340B Drug Pricing Program Database


CHC12863-12 St. Thomas Community Health Center, Inc. (Active) - information as of 6/19/2025 11:49:39 PM

Main Details
St. Thomas Community Health Center, Inc.
St. Thomas Community Health Center
HRSA-Funded Health Center
BPS-H80-034100
CHC12863-12
H80CS12863


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

Contacts

St. Thomas Community Health Center, Inc.
Donald Erwin, CEO
(504) 529-5558

St Thomas Community Health Center
Claudia D Madrid, Quality and Compliance Coordinator
(504) 529-5558

Addresses

2000 Magazine St
New Orleans, LA 70130

St Thomas Community Health Center
1936 Magazine St
New Orleans, LA 70130


  • 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
LA2206621,2632752,2210955,22110721922584523,1730828419,1538930490,1417786062
Shipping Addresses

St. Thomas Community Health Center
2000 Magazine St
New Orleans, LA 70130

St Thomas Pharmacy General DeGaulle
3221 General DeGaulle Dr
New Orleans, LA 70114

St Thomas Pharmacy Columbia Parc
3943 Saint Bernard Ave
New Orleans, LA 70122

St Thomas Pharmacy
2010 Magazine St
New Orleans, LA 70130
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC12863-00ActiveBPS-H80-011095St. Thomas Community Health Center, Inc.St Thomas CHC at 1936-1938 Magazine Street1936 Magazine St New OrleansLA
CHC12863-01ActiveBPS-H80-008402ST. THOMAS COMMUNITY HEALTH CENTER, INC.St. Thomas Community Health Center1020 St. Andrew Street New OrleansLA
CHC12863-02TerminatedBPS-H80-011093ST. THOMAS COMMUNITY HEALTH CENTER, INC.Mahalia Jackson Health Service Center2405 Jackson Ave New OrleansLA
CHC12863-03ActiveBPS-H80-012978ST. THOMAS COMMUNITY HEALTH CENTER, INC.Columbia Parc CHC3943 Saint Bernard Ave New OrleansLA
CHC12863-04TerminatedBPS-H80-014750ST. THOMAS COMMUNITY HEALTH CENTER, INC.L. B. Landry Community Clinic1200 L B LANDRY AVE NEW ORLEANSLA
CHC12863-05ActiveBPS-H80-020797St. Thomas Community Health Center, Inc.St. Thomas Community Health Center2014 Magazine St New OrleansLA
CHC12863-06TerminatedBPS-H80-018670St. Thomas Community Health Center, Inc.Herschel L. Abbott, Jr. Community Health Center1024 Jackson Avenue New OrleansLA
CHC12863-07ActiveBPS-H80-008403St. Thomas Community Health Center, Inc.St. Thomas Community Wellness Center2010 Magazine Street New OrleansLA
CHC12863-08ActiveBPS-H80-019727St. Thomas Community Health Center, Inc.St. Thomas CHC Medical Mobile Clinic1936 Magazine St New OrleansLA
CHC12863-09ActiveBPS-H80-021286St. Thomas Community Health Center, Inc.St. Thomas Community Health Center - West Bank3221 General Degaulle Dr New OrleansLA
CHC12863-10ActiveBPS-H80-021424St. Thomas Community Health Center, Inc.St. Thomas Community Health Center - West Bank230 Ochsner Blvd GretnaLA
CHC12863-11ActiveBPS-H80-035267St. Thomas Community Health Center, Inc.St. Thomas Community Health Center - Holiday Drive3500 Holiday Drive New OrleansLA
CHC12863-12ActiveBPS-H80-034100St. Thomas Community Health Center, Inc.St. Thomas Community Health Center2000 Magazine St New OrleansLA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC12863-00AVITA PHARMACY 1028340B PARTNERS PHARMACY-DALLAS LLC DBA AV 750 FORT WORTH AVE STE H100
DALLASTX75208-181110/01/2014  
CHC12863-01AVITA PHARMACY 1028340B PARTNERS PHARMACY-DALLAS LLC DBA AV 750 FORT WORTH AVE STE H100
DALLASTX75208-181110/01/2014 02/21/2020
CHC12863-02AVITA PHARMACY 1028340B PARTNERS PHARMACY-DALLAS LLC DBA AV 750 FORT WORTH AVE STE H100
DALLASTX75208-181110/01/2014 02/21/2020
CHC12863-03AVITA PHARMACY 1028340B PARTNERS PHARMACY-DALLAS LLC DBA AV 750 FORT WORTH AVE STE H100
DALLASTX75208-181110/01/2014 02/21/2020
CHC12863-00AVITA PHARMACY 1029340B PARTNERS PHARMACY LLC D/B/A AVITA P 303 N FRIO ST
SUITE 102 		SAN ANTONIOTX78207-303410/01/2014  
CHC12863-01AVITA PHARMACY 1029340B PARTNERS PHARMACY LLC D/B/A AVITA P 303 N FRIO ST
SUITE 102 		SAN ANTONIOTX78207-303410/01/2014 02/21/2020
CHC12863-02AVITA PHARMACY 1029340B PARTNERS PHARMACY LLC D/B/A AVITA P 303 N FRIO ST
SUITE 102 		SAN ANTONIOTX78207-303410/01/2014 02/21/2020
CHC12863-03AVITA PHARMACY 1029340B PARTNERS PHARMACY LLC D/B/A AVITA P 303 N FRIO ST
SUITE 102 		SAN ANTONIOTX78207-303410/01/2014 02/21/2020
CHC12863-00AVITA PHARMACY 1037AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC 2519 CANAL ST
NEW ORLEANSLA7011910/01/2014  
CHC12863-01AVITA PHARMACY 1037AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC 2519 CANAL ST
NEW ORLEANSLA7011910/01/2014 02/21/2020
CHC12863-02AVITA PHARMACY 1037AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC 2519 CANAL ST
NEW ORLEANSLA7011910/01/2014 02/21/2020
CHC12863-03AVITA PHARMACY 1037AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC 2519 CANAL ST
NEW ORLEANSLA7011910/01/2014 02/21/2020
CHC12863-00AVITA PHARMACY 1038AVITA DRUGS LLC-NOLA 2 D/B/A AVITA PHARM 3308 TULANE AVE STE 102
NEW ORLEANSLA70119-717010/01/2016  
CHC12863-00AVITA PHARMACY 10391631 ELYSIAN FIELDS AVE STE 200
NEW ORLEANSLA70117-820810/01/2019  
CHC12863-00AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080810/01/2014  
CHC12863-01AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080810/01/2014 02/21/2020
CHC12863-02AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080810/01/2014 02/21/2020
CHC12863-03AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080810/01/2014 02/21/2020
CHC12863-00CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361407/01/2023  
CHC12863-00CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/01/2023  
CHC12863-00CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621907/01/2023  
CHC12863-00CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175707/01/2023  
CHC12863-00CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808307/01/2023  
CHC12863-00CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700407/01/2023  
CHC12863-00CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761707/01/2023  
CHC12863-00CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813307/01/2023  
CHC12863-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237407/01/2023  
CHC12863-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911907/01/2023  
CHC12863-00CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502807/01/2023  
CHC12863-00ENCORE PHARMACY #1800 8TH AVE STE 130
FORT WORTHTX7610405/04/2022 10/31/2022
CHC12863-00LOUISIANA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 167 4401 S CLAIBORNE AVE.
NEW ORLEANSLA7012507/01/2023  
CHC12863-00LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY #03730 3700 S. CARROLLTON AVE.
NEW ORLEANSLA7011807/01/2023  
CHC12863-00LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05333 2242 WILLIAMS BLVD.,
KENNERLA7006207/01/2023  
CHC12863-00LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05503 4901 PRYTANIA ST
NEW ORLEANSLA7011507/01/2023  
CHC12863-00LOUISIANA CVS PHARMACY, L.L.C.CVS/PHARMACY #11427 2564 BARATARIA BLVD
MARREROLA7007207/01/2023  
CHC12863-00LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05387 3621 GENERAL DEGAULLE DR.
NEW ORLEANSLA7013107/01/2023  
CHC12863-00LOUISIANA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 5409 1950 BARATARIA BLVD.
MARREROLA7007207/01/2023 07/22/2024
CHC12863-00LOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08921 2831 BELLE CHASE HWY.
TERRYTOWNLA7005607/01/2023  
CHC12863-00LOUISIANA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10108 5902 READ BLVD.
NEW ORLEANSLA7012707/01/2023  
CHC12863-00LOUISIANA CVS PHARMACY, L.L.C.CVS/PHARMACY # 10594 500 N. CARROLLTON AVE.
NEW ORLEANSLA7011907/01/2023  
CHC12863-00LOUISIANA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10058 1116 LOUISIANA AVE
NEW ORLEANSLA7011507/01/2023  
CHC12863-00LOUISIANA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10483 1600 ELYSIAN FIELDS AVE.
NEW ORLEANSLA7011707/01/2023  
CHC12863-00PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514607/01/2023  
CHC12863-00PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523307/01/2023  
CHC12863-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681307/01/2023  
CHC12863-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920307/01/2023  
CHC12863-00RECEPT PHARMACY #1800 8TH AVE STE 130
FORT WORTHTX7610410/01/2021 10/31/2022
CHC12863-00SAM'S PHARMACY 10-82211527 MANHATTAN BLVD.
HARVEYLA7005801/01/2020 10/31/2022
CHC12863-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2020 10/31/2022
CHC12863-00WAL-MART PHARMACY 10-09098101 W. JUDGE PEREZ DR.
CHALMETTELA7004301/01/2020 10/31/2022
CHC12863-00WAL-MART PHARMACY 10-09114810 LAPALCO BLVD
MARREROLA7007201/01/2020 10/31/2022
CHC12863-00WAL-MART PHARMACY 10-09611616 W AIRLINE HWY
LAPLACELA7006801/01/2020 10/31/2022
CHC12863-00WAL-MART PHARMACY 10-09898912 VETERANS MEMORIAL BLVD
METAIRIELA7000301/01/2020 10/31/2022
CHC12863-00WAL-MART PHARMACY 10-11634001 BEHRMAN HWY
NEW ORLEANSLA7011401/01/2020 10/31/2022
CHC12863-00WAL-MART PHARMACY 10-1342300 WEST ESPLANADE
KENNERLA7006501/01/2020 10/31/2022
CHC12863-00WAL-MART PHARMACY 10-13535110 JEFFERSON HWY
HARAHANLA7012301/01/2020 10/31/2022
CHC12863-00WAL-MART PHARMACY 10-27061501 MANHATTAN BLVD
HARVEYLA7005801/01/2020 10/31/2022
CHC12863-00WAL-MART PHARMACY 10-37033520 WILLIAMS BLVD
KENNERLA7006501/01/2020 10/31/2022
CHC12863-00WAL-MART PHARMACY 10-50221901 TCHOPITOULAS STREET
NEW ORLEANSLA7013001/01/2020 10/31/2022
CHC12863-00WAL-MART PHARMACY 10-57223265 MANHATTAN BLVD.
HARVEYLA7005801/01/2020 10/31/2022
CHC12863-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2020 10/31/2022
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 05040 1801 SAINT CHARLES AVE
NEW ORLEANSLA7013004/01/2013  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 02640 3227 MAGAZINE ST
NEW ORLEANSLA7011504/01/2013  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 03139 1826 N BROAD ST
NEW ORLEANSLA7011904/01/2013  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #11414 3216 GENTILLY BLVD
NEW ORLEANSLA7012204/01/2013  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 04451 4400 S.CLAIBORNE AVE.
NEW ORLEANSLA7012504/01/2013  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 03889 4110 GENERAL DEGAULLE DR
NEW ORLEANSLA7013107/01/2014  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #05866 2418 S. CARROLLTON AVE
NEW ORLEANSLA70118-301207/01/2014  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #04982 7401 READ BLVD
NEW ORLEANSLA7012707/01/2014 01/29/2025
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 02262 1100 ELYSIAN FIELDS
NEW ORLEANSLA7011707/01/2014  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 03558 6201 ELYSIAN FIELDS AVE
NEW ORLEANSLA7012207/01/2014  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #15199 5518 MAGAZINE STREET
NEW ORLEANSLA70115-315207/01/2014  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS SPECIALTY PHARMACY #13777 1415 TULANE AVE STE 2CW07
NEW ORLEANSLA7011210/01/2014  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #10316 4001 CANAL ST
NEW ORLEANSLA7011904/01/2015  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 03024 4200 CHEF MENTEUR HWY
NEW ORLEANSLA7012604/01/2015 01/22/2025
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #16312 5702 CROWDER BLVD
NEW ORLEANSLA7012704/01/2015  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #12557 4550 GENERAL MEYER AVE
NEW ORLEANSLA7013101/01/2016 05/15/2017
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 06506 89 WESTBANK EXPRESSWAY
GRETNALA70053-366201/01/2016  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 04304 145 ELK PLACE
NEW ORLEANSLA7011207/01/2016 02/03/2017
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 04305 900 CANAL
NEW ORLEANSLA7011207/01/2016 01/02/2025
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 05358 11297 LAKE FOREST BLVD.
NEW ORLEANSLA7012807/01/2016  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS SPECIALTY PHARMACY #16309 1401 FOUCHER ST STE C-309
NEW ORLEANSLA7011507/01/2016  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS SPECIALTY PHARMACY #15198 1111 MEDICAL CENTER BLVD STE 116N
MARREROLA7007204/01/2017  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA WALGREENS SPECIALTY PHARMACY #16395 2000 CANAL ST STE G1-1200
NEW ORLEANSLA7011204/01/2017  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #15200 2001 CAROL SUE AVE
GRETNALA70056-444501/01/2018  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 04450 718 S. CARROLLTON AVE.
NEW ORLEANSLA7011801/01/2018  
CHC12863-05WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #15571 4501 AIRLINE DR.
METAIRIELA7000107/01/2018 02/21/2020
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 07261 457 LAPALCO BLVD
GRETNALA70056-736610/01/2018  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 03156 1556 LAPALCO BLVD.
HARVEYLA7005810/01/2018  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 06637 1544 MANHATTAN BLVD
HARVEYLA7005810/01/2018 11/04/2019
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #15571 4501 AIRLINE DR.
METAIRIELA7000101/01/2019  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA WALGREENS SPECIALTY PHARMACY #21176 925 COMMON ST STE A
NEW ORLEANSLA7011204/01/2019  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 03199 1891 BARATARIA BLVD.
MARREROLA7007204/01/2019  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #15109 4327 JEFFERSON HWY.
JEFFERSONLA7012101/01/2020  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #11496 101 ALLEN TOUSSAINT BLVD
NEW ORLEANSLA7012401/01/2020  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #13586 4141 E JUDGE PEREZ DR
MERAUXLA7007501/01/2020  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 04285 4142 PONTCHARTRAIN DR
SLIDELLLA70458-513801/01/2022  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 05516 4600 WESTBANK EXPRESSWAY
MARREROLA70072-306501/01/2022  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 05633 2570 BARATARIA BLVD
MARREROLA7007201/01/2022  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS # 07415 100 W JUDGE PEREZ DRIVE
CHALMETTELA70043-500201/01/2022  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #12924 4100 WILLIAMS BLVD
KENNERLA7006501/01/2022  
CHC12863-00WALGREEN LOUISIANA CO., INC.DBA: WALGREENS #13679 1717 VETERANS MEMORIAL BLVD
METAIRIELA70005-263501/01/2022  
CHC12863-00WALGREEN LOUISIANA CO., INC.WALGREENS #17089 760 HARRISON AVE
NEW ORLEANSLA70124-315601/01/2022  
CHC12863-00Walgreens #21389Walgreens Central Fill #21389 3299 Tchulatech Dr
Suite 101 		MemphisTN3811807/01/2022  
CHC12863-00WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528407/01/2014 08/31/2015
CHC12863-00WALMART PHARMACY 10-09126000 BULLARD AVE
NEW ORLEANSLA70128-281301/01/2020 10/31/2022
CHC12863-00WALMART PHARMACY 10-31674301 CHEF MENTEUR HWY
NEW ORLEANSLA7012601/01/2020 10/31/2022
CHC12863-00WALMART PHARMACY 10-50812500 ARCHBISHOP HANNAN BLVD
MERAUXLA7007504/01/2022 10/31/2022
CHC12863-00WALMART PHARMACY 10-510299 WESTBANK EXPY
GRETNALA7005301/01/2020 10/31/2022
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/29/2024 4:52:40 PM2/10/2025 11:31:48 AM2/10/2025 11:31 AM
AddressesShipping AddressInsertChange Request St Thomas Pharmacy 2010 Magazine St New Orleans, LA 7013011/12/2024 8:50 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/12/2024 8:50 AM
Medicaid BillingMedicaid: NumberInsertChange Request 221107211/12/2024 8:50 AM
Medicaid BillingMedicaid: StateInsertChange Request LA11/12/2024 8:50 AM
AddressesShipping AddressInsertChange Request St Thomas Pharmacy Columbia Parc 3943 Saint Bernard Ave New Orleans, LA 701229/16/2024 5:21 PM
Medicaid BillingNPI: NumberInsertChange Request 14177860629/16/2024 5:21 PM
Medicaid BillingNPI: StateInsertChange Request LA9/16/2024 5:21 PM
AddressesMain AddressUpdateChange Request 2000 Magazine St New Orleans, LA 70130-5018 2000 Magazine St New Orleans, LA 701308/12/2024 4:33 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False8/12/2024 4:33 PM
Medicaid BillingMedicaid: NumberInsertChange Request 22109558/12/2024 4:33 PM
Medicaid BillingMedicaid: StateInsertChange Request LA8/12/2024 4:33 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False1/29/2024 4:52 PM
Medicaid BillingMedicaid: NumberInsertRecertification 26327521/29/2024 4:52 PM
Medicaid BillingMedicaid: StateInsertRecertification LA1/29/2024 4:52 PM
DetailsLast Recertification DateUpdateRecertification 1/29/2024 4:52:40 PM1/29/2024 4:52 PM
Medicaid BillingNPI: NumberInsertChange Request 15389304901/16/2024 4:18 PM
Medicaid BillingNPI: StateInsertChange Request LA1/16/2024 4:18 PM
AddressesShipping AddressInsertChange Request St. Thomas Community Health Center 2000 Magazine St New Orleans, LA 701301/10/2024 3:30 PM
AddressesShipping AddressInsertChange Request St Thomas Pharmacy General DeGaulle 3221 General DeGaulle Dr New Orleans, LA 701141/10/2024 3:30 PM
DetailsStateUpdate ApprovedActive4/1/2023 12:01 AM
ContactsSigned ByInsertNew Registration Erwin, Donald CEO St. Thomas Community Health Center, Inc. 50452955581/5/2023 12:12 PM
Details340B IDUpdateNew Registration CHC12863-121/5/2023 12:12 PM
DatesParticipating Approval DateUpdateNew Registration 1/5/2023 12:12:29 PM1/5/2023 12:12 PM
DetailsStateUpdateNew RegistrationPendingApproved1/5/2023 12:12 PM
DatesSigned By DateUpdateNew Registration 1/5/2023 11:26:19 AM1/5/2023 12:12 PM
DatesStart DateUpdateNew Registration 4/1/2023 12:00:00 AM1/5/2023 12:12 PM
AddressesMain AddressInsertNew Registration  2000 Magazine St New Orleans, LA 70130-50181/5/2023 11:26 AM
AddressesBilling AddressInsertNew Registration St Thomas Community Health Center 1936 Magazine St New Orleans, LA 701301/5/2023 11:26 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/5/2023 11:26 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 22066211/5/2023 11:26 AM
Medicaid BillingMedicaid: StateInsertNew Registration LA1/5/2023 11:26 AM
Medicaid BillingNPI: NumberInsertNew Registration 19225845231/5/2023 11:26 AM
Medicaid BillingNPI: StateInsertNew Registration LA1/5/2023 11:26 AM
Medicaid BillingNPI: NumberInsertNew Registration 17308284191/5/2023 11:26 AM
Medicaid BillingNPI: StateInsertNew Registration LA1/5/2023 11:26 AM
ContactsPrimary ContactInsertNew Registration Madrid, Claudia D Quality and Compliance Coordinator St Thomas Community Health Center 50452955581/5/2023 11:26 AM
ContactsAuthorizing OfficialInsertNew Registration Erwin, Donald CEO St. Thomas Community Health Center, Inc. 50452955581/5/2023 11:26 AM
DetailsAssistance Received From DateInsertNew Registration  1/5/2023 11:26 AM
DetailsAssistance Received To DateInsertNew Registration  1/5/2023 11:26 AM
DetailsLast Recertification DateInsertNew Registration  1/5/2023 11:26 AM
DetailsGrant NumberInsertNew Registration H80CS128631/5/2023 11:26 AM
Details340B IDInsertNew Registration  1/5/2023 11:26 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/5/2023 11:26 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/5/2023 11:26 AM
DetailsMedicare Provider NumberInsertNew Registration  1/5/2023 11:26 AM
DetailsEntity NameInsertNew Registration St. Thomas Community Health Center, Inc.1/5/2023 11:26 AM
DetailsNOFO NumberInsertNew Registration  1/5/2023 11:26 AM
DetailsProgram CodeInsertNew Registration CH1/5/2023 11:26 AM
DetailsEntity SubnameInsertNew Registration St. Thomas Community Health Center1/5/2023 11:26 AM
DatesParticipating Approval DateInsertNew Registration  1/5/2023 11:26 AM
DetailsStateInsertNew Registration Pending1/5/2023 11:26 AM
DatesRegistration DateInsertNew Registration 1/5/2023 11:26:15 AM1/5/2023 11:26 AM
DatesSigned By DateInsertNew Registration  1/5/2023 11:26 AM
DatesStart DateInsertNew Registration  1/5/2023 11:26 AM
TerminationsTermination CommentsInsertNew Registration  1/5/2023 11:26 AM
TerminationsTermination DateInsertNew Registration  1/5/2023 11:26 AM
TerminationsTermination Effective DateInsertNew Registration  1/5/2023 11:26 AM
TerminationsTermination ReasonInsertNew Registration  1/5/2023 11:26 AM