340B Drug Pricing Program Database


CH031056K JOHNSON HEALTH CENTER (Active) - information as of 6/25/2025 12:57:13 AM

Main Details
JOHNSON HEALTH CENTER
Johnson Health Center Mobile Medical Van 1
HRSA-Funded Health Center
BPS-H80-032606
CH031056K
H80CS02445


Additional Details
Active
1/3/2023
4/1/2023
1/5/2023
2/10/2025

Contacts

Johnson Health Center
Gary Campbell, CEO
(434) 455-2480 Ext: 1102

Johnson Health Center
Tyler Harlow, Director of Pharmacy
(434) 455-3265 Ext: 1233

Addresses

109 Clearview Rd
Madison Heights, VA 24572

Johnson Health Center Mobile Medical Van 1
134 Elon Rd
Madison Heights, VA 24572-2536


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

Yes
StateMedicaid NumberNPI Number
VA19728586601972858660
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH0310560ActiveBPS-H80-000557JOHNSON HEALTH CENTERJOHNSON HEALTH CENTER320 Federal St LynchburgVA
CH031056AActiveBPS-H80-012914JOHNSON HEALTH CENTERBedford Community Dental Center600 Bedford Ave BedfordVA
CH031056BActiveBPS-H80-012911JOHNSON HEALTH CENTERBedford Community Health Center582 Blue Ridge Ave BedfordVA
CH031056CActiveBPS-H80-011542JOHNSON HEALTH CENTERAmherst County Community Health Center109 Clearview Rd Madison HeightsVA
CH031056DActiveBPS-H80-007701JOHNSON HEALTH CENTERLynchburg Women's and Pediatric Health Services2402 Atherholt Road LynchburgVA
CH031056EActiveBPS-H80-003753JOHNSON HEALTH CENTERJAMES RIVER DENTAL CLINIC239 TROJAN RD Madison HeightsVA
CH031056FTerminatedBPS-H80-017514JOHNSON HEALTH CENTERAmelon Square Immediate Care200 Amelon Square Madison HeightsVA
CH031056GTerminatedBPS-H80-021406JOHNSON HEALTH CENTERJohnson Health Center Integrated Services620 Court St LynchburgVA
CH031056HActiveBPS-H80-021616JOHNSON HEALTH CENTERRustburg Community Health Center925 Village Hwy RustburgVA
CH031056JActiveBPS-H80-029753JOHNSON HEALTH CENTERJohnson Health Center Community Dental Program109 Clearview Rd Madison HeightsVA
CH031056KActiveBPS-H80-032606JOHNSON HEALTH CENTERJohnson Health Center Mobile Medical Van 1109 Clearview Rd Madison HeightsVA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH0310560BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526104/01/2018 07/03/2023
CH0310560BIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771301/01/2024  
CH0310560BIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267001/01/2024  
CH0310560BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526101/01/2024  
CH0310560CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361411/13/2020  
CH0310560CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005611/13/2020  
CH0310560CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621911/13/2020  
CH0310560CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175711/13/2020  
CH0310560CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808311/13/2020  
CH0310560CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700411/13/2020  
CH0310560CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761711/13/2020  
CH0310560CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813311/13/2020  
CH0310560CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237411/13/2020  
CH0310560CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911911/13/2020  
CH0310560CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/01/2022  
CH0310560CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/01/2022  
CH0310560CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502811/13/2020  
CH0310560DOGWOOD PHARMACY, INCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER ROAD
SUITE K 		GREENVILLESC29607-654004/01/2018 07/03/2023
CH0310560DOGWOOD PHARMACY, INCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER ROAD
SUITE K 		GREENVILLESC29607-654001/01/2024  
CH0310560GENOA HEALTHCARE LLC1409 OLE DOMINION BLVD, SUITE P
BEDFORDVA2452310/01/2022 07/03/2023
CH0310560GENOA HEALTHCARE LLC2235 LANDOVER PLACE, SUITE A
LYNCHBURGVA2450110/01/2022 07/03/2023
CH0310560GENOA HEALTHCARE LLC1409 OLE DOMINION BLVD, SUITE P
BEDFORDVA2452310/01/2023  
CH0310560GENOA HEALTHCARE OF VIRGINIA, LLC  2235 LANDOVER PLACE, SUITE A
LYNCHBURGVA24501-211510/01/2023  
CH0310560HILL CITY PHARMACY INC DBA HILL CITY PHA819 VILLAGE HWY
RUSTBURGVA2458804/01/2023 07/03/2023
CH0310560HILL CITY PHARMACY INCORPORATED800 5TH ST STE B
LYNCHBURGVA24504-284810/01/2022 07/03/2023
CH0310560HILL CITY PHARMACY INCORPORATED1215 GREENVIEW DR
LYNCHBURGVA24502-270510/01/2022 07/03/2023
CH0310560HOMETOWN PHARMACY196 AMELON SQ
MADISON HEIGHTSVA24572-599007/01/2019  
CH0310560HOMETOWN PHARMACY199 OLD COURTHOUSE RD
APPOMATTOXVA2452207/01/2019  
CH0310560PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514611/13/2020  
CH0310560PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523311/13/2020  
CH0310560PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920311/13/2020  
CH0310560PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681311/13/2020  
CH0310560RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255004/01/2018 07/03/2023
CH0310560RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255001/01/2024  
CH0310560RIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500204/01/2018 07/03/2023
CH0310560RIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500201/01/2024  
CH0310560RUSTBURG FAMILY PHARMACY925 VILLAGE HWY, STE 2 PO BOX 1005
RUSTBURGVA2458810/01/2018 09/01/2020
CH0310560SANTA BARBARA SPECIALTY PHARMACY LLC4690 CARPINTERIA AVE STE B
CARPINTERIACA9301301/01/2024  
CH0310560TIMBERLAKE HEALTH AND WELLNESS22776 TIMBERLAKE RD SUITE D
LYNCHBURGVA2450210/01/2018  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03502 3908 CAMPBELL AVE
LYNCHBURGVA2450104/01/2017  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03509 4861 AMHERST HWY, PO BOX 570
MADISON HEIGHTSVA2457204/01/2017  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03512 2259 LANGHORNE ROAD
LYNCHBURGVA2450104/01/2017  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03548 2009 WARDS ROAD
LYNCHBURGVA2450204/01/2017  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04285 21550 TIMBERLAKE RD.
LYNCHBURGVA2450204/01/2017  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05722 1217 E. MAIN ST.
BEDFORDVA2452304/01/2017  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07525 1100 MAIN ST
ALTAVISTAVA2451704/01/2017  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.CVS PHARMACY # 16622 4028 WARDS RD
LYNCHBURGVA2450201/01/2019  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07028 18665 FOREST ROAD
LYNCHBURGVA2450201/01/2019  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07948 14566 FOREST RD.
FORESTVA2455101/01/2019  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07363 3100 OLD FOREST ROAD
LYNCHBURGVA2450101/01/2019 11/06/2023
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07002 112 S. MAIN ST. / P.O. BOX 1017
AMHERSTVA2452101/01/2019  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03515 7738 RICHMOND HIGHWAY
APPOMATTOXVA2452201/01/2019  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07352 240-B LUSARDI DR
BROOKNEALVA2452801/01/2019  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01559 919 SOUTH MAIN ST
FARMVILLEVA2390101/01/2019  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07378 1515-A LONGWOOD AVE
BEDFORDVA2452301/01/2019  
CH0310560VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07581 13600 US HWY 29
CHATHAMVA2453111/13/2020  
CH0310560WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2017  
CH0310560WAL-MART PHARMACY 10-13503900 WARDS RD
LYNCHBURGVA2450204/01/2017  
CH0310560WAL-MART PHARMACY 10-13991126 EAST LYNCHBURG-SALEM TURNPIKE
BEDFORDVA2452304/01/2017  
CH0310560WAL-MART PHARMACY 10-2565197 MADISON HEIGHTS SQUARE
MADISON HEIGHTSVA2457204/01/2017  
CH0310560WAL-MART PHARMACY 10-360522088 TIMBERLAKE RD.
LYNCHBURGVA2450204/01/2022  
CH0310560WAL-MART PHARMACY 10-3768125 CLARION ROAD
ALTA VISTAVA2451704/01/2022  
CH0310560WAL-MART PHARMACY 10-4636505 OAKVILLE ROAD
APPOMATTOXVA2452204/01/2022  
CH0310560WAL-MART PHARMACY 10-46973227 OLD FOREST ROAD
LYNCHBURGVA2450104/01/2017  
CH0310560WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2017  
CH0310560WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #16401 312 E BROAD ST STE 101
RICHMONDVA2321910/01/2022  
CH0310560WALGREEN CO.DBA: WALGREENS #10691 5006 BOONSBORO RD.
LYNCHBURGVA2450310/01/2022  
CH0310560WALGREEN CO.DBA: WALGREENS # 07619 21400 TIMBERLAKE ROAD
LYNCHBURGVA2450210/01/2022  
CH0310560WALGREEN CO.DBA: WALGREENS # 07115 2004 WARDS ROAD
LYNCHBURGVA24502-531010/01/2022  
CH0310560Walgreens #21420Walgreens Central Fill #21420 8440 Times Dispatch Blvd
Ste. 400 		MechanicsvilleVA2311610/01/2023  
CH0310560WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275601/01/2024  
CH0310560Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/29/2024 8:50:03 AM2/10/2025 1:46:24 PM2/10/2025 1:46 PM
AddressesMain AddressUpdateChange Request 134 Elon Rd Madison Heights, VA 24572-2536 109 Clearview Rd Madison Heights, VA 245726/13/2024 7:53 AM
AddressesBilling AddressInsertChange Request Johnson Health Center Mobile Medical Van 1 134 Elon Rd Madison Heights, VA 24572-25366/13/2024 7:53 AM
DetailsLast Recertification DateUpdateRecertification 1/29/2024 8:50:03 AM1/29/2024 8:50 AM
DetailsStateUpdate ApprovedActive4/1/2023 12:01 AM
ContactsSigned ByInsertNew Registration Campbell, Gary CEO Johnson Health Center 4344552480-11021/5/2023 1:48 PM
Details340B IDUpdateNew Registration CH031056K1/5/2023 1:48 PM
DatesParticipating Approval DateUpdateNew Registration 1/5/2023 1:48:29 PM1/5/2023 1:48 PM
DetailsStateUpdateNew RegistrationPendingApproved1/5/2023 1:48 PM
DatesSigned By DateUpdateNew Registration 1/5/2023 9:39:10 AM1/5/2023 1:48 PM
DatesStart DateUpdateNew Registration 4/1/2023 12:00:00 AM1/5/2023 1:48 PM
AddressesMain AddressInsertNew Registration  134 Elon Rd Madison Heights, VA 24572-25361/3/2023 1:59 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/3/2023 1:59 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 19728586601/3/2023 1:59 PM
Medicaid BillingMedicaid: StateInsertNew Registration VA1/3/2023 1:59 PM
Medicaid BillingNPI: NumberInsertNew Registration 19728586601/3/2023 1:59 PM
Medicaid BillingNPI: StateInsertNew Registration VA1/3/2023 1:59 PM
ContactsAuthorizing OfficialInsertNew Registration Campbell, Gary CEO Johnson Health Center 4344552480-11021/3/2023 1:59 PM
ContactsPrimary ContactInsertNew Registration Harlow, Tyler Director of Pharmacy Johnson Health Center 4344553265-12331/3/2023 1:59 PM
DetailsAssistance Received From DateInsertNew Registration  1/3/2023 1:59 PM
DetailsAssistance Received To DateInsertNew Registration  1/3/2023 1:59 PM
DetailsLast Recertification DateInsertNew Registration  1/3/2023 1:59 PM
DetailsGrant NumberInsertNew Registration H80CS024451/3/2023 1:59 PM
Details340B IDInsertNew Registration  1/3/2023 1:59 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/3/2023 1:59 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/3/2023 1:59 PM
DetailsMedicare Provider NumberInsertNew Registration  1/3/2023 1:59 PM
DetailsEntity NameInsertNew Registration JOHNSON HEALTH CENTER1/3/2023 1:59 PM
DetailsNOFO NumberInsertNew Registration  1/3/2023 1:59 PM
DetailsProgram CodeInsertNew Registration CH1/3/2023 1:59 PM
DetailsEntity SubnameInsertNew Registration Johnson Health Center Mobile Medical Van 11/3/2023 1:59 PM
DatesParticipating Approval DateInsertNew Registration  1/3/2023 1:59 PM
DetailsStateInsertNew Registration Pending1/3/2023 1:59 PM
DatesRegistration DateInsertNew Registration 1/3/2023 1:59:16 PM1/3/2023 1:59 PM
DatesSigned By DateInsertNew Registration  1/3/2023 1:59 PM
DatesStart DateInsertNew Registration  1/3/2023 1:59 PM
TerminationsTermination CommentsInsertNew Registration  1/3/2023 1:59 PM
TerminationsTermination DateInsertNew Registration  1/3/2023 1:59 PM
TerminationsTermination Effective DateInsertNew Registration  1/3/2023 1:59 PM
TerminationsTermination ReasonInsertNew Registration  1/3/2023 1:59 PM