W	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03582	1605 FOUR SEASONS BLVD.	HENDERSONVILLE	NC	28792	04/01/2023
CH04094BN	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04176	11 RIVER RIDGE DR.	ASHEVILLE	NC	28803	10/01/2023
CH04094BN	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04105	1080 HENDERSONVILLE ROAD	ASHEVILLE	NC	28803	01/01/2024
CH04094BN	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03847	505 SMOKEY PARK HWY.	ASHEVILLE	NC	28806	01/01/2024
CH04094BN	NORTH CAROLINA CVS PHARMACY, L.L.C.	CVS PHARMACY # 17106	15 MCKENNA RD	ARDEN	NC	28704	01/01/2024
CH04094AZ	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04165	371 ASHEVILLE HIGHWAY	BREVARD	NC	28712	01/01/2024
CH04094Q	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04183	2001 SPARTANBURG HIGHWAY	HENDERSONVILLE	NC	28792	01/01/2024
CH04094X	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07546	88 NC HWY 107	SYLVA	NC	28779	01/01/2024
CH04094AU	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05537	522 S. MAIN STREET	HENDERSONVILLE	NC	28792	01/01/2024	07/03/2024
CH04094Z	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03559	111 S. MAIN ST.	RUTHERFORDTON	NC	28139	01/01/2024
CH04094BD	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07521	773 RUSS AVE.	WAYNESVILLE	NC	28786	01/01/2024
CH04094F	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05537	522 S. MAIN STREET	HENDERSONVILLE	NC	28792	10/01/2024
CH04094AM	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04197	3450 HENDERSONVILLE RD.	FLETCHER	NC	28732	10/01/2024
CH04094BB	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04165	371 ASHEVILLE HIGHWAY	BREVARD	NC	28712	10/01/2024
CH04094AG	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03847	505 SMOKEY PARK HWY.	ASHEVILLE	NC	28806	10/01/2024
CH04094AS	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04176	11 RIVER RIDGE DR.	ASHEVILLE	NC	28803	10/01/2024	04/01/2025
CH04094M	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04467	128 CROSS ROAD DR.	MILLS RIVER	NC	28759	04/01/2025
CH04094BN	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07013	121 MONTICELLO RD.	WEAVERVILLE	NC	28787	07/01/2025
CH040940	OPTUM PHARMACY 701, LLC	4015 SHOPTON RD STE 600		CHARLOTTE	NC	28217-3025	01/01/2025
CH040940	OPTUM PHARMACY 701, LLC	1830 S HORNE		MESA	AZ	85204	01/01/2025
CH04094BN	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	11/17/2022
CH04094BQ	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	01/01/2024
CH040940	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	01/01/2025
CH040940	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	01/01/2025
CH040940	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	01/01/2025
CH04094BN	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	11/17/2022
CH04094BM	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	01/01/2024
CH04094BQ	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	01/01/2024
CH040940	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	01/01/2025
CH04094AL	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	04/01/2025
CH040940	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/01/2021
CH04094BN	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	09/13/2022
CH04094BR	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	10/01/2024
CH040940	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/01/2021
CH040940	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
CH040940	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/01/2021
CH04094BN	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	09/13/2022
CH04094BN	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	09/13/2022
CH04094BN	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	09/13/2022
CH040940	PROCARE PHARMACY, LLC	DBA CVS/PHARMACY#2980	601 S. KINGS DR.	CHARLOTTE	NC	28204	07/01/2023
CH04094CD	PROCARE PHARMACY, LLC	DBA CVS/PHARMACY#2980	601 S. KINGS DR.	CHARLOTTE	NC	28204	04/01/2025
CH04094BN	PUBLIX NORTH CAROLINA, LP	PUBLIX PHARMACY #1586	635 GREENVILLE HWY	HENDERSONVILLE	NC	28792	01/30/2023
CH04094BN	PUBLIX NORTH CAROLINA, LP	PUBLIX PHARMACY #1473	1830 HENDERSONVILLE ROAD	ASHEVILLE	NC	28803	01/30/2023
CH04094BH	PUBLIX NORTH CAROLINA, LP	PUBLIX PHARMACY #1586	635 GREENVILLE HWY	HENDERSONVILLE	NC	28792	01/01/2024
CH04094BK	PUBLIX NORTH CAROLINA, LP	PUBLIX PHARMACY #1473	1830 HENDERSONVILLE ROAD	ASHEVILLE	NC	28803	01/01/2024
CH040940	PUBLIX NORTH CAROLINA, LP	PUBLIX PHARMACY #1640	124 FRAZIER ST	WAYNESVILLE	NC	28786	10/01/2024
CH040940	PUBLIX NORTH CAROLINA, LP	PUBLIX PHARMACY #1586	635 GREENVILLE HWY	HENDERSONVILLE	NC	28792	10/01/2024
CH04094AX	PUBLIX NORTH CAROLINA, LP	PUBLIX PHARMACY #1640	124 FRAZIER ST	WAYNESVILLE	NC	28786	01/01/2025
CH04094BN	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	03/02/2023
CH04094BN	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	03/02/2023	05/13/2024
CH040940	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	10/01/2024
CH040940	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	10/01/2024
CH040940	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	04/01/2024
CH040940	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	04/01/2024
CH040940	SANTA BARBARA SPECIALTY PHARMACY LLC	4690 CARPINTERIA AVE STE B		CARPINTERIA	CA	93013	04/01/2024
CH040940	SMITH'S DRUGS OF FOREST CITY	139 E MAIN ST		FOREST CITY	NC	28043-3125	07/01/2015	07/06/2023
CH04094BN	SONA HEALTH INC DBA SONA PHARMACY + CLIN	106 LONG SHOALS RD STE 100		ARDEN	NC	28704	11/17/2022
CH04094BN	SONA HEALTH INC DBA SONA PHARMACY + CLIN	805 FAIRVIEW RD STE 100	DBA SONA PHARMACY CLINIC	ASHEVILLE	NC	28803-1011	11/17/2022
CH040940	SPINDALE DRUG CO	109 W MAIN ST		SPINDALE	NC	28160	04/01/2014
CH04094P	SPINDALE DRUG CO	109 W MAIN ST		SPINDALE	NC	28160	04/01/2015	01/11/2022
CH04094P	SPINDALE DRUG CO	109 W MAIN ST		SPINDALE	NC	28160	04/01/2023
CH04094BN	UNC HEALTH SPECIALTY AND HOME DELIVERY P	DBA UNC HEALTH	3411 PAGE RD STE 100	MORRISVILLE	NC	27560	11/17/2022
CH040940	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2017
CH04094BN	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/05/2022
CH040940	WAL-MART PHARMACY 10-1034	705 E DIXON BLVD		SHELBY	NC	28152	10/01/2024	01/07/2025
CH040940	WAL-MART PHARMACY 10-1036	197 PLAZA DRIVE		FOREST CITY	NC	28043	01/01/2017
CH04094AH	WAL-MART PHARMACY 10-1036	197 PLAZA DRIVE		FOREST CITY	NC	28043	01/01/2024
CH040940	WAL-MART PHARMACY 10-1179	60 AIRPORT ROAD		ARDEN	NC	28704	04/01/2018
CH04094BN	WAL-MART PHARMACY 10-1179	60 AIRPORT ROAD		ARDEN	NC	28704	10/05/2022
CH04094BC	WAL-MART PHARMACY 10-1179	60 AIRPORT ROAD		ARDEN	NC	28704	01/01/2024
CH04094BJ	WAL-MART PHARMACY 10-1179	60 AIRPORT ROAD		ARDEN	NC	28704	01/01/2024
CH040940	WAL-MART PHARMACY 10-1217	273 COMMONS DR.		FRANKLIN	NC	28734	10/01/2024
CH04094AY	WAL-MART PHARMACY 10-1217	273 COMMONS DR.		FRANKLIN	NC	28734	01/01/2025
CH040940	WAL-MART PHARMACY 10-1242	250 HIGHLANDS SQUARE DRIVE		HENDERSONVILLE	NC	28792	07/01/2015
CH04094BN	WAL-MART PHARMACY 10-1242	250 HIGHLANDS SQUARE DRIVE		HENDERSONVILLE	NC	28792	10/05/2022
CH04094D	WAL-MART PHARMACY 10-1242	250 HIGHLANDS SQUARE DRIVE		HENDERSONVILLE	NC	28792	01/01/2024
CH04094BG	WAL-MART PHARMACY 10-1242	250 HIGHLANDS SQUARE DRIVE		HENDERSONVILLE	NC	28792	01/01/2024
CH040940	WAL-MART PHARMACY 10-1317	125 BLEACHERY BLVD		ASHEVILLE(E)	NC	28805	10/01/2024	01/07/2025
CH040940	WAL-MART PHARMACY 10-1663	135 TOWN CENTER LOOP		WAYNESVILLE	NC	28786	01/01/2017
CH04094AW	WAL-MART PHARMACY 10-1663	135 TOWN CENTER LOOP		WAYNESVILLE	NC	28786	01/01/2024
CH040940	WAL-MART PHARMACY 10-1694	2875 SUGAR HILL RD		MARION	NC	28752	07/01/2020
CH040940	WAL-MART PHARMACY 10-1795	177 FOREST GATE DR		PISGAH FOREST	NC	28768	07/01/2020
CH04094BN	WAL-MART PHARMACY 10-1795	177 FOREST GATE DR		PISGAH FOREST	NC	28768	10/05/2022
CH04094AB	WAL-MART PHARMACY 10-1795	177 FOREST GATE DR		PISGAH FOREST	NC	28768	01/01/2024
CH04094BF	WAL-MART PHARMACY 10-1795	177 FOREST GATE DR		PISGAH FOREST	NC	28768	01/01/2024
CH040940	WAL-MART PHARMACY 10-2440	210 WAL-MART PLAZA		SYLVA	NC	28779	07/01/2020
CH04094AJ	WAL-MART PHARMACY 10-2440	210 WAL-MART PLAZA		SYLVA	NC	28779	01/01/2024
CH040940	WAL-MART PHARMACY 10-4334	25 NORTH BRIDGE COMMONS PKWY		WEAVERVILLE	NC	28787	10/01/2024	01/07/2025
CH040940	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2017
CH04094BN	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/05/2022
CH040940	WALGREEN CO	WALGREENS #19160	36 SUNRISE PARK	SYLVA	NC	28779	07/01/2018
CH04094BA	WALGREEN CO	WALGREENS #19160	36 SUNRISE PARK	SYLVA	NC	28779	01/01/2024
CH040940	WALGREEN CO.	DBA: WALGREENS # 07823	1835 HENDERSONVILLE ROAD	ASHEVILLE	NC	28803-3236	10/01/2015
CH040940	WALGREEN CO.	DBA: WALGREENS #09930	601 SPARTANBURG HWY.	HENDERSONVILLE	NC	28792	10/01/2015
CH040940	WALGREEN CO.	DBA: WALGREENS #10274	382 ASHEVILLE HWY.	BREVARD	NC	28712	10/01/2015
CH040940	WALGREEN CO.	DBA: WALGREENS #10886	1148 ASHEVILLE HWY.	HENDERSONVILLE	NC	28791	10/01/2015
CH040940	WALGREEN CO.	DBA: WALGREENS #11712	2501 HENDERSONVILLE RD.	ARDEN	NC	28704	10/01/2015
CH040940	WALGREEN CO.	DBA: WALGREENS #12779	578 NEW LEICESTER HWY.	ASHEVILLE	NC	28806	10/01/2015
CH040940	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16405	1500 E 3RD ST STE A	CHARLOTTE	NC	28204	07/01/2017
CH040940	WALGREEN CO.	RITE AID #11564	640 SPARTANBURG HWY	HENDERSONVILLE	NC	28792	02/05/2018	08/06/2018
CH040940	WALGREEN CO.	RITE AID #11563	1257 ASHEVILLE HWY	HENDERSONVILLE	NC	28791	02/05/2018	07/16/2018
CH040940	WALGREEN CO.	RITE AID #11559	45 HENDERSONVILLE HWY	PISGAH FOREST	NC	28768	02/05/2018	08/20/2018
CH040940	WALGREEN CO.	WALGREENS #17076	121 RAILROAD AVE	RUTHERFORDTON	NC	28139	02/05/2018
CH040940	WALGREEN CO.	WALGREENS #19219	590 RUSS AVE	WAYNESVILLE	NC	28786	07/01/2018
CH040940	WALGREEN CO.	WALGREENS #18220	1707 BREVARD HWY	HENDERSONVILLE	NC	28791	07/01/2018
CH040940	WALGREEN CO.	WALGREENS #19652	244 NEW CLYDE HWY	CANTON	NC	28716	07/01/2019
CH040940	WALGREEN CO.	WALGREENS #16103	50 HIGHWAY 19	BRYSON CITY	NC	28713	07/01/2021
CH04094BN	WALGREEN CO.	DBA: WALGREENS #10886	1148 ASHEVILLE HWY.	HENDERSONVILLE	NC	28791	11/17/2022
CH04094BN	WALGREEN CO.	DBA: WALGREENS # 07823	1835 HENDERSONVILLE ROAD	ASHEVILLE	NC	28803-3236	11/17/2022
CH04094BN	WALGREEN CO.	DBA: WALGREENS #10274	382 ASHEVILLE HWY.	BREVARD	NC	28712	11/17/2022
CH04094BN	WALGREEN CO.	DBA: WALGREENS #09930	601 SPARTANBURG HWY.	HENDERSONVILLE	NC	28792	11/17/2022
CH04094BN	WALGREEN CO.	WALGREENS #18220	1707 BREVARD HWY	HENDERSONVILLE	NC	28791	11/17/2022
CH04094BN	WALGREEN CO.	DBA: WALGREENS #11712	2501 HENDERSONVILLE RD.	ARDEN	NC	28704	11/17/2022
CH04094AN	WALGREEN CO.	DBA: WALGREENS #10274	382 ASHEVILLE HWY.	BREVARD	NC	28712	01/01/2024
CH04094AK	WALGREEN CO.	WALGREENS #17076	121 RAILROAD AVE	RUTHERFORDTON	NC	28139	01/01/2024
CH04094BY	WALGREEN CO.	WALGREENS #19652	244 NEW CLYDE HWY	CANTON	NC	28716	01/01/2024
CH04094N	WALGREEN CO.	DBA: WALGREENS #10886	1148 ASHEVILLE HWY.	HENDERSONVILLE	NC	28791	01/01/2024
CH04094AE	WALGREEN CO.	WALGREENS #19219	590 RUSS AVE	WAYNESVILLE	NC	28786	01/01/2024
CH04094AL	WALGREEN CO.	DBA: WALGREENS #10886	1148 ASHEVILLE HWY.	HENDERSONVILLE	NC	28791	01/01/2024	01/03/2025
CH04094K	WALGREEN CO.	DBA: WALGREENS #09930	601 SPARTANBURG HWY.	HENDERSONVILLE	NC	28792	01/01/2024
CH04094BM	WALGREEN CO.	DBA: WALGREENS #09930	601 SPARTANBURG HWY.	HENDERSONVILLE	NC	28792	01/01/2024
CH04094BS	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16405	1500 E 3RD ST STE A	CHARLOTTE	NC	28204	10/01/2024
CH040940	WALGREEN CO.	WALGREENS #16105	19 SAWMILL VILLAGE LANE	FRANKLIN	NC	28734	10/01/2024
CH04094V	WALGREEN CO.	DBA: WALGREENS #11712	2501 HENDERSONVILLE RD.	ARDEN	NC	28704	10/01/2024
CH04094AA	WALGREEN CO.	WALGREENS #18220	1707 BREVARD HWY	HENDERSONVILLE	NC	28791	10/01/2024
CH04094AF	WALGREEN CO.	WALGREENS #19652	244 NEW CLYDE HWY	CANTON	NC	28716	10/01/2024	01/03/2025
CH04094AD	WALGREEN CO.	WALGREENS #16103	50 HIGHWAY 19	BRYSON CITY	NC	28713	10/01/2024
CH04094CF	WALGREEN CO.	WALGREENS #16105	19 SAWMILL VILLAGE LANE	FRANKLIN	NC	28734	07/01/2025
CH040940	Walgreens #21420	Walgreens Central Fill #21420	8440 Times Dispatch Blvd Ste. 400	Mechanicsville	VA	23116	10/01/2023
CH04094BN	Walgreens #21420	Walgreens Central Fill #21420	8440 Times Dispatch Blvd Ste. 400	Mechanicsville	VA	23116	10/01/2023
CH040940	WALGREENS OF NORTH CAROLINA INC.	COMMUNITY, A WALGREENS PHARMACY #16313	2816 ERWIN ROAD SUITE 105	DURHAM	NC	27705	07/01/2017
CH040940	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	10/01/2023
CH040940	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	10/01/2023
CH040940	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/01/2023
CH04094BN	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	10/01/2023
CH04094BN	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/01/2023
CH04094BN	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	10/01/2023
CH04094BV	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	10/01/2024
CH04094BW	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/01/2024
CH04094BN	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	07/01/2023
CH040940	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2024
CH040940	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH04094BN	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/29/2024 12:36:58 PM	2/17/2025 9:45:02 AM	2/17/2025 9:45 AM
Details	Last Recertification Date	Update	Recertification	1/30/2023 8:28:45 AM	1/29/2024 12:36:58 PM	1/29/2024 12:36 PM
Details	Last Recertification Date	Update	Recertification		1/30/2023 8:28:45 AM	1/30/2023 8:28 AM
Details	State	Update	OPA Edit	Approved	Active	9/13/2022 11:05 AM
Dates	Start Date	Update	OPA Edit	10/1/2022 12:00:00 AM	9/13/2022 12:00:00 AM	9/13/2022 11:05 AM
Contacts	Signed By	Insert	New Registration		Sunday, Michael VP Finance, CFO Henderson County Hospital Corporation 8286961175	9/13/2022 11:03 AM
Details	340B ID	Update	New Registration		CH04094BG	9/13/2022 11:03 AM
Dates	Participating Approval Date	Update	New Registration		9/13/2022 11:03:36 AM	9/13/2022 11:03 AM
Details	State	Update	New Registration	Pending	Approved	9/13/2022 11:03 AM
Dates	Signed By Date	Update	New Registration		9/12/2022 4:23:14 PM	9/13/2022 11:03 AM
Dates	Start Date	Update	New Registration		10/1/2022 12:00:00 AM	9/13/2022 11:03 AM
Addresses	Main Address	Insert	New Registration		2695 Hendersonville Rd STE 202 Arden, NC 28704-8576	9/12/2022 4:13 PM
Addresses	Billing Address	Insert	New Registration		Henderson County Hospital Corporation D/B/A Pardee BlueMD 800 North Justice Street Hendersonville, NC 28791	9/12/2022 4:13 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1962131656	9/12/2022 4:13 PM
Medicaid Billing	NPI: State	Insert	New Registration		NC	9/12/2022 4:13 PM
Contacts	Primary Contact	Insert	New Registration		Giddens, Adrienne Paige Director of Pharmacy Henderson County Hospital Corporation 8286947712	9/12/2022 4:13 PM
Contacts	Authorizing Official	Insert	New Registration		Sunday, Michael VP Finance, CFO Henderson County Hospital Corporation 8286961175	9/12/2022 4:13 PM
Details	Assistance Received From Date	Insert	New Registration			9/12/2022 4:13 PM
Details	Assistance Received To Date	Insert	New Registration			9/12/2022 4:13 PM
Details	Last Recertification Date	Insert	New Registration			9/12/2022 4:13 PM
Details	Grant Number	Insert	New Registration		H80CS00650	9/12/2022 4:13 PM
Details	340B ID	Insert	New Registration			9/12/2022 4:13 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			9/12/2022 4:13 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			9/12/2022 4:13 PM
Details	Medicare Provider Number	Insert	New Registration			9/12/2022 4:13 PM
Details	Entity Name	Insert	New Registration		Blue Ridge Community Health Services, Inc.	9/12/2022 4:13 PM
Details	NOFO Number	Insert	New Registration			9/12/2022 4:13 PM
Details	Program Code	Insert	New Registration		CH	9/12/2022 4:13 PM
Details	Entity Subname	Insert	New Registration		Pardee BlueMD 2695 Hendersonville Road Suite 202	9/12/2022 4:13 PM
Dates	Participating Approval Date	Insert	New Registration			9/12/2022 4:13 PM
Details	State	Insert	New Registration		Pending	9/12/2022 4:13 PM
Dates	Registration Date	Insert	New Registration		9/12/2022 4:13:15 PM	9/12/2022 4:13 PM
Dates	Signed By Date	Insert	New Registration			9/12/2022 4:13 PM
Dates	Start Date	Insert	New Registration			9/12/2022 4:13 PM
Terminations	Termination Comments	Insert	New Registration			9/12/2022 4:13 PM
Terminations	Termination Date	Insert	New Registration			9/12/2022 4:13 PM
Terminations	Termination Effective Date	Insert	New Registration			9/12/2022 4:13 PM
Terminations	Termination Reason	Insert	New Registration			9/12/2022 4:13 PM

340B Drug Pricing Program Database