Covered Entity Details

CH02371G INSTITUTE FOR FAMILY HEALTH, THE (Active) - information as of 4/28/2025 11:27:56 PM

Main Details

Name

INSTITUTE FOR FAMILY HEALTH, THE

Subdivision Name

WALTON FAMILY HEALTH CENTER

Type

HRSA-Funded Health Center

Site ID

BPS-H80-000894

340B ID

CH02371G

Grant Number

H80CS00768

Additional Details

Current Program Status

Active

Registration Date

1/1/2002

Participating Start Date

1/1/2002

Participating Approval Date

4/29/2004

Last Recertification Date

2/27/2025

Contacts

Authorizing Official

The Institute for Family Health
Caroline DiCioccio, Chief Financial Officer
(212) 633-0800 Ext: 1409

Primary Contact

The Institute For family Health
Yoshmatie Baburam, 340B Director
(212) 633-0815 Ext: 1382

Addresses

Street Address

1894 Walton Ave
Bronx, NY 10453-6018

Billing Address
Same as Street Address

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

Comments

Comment	Last Updated On
8/27/10 UPDATED ENTITY NAME (WAS INSTITUTE FOR URBAN FAMILY HEALTH); 7/17/07 - ADDED BILLING ADDRESS	08/27/2010

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
NY	03595604	1053685289

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	PARK PLAZA PHARMA INC	DBA: PARK PLAZA PHARMACY	1773 UNIVERSITY AVENUE	BRONX	NY	10453-6961	11/06/2012	10/27/2012		03/28/2013
Contract Detail	RSNP CORP	JEROME DRUGS	1781 JEROME AVE	BRONX	NY	10453-5711	06/19/2009	06/19/2009	04/27/2018	04/27/2018
Contract Detail	S J S PHARMACY	105-107 E. BURNSIDE AVE.		BRONX	NY	10453	11/06/2012	10/27/2012	09/30/2015	12/14/2015
Contract Detail	SS PHARMA INC.	DBA-RITE CHOICE PHARMACY	21 E 170TH ST	BRONX	NY	10452	07/09/2018	10/01/2018	06/28/2019	07/03/2019

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH02371A	Active	BPS-H80-000878	INSTITUTE FOR FAMILY HEALTH, THE	MOUNT HOPE FAMILY PRACTICE	130 W Tremont Ave	Bronx	NY
CH02371AA	Terminated	BPS-H80-009327	INSTITUTE FOR FAMILY HEALTH, THE	Pine Grove Health Center	350 Washington Ave	Kingston	NY
CH02371AB	Active	BPS-H80-003308	INSTITUTE FOR FAMILY HEALTH, THE	New Paltz Family Health Center	279 Main St	New Paltz	NY
CH02371AC	Active	BPS-H80-004943	INSTITUTE FOR FAMILY HEALTH, THE	Ellenville Family Health Center	6 Healthy Way	ELLENVILLE	NY
CH02371AD	Active	BPS-H80-000767	INSTITUTE FOR FAMILY HEALTH, THE	FAMILY PRACTICE CENTER OF HYDE PARK	11 Crum Elbow Rd	Hyde Park	NY
CH02371AE	Terminated	BPS-H80-003167	INSTITUTE FOR FAMILY HEALTH, THE	OB/GYN AND SPECIALTY CARE CENTER OF KINGSTON	1 Foxhall Ave	Kingston	NY
CH02371AF	Active	BPS-H80-002873	INSTITUTE FOR FAMILY HEALTH, THE	WASHINGTON IRVING SCHOOL BASED HEALTH CENTER	40 Irving Pl	New York	NY
CH02371AG	Active	BPS-H80-009561	INSTITUTE FOR FAMILY HEALTH, THE	Family Health Center of Harlem	1824 Madison Ave	New York	NY
CH02371B	Terminated	BPS-H80-005174	INSTITUTE FOR FAMILY HEALTH, THE	EAST 13TH STREET FAMILY PRACTICE	113 E 13th St	New York	NY
CH02371BB	Active	BPS-H80-009560	INSTITUTE FOR FAMILY HEALTH, THE	PS 57/James Weldon Johnson School-Based Health Center	176 E 115th St	New York	NY
CH02371BC	Terminated	BPS-H80-010280	INSTITUTE FOR FAMILY HEALTH, THE	The Institute for Family Health Center for Counseling	2590 Frisby Avenue, 1st floor	Bronx	NY
CH02371BD	Active	BPS-H80-012268	INSTITUTE FOR FAMILY HEALTH, THE	Stevenson Family Health Center	731 White Plains Rd	Bronx	NY
CH02371BE	Terminated	BPS-H80-015207	INSTITUTE FOR FAMILY HEALTH, THE	Institute for Family Health Center for Counseling at George Washington School	67 Wall Street	Kingston	NY
CH02371BF	Terminated	BPS-H80-015162	INSTITUTE FOR FAMILY HEALTH, THE	The Institute for Family Health Center for Counseling at AIDS Service Center	64 West 35th Street	New York	NY
CH02371BG	Active	BPS-H80-012896	INSTITUTE FOR FAMILY HEALTH, THE	High School for Fashion Industries School-Based Health Center	225 W 24th St	New York	NY
CH02371BH	Terminated	BPS-H80-012558	INSTITUTE FOR FAMILY HEALTH, THE	Ali Forney Center	321 W 125th St	New York	NY
CH02371BJ	Terminated	BPS-H80-005833	INSTITUTE FOR FAMILY HEALTH, THE	NEW YORK CITY RESCUE MISSION	90 Lafayette St	New York	NY
CH02371BK	Active	BPS-H80-005815	INSTITUTE FOR FAMILY HEALTH, THE	ALL ANGELS CHURCH SOUP KITCHEN	251 W 80th St	New York	NY
CH02371BL	Active	BPS-H80-017494	INSTITUTE FOR FAMILY HEALTH, THE	Harlem Children's Zone School-Based Health Center - Promise Academy 2-35	35 East 125th Street	New York	NY
CH02371BM	Active	BPS-H80-018791	INSTITUTE FOR FAMILY HEALTH, THE	Harlem Children&s Zone School-Based Health Center - Promise Academy 1-245	245 West 129th Street	New York	NY
CH02371BN	Active	BPS-H80-019488	INSTITUTE FOR FAMILY HEALTH, THE	Cadman Family Health Center	300 Cadman Plaza W	Brooklyn	NY
CH02371BP	Active	BPS-H80-021481	INSTITUTE FOR FAMILY HEALTH, THE	West 17th Street Family Health Center	230 W 17th St	New York	NY
CH02371BQ	Active	BPS-H80-021930	Institute For Family Health, The	Institute for Family Health at Westchester Square	1420 Ferris Pl	Bronx	NY
CH02371BR	Active	BPS-H80-021932	Institute For Family Health, The	Institute for Family Health at CASES	2090 Adam Clayton Powell Boulevard	New York	NY
CH02371BS	Active	BPS-H80-028072	Institute For Family Health, The	James Kieran School Based Health Center	1025 Morrison Ave	Bronx	NY
CH02371BT	Active	BPS-H80-029707	Institute For Family Health, The	Murry Bergtraum High School Campus School-based Health Center	411 Pearl St	New York	NY
CH02371BU	Active	BPS-H80-037804	THE INSTITUTE FOR FAMILY HEALTH	Pine Street Family Health Center	140 Pine Street	Kingston	NY
CH02371C	Terminated	BPS-H80-003682	INSTITUTE FOR FAMILY HEALTH, THE	SIDNEY HILLMAN and PHILLIPS FAMILY PRACTICE	16 EAST 16TH STREET FL 3RD FLOOR	NEW YORK	NY
CH02371F	Active	BPS-H80-003671	INSTITUTE FOR FAMILY HEALTH, THE	URBAN HORIZONS FAMILY HEALTH CENTER	50 E 168th St	Bronx	NY
CH02371G	Active	BPS-H80-000894	INSTITUTE FOR FAMILY HEALTH, THE	WALTON FAMILY HEALTH CENTER	1894 Walton Ave	Bronx	NY
CH02371J	Active	BPS-H80-007134	INSTITUTE FOR FAMILY HEALTH, THE	THE SENATE	206 W 92ND ST	NEW YORK	NY
CH02371M	Active	BPS-H80-034491	INSTITUTE FOR FAMILY HEALTH, THE	VALLEY LODGE	145 west 108th street	New York	NY
CH02371P	Terminated	BPS-H80-005891	INSTITUTE FOR FAMILY HEALTH, THE	GEORGE DALY HOUSE	269 E 4TH ST	NEW YORK	NY
CH02371Q	Active	BPS-H80-006374	INSTITUTE FOR FAMILY HEALTH, THE	BROADWAY PRESBYTERIAN CHURCH	601 W 114th St	New York	NY
CH02371V	Active	BPS-H80-001121	INSTITUTE FOR FAMILY HEALTH, THE	AMSTERDAM CENTER	690 AMSTERDAM AVE	NEW YORK	NY
CH02371Y	Active	BPS-H80-001546	INSTITUTE FOR FAMILY HEALTH, THE	KINGSTON FAMILY HEALTH CENTER	1 Family Practice Dr	Kingston	NY
CH02371Z	Terminated	BPS-H80-004974	INSTITUTE FOR FAMILY HEALTH, THE	FAMILY HEALTH CENTER OF PORT EWEN	213 BROADWAY	PORT EWEN	NY

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH02371AG	1875 LEXINGTON AVENUE CORP OF NEW YORK	D/B/A QUICK RX	1875 LEXINGTON AVENUE	NEW YORK	NY	10035-1003	07/01/2018	04/15/2019
CH02371AG	1875 LEXINGTON AVENUE LLC OF NYS	DBA: QUICKRX	279 MAIN ST STE 103	NEW PALTZ	NY	12561-1624	04/15/2019
CH02371AD	1875 LEXINGTON AVENUE LLC OF NYS	DBA: QUICKRX	279 MAIN ST STE 103	NEW PALTZ	NY	12561-1624	01/01/2024
CH02371AB	1875 LEXINGTON AVENUE LLC OF NYS	DBA: QUICKRX	279 MAIN ST STE 103	NEW PALTZ	NY	12561-1624	01/01/2024
CH02371AG	2355 2ND AVE NYS LLC	2355 2ND AVE		NEW YORK	NY	10035	07/01/2018
CH02371BK	2355 2ND AVE NYS LLC	2355 2ND AVE		NEW YORK	NY	10035	01/01/2024
CH02371AG	31ST & 3RD PHARMACY INC	D/B/A AVITA PHARMACY 1063	1860 WALT WHITMAN RD STE 700	MELVILLE	NY	11747	07/01/2023
CH02371AG	31ST & 3RD PHARMACY INC.	DBA AVITA PHARMACY 1069	307 W 38TH ST STE 5-013	NEW YORK	NY	10018	07/01/2023
CH02371BH	31ST & 3RD PHARMACY INC.	DBA AVITA PHARMACY 1069	307 W 38TH ST STE 5-013	NEW YORK	NY	10018	01/01/2024	01/01/2024
CH02371P	88TH STREET DRUG CORP		1695 FIRST AVENUE	NEW YORK	NY	10128	08/10/2006	02/20/2019
CH02371C	88TH STREET DRUG CORP		1695 FIRST AVENUE	NEW YORK	NY	10128	08/10/2006	01/29/2016
CH02371B	88TH STREET DRUG CORP		1695 FIRST AVENUE	NEW YORK	NY	10128	01/01/2009	01/01/2016
CH02371Q	88TH STREET DRUG CORP		1695 FIRST AVENUE	NEW YORK	NY	10128	08/10/2006	02/20/2019
CH02371M	88TH STREET DRUG CORP		1695 FIRST AVENUE	NEW YORK	NY	10128	08/10/2006	10/28/2019
CH02371J	88TH STREET DRUG CORP		1695 FIRST AVENUE	NEW YORK	NY	10128	08/10/2006	02/20/2019
CH02371V	88TH STREET DRUG CORP		1695 FIRST AVENUE	NEW YORK	NY	10128	04/07/2008	02/20/2019
CH02371AF	88TH STREET DRUG CORP		1695 FIRST AVENUE	NEW YORK	NY	10128	01/01/2009	06/28/2019
CH02371AG	909 COLUMBUS RX NY LLC	D/B/A QUICKRX	909 COLUMBUS AVE	NEW YORK	NY	10025	07/01/2018
CH02371AG	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	08/31/2022
CH02371AG	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	08/31/2022
CH02371AG	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	08/31/2022
CH02371AG	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	08/31/2022
CH02371AG	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	08/31/2022
CH02371AG	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	08/31/2022
CH02371AG	ALEGRIA HEALTH & WELLNESS PHARMACY CORP.	ALEGRIA PHARMACEUTICAL & INFUSION SERVIC	3475 3RD AVE	BRONX	NY	10456	11/04/2022
CH02371AG	AMAZON PHARMACY #001	4500 S PLEASANT VALLEY RD STE 201		AUSTIN	TX	78744-2911	01/01/2025
CH02371AG	AMAZON PHARMACY #006	3620 PLAINFIELD RD		INDIANAPOLIS	IN	46231-7003	01/01/2025
CH02371BN	BED-STUY PHARMACY NY LLC	DBA: QUICK RX	1458 FULTON ST	BROOKLYN	NY	11216-5365	10/01/2020
CH02371AG	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	07/01/2023
CH02371BC	BLONDELL RX CORP	D/B/A QUICK RX SPECIALTY PHARMACY	1642 EASTCHESTER ROAD	BRONX	NY	10461-2316	07/01/2018	04/01/2022
CH02371AG	BLONDELL RX CORP	D/B/A QUICK RX SPECIALTY PHARMACY	1642 EASTCHESTER ROAD	BRONX	NY	10461-2316	07/01/2018
CH02371F	BRIGHT PHARMA INC	142 E 170TH ST		BRONX	NY	10452-7021	10/27/2012
CH02371AG	BRIGHT PHARMA INC	142 E 170TH ST		BRONX	NY	10452-7021	07/01/2017
CH02371C	BROTHER PHARMACY & SURGICALS INC	CARE PHARMACY & SURGICALS DBA	565 LENOX AVE	NEW YORK	NY	10037	07/01/2016	01/01/2018
CH02371AG	BROTHER PHARMACY & SURGICALS INC	CARE PHARMACY & SURGICALS DBA	565 LENOX AVE	NEW YORK	NY	10037	07/01/2017	07/08/2022
CH02371AG	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2023
CH02371AG	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2023
CH02371AG	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2023
CH02371AG	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/01/2023
CH02371AG	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	01/01/2023
CH02371AG	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	01/01/2023
CH02371AG	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	01/01/2023
CH02371AG	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	01/01/2023
CH02371AG	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2023
CH02371AG	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2023
CH02371AG	CASTLE HILL DRUGS INC.	674 CASTLE HILL AVE		BRONX	NY	10473	07/01/2024
CH02371AG	CATSKILL PHARMACY INC	6401 ROUTE 209	US HIGHWAY	KERHONKSON	NY	12446-0626	01/01/2020	08/31/2020
CH02371C	COORDINATED CARE NETWORK	COORDINATED CARE NETWORK	300 PENN CENTER BLVD STE 405	PITTSBURGH	PA	15235-5511	07/01/2016	01/01/2018
CH02371AG	COORDINATED CARE NETWORK	COORDINATED CARE NETWORK	300 PENN CENTER BLVD STE 405	PITTSBURGH	PA	15235-5511	07/01/2017
CH02371AG	CVS ALBANY, L.L.C.	CVS/PHARMACY # 10827	3536 BROADWAY	NEW YORK	NY	10031	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02551	3125 BAINBRIDGE AVENUE	BRONX	NY	10467	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02433	2112 WHITE PLAINS ROAD	BRONX	NY	10462	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02445	540 AMSTERDAM AVENUE	NEW YORK	NY	10024	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02595	722 DUTCHESS TURNPIKE	POUGHKEEPSIE	NY	12603	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 10298	241 WEST 57TH STREET	NEW YORK	NY	10019	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	CVS/PHARMACY # 11075	2833 BROADWAY	NEW YORK	NY	10025	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05052	4246 ALBANY POST RD., SUITE 2	HYDE PARK	NY	12538	11/09/2022
CH02371AG	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 8945	416 WASHINGTON AVE.	KINGSTON	NY	12401	11/09/2022
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02457	320 FIFTH AVENUE	NEW YORK	NY	10001	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 8969	50-56 EAST 167TH ST.	BRONX	NY	10452	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 03096	3775 E. TREMONT AVE.	BRONX	NY	10465	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 00323	1 GRAND UNION PLAZA	SAUGERTIES	NY	12477	10/31/2022
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 00418	2503 SOUTH RD.	POUGHKEEPSIE	NY	12601	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 00428	1301 ULSTER AVE.	KINGSTON	NY	12401	10/31/2022
CH02371AG	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 4958	27 N. 6TH ST.	BROOKLYN	NY	11249	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	CVS/PHARMACY # 17526	700 EXTERIOR ST	BRONX	NY	10451	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	CVS/PHARMACY # 10235	800 10TH AVE.	NEW YORK	NY	10019	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 10041	500 WEST 23RD ST.	NEW YORK	NY	10011	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02438	282 EAST 149TH STREET	BRONX	NY	10451	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02838	48 E. MARKET ST.	RHINEBECK	NY	12572	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05013	60 BRIDGE STREET PO BOX 698	MARGARETVILLE	NY	12455	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	CVS/PHARMACY # 13019	218 MYRTLE AVE.	BROOKLYN	NY	11201	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02436	1346 PENNSYLVANIA AVENUE	BROOKLYN	NY	11239	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 07067	1916 WILLIAMSBRIDGE ROAD	BRONX	NY	10461	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02168	1 COLUMBUS PLACE	NEW YORK	NY	10019	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 01791	156 HENRY STREET	BROOKLYN	NY	11201	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY #11132	196 ORCHARD STREET	NEW YORK	NY	10002	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05049	2 WEST RD., P.O. BOX 514	PLEASANT VALLEY	NY	12569	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02437	732 ALLERTON AVENUE	BRONX	NY	10467	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02292	986 MAIN STREET	FISHKILL	NY	12524	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	CVS/PHARMACY # 10112	288 ST. NICHOLAS AVE.	NEW YORK	NY	10027	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 07629	2 RIVERVIEW DR	MARLBORO	NY	12542	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02360	743 AMSTERDAM AVENUE	NEW YORK	NY	10025	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	CVS/PHARMACY # 16661	1300 ULSTER AVE	KINGSTON	NY	12401	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05036	7600 ROUTE 32, PO BOX 140	CAIRO	NY	12413	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	CVS/PHARMACY # 17681	445 GOLD ST	BROOKLYN	NY	11201	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05772	1500 LEXINGTON AVE.	NEW YORK	NY	10029	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02557	253 FIRST AVENUE	NEW YORK	NY	10003	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY #8940	1688 WESTCHESTER AVE	BRONX	NY	10472	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 03102	60 MILL HILL RD.	WOODSTOCK	NY	12498	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02939	500 GRAND ST.	NEW YORK	NY	10002	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	CVS PHARMACY # 16969	139 FLATBUSH AVE	BROOKLYN	NY	11217	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02737	115 W. 125TH STREET	NEW YORK	NY	10027	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02717	1294 LEXINGTON AVE.	NEW YORK	NY	10128	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05359	7568 N. BROADWAY	RED HOOK	NY	12571	01/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 03224	130 LENOX AVE.	NEW YORK	NY	10026	10/31/2022
CH02371AG	CVS ALBANY, L.L.C.	CVS/PHARMACY #11460	25 WINSLOW GATE RD	POUGHKEEPSIE	NY	12601	07/01/2023
CH02371AG	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 1618	81 EIGHTH AVE.	NEW YORK	NY	10011	01/01/2025
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 05050	30 BROTHERHOOD PLAZA DR	WASHINGTONVILLE	NY	10992	07/01/2025
CH02371AG	CVS ALBANY, L.L.C.	DBA CVS/PHARMACY # 10612	65 FIFTH AVENUE	NEW YORK	NY	10003	07/01/2025
CH02371AG	CVS ALBANY, L.L.C.	CVS/PHARMACY # 16921	40 W 225TH ST	BRONX	NY	10463	07/01/2025
CH02371AG	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02769	4901 KINGS HIGHWAY	BROOKLYN	NY	11234	07/01/2025
CH02371AG	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	10/31/2022
CH02371AG	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	11/09/2022
CH02371AG	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/01/2023
CH02371Y	DEDRICK'S PHARMACY INC	86 N FRONT ST		KINGSTON	NY	12401-3832	11/25/2011	06/28/2019
CH02371Z	DEDRICK'S PHARMACY INC	86 N FRONT ST		KINGSTON	NY	12401-3832	11/25/2011	03/04/2019
CH02371AB	DEDRICK'S PHARMACY INC	86 N FRONT ST		KINGSTON	NY	12401-3832	11/25/2011	03/04/2019
CH02371AE	DEDRICK'S PHARMACY INC	86 N FRONT ST		KINGSTON	NY	12401-3832	11/25/2011	06/28/2019
CH02371AA	DEDRICK'S PHARMACY INC	86 N FRONT ST		KINGSTON	NY	12401-3832	10/27/2012	06/28/2019
CH02371AG	DEDRICK'S PHARMACY INC	86 N FRONT ST		KINGSTON	NY	12401-3832	07/01/2017	03/04/2019
CH02371AG	DINESH PHARMACY	D/B/A MAHESH DRUGS	731 WHITE PLAINS RD	BRONX	NY	10473-2631	07/01/2017
CH02371BD	DINESH PHARMACY	D/B/A MAHESH DRUGS	731 WHITE PLAINS RD	BRONX	NY	10473-2631	01/01/2014
CH02371A	DINESH PHARMACY	D/B/A MAHESH DRUGS	731 WHITE PLAINS RD	BRONX	NY	10473-2631	01/01/2025
CH02371AG	DUANE READE	724 FLATBUSH AVENUE		BROOKLYN	NY	11226	01/01/2025
CH02371AG	DUANE READE	37 BROADWAY		NEW YORK	NY	10006	01/01/2025
CH02371AG	DUANE READE	401 EAST 86TH STREET		NEW YORK	NY	10028	01/01/2025
CH02371AG	DUANE READE	2864 BROADWAY		NEW YORK	NY	10025	01/01/2025
CH02371AG	DUANE READE	DBA DUANE READE	37-66 82ND ST.	JACKSON HEIGHTS	NY	11372	01/01/2025
CH02371AG	DUANE READE	1490 MADISON AVENUE		NEW YORK	NY	10029-4502	01/01/2025
CH02371AG	DUANE READE	DUANE READE	304 PARK AVE S	NEW YORK	NY	10010-4301	01/01/2025
CH02371AG	DUANE READE	67 BROAD STREET		NEW YORK	NY	10004	01/01/2025
CH02371AG	DUANE READE	320 W 145TH STREET		NEW YORK	NY	10039	01/01/2025
CH02371AG	DUANE READE	386 FULTON ST		BROOKLYN	NY	11201	01/01/2025
CH02371AG	DUANE READE	296 FLATBUSH AVE		BROOKLYN	NY	11217-2812	01/01/2025
CH02371AG	DUANE READE	2069 BROADWAY		NEW YORK	NY	10023	01/01/2025
CH02371AG	DUANE READE	194 EAST 2ND STREET		NEW YORK	NY	10009	01/01/2025
CH02371AG	DUANE READE	4 PARK AVE		NEW YORK	NY	10016	01/01/2025
CH02371AG	DUANE READE	756 MYRTLE AVE		BROOKLYN	NY	11206	01/01/2025
CH02371AG	DUANE READE	100 DELANCEY STREET		NEW YORK	NY	10002-3202	01/01/2025
CH02371AG	DUANE READE	180 WEST 20TH STREET		NEW YORK	NY	10011	01/01/2025
CH02371AG	DUANE READE	380 AMSTERDAM AVENUE		NEW YORK	NY	10024-6208	01/01/2025
CH02371AG	DUANE READE	777 AVENUE OF THE AMERICAS	FRNT 2	NEW YORK	NY	10001	01/01/2025
CH02371AG	DUANE READE	1517 CORTELYOU ROAD		BROOKLYN	NY	11226	01/01/2025
CH02371AG	DUANE READE	1915 THIRD AVE		NEW YORK	NY	10029	01/01/2025
CH02371AG	DUANE READE	1 UNION SQ SOUTH		NEW YORK	NY	10003	01/01/2025
CH02371AG	DUANE READE	C/O PHARMACY	200 WATER STREET	NEW YORK	NY	10038	01/01/2025
CH02371AG	DUANE READE	300 EAST 39TH STREET		NEW YORK	NY	10016	01/01/2025
CH02371AG	DUANE READE	4 WEST 4TH STREET		NEW YORK	NY	10012	01/01/2025
CH02371AG	DUANE READE	2683 BROADWAY # 7		NEW YORK	NY	10025	01/01/2025
CH02371AG	DUANE READE	1235 LEXINGTON AVE		NEW YORK	NY	10028	01/01/2025
CH02371AG	DUANE READE	700 COLUMBUS AVE.		NEW YORK	NY	10025	01/01/2025
CH02371AG	DUANE READE	185 GREENWICH ST STE LL5155		NEW YORK	NY	10007	01/01/2025
CH02371AG	DUANE READE	568 W 125TH ST		NEW YORK	NY	10027	01/01/2025
CH02371AG	DUANE READE	16 COURT STREET		BROOKLYN	NY	11241-0102	01/01/2025
CH02371AG	DUANE READE	77 7TH AVENUE		NEW YORK	NY	10011	01/01/2025
CH02371AG	DUANE READE	2522 BROADWAY		NEW YORK	NY	10025-6946	01/01/2025
CH02371AG	DUANE READE	465 2ND AVENUE		NEW YORK	NY	10016	01/01/2025
CH02371AG	DUANE READE	305 BROADWAY		NEW YORK	NY	10007	01/01/2025
CH02371AG	DUANE READE	3506 BROADWAY		ASTORIA	NY	11106-1114	01/01/2025
CH02371AG	DUANE READE	133-141 DYCKMAN STREET		NEW YORK	NY	10040	01/01/2025
CH02371AG	DUANE READE	250 BEDFORD AVENUE		BROOKLYN	NY	11249	01/01/2025
CH02371AG	DUANE READE	116-02 BEACH CHANNEL DRIVE		FAR ROCKAWAY	NY	11694	01/01/2025
CH02371AG	DUANE READE	300 WEST 135TH ST.		NEW YORK	NY	10030	01/01/2025
CH02371AG	DUANE READE	155 EAST 34TH STREET		NEW YORK	NY	10016-4766	01/01/2025
CH02371AG	DUANE READE	2265 RALPH AVENUE		BROOKLYN	NY	11234	01/01/2025
CH02371AG	DUANE READE	721 9TH AVE		NEW YORK	NY	10019	01/01/2025
CH02371AG	DUANE READE	436 86TH STREET		BROOKLYN	NY	11209	01/01/2025
CH02371AG	DUANE READE	383 WEST 31ST STREET	SUITE 10	NEW YORK	NY	10001	01/01/2025
CH02371AG	DUANE READE	125-133 THIRD AVENUE		NEW YORK	NY	10003-2543	01/01/2025
CH02371AG	DUANE READE	1231 MADISON AVENUE		NEW YORK	NY	10128	01/01/2025
CH02371AG	DUANE READE	17 JOHN ST		NEW YORK	NY	10038	01/01/2025
CH02371AG	DUANE READE	900 8TH AVE		NEW YORK	NY	10019-6498	01/01/2025
CH02371AG	DUANE READE	609 COLUMBUS AVENUE		NEW YORK	NY	10024	01/01/2025
CH02371AG	DUANE READE	333 7TH AVENUE		NEW YORK	NY	10001	01/01/2025
CH02371AG	DUANE READE	425 MAIN STREET		ROOSEVELT ISLAND	NY	10044	01/01/2025
CH02371AG	DUANE READE	399 EAST 72ND STREET		NEW YORK	NY	10021	01/01/2025
CH02371AG	DUANE READE PHCY. DEPT.	110 NEWARK AVENUE		JERSEY CITY	NJ	07302	01/01/2025
CH02371AG	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	01/01/2021
CH02371AG	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	01/01/2021
CH02371AG	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	01/01/2021
CH02371AG	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	01/01/2021
CH02371AG	FIRST HEALTH SPECIALTY PHARMACY INC.	754 E 151ST ST		BRONX	NY	10455-3267	01/01/2018
CH02371Q	FIRST HEALTH SPECIALTY PHARMACY INC.	754 E 151ST ST		BRONX	NY	10455-3267	01/01/2024
CH02371A	FIRST HEALTH SPECIALTY PHARMACY INC.	754 E 151ST ST		BRONX	NY	10455-3267	01/01/2025
CH02371AG	GENOA HEALTHCARE LLC	17 E GENESEE ST STE 208		AUBURN	NY	13021	01/01/2023	04/15/2024
CH02371AG	GENOA HEALTHCARE LLC	1448 5TH AVE STE P1		BAY SHORE	NY	11706	01/01/2023
CH02371AG	GENOA HEALTHCARE LLC	2020 CONEY ISLAND AVE STE P		BROOKLYN	NY	11223	01/01/2023
CH02371AG	GENOA HEALTHCARE LLC	2431 6TH AVE STE P		TROY	NY	12180	01/01/2023
CH02371AG	GENOA HEALTHCARE LLC	16-24 UNION STREET, SUITE P1		MIDDLETOWN	NY	10940	01/01/2023
CH02371AG	GENOA HEALTHCARE LLC	329 N SALINA ST	SUITE P	SYRACUSE	NY	13203	07/01/2024
CH02371AG	GOLD STREET PHARMA INC.	NICK'S PHARMACY	111 GOLD ST	BROOKLYN	NY	11201	01/01/2018
CH02371BN	GOLD STREET PHARMA INC.	NICK'S PHARMACY	111 GOLD ST	BROOKLYN	NY	11201	01/01/2024
CH02371A	GOLD STREET PHARMA INC.	NICK'S PHARMACY	111 GOLD ST	BROOKLYN	NY	11201	01/01/2025
CH02371AG	IC PHARMACY LLC	AMAZON PHARMACY #004	34 35TH STREET STE 4BSW, UNIT 28	BROOKLYN	NY	11232	01/01/2025
CH02371C	J & J COLUMBUS DRUG CO. INC	DBA: TOWN DRUG & SURGICAL	1009 COLUMBUS AVE	NEW YORK	NY	10025-2596	07/01/2016	01/01/2018
CH02371AG	L D C PHARMACY CORP	HEALTH CARE PHARMACY	1825 MADISON AVE	NEW YORK	NY	10035-3829	10/01/2014
CH02371A	L D C PHARMACY CORP	HEALTH CARE PHARMACY	1825 MADISON AVE	NEW YORK	NY	10035-3829	01/01/2024
CH02371AG	LADA PHARMACY INC	D/B/A PREFERRED PHARMACY	3 E 115TH ST	NEW YORK	NY	10029	01/01/2020	08/31/2020
CH02371AG	LADA PHARMACY INC	D/B/A PREFERRED PHARMACY	3 E 115TH ST	NEW YORK	NY	10029	01/01/2025
CH02371AG	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	07/01/2023
CH02371AG	M.N. PHARMACY LLC	DBA AMAZON PHARMACY #003	6701 NW 7TH ST., STE. #199	MIAMI	FL	33126	01/01/2025
CH02371AD	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	1261 ULSTER AVENUE	KINGSTON	NY	12401	04/01/2025
CH02371AF	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	2066 ROUTE 32	MODENA	NY	12548	04/01/2025
CH02371BU	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	3650 ROUTE 9W	HIGHLAND	NY	12528	04/01/2025
CH02371AD	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	100 PLAZA RD	KINGSTON	NY	12401	04/01/2025
CH02371AB	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	35 HANNAFORD DR	RED HOOK	NY	12571	04/01/2025
CH02371AB	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	100 PLAZA RD	KINGSTON	NY	12401	04/01/2025
CH02371AB	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	3650 ROUTE 9W	HIGHLAND	NY	12528	04/01/2025
CH02371AB	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	1261 ULSTER AVENUE	KINGSTON	NY	12401	04/01/2025
CH02371AB	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	2066 ROUTE 32	MODENA	NY	12548	04/01/2025
CH02371AG	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	1261 ULSTER AVENUE	KINGSTON	NY	12401	04/01/2025
CH02371AG	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	100 PLAZA RD	KINGSTON	NY	12401	04/01/2025
CH02371AC	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	2066 ROUTE 32	MODENA	NY	12548	04/01/2025
CH02371BU	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	1261 ULSTER AVENUE	KINGSTON	NY	12401	04/01/2025
CH02371AC	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	100 PLAZA RD	KINGSTON	NY	12401	04/01/2025
CH02371BU	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	35 HANNAFORD DR	RED HOOK	NY	12571	04/01/2025
CH02371AF	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	1261 ULSTER AVENUE	KINGSTON	NY	12401	04/01/2025
CH02371AF	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	3650 ROUTE 9W	HIGHLAND	NY	12528	04/01/2025
CH02371BU	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	100 PLAZA RD	KINGSTON	NY	12401	04/01/2025
CH02371Y	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	2066 ROUTE 32	MODENA	NY	12548	04/01/2025
CH02371Y	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	100 PLAZA RD	KINGSTON	NY	12401	04/01/2025
CH02371AD	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	35 HANNAFORD DR	RED HOOK	NY	12571	04/01/2025
CH02371AG	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	3650 ROUTE 9W	HIGHLAND	NY	12528	04/01/2025
CH02371AG	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	2066 ROUTE 32	MODENA	NY	12548	04/01/2025
CH02371Y	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	1261 ULSTER AVENUE	KINGSTON	NY	12401	04/01/2025
CH02371Y	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	35 HANNAFORD DR	RED HOOK	NY	12571	04/01/2025
CH02371BU	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	2066 ROUTE 32	MODENA	NY	12548	04/01/2025
CH02371AF	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	100 PLAZA RD	KINGSTON	NY	12401	04/01/2025
CH02371AF	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	35 HANNAFORD DR	RED HOOK	NY	12571	04/01/2025
CH02371AD	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	3650 ROUTE 9W	HIGHLAND	NY	12528	04/01/2025
CH02371Y	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	3650 ROUTE 9W	HIGHLAND	NY	12528	04/01/2025
CH02371AC	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	35 HANNAFORD DR	RED HOOK	NY	12571	04/01/2025
CH02371AC	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	1261 ULSTER AVENUE	KINGSTON	NY	12401	04/01/2025
CH02371AG	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	35 HANNAFORD DR	RED HOOK	NY	12571	04/01/2025
CH02371AD	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	2066 ROUTE 32	MODENA	NY	12548	04/01/2025
CH02371AC	MARTIN'S FOODS OF SOUTH BURLINGTON, LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #83	3650 ROUTE 9W	HIGHLAND	NY	12528	04/01/2025
CH02371AC	MATTHEWS PHARMACY	101 CANAL ST		ELLENVILLE	NY	12428	10/01/2007	12/31/2015
CH02371AC	MATTHEWS PHARMACY INC.	DBA MATTHEWS PHARMACY	101 CANAL ST	ELLENVILLE	NY	12428-1403	04/01/2016	06/28/2019
CH02371AG	MATTHEWS PHARMACY INC.	DBA MATTHEWS PHARMACY	101 CANAL ST	ELLENVILLE	NY	12428-1403	07/01/2017	06/28/2019
CH02371AG	MEDCART SPECIALTY PHARMACY	32131 INDUSTRIAL RD.		LIVONIA	MI	48150	01/01/2025
CH02371AD	MOLLOY MEDICAL ARTS PHARMA INC	D/B/A MOLLOY MEDICAL ARTS PHARMACY	19 BAKER AVE, STE 207	POUGHKEEPSIE	NY	12601-1375	04/01/2019	01/08/2020
CH02371AG	NEW AMSTERDAM DRUG MART INC	C/O PHARMACY	698 AMSTERDAM AVE	NEW YORK	NY	10025	01/01/2020
CH02371AG	OPTUM INFUSION SERVICES 305, LLC	15529 COLLEGE BLVD.		LENEXA	KS	66219-1351	10/31/2022
CH02371AG	OPTUM PHARMACY 700, LLC	5700 DOT COM CT, STE 1000		OVIEDO	FL	32765	01/01/2023
CH02371AG	OPTUM PHARMACY 700, LLC	19 CHAPIN RD BLDG D, STE D8		PINE BROOK	NJ	07058	10/31/2022
CH02371AG	OPTUM PHARMACY 701, LLC	4015 SHOPTON RD STE 600		CHARLOTTE	NC	28217-3025	01/01/2023
CH02371AG	OPTUM PHARMACY 701, LLC	4100 S SAGINAW ST STE D		FLINT	MI	48507	01/01/2023
CH02371AG	OPTUM PHARMACY 701, LLC	8131 W BOSTIAN RD STE A350		WOODINVILLE	WA	98072-5029	01/01/2023
CH02371AG	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	10/31/2022
CH02371AG	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	01/01/2023
CH02371AG	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	01/01/2023
CH02371AG	OPTUM PHARMACY 705, LLC	3539 BLUECUTT RD		COLUMBUS	MS	39705	01/01/2023
CH02371AG	OPTUM PHARMACY 706, INC.	30-30 47TH AVENUE	SUITE 410	LONG ISLAND CITY	NY	11101	10/31/2022
CH02371AG	OPTUM PHARMACY 707, INC	4900 RIVERGRADE RD STE E110		IRWINDALE	CA	91706-1401	01/01/2023
CH02371AG	OPTUM PHARMACY 801, INC.	24416 N 19TH AVE	STE. 100	PHOENIX	AZ	85085	10/31/2022
CH02371AG	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	10/31/2022
CH02371G	PARK PLAZA PHARMA INC	DBA: PARK PLAZA PHARMACY	1773 UNIVERSITY AVENUE	BRONX	NY	10453-6961	10/27/2012
CH02371A	PARK PLAZA PHARMA INC	DBA: PARK PLAZA PHARMACY	1773 UNIVERSITY AVENUE	BRONX	NY	10453-6961	10/27/2012
CH02371AG	PARK PLAZA PHARMA INC	DBA: PARK PLAZA PHARMACY	1773 UNIVERSITY AVENUE	BRONX	NY	10453-6961	07/01/2017
CH02371BD	PARK PLAZA PHARMA INC	DBA: PARK PLAZA PHARMACY	1773 UNIVERSITY AVENUE	BRONX	NY	10453-6961	01/01/2025
CH02371F	PARK PLAZA PHARMA INC	DBA: PARK PLAZA PHARMACY	1773 UNIVERSITY AVENUE	BRONX	NY	10453-6961	01/01/2025
CH02371AG	PHARMBLUE LLC DBA AVITA PHARMACY 1059	1226 CHESTNUT ST		PHILADELPHIA	PA	19107	07/01/2023
CH02371AG	PILLPACK LLC	DBA PILLPACK BY AMAZON PHARMACY	250 COMMERCIAL ST STE 2012	MANCHESTER	NH	03101	01/01/2025
CH02371AG	PILLPACK LLC	AMAZON PHARMACY #005	20416 72ND AVE S	KENT	WA	98032-2319	01/01/2025
CH02371C	PORT EWEN RX INC.	D/B/A PORT EWEN PHARMACY	177 BROADWAY	PORT EWEN	NY	12466	07/01/2017	01/01/2018
CH02371AG	PORT EWEN RX INC.	D/B/A PORT EWEN PHARMACY	177 BROADWAY	PORT EWEN	NY	12466	07/01/2017
CH02371AE	PORT EWEN RX INC.	D/B/A PORT EWEN PHARMACY	177 BROADWAY	PORT EWEN	NY	12466	01/01/2024	01/01/2024
CH02371AG	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2023
CH02371AG	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	01/01/2023
CH02371AG	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	01/01/2023
CH02371AG	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY# 11235	9555 KINGS CHARTER DR., SUITE D	ASHLAND	VA	23005	01/01/2023
CH02371AG	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	07/01/2023
CH02371AD	RITE AID OF NEW YORK, INC.	RITE AID #7849	1 CRUM ELBOW RD	HYDE PARK	NY	12538	01/01/2020
CH02371AG	RITE AID OF NEW YORK, INC.	RITE AID #2727	1510 SAINT NICHOLAS AVENUE	NEW YORK	NY	10033	01/01/2020	01/19/2022
CH02371AG	RITE AID OF NEW YORK, INC.	RITE AID #4885	210-20 AMSTERDAM AVENUE	NEW YORK	NY	10023	01/01/2020	01/19/2022
CH02371AG	RITE AID OF NEW YORK, INC.	RITE AID #1225	534 HUDSON STREET	NEW YORK	NY	10014	01/01/2020	01/19/2022
CH02371G	RSNP CORP	JEROME DRUGS	1781 JEROME AVE	BRONX	NY	10453-5711	06/19/2009	04/27/2018
CH02371A	RSNP CORP	JEROME DRUGS	1781 JEROME AVE	BRONX	NY	10453-5711	08/01/2007	04/27/2018
CH02371F	RSNP CORP	JEROME DRUGS	1781 JEROME AVE	BRONX	NY	10453-5711	06/19/2009	04/04/2018
CH02371AG	RSNP CORP	JEROME DRUGS	1781 JEROME AVE	BRONX	NY	10453-5711	07/01/2017	06/27/2018
CH02371G	S J S PHARMACY	105-107 E. BURNSIDE AVE.		BRONX	NY	10453	10/27/2012	09/30/2015
CH02371AG	SEVEN HILLS DRUGS INC	DBA: HARLEM CARE PHARMACY	165 W 127TH ST	NEW YORK	NY	10027-3720	01/01/2020	08/31/2020
CH02371AG	SEVENTH ELM DRUG CORP.	D/B/A ELM DRUGS	56 SEVENTH AVE	NEW YORK	NY	10011	07/01/2018
CH02371BP	SEVENTH ELM DRUG CORP.	D/B/A ELM DRUGS	56 SEVENTH AVE	NEW YORK	NY	10011	07/01/2018
CH02371A	SEVENTH ELM DRUG CORP.	D/B/A ELM DRUGS	56 SEVENTH AVE	NEW YORK	NY	10011	01/01/2025
CH02371C	SREEVEN PHARMACY INC.		1695 1ST AVE	NEW YORK	NY	10128-1012	07/01/2016	01/01/2018
CH02371AG	SREEVEN PHARMACY INC.	D/B/A 88 STREET PHARMACY & ELM HEALTH	1695 1ST AVENUE	NEW YORK	NY	10128-4804	07/01/2017	02/20/2019
CH02371G	SS PHARMA INC.	DBA-RITE CHOICE PHARMACY	21 E 170TH ST	BRONX	NY	10452	10/01/2018	06/28/2019
CH02371F	SS PHARMA INC.	DBA-RITE CHOICE PHARMACY	21 E 170TH ST	BRONX	NY	10452	10/01/2018	06/28/2019
CH02371AG	SUN PHARMA INC	DBA DEFRANCO PHARMACY	1790 RANDALL AVE	BRONX	NY	10473	01/01/2025
CH02371AC	TOPS MARKETS LLC	TOPS PHARMACY #532	271 MAIN STREET	NEW PALTZ	NY	12561	04/01/2025
CH02371A	TOPS MARKETS LLC	TOPS PHARMACY #532	271 MAIN STREET	NEW PALTZ	NY	12561	04/01/2025
CH02371AB	TOPS MARKETS LLC	TOPS PHARMACY #532	271 MAIN STREET	NEW PALTZ	NY	12561	04/01/2025
CH02371AB	TOPS MARKETS LLC	TOPS PHARMACY #533	16 JON J WAGNER WAY	LAGRANGEVILLE	NY	12540	04/01/2025
CH02371AG	TOPS MARKETS LLC	TOPS PHARMACY #532	271 MAIN STREET	NEW PALTZ	NY	12561	04/01/2025
CH02371AG	TOPS MARKETS LLC	TOPS PHARMACY #533	16 JON J WAGNER WAY	LAGRANGEVILLE	NY	12540	04/01/2025
CH02371AD	TOPS MARKETS LLC	TOPS PHARMACY #532	271 MAIN STREET	NEW PALTZ	NY	12561	04/01/2025
CH02371AD	TOPS MARKETS LLC	TOPS PHARMACY #533	16 JON J WAGNER WAY	LAGRANGEVILLE	NY	12540	04/01/2025
CH02371A	TOPS MARKETS LLC	TOPS PHARMACY #533	16 JON J WAGNER WAY	LAGRANGEVILLE	NY	12540	04/01/2025
CH02371AC	TOPS MARKETS LLC	TOPS PHARMACY #533	16 JON J WAGNER WAY	LAGRANGEVILLE	NY	12540	04/01/2025
CH02371BU	TOPS MARKETS LLC	TOPS PHARMACY #532	271 MAIN STREET	NEW PALTZ	NY	12561	04/01/2025
CH02371BU	TOPS MARKETS LLC	TOPS PHARMACY #533	16 JON J WAGNER WAY	LAGRANGEVILLE	NY	12540	04/01/2025
CH02371Y	TOPS MARKETS LLC	TOPS PHARMACY #532	271 MAIN STREET	NEW PALTZ	NY	12561	04/01/2025
CH02371Y	TOPS MARKETS LLC	TOPS PHARMACY #533	16 JON J WAGNER WAY	LAGRANGEVILLE	NY	12540	04/01/2025
CH02371AG	VALUE CARE RX INC.	D/B/A RITE CARE PHARMACY	805B SOUNDVIEW AVE	BRONX	NY	10473-3900	01/01/2025
CH02371AG	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2018
CH02371AG	WAL-MART PHARMACY 10-2097	C/O PHARMACY DEPARTMENT	460 FAIRVIEW AVE	HUDSON	NY	12534	01/01/2023
CH02371AG	WAL-MART PHARMACY 10-2351	30 CATSKILL COMMONS		CATSKILL	NY	12414	01/01/2023
CH02371AG	WAL-MART PHARMACY 10-2424	1134 WICKER STREET		TICONDEROGA	NY	12883	01/01/2023
CH02371C	WAL-MART PHARMACY 10-2504	601 FRANK STOHILE BLVD		KINGSTON	NY	12401	10/01/2016	01/01/2018
CH02371AG	WAL-MART PHARMACY 10-2504	601 FRANK STOHILE BLVD		KINGSTON	NY	12401	07/01/2017
CH02371C	WAL-MART PHARMACY 10-4570	7500 ROUTE 209		NAPANOCH	NY	12458	10/01/2016	01/01/2018
CH02371AG	WAL-MART PHARMACY 10-4570	7500 ROUTE 209		NAPANOCH	NY	12458	07/01/2017
CH02371AG	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2018
CH02371C	WALGREEN CO	DBA: WALGREENS	28727 OREGON ROAD	PERRYSBURG	OH	43551	02/21/2013	07/15/2015
CH02371C	WALGREEN EASTERN CO INC	DBA: WALGREENS # 06159	145 FOURTH AVE	NEW YORK	NY	10003	01/03/2011	07/15/2015
CH02371B	WALGREEN EASTERN CO INC	DBA: WALGREENS # 06159	145 FOURTH AVE	NEW YORK	NY	10003	09/06/2010	01/01/2016
CH02371V	WALGREEN EASTERN CO INC	DBA: WALGREENS # 06159	145 FOURTH AVE	NEW YORK	NY	10003	01/03/2011	07/28/2015
CH02371AG	WALGREEN EASTERN CO. INC.	DBA: WALGREENS	244 E 161ST STREET	BRONX	NY	10451	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC	DBA: WALGREENS	1847 ROCKAWAY PKWY.	BROOKLYN	NY	11236-5307	01/01/2025
CH02371C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 10135	298 FIRST AVE	NEW YORK	NY	10009-1850	01/03/2011	07/15/2015
CH02371C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07675	33 E 23RD STREET	NEW YORK	NY	10010-3639	01/03/2011	07/15/2015
CH02371C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06160	350 FIFTH AVE	NEW YORK	NY	10118	01/03/2011	07/15/2015
CH02371C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09731	20 ASTOR PL.	NEW YORK	NY	10003-6903	01/03/2011	07/15/2015
CH02371C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10912	2575 BROADWAY	NEW YORK	NY	10025	12/10/2010	07/15/2015
CH02371C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05074	55 WESTCHESTER SQUARE	BRONX	NY	10461	02/21/2013	07/15/2015
CH02371C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11172	1371 METROPOLITAN AVE.	BRONX	NY	10462-7403	02/21/2013	07/15/2015
CH02371C	WALGREEN EASTERN CO., INC.		80 INTERNATIONAL DR.	WINDSOR	CT	06095-1044	02/21/2013	07/15/2015
CH02371B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09731	20 ASTOR PL.	NEW YORK	NY	10003-6903	09/06/2010	01/01/2016
CH02371B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10912	2575 BROADWAY	NEW YORK	NY	10025	09/06/2010	01/01/2016
CH02371B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07675	33 E 23RD STREET	NEW YORK	NY	10010-3639	09/06/2010	01/01/2016
CH02371B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 10135	298 FIRST AVE	NEW YORK	NY	10009-1850	09/06/2010	01/01/2016
CH02371B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06160	350 FIFTH AVE	NEW YORK	NY	10118	09/06/2010	01/01/2016
CH02371V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10912	2575 BROADWAY	NEW YORK	NY	10025	12/10/2010	07/28/2015
CH02371V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06160	350 FIFTH AVE	NEW YORK	NY	10118	01/03/2011	07/28/2015
CH02371V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 10135	298 FIRST AVE	NEW YORK	NY	10009-1850	01/03/2011	07/28/2015
CH02371V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07675	33 E 23RD STREET	NEW YORK	NY	10010-3639	01/03/2011	07/28/2015
CH02371V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09731	20 ASTOR PL.	NEW YORK	NY	10003-6903	01/03/2011	07/28/2015
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS # 18228	1111 PENNSYLVANIA AVE	BROOKLYN	NY	11207-9000	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS #18198	1710 CROSBY AVE	BRONX	NY	10461	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS #17511	925 SOUNDVIEW AVENUE	BRONX	NY	10473	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10678	379 MYRTLE AVE.	BROOKLYN	NY	11205-2407	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	2504 EASTCHESTER RD.	BRONX	NY	10469-5902	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05051	21914 MERRICK BLVD	LAURELTON	NY	11413	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS # 18215	49 W FORDHAM RD	BRONX	NY	10468	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS #17499	691 CO-OP CITY BLVD UNIT L	BRONX	NY	10475-1673	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	5001 CHURCH AVE.	BROOKLYN	NY	11203-1320	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01918	755 BROADWAY	BROOKLYN	NY	11206-5320	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS # 17772	462 5TH AVENUE	BROOKLYN	NY	11215	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	9408 3RD AVE.	BROOKLYN	NY	11209-6804	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS #17680	16040 CROSS BAY BLVD	HOWARD BEACH	NY	11414	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS #19670	139 S ORANGE AVE	SOUTH ORANGE	NJ	07079	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS # 18305	120 COURT ST	BROOKLYN	NY	11201	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS #19035	16219 HILLSIDE AVE	JAMAICA	NY	11432	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS #18412	9602 ROCKAWAY BLVD.	OZONE PARK	NY	11417	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04319	8420 BROADWAY	ELMHURST	NY	11373	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	2325 FLATBUSH AVE.	BROOKLYN	NY	11234-4529	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS #17979	78-14 LINDEN BLVD	HOWARD BEACH	NY	11414	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11172	1371 METROPOLITAN AVE.	BRONX	NY	10462-7403	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05074	55 WESTCHESTER SQUARE	BRONX	NY	10461	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS #17151	10640 ROCKAWAY BEACH BLVD	ROCKAWAY PARK	NY	11694	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 10135	298 FIRST AVE	NEW YORK	NY	10009-1850	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	6 MCLEAN AVE	YONKERS	NY	10705-2356	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01214	1328 2ND AVE	NEW YORK	NY	10021	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	4915 FLATLANDS AVE.	BROOKLYN	NY	11234	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11806	114 BEVERLEY RD.	BROOKLYN	NY	11218-3914	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS #19994	1040 SAINT JOHNS PL.	BROOKLYN	NY	11213-2533	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10941	3000 CHURCH AVE.	BROOKLYN	NY	11226-4210	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS #18990	3590 E TREMONT AVE	BRONX	NY	10465	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01013	5564 BROADWAY	BRONX	NY	10463	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07367	1401 COLLEGE POINT BLVD	COLLEGE POINT	NY	11356	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS #15352	1281 FULTON ST.	BROOKLYN	NY	11216	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #16260	36 HILLSIDE AVENUE	HILLSIDE	NJ	07205	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #16463	29 W. 116TH ST.	NEW YORK	NY	10026	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #15097	589 PROSPECT AVE	BROOKLYN	NY	11215	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS # 17665	3480 JEROME AVENUE	BRONX	NY	10467-1002	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS #17269	750 MANHATTAN AVE	BROOKLYN	NY	11222-2910	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS # 17613	9001 SUTPHIN BLVD	JAMAICA	NY	11435	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04363	210 UNION AVENUE	BROOKLYN	NY	11211	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10411	406 E. FORDHAM RD.	BRONX	NY	10458	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19889	32 E 170TH STREET	BRONX	NY	10452	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11141	1366 BROADWAY	BROOKLYN	NY	11221	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS # 18988	2750 BOSTON RD	BRONX	NY	10469	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS SPECIALTY PHARMACY #16511	306 CLARKSON AVE.	BROOKLYN	NY	11226	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03146	561-579 IRVINGTON AVENUE	NEWARK	NJ	07106	01/01/2025
CH02371AG	WALGREEN EASTERN CO., INC.	WALGREENS #18219	1720 KINGS HWY	BROOKLYN	NY	11229	01/01/2025
CH02371C	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	07/01/2013	07/15/2015
CH02371C	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	07/01/2013	07/15/2015
CH02371AG	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	07/01/2024
CH02371C	YORGANIC PHARMACY INC	DBA-88 STREET PHARMACY	1695 FIRST AVENUE	NEW YORK	NY	10128-4804	10/01/2014	01/01/2018

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/2/2024 9:51:20 AM	2/27/2025 9:26:22 AM	2/27/2025 9:26 AM
Details	Last Recertification Date	Update	Recertification	2/2/2023 8:23:45 AM	2/2/2024 9:51:20 AM	2/2/2024 9:51 AM
Details	Last Recertification Date	Update	Recertification	2/2/2022 8:43:02 AM	2/2/2023 8:23:45 AM	2/2/2023 8:23 AM
Details	Last Recertification Date	Update	Recertification	2/9/2021 8:45:12 AM	2/2/2022 8:43:02 AM	2/2/2022 8:43 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1053685289 ( )		2/9/2021 8:45 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053685289	2/9/2021 8:45 AM
Medicaid Billing	NPI: State	Insert	Recertification		NY	2/9/2021 8:45 AM
Details	Last Recertification Date	Update	Recertification	2/1/2020 2:50:28 PM	2/9/2021 8:45:12 AM	2/9/2021 8:45 AM
Details	Last Recertification Date	Update	Recertification	1/30/2019 1:51:51 PM	2/1/2020 2:50:28 PM	2/1/2020 2:50 PM
Contacts	Authorizing Official	Update	Change Request	Woghin, Alan VP of FInance and CFO The Institute For family Health 2126330815-1410	DiCioccio, Caroline Chief Financial Officer The Institute for Family Health 2126330800-1409	4/4/2019 8:49 AM
Contacts	Primary Contact	Update	Profile Change Request	Baburam, Yoshmatie 340B coordinator The Institute For family Health 2126330815-1382	Baburam, Yoshmatie 340B Director The Institute For family Health 2126330815-1382	3/27/2019 12:36 PM
Details	Last Recertification Date	Update	Recertification	2/8/2018 10:46:35 AM	1/30/2019 1:51:51 PM	1/30/2019 1:51 PM
Details	Last Recertification Date	Update	Recertification	2/15/2017 12:00:00 AM	2/8/2018 10:46:35 AM	2/8/2018 10:46 AM
Contacts	Authorizing Official	Update	Change Request	Nurse, Nicole Sr Vice President for Clinical Affairs 2126330800-1241	Woghin, Alan VP of FInance and CFO The Institute For family Health 2126330815-1410	10/24/2017 2:47 PM
Contacts	Primary Contact	Update		Baburam, Yoshmatie 340B coordinator 2126330815-1382	Baburam, Yoshmatie 340B coordinator The Institute For family Health 2126330815-1382	9/18/2017 3:07 PM
Contacts	Primary Contact	Insert			Baburam, Yoshmatie 340B coordinator 2126330815-1382	7/27/2017 10:47 AM
Addresses	Main Address	Insert			1894 Walton Ave Bronx, NY 10453-6018	6/23/2017 9:24 AM
Contacts	Authorizing Official	Insert			Nurse, Nicole Sr Vice President for Clinical Affairs 2126330800-1241	6/23/2017 9:24 AM
Details	Last Recertification Date	Update		2/22/2016 12:00:00 AM	2/15/2017 12:00:00 AM	2/15/2017 12:44 PM
Medicaid Billing	NPI: Number	Update		1295729408	1053685289	4/29/2016 10:50 AM
Addresses	Billing Address	Insert			INSTITUTE FOR FAMILY HEALTH 2006 Madison Ave NEW YORK, NY 10035	4/29/2016 10:50 AM
Medicaid Billing	Medicaid: Is Primary	Insert			False	4/28/2016 11:06 AM
Medicaid Billing	Medicaid: Number	Insert			03595604	4/28/2016 11:06 AM
Medicaid Billing	Medicaid: State	Insert			NY	4/28/2016 11:06 AM
Medicaid Billing	NPI: Number	Insert			1295729408	4/28/2016 11:06 AM
Details	Last Recertification Date	Update		3/3/2015 12:00:00 AM	2/22/2016 12:00:00 AM	2/22/2016 9:32 AM
Details	Last Recertification Date	Update		3/19/2014 12:00:00 AM	3/3/2015 12:00:00 AM	3/3/2015 8:56 AM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	3/19/2014 12:00:00 AM	3/19/2014 8:52 AM
Details	Entity Name	Update		INSTITUTE FOR FAMILY HEALTH	INSTITUTE FOR FAMILY HEALTH, THE	3/19/2014 8:52 AM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	3/15/2013 10:48 AM
Details	Last Recertification Date	Insert				8/27/2010 3:16 PM
Details	Grant Number	Insert			H80CS00768	8/27/2010 3:16 PM
Details	340B ID	Insert			CH02371G	8/27/2010 3:16 PM
Details	Is Authorizing Official EHB Data	Insert				8/27/2010 3:16 PM
Dates	Last Date That 340B Drugs Purchased	Insert				8/27/2010 3:16 PM
Details	Medicare Provider Number	Insert				8/27/2010 3:16 PM
Details	Entity Name	Insert			INSTITUTE FOR FAMILY HEALTH	8/27/2010 3:16 PM
Details	Program Code	Insert			CH	8/27/2010 3:16 PM
Details	Entity Subname	Insert			WALTON FAMILY HEALTH CENTER	8/27/2010 3:16 PM
Dates	Participating Approval Date	Insert			4/29/2004 12:00:00 AM	8/27/2010 3:16 PM
Details	State	Insert			Active	8/27/2010 3:16 PM
Dates	Registration Date	Insert			1/1/2002 12:00:00 AM	8/27/2010 3:16 PM
Dates	Signed By Date	Insert				8/27/2010 3:16 PM
Dates	Start Date	Insert			1/1/2002 12:00:00 AM	8/27/2010 3:16 PM
Terminations	Termination Comments	Insert				8/27/2010 3:16 PM
Terminations	Termination Date	Insert				8/27/2010 3:16 PM
Terminations	Termination Effective Date	Insert				8/27/2010 3:16 PM
Terminations	Termination Reason	Insert				8/27/2010 3:16 PM
Details	Comments Public	Insert			8/27/10 UPDATED ENTITY NAME (WAS INSTITUTE FOR URBAN FAMILY HEALTH); 7/17/07 - ADDED BILLING ADDRESS	8/27/2010 3:16 PM

340B Drug Pricing Program Database