340B Drug Pricing Program Database


HV46010 CAN Community Health, Inc. (Active) - information as of 6/23/2025 12:36:18 AM

Main Details
CAN Community Health, Inc.
Daytona Beach
Ryan White Part C
HV46010
H76HA46010


Additional Details
Active
10/12/2022
1/1/2023
11/10/2022
3/5/2025
5/1/2022 - 12/31/2025

Contacts

CAN Community Health, Inc.
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127

CAN Community Health, Inc.
Hemali Joshi, SVP, Chief Data Officer
(941) 300-4440 Ext: 10161

Addresses

1125 N. Nova Rd
Daytona Beach, FL 32117

CAN Community Health, Inc.
2105 N. Nebraska Ave
Tampa, FL 33602


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

CAN Community Health Pharmacy of Clearwater
2349 Sunset Point Road
Ste 404
Clearwater, FL 33765

CAN Community Health Pharmacy of Jacksonville
4615 Philips Hwy
Ste 3
Jacksonville, FL 32207

CAN Community Health Pharmacy of Ft. Lauderdale
4101 NW 3rd Court
Ste 9
Plantation, FL 33317

CAN Community Health Pharmacy of Arlington
603 Matlock Centre Cir
Arlington, TX 76015

JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy
2692 Oak Ridge Ct
Fort Myers, FL 33901

JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy
1125 N. Nova Rd
Daytona Beach, FL 32117

Tampa Family Pharmacy
12470 Telecom Dr
Ste 110W
Temple Terrace, FL 33637
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750201/21/202404/01/2024  04/01/2024
Contract DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201001/21/202404/01/2024  04/01/2024
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884901/21/202404/01/2024  04/01/2024
Contract DetailACCREDO HEALTH GROUP, INC.  PHARMACY
2 BOULDEN CIRCLE SUITE 1 		NEW CASTLEDE1972001/21/202404/01/2024  04/01/2024
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282201/21/202404/01/2024  04/01/2024
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361411/10/202201/01/2023  01/01/2023
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005611/10/202201/01/2023  01/01/2023
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621911/10/202201/01/2023  01/01/2023
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175711/10/202201/01/2023  01/01/2023
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808311/10/202201/01/2023  01/01/2023
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700411/10/202201/01/2023  01/01/2023
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761711/10/202201/01/2023  01/01/2023
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813311/10/202201/01/2023  01/01/2023
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237411/10/202201/01/2023  01/01/2023
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911911/10/202201/01/2023  01/01/2023
Contract DetailCommunity Pharmacy Central Fill5710 Young Pine Rd
OrlandoFL3282911/10/202201/01/2023  01/01/2023
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870611/10/202201/01/2023  01/01/2023
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005611/10/202201/01/2023  01/01/2023
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502811/10/202201/01/2023  01/01/2023
Contract DetailCYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503311/10/202201/01/2023  01/01/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00214 901 N WOODLAND BLVD
DELANDFL3272011/10/202201/01/2023  01/01/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03115 615 E 3RD AVE
NEW SMYRNA BEACHFL3216911/10/202201/01/2023  01/01/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03114 2400 ENTERPRISE RD.
ORANGE CITYFL3276311/10/202201/01/2023  01/01/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 08383 5151 BELLE TERRE PKWY
PALM COASTFL3213711/10/202201/01/2023  01/01/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03227 795 W. GRANADA BLVD
ORMOND BEACHFL3217411/10/202201/01/2023  01/01/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05912 1891 LPGA BLVD.
DAYTONA BEACHFL3211711/10/202201/01/2023  01/01/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00174 101 S RIDGEWOOD AVE
DAYTONA BEACHFL3211411/10/202201/01/2023  01/01/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03225 2311 E. SEMORAN BLVD.
APOPKAFL3270311/10/202201/01/2023  01/01/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA CVS/PHARMACY #4112 1816 DUNLAWTON AVENUE
PORT ORANGEFL3212711/10/202201/01/2023  01/01/2023
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03614 3422 S ATLANTIC AVE
DAYTONA BEACH SHORESFL3211807/27/202410/01/2024  10/01/2024
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514611/10/202201/01/2023  01/01/2023
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920311/10/202201/01/2023  01/01/2023
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523311/10/202201/01/2023  01/01/2023
Contract DetailPROCARE PHARMACY, L.L.C.NAVARRO SPECIALTY SERVICES # 10727 7205 CORPORATE CENTER DRIVE
SUITE 104 		MIAMIFL3312611/10/202201/01/2023  01/01/2023
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #21198 1348 W INTERNATIONAL SPEEDWAY BLVD STE 2
DAYTONA BEACHFL3211411/10/202201/01/2023  01/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 04262 897 SAXON BLVD
ORANGE CITYFL32763-820411/10/202201/01/2023  01/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 04441 1600 N NOVA ROAD
HOLLY HILLFL3211711/10/202201/01/2023  01/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS #13678 300 E NEW YORK AVE
DELANDFL3272411/10/202201/01/2023  01/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 03894 1650 DUNLAWTON AVE
PORT ORANGEFL3212711/10/202201/01/2023  01/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 04261 1420 BEVILLE ROAD
DAYTONA BEACHFL32114-562211/10/202201/01/2023  01/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 04423 100 S RIDGEWOOD AVE
DAYTONA BEACHFL32114-431611/10/202201/01/2023  01/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 03472 1109 PALM COAST PARKWAY SW
PALM COASTFL3213710/27/202301/01/2024  01/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 03931 3010 S RIDGEWOOD AVE
EDGEWATERFL32141-590310/27/202301/01/2024  01/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS #12885 2495 SANDY POINT RD
PALM HARBORFL3468507/27/202410/01/2024  10/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 03544 790 W. GRANADA BLVD.
ORMOND BEACHFL3217407/27/202410/01/2024  10/01/2024
Contract DetailWALGREENS MAIL SERVICE, LLCWALGREENS MAIL SERVICE #03397 8350 S RIVER PARKWAY
TEMPEAZ8528407/26/202410/01/2024  10/01/2024
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818811/10/202201/01/2023  01/01/2023
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503311/10/202201/01/2023  01/01/2023
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527511/10/202201/01/2023  01/01/2023
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsAssistance Received To DateUpdateChange Request4/30/2025 12:00:00 AM12/31/2025 12:00:00 AM6/17/2025 9:02 AM
DetailsLast Recertification DateUpdateRecertification2/16/2024 7:30:02 AM3/5/2025 8:45:37 AM3/5/2025 8:45 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestPatel, Rishi President & CEO CAN Community Health, Inc. 9413660461-11127Patel, Rishi President & CEO CAN Community Health, Inc. 9413004440-111271/28/2025 7:30 PM
ContactsSigned ByUpdateProfile Change RequestPatel, Rishi President & CEO CAN Community Health, Inc. 9413660461-11127Patel, Rishi President & CEO CAN Community Health, Inc. 9413004440-111271/28/2025 7:30 PM
AddressesMain AddressUpdateChange Request 1435 Dunn Avenue Suite 101 Daytona Beach, FL 32114 1125 N. Nova Rd Daytona Beach, FL 3211711/25/2024 8:36 AM
AddressesShipping AddressUpdateChange RequestJTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy 1435 Dunn Ave. Ste 102 Daytona Beach, FL 32114JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy 1125 N. Nova Rd Daytona Beach, FL 3211711/25/2024 8:36 AM
AddressesBilling AddressUpdateGroup Change RequestCAN Community Health, Inc. 4440 Fruitville Road Sarasota, FL 34232CAN Community Health, Inc. 2105 N. Nebraska Ave Tampa, FL 336026/20/2024 3:05 PM
DetailsLast Recertification DateUpdateRecertification2/26/2023 3:31:36 PM2/16/2024 7:30:02 AM2/16/2024 7:30 AM
DetailsNOFO NumberUpdate HRSA-22-014 12/16/2023 10:34 AM
AddressesShipping AddressUpdateChange RequestTampa Family Pharmacy 2919 Swann Ave. Ste 101 Tampa, FL 33609Tampa Family Pharmacy 12470 Telecom Dr Ste 110W Temple Terrace, FL 3363712/13/2023 6:19 AM
DetailsAssistance Received To DateUpdateRecertification4/30/2023 12:00:00 AM4/30/2025 12:00:00 AM2/26/2023 3:31 PM
DetailsLast Recertification DateUpdateRecertification 2/26/2023 3:31:36 PM2/26/2023 3:31 PM
DetailsStateUpdate ApprovedActive1/1/2023 12:01 AM
ContactsSigned ByInsertNew Registration Patel, Rishi President & CEO CAN Community Health, Inc. 9413660461-1112711/10/2022 9:45 AM
Details340B IDUpdateNew Registration HV4601011/10/2022 9:45 AM
DatesParticipating Approval DateUpdateNew Registration 11/10/2022 9:45:16 AM11/10/2022 9:45 AM
DetailsStateUpdateNew RegistrationPendingApproved11/10/2022 9:45 AM
DatesSigned By DateUpdateNew Registration 11/2/2022 9:04:43 AM11/10/2022 9:45 AM
DatesStart DateUpdateNew Registration 1/1/2023 12:00:00 AM11/10/2022 9:45 AM
AddressesMain AddressInsertNew Registration  1435 Dunn Avenue Suite 101 Daytona Beach, FL 3211410/12/2022 5:29 PM
AddressesBilling AddressInsertNew Registration CAN Community Health, Inc. 4440 Fruitville Road Sarasota, FL 3423210/12/2022 5:29 PM
AddressesShipping AddressInsertNew Registration CAN Community Health Pharmacy of Clearwater 2349 Sunset Point Road Ste 404 Clearwater, FL 3376510/12/2022 5:29 PM
AddressesShipping AddressInsertNew Registration CAN Community Health Pharmacy of Jacksonville 4615 Philips Hwy Ste 3 Jacksonville, FL 3220710/12/2022 5:29 PM
AddressesShipping AddressInsertNew Registration CAN Community Health Pharmacy of Ft. Lauderdale 4101 NW 3rd Court Ste 9 Plantation, FL 3331710/12/2022 5:29 PM
AddressesShipping AddressInsertNew Registration CAN Community Health Pharmacy of Arlington 603 Matlock Centre Cir Arlington, TX 7601510/12/2022 5:29 PM
AddressesShipping AddressInsertNew Registration JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy 2692 Oak Ridge Ct Fort Myers, FL 3390110/12/2022 5:29 PM
AddressesShipping AddressInsertNew Registration JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy 1435 Dunn Ave. Ste 102 Daytona Beach, FL 3211410/12/2022 5:29 PM
AddressesShipping AddressInsertNew Registration Tampa Family Pharmacy 2919 Swann Ave. Ste 101 Tampa, FL 3360910/12/2022 5:29 PM
ContactsAuthorizing OfficialInsertNew Registration Patel, Rishi President & CEO CAN Community Health, Inc. 9413660461-1112710/12/2022 5:29 PM
ContactsPrimary ContactInsertNew Registration Joshi, Hemali SVP, Chief Data Officer CAN Community Health, Inc. 9413004440-1016110/12/2022 5:29 PM
DetailsAssistance Received From DateInsertNew Registration 5/1/2022 12:00:00 AM10/12/2022 5:29 PM
DetailsAssistance Received To DateInsertNew Registration 4/30/2023 12:00:00 AM10/12/2022 5:29 PM
DetailsLast Recertification DateInsertNew Registration  10/12/2022 5:29 PM
DetailsGrant NumberInsertNew Registration H76HA4601010/12/2022 5:29 PM
Details340B IDInsertNew Registration  10/12/2022 5:29 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  10/12/2022 5:29 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  10/12/2022 5:29 PM
DetailsMedicare Provider NumberInsertNew Registration  10/12/2022 5:29 PM
DetailsEntity NameInsertNew Registration CAN Community Health, Inc.10/12/2022 5:29 PM
DetailsNOFO NumberInsertNew Registration HRSA-22-01410/12/2022 5:29 PM
DetailsProgram CodeInsertNew Registration HV10/12/2022 5:29 PM
DetailsEntity SubnameInsertNew Registration Daytona Beach10/12/2022 5:29 PM
DatesParticipating Approval DateInsertNew Registration  10/12/2022 5:29 PM
DetailsStateInsertNew Registration Pending10/12/2022 5:29 PM
DatesRegistration DateInsertNew Registration 10/12/2022 5:29:29 PM10/12/2022 5:29 PM
DatesSigned By DateInsertNew Registration  10/12/2022 5:29 PM
DatesStart DateInsertNew Registration  10/12/2022 5:29 PM
TerminationsTermination CommentsInsertNew Registration  10/12/2022 5:29 PM
TerminationsTermination DateInsertNew Registration  10/12/2022 5:29 PM
TerminationsTermination Effective DateInsertNew Registration  10/12/2022 5:29 PM
TerminationsTermination ReasonInsertNew Registration  10/12/2022 5:29 PM