Covered Entity Details

CH020130 HERITAGE HEALTH AND HOUSING, INC. (Active) - information as of 6/27/2025 12:25:49 AM

Main Details

Name

HERITAGE HEALTH AND HOUSING, INC.

Subdivision Name

HERITAGE HEALTH AND HOUSING, INC.

Type

HRSA-Funded Health Center

Site ID

BPS-H80-008127

340B ID

CH020130

Grant Number

H80CS11285

Additional Details

Current Program Status

Active

Registration Date

1/1/2002

Participating Start Date

1/1/2002

Participating Approval Date

10/8/2003

Last Recertification Date

2/11/2025

Contacts

Authorizing Official

Heritage Health & Housing, Inc.
Danielle F Milano, Chief of Medical Affairs
(917) 767-7271

Primary Contact

Heritage Health and Housing
Douglas B Blomberg, Chief Financial Officer
(212) 862-0054

Addresses

Street Address

1727 Amsterdam Ave
New York, NY 10031-4611

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
9/14/2010 UPDATED GRANT NUMBER (WAS H80CS00783); ID CORRECTION - REPLACES FQHCLA120	01/28/2011

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

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	2355 2ND AVE NYS LLC	2355 2ND AVE		NEW YORK	NY	10035	04/14/2020	05/01/2020		05/01/2020
Contract Detail	7 HILLS RX INC.	DBA SMART AID PHARMACY	708 SAINT NICHOLAS AVE	NEW YORK	NY	10031-4002	10/13/2017	01/01/2018		10/13/2017
Contract Detail	APTEKA RX INC	DBA-AMSTERDAM PHARMACY & SURGICAL SUPPLI	1743 AMSTERDAM AVE	NEW YORK	NY	10031-1003	07/14/2017	10/01/2017		10/01/2017
Contract Detail	DIN PHARMACY CORP	DBA-DIN PHARMACY	18 MOTT ST	NEW YORK	NY	10013	04/15/2022	07/01/2022	04/05/2023	04/05/2023
Contract Detail	DJ DRUGS & SURGICALS INC	AHMA RX	2381 FREDERICK DOUGLASS BLVD	NEW YORK	NY	10027	04/16/2018	07/01/2018	01/29/2019	01/30/2019
Contract Detail	DJ DRUGS & SURGICALS INC	AHMA RX	2381 FREDERICK DOUGLASS BLVD	NEW YORK	NY	10027	04/16/2018	07/01/2018	01/29/2019	01/30/2019
Contract Detail	DRUG MART SOLUTIONS LLC	D/B/A QUALITY RX	1611 UNIVERSITY AVENUE	BRONX	NY	10453	07/15/2016	10/01/2016	01/10/2024	01/10/2024
Contract Detail	DUANE READE	2522 BROADWAY		NEW YORK	NY	10025-6946	11/18/2011	11/18/2011	07/15/2016	07/15/2016
Contract Detail	DUANE READE	279 W 125TH STREET		NEW YORK	NY	10027-4408	11/18/2011	11/18/2011	07/15/2016	07/15/2016
Contract Detail	DUANE READE	2108 3RD AVENUE		NEW YORK	NY	10029-2103	11/18/2011	11/18/2011	07/15/2016	07/15/2016
Contract Detail	DUANE READE	300 WEST 135TH ST.		NEW YORK	NY	10030	11/18/2011	11/18/2011	07/15/2016	07/15/2016
Contract Detail	FIRST HEALTH SPECIALTY PHARMACY INC.	754 E 151ST ST		BRONX	NY	10455-3267	07/14/2022	10/01/2022		10/01/2022
Contract Detail	MISHKINS PHARMA LLC	DBA-MISHKINS PHARMACY	1714 AMSTERDAM AVE	NEW YORK	NY	10031-4602	04/11/2022	07/01/2022		07/01/2022
Contract Detail	RIVER PARK RX LLC	RIVER PARK PHARMACY	1818 CEDAR AVE	BRONX	NY	10453	10/15/2019	01/01/2020	01/10/2024	01/10/2024
Contract Detail	SHRINEETA PHARMACY INC	DBA-AMSTERDAM PHARMACY	1743 AMSTERDAM AVE	NEW YORK	NY	10031-4618	10/20/2011	03/06/2009	01/10/2024	01/10/2024
Contract Detail	TAINO TOWERS PHARMA INC	DBA-TAINO TOWERS PHARMACY	2253 3RD AVE FRNT 1	NEW YORK	NY	10035-2206	04/08/2022	07/01/2022		07/01/2022
Contract Detail	UPPER MANHATTAN PHARMA INC	DBA-UPPER MANHATTAN PHARMACY	1728 AMSTERDAM AVE	NEW YORK	NY	10031-4604	04/11/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10912	2575 BROADWAY	NEW YORK	NY	10025	11/18/2011	11/18/2011	07/15/2016	07/15/2016

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH020130	Active	BPS-H80-008127	HERITAGE HEALTH AND HOUSING, INC.	HERITAGE HEALTH AND HOUSING, INC.	1727 Amsterdam Ave	New York	NY
CH02013A	Terminated	BPS-H80-008128	HERITAGE HEALTH AND HOUSING, INC.	HERITAGE HEALTH CARE @ PS 192	500 WEST 138TH STREET; RM 123	NEW YORK	NY
CH02013B	Terminated	BPS-H80-013872	HERITAGE HEALTH AND HOUSING, INC.	Heritage HealthCare Center at Harlem Village Academy Elementary School	35 W 124th St	New York	NY

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH020130	2355 2ND AVE NYS LLC	2355 2ND AVE		NEW YORK	NY	10035	05/01/2020
CH020130	7 HILLS RX INC.	DBA SMART AID PHARMACY	708 SAINT NICHOLAS AVE	NEW YORK	NY	10031-4002	01/01/2018
CH02013B	7 HILLS RX INC.	DBA SMART AID PHARMACY	708 SAINT NICHOLAS AVE	NEW YORK	NY	10031-4002	01/01/2018	04/01/2018
CH020130	APTEKA RX INC	DBA-AMSTERDAM PHARMACY & SURGICAL SUPPLI	1743 AMSTERDAM AVE	NEW YORK	NY	10031-1003	10/01/2017
CH020130	DIN PHARMACY CORP	DBA-DIN PHARMACY	18 MOTT ST	NEW YORK	NY	10013	07/01/2022	04/05/2023
CH020130	DJ DRUGS & SURGICALS INC	AHMA RX	2381 FREDERICK DOUGLASS BLVD	NEW YORK	NY	10027	07/01/2018	01/29/2019
CH020130	DJ DRUGS & SURGICALS INC	AHMA RX	2381 FREDERICK DOUGLASS BLVD	NEW YORK	NY	10027	07/01/2018	01/29/2019
CH020130	DRUG MART SOLUTIONS LLC	D/B/A QUALITY RX	1611 UNIVERSITY AVENUE	BRONX	NY	10453	10/01/2016	01/10/2024
CH020130	DUANE READE	2522 BROADWAY		NEW YORK	NY	10025-6946	11/18/2011	07/15/2016
CH020130	DUANE READE	279 W 125TH STREET		NEW YORK	NY	10027-4408	11/18/2011	07/15/2016
CH020130	DUANE READE	2108 3RD AVENUE		NEW YORK	NY	10029-2103	11/18/2011	07/15/2016
CH020130	DUANE READE	300 WEST 135TH ST.		NEW YORK	NY	10030	11/18/2011	07/15/2016
CH020130	FIRST HEALTH SPECIALTY PHARMACY INC.	754 E 151ST ST		BRONX	NY	10455-3267	10/01/2022
CH020130	MISHKINS PHARMA LLC	DBA-MISHKINS PHARMACY	1714 AMSTERDAM AVE	NEW YORK	NY	10031-4602	07/01/2022
CH020130	RIVER PARK RX LLC	RIVER PARK PHARMACY	1818 CEDAR AVE	BRONX	NY	10453	01/01/2020	01/10/2024
CH020130	SHRINEETA PHARMACY INC	DBA-AMSTERDAM PHARMACY	1743 AMSTERDAM AVE	NEW YORK	NY	10031-4618	03/06/2009	01/10/2024
CH02013A	SHRINEETA PHARMACY INC	DBA-AMSTERDAM PHARMACY	1743 AMSTERDAM AVE	NEW YORK	NY	10031-4618	03/06/2009	04/01/2016
CH020130	TAINO TOWERS PHARMA INC	DBA-TAINO TOWERS PHARMACY	2253 3RD AVE FRNT 1	NEW YORK	NY	10035-2206	07/01/2022
CH020130	UPPER MANHATTAN PHARMA INC	DBA-UPPER MANHATTAN PHARMACY	1728 AMSTERDAM AVE	NEW YORK	NY	10031-4604	07/01/2022
CH020130	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10912	2575 BROADWAY	NEW YORK	NY	10025	11/18/2011	07/15/2016

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/15/2024 7:56:09 PM	2/11/2025 10:35:52 AM	2/11/2025 10:35 AM
Contacts	Authorizing Official	Update	Profile Change Request	Milano, Danielle F Chief of Medical Affairs Hertiage Health & Housing, Inc. 9177677271	Milano, Danielle F Chief of Medical Affairs Heritage Health & Housing, Inc. 9177677271	2/20/2024 7:24 AM
Details	Last Recertification Date	Update	Recertification	2/2/2023 8:47:12 AM	2/15/2024 7:56:09 PM	2/15/2024 7:56 PM
Details	Last Recertification Date	Update	Recertification	2/2/2022 5:01:47 PM	2/2/2023 8:47:12 AM	2/2/2023 8:47 AM
Contacts	Primary Contact	Update	Change Request	Milano, Danielle F Chief of Medical Affairs Hertiage Health & Housing, Inc. 9177677271	Blomberg, Douglas B Chief Financial Officer Heritage Health and Housing 2128620054	3/9/2022 12:58 PM
Contacts	Authorizing Official	Update	Change Request	Blomberg, Douglas B Chief Financial Officer Heritage Health and Housing 2128620054	Milano, Danielle F Chief of Medical Affairs Hertiage Health & Housing, Inc. 9177677271	3/9/2022 12:58 PM
Contacts	Primary Contact	Update	Profile Change Request	Milano, Danielle F Chief of Medical Staff Hertiage Health & Housing, Inc. 9177677271	Milano, Danielle F Chief of Medical Affairs Hertiage Health & Housing, Inc. 9177677271	3/7/2022 4:53 PM
Contacts	Authorizing Official	Update	Profile Change Request	Blomberg, Douglas B Chief Executive Officer and CFO Heritage Health and Housing 2128620054	Blomberg, Douglas B Chief Financial Officer Heritage Health and Housing 2128620054	2/3/2022 8:23 AM
Details	Last Recertification Date	Update	Recertification	2/3/2021 10:30:19 AM	2/2/2022 5:01:47 PM	2/2/2022 5:01 PM
Details	Last Recertification Date	Update	Recertification	2/10/2020 11:42:37 AM	2/3/2021 10:30:19 AM	2/3/2021 10:30 AM
Contacts	Primary Contact	Update	Recertification	Waterman, DO, Jason Executive Clinical Director of QI Heritage Health and Housing 2128620054	Milano, Danielle F Chief of Medical Staff Hertiage Health & Housing, Inc. 9177677271	2/10/2020 11:42 AM
Details	Last Recertification Date	Update	Recertification	1/29/2019 9:34:59 AM	2/10/2020 11:42:37 AM	2/10/2020 11:42 AM
Contacts	Authorizing Official	Update	Profile Change Request	Blomberg, Douglas B Chief Executive Officer and CFO Heritage Health and Housing 2128662600	Blomberg, Douglas B Chief Executive Officer and CFO Heritage Health and Housing 2128620054	10/15/2019 7:48 PM
Contacts	Authorizing Official	Update	Profile Change Request	Blomberg, Douglas B Chief Executive Officer and Interim CFO Heritage Health and Housing 2128662600	Blomberg, Douglas B Chief Executive Officer and CFO Heritage Health and Housing 2128662600	10/15/2019 7:46 PM
Details	Last Recertification Date	Update	Recertification	2/8/2018 10:13:08 AM	1/29/2019 9:34:59 AM	1/29/2019 9:34 AM
Contacts	Primary Contact	Update	Profile Change Request	Waterman, Jason DO Heritage Health and Housing 2128620054	Waterman, DO, Jason Executive Clinical Director of QI Heritage Health and Housing 2128620054	1/28/2019 2:11 PM
Contacts	Authorizing Official	Update	Profile Change Request	Blomberg, Douglas B Interim CEO Heritage Health and Housing 2128662600	Blomberg, Douglas B Chief Executive Officer and Interim CFO Heritage Health and Housing 2128662600	1/28/2019 12:52 PM
Contacts	Primary Contact	Update	Change Request	Benjamin, Ari CMO Heritage Health and Housing, Inc 2128620054	Waterman, Jason DO Heritage Health and Housing 2128620054	12/7/2018 12:07 PM
Contacts	Authorizing Official	Update	AO Change Request	Liss, Jane CEO Heritage Health and Housing 2128620054	Blomberg, Douglas B Interim CEO Heritage Health and Housing 2128662600	11/16/2018 2:33 PM
Contacts	Authorizing Official	Update	AO Change Request	Alexander, Saundra CEO Heritage Health and Housing, Inc 2128620054	Liss, Jane CEO Heritage Health and Housing 2128620054	5/10/2018 8:36 AM
Contacts	Primary Contact	Update	Change Request	Castanos, Yelitza Administrative Nurse Manager Heritage Health Care Center 2128662600-4489	Benjamin, Ari CMO Heritage Health and Housing, Inc 2128620054	2/15/2018 9:51 AM
Details	Last Recertification Date	Update	Recertification	1/26/2017 12:00:00 AM	2/8/2018 10:13:08 AM	2/8/2018 10:13 AM
Contacts	Authorizing Official	Update	AO Change Request	Smith, Arthur CIO Heritage Health & Health Housing, Inc. 2128620054-0890	Alexander, Saundra CEO Heritage Health and Housing, Inc 2128620054	2/8/2018 9:10 AM
Contacts	Primary Contact	Update		Castanos, Yelitza Administrative Nurse Manager 2128662600-4489	Castanos, Yelitza Administrative Nurse Manager Heritage Health Care Center 2128662600-4489	2/7/2018 2:33 PM
Contacts	Authorizing Official	Update		Smith, Arthur CIO 2128620054-0890	Smith, Arthur CIO Heritage Health & Health Housing, Inc. 2128620054-0890	10/13/2017 10:31 AM
Contacts	Authorizing Official	Update		Simmons, Alvaro J. CEO 2128662600-1138	Smith, Arthur CIO 2128620054-0890	7/14/2017 7:52 PM
Addresses	Main Address	Insert			1727 Amsterdam Ave New York, NY 10031-4611	1/26/2017 8:08 AM
Contacts	Primary Contact	Update		karmoeddien, Naeem Senior Accountant 2128662600-2414	Castanos, Yelitza Administrative Nurse Manager 2128662600-4489	1/26/2017 8:08 AM
Details	Last Recertification Date	Update		2/17/2016 12:00:00 AM	1/26/2017 12:00:00 AM	1/26/2017 8:08 AM
Contacts	Authorizing Official	Update		ABREU, JORGE L. CEO 2128662600-441	Simmons, Alvaro J. CEO 2128662600-1138	7/15/2016 3:04 PM
Contacts	Primary Contact	Update		ROSETE, FERNANDO A. FINANCE MANAGER 2128620054-2443	karmoeddien, Naeem Senior Accountant 2128662600-2414	3/2/2016 3:54 PM
Contacts	Primary Contact	Update		CHAPMAN, SHEILA NURSING ADMIN 2128620054-426	ROSETE, FERNANDO A. FINANCE MANAGER 2128620054-2443	2/17/2016 1:27 PM
Details	Last Recertification Date	Update		2/10/2015 12:00:00 AM	2/17/2016 12:00:00 AM	2/17/2016 10:44 AM
Details	Last Recertification Date	Update		3/19/2014 12:00:00 AM	2/10/2015 12:00:00 AM	2/10/2015 12:17 PM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	3/19/2014 12:00:00 AM	3/19/2014 6:42 AM
Details	Entity Name	Update		HERITAGE HEALTH CARE	HERITAGE HEALTH AND HOUSING, INC.	3/19/2014 6:42 AM
Details	Entity Subname	Update			HERITAGE HEALTH AND HOUSING, INC.	3/19/2014 6:42 AM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	2/7/2013 8:33 AM
Contacts	Primary Contact	Insert			CHAPMAN, SHEILA NURSING ADMIN 2128620054-426	1/28/2011 4:24 PM
Contacts	Authorizing Official	Insert			ABREU, JORGE L. CEO 2128662600-441	1/28/2011 4:24 PM
Details	Last Recertification Date	Insert				1/28/2011 4:22 PM
Details	Grant Number	Insert			H80CS11285	1/28/2011 4:22 PM
Details	340B ID	Insert			CH020130	1/28/2011 4:22 PM
Details	Is Authorizing Official EHB Data	Insert				1/28/2011 4:22 PM
Dates	Last Date That 340B Drugs Purchased	Insert				1/28/2011 4:22 PM
Details	Medicare Provider Number	Insert				1/28/2011 4:22 PM
Details	Entity Name	Insert			HERITAGE HEALTH CARE	1/28/2011 4:22 PM
Details	Program Code	Insert			CH	1/28/2011 4:22 PM
Details	Entity Subname	Insert				1/28/2011 4:22 PM
Dates	Participating Approval Date	Insert			10/8/2003 12:00:00 AM	1/28/2011 4:22 PM
Details	State	Insert			Active	1/28/2011 4:22 PM
Dates	Registration Date	Insert			1/1/2002 12:00:00 AM	1/28/2011 4:22 PM
Dates	Signed By Date	Insert				1/28/2011 4:22 PM
Dates	Start Date	Insert			1/1/2002 12:00:00 AM	1/28/2011 4:22 PM
Terminations	Termination Comments	Insert				1/28/2011 4:22 PM
Terminations	Termination Date	Insert				1/28/2011 4:22 PM
Terminations	Termination Effective Date	Insert				1/28/2011 4:22 PM
Terminations	Termination Reason	Insert				1/28/2011 4:22 PM
Details	Comments Public	Insert			9/14/2010 UPDATED GRANT NUMBER (WAS H80CS00783); ID CORRECTION - REPLACES FQHCLA120	1/28/2011 4:22 PM

340B Drug Pricing Program Database