Covered Entity Details

CH043859S NEIGHBORHOOD IMPROVEMENT PROJECT INC (Active) - information as of 6/26/2025 3:03:15 AM

Main Details

Name

NEIGHBORHOOD IMPROVEMENT PROJECT INC

Subdivision Name

MAP @ University Drive

Type

HRSA-Funded Health Center

Site ID

BPS-H80-036022

340B ID

CH043859S

Grant Number

H80CS08751

Additional Details

Current Program Status

Active

Registration Date

1/10/2023

Participating Start Date

4/1/2023

Participating Approval Date

1/11/2023

Last Recertification Date

2/20/2025

Contacts

Authorizing Official

NEIGHBORHOOD IMPROVEMENT PROJECT, INC
Wesley Wood, CFO
(706) 790-4440 Ext: 100

Primary Contact

NEIGHBORHOOD IMPROVEMENT PROJECT, INC
Purnank Gandhi, Pharmacy Manager
(706) 790-4440 Ext: 148

Addresses

Street Address

2508 University Dr
Thomson, GA 30824-0040

Billing Address

Neighborhood Improvement Project, Inc.
2467 Golden Camp Rd
Augusta, GA 30906

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

Comments

Comment	Last Updated On
No records to display.

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
GA	003284969A	1164134664
SC	FQC285	1164134664

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH0438590	Active	BPS-H80-004944	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	Medical Associates Plus @ Belle Terrace	2467 Golden Camp Rd	Augusta	GA
CH043859A	Active	BPS-H80-013001	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	Neighborhood Improvement Project, Inc. dba Medical Associates Plus @ Wrens	501 E Broad St	Wrens	GA
CH043859B	Active	BPS-H80-015632	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	Medical Associates Plus at Keysville	480 MARTIN LUTHER KING RD Lot B	KEYSVILLE	GA
CH043859C	Active	BPS-H80-017411	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	Medical Associates Plus	2050 Walton Way	Augusta	GA
CH043859D	Active	BPS-H80-018663	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	Medical Associates Plus Mobile Health Van	2467 Golden Camp Road	Augusta	GA
CH043859E	Active	BPS-H80-019313	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	Medical Assocaites Plus Pulmonology Clinic	3623 J Dewey Gray Circle, Suite #107	Augusta	GA
CH043859F	Active	BPS-H80-022220	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	MAP @ Garredd	1111 Garredd Blvd	Augusta	GA
CH043859G	Active	BPS-H80-028102	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	MAP @ Garredd II	1115 Garredd Blvd	Augusta	GA
CH043859H	Active	BPS-H80-030164	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	MAP @ Waynesboro	301 Jones Ave	Waynesboro	GA
CH043859J	Active	BPS-H80-030334	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	MAP @ Wrightsboro Road	2300 Wrightsboro Rd	Augusta	GA
CH043859K	Active	BPS-H80-031400	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	MAP @ Garredd III	1113 Garredd Blvd	Augusta	GA
CH043859L	Active	BPS-H80-031740	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	MAP @ Interstate Parkway	1299 Interstate Pkwy	Augusta	GA
CH043859M	Terminated	BPS-H80-033653	NEIGHBORHOOD IMPROVEMENT PROJECT INC	MAP @ Waynesboro SBSS	500 Park Dr	Waynesboro	GA
CH043859N	Active	BPS-H80-034371	NEIGHBORHOOD IMPROVEMENT PROJECT INC	MAP @ Interstate Parkway II	1265 Interstate Pkwy	Augusta	GA
CH043859P	Active	BPS-H80-035530	NEIGHBORHOOD IMPROVEMENT PROJECT INC	MAP @ Wheeler Road	3685 Wheeler Road STE 100	Augusta	GA
CH043859Q	Active	BPS-H80-036023	NEIGHBORHOOD IMPROVEMENT PROJECT INC	MAP @ Lincolnton	123 N Washington St	Lincolnton	GA
CH043859R	Active	BPS-H80-036021	NEIGHBORHOOD IMPROVEMENT PROJECT INC	MAP @ Fluker Street	315 Fluker St	Thomson	GA
CH043859S	Active	BPS-H80-036022	NEIGHBORHOOD IMPROVEMENT PROJECT INC	MAP @ University Drive	2508 University Dr	Thomson	GA
CH043859T	Active	BPS-H80-033693	NEIGHBORHOOD IMPROVEMENT PROJECT INC	Mobile Testing & Vaccines	2467 Golden Camp Rd	Augusta	GA
CH043859U	Active	BPS-H80-038825	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	MAP @ Evans	4321 University Pkwy, Ste 104	Evans	GA
CH043859V	Active	BPS-H80-039248	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	MAP @ Aiken	33 Varden Dr	Aiken	SC
CH043859W	Active	BPS-H80-039223	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	MAP @ Hill Street	544 W Hill St	Thomson	GA
CH043859X	Active	BPS-H80-038709	NEIGHBORHOOD IMPROVEMENT PROJECT, INC.	MAP @ 1580 Walton Way	1580 Walton Way	Augusta	GA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH0438590	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2017
CH0438590	ACCREDO HEALTH GROUP INC	201 GREAT CIRCLE ROAD		NASHVILLE	TN	37228	07/01/2017	08/01/2017
CH0438590	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2017
CH0438590	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2017
CH0438590	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	07/01/2017
CH0438590	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2017
CH0438590	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2017
CH0438590	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	10/01/2024
CH0438590	ADVANCED MEDICAL GROUP, LLC	DBA WRENS DRUG	206 E BROAD ST	WRENS	GA	30833-1109	10/01/2018
CH0438590	AETNA SPECIALTY PHARMACY, LLC	503 SUNPORT LN		ORLANDO	FL	32809-7874	07/01/2019
CH0438590	BARNEY'S PHARMACY	2604 PEACH ORCHARD RD		AUGUSTA	GA	30906	07/01/2016
CH0438590	BARNEY'S PHARMACY	BRYANT AND LONDON LLC	1684 WASHINGTON RD	THOMSON	GA	30824	07/01/2023
CH0438590	BI-LO PHARMACY #5292	2512 TOBACCO ROAD		HEPHZIBAH	GA	30815	10/01/2018	06/17/2020
CH0438590	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	04/01/2024
CH0438590	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	13925 YALE AVE STE 145		IRVINE	CA	92620-2670	04/01/2024
CH0438590	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	04/01/2024
CH0438590	BRYANT AND HUDSON LLC	BARNEY'S PHARMACY	106 S MAIN ST	WRENS	GA	30833-1329	01/01/2015	10/30/2018
CH0438590	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/01/2017
CH0438590	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/01/2017
CH0438590	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/01/2017
CH0438590	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	07/01/2017
CH0438590	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	07/01/2017
CH0438590	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/01/2017
CH0438590	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	07/01/2017
CH0438590	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	07/01/2017
CH0438590	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	07/01/2017
CH0438590	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2021
CH0438590	CENTERWELL PHARMACY, INC.	9843 WINDISCH RD		WEST CHESTER	OH	45069	10/01/2021
CH0438590	CENTERWELL PHARMACY, INC.	10737 MARKS WAY		MIRAMAR	FL	33025	10/01/2021	07/10/2023
CH0438590	CENTERWELL PHARMACY, INC.	11010 FLORIDA CROWN DRIVE, SUITE 200		ORLANDO	FL	32824	10/01/2023
CH0438590	CLARK DRUG COMPANY, LLC.	206 W. 6TH ST.		WAYNESBORO	GA	30830	04/01/2024
CH0438590	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	6 SPRING MILL DR	MALVERN	PA	19355	04/01/2021
CH0438590	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	2345 WATERS DRIVE	MENDOTA HEIGHTS	MN	55120	04/01/2025
CH0438590	CORAM HEALTHCARE/CAROLINA HOME THERAPEUT	720 GRACERN ROAD	SUITE 123	COLUMBIA	SC	29210	04/01/2021
CH0438590	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/01/2021
CH0438590	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/01/2021
CH0438590	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2020
CH0438590	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/01/2021
CH0438590	DOGWOOD PHARMACY LLC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER RD STE K	GREENVILLE	SC	29607-6541	04/01/2024
CH0438590	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2021
CH0438590	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2021
CH0438590	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2021
CH0438590	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2021
CH0438590	FRED'S PHARMACY # 3371	605 NORTH MAIN STREET		WRENS	GA	30833	07/01/2017	12/15/2017
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04518	920 E. ROBERT TOOMBS AVE.	WASHINGTON	GA	30673	07/01/2019
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03378	1520 WALTON WAY	AUGUSTA	GA	30904	07/01/2019
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03778	317 S LIBERTY STREET	WAYNESBORO	GA	30830	04/01/2020
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04589	869 HORIZON SOUTH PARKWAY	GROVETOWN	GA	30813	04/01/2020
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04209	3231 WRIGHTSBORO ROAD	AUGUSTA	GA	30909	04/01/2020	09/15/2022
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02359	3527 RIVER WATCH PKWY	MARTINEZ	GA	30907	04/01/2020
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04119	2902 PEACH ORCHARD ROAD	AUGUSTA	GA	30906	04/01/2020
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07746	2559 WINDSOR SPRING ROAD	AUGUSTA	GA	30906	04/01/2020
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04556	109 WEST HILL STREET	THOMSON	GA	30824	01/01/2021
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16468	235 ROBERT C DANIEL JR PKWY	AUGUSTA	GA	30909	01/01/2021
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04583	2703 WASHINGTON RD.	AUGUSTA	GA	30909	01/01/2021
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04593	206 S. HARRIS ST.	SANDERSVILLE	GA	31082	01/01/2021
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08960	5101 WASHINGTON RD	EVANS	GA	30809	10/01/2021
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05699	4476 COLUMBIA RD	MARTINEZ	GA	30907	10/01/2021	06/19/2023
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00945	1044 FURYS FERRY RD.	EVANS	GA	30809	10/01/2021
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	CVS PHARMACY # 17120	4223 WASHINGTON RD	EVANS	GA	30809	10/01/2021
CH0438590	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02407	4385 HEREFORD FARM ROAD	EVANS	GA	30809	01/01/2022
CH0438590	HOMECHOICE PARTNERS, LLC	DBA BIOSCRIP INFUSION SERVICES	1 7TH ST STE 107	AUGUSTA	GA	30901	07/01/2022
CH0438590	HPB INC.	BARNEY'S PHARMACY	2604 PEACH ORCHARD RD	AUGUSTA	GA	30906	04/01/2016
CH0438590	KROGER DRUGSTORE #245	3435 WRIGHTSBORO ROAD		AUGUSTA	GA	30909	07/01/2017	08/31/2019
CH0438590	KROGER DRUGSTORE #414	4355 WASHINGTON AVE		EVANS	GA	30809	07/01/2019
CH0438590	KROGER PHARMACY #644	435 LEWISTON ROAD		GROVETOWN	GA	30813	07/01/2019
CH0438590	KROGER PHARMACY #676	2801 WASHINGTON RAOD		AUGUSTA	GA	30909	10/01/2021
CH0438590	LINCOLNTON INVESTMENTS LLC	DBA CRAWFORD & BREAZEALE DRUG CO.	125 N WASHINGTON ST	LINCOLNTON	GA	30817-1784	04/01/2024
CH0438590	OPTION CARE ENTERPRISES, INC.	D/B/A OPTION CARE	11403 BLUEGRASS PARKWAY SUITE 400	LOUISVILLE	KY	40299-2398	07/01/2022
CH0438590	OPTUM INFUSION SERVICES 200, INC	5895 CORE RD	STE 417	NORTH CHARLESTON	SC	29406	04/01/2022
CH0438590	OPTUM INFUSION SERVICES 209, INC.	425 FRANKLIN GATEWAY	SUITE 535	MARIETTA	GA	30067-7736	04/01/2022
CH0438590	OPTUM INFUSION SERVICES 209, INC.	1000 BUSINESS CENTER DR	STE 120	SAVANNAH	GA	31405-7453	04/01/2022	08/02/2022
CH0438590	OPTUM INFUSION SERVICES 305, LLC	15529 COLLEGE BLVD.		LENEXA	KS	66219-1351	04/01/2022
CH0438590	OPTUM PHARMACY 700, LLC	5700 DOT COM CT, STE 1000		OVIEDO	FL	32765	04/01/2022
CH0438590	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	04/01/2022
CH0438590	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	04/01/2022
CH0438590	OPTUM PHARMACY 705, LLC	3539 BLUECUTT RD		COLUMBUS	MS	39705	04/01/2022
CH0438590	OPTUM PHARMACY 705, LLC	1893 GENERAL GEORGE PATTON DR	STE 106	FRANKLIN	TN	37067-2655	04/01/2022
CH0438590	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	04/01/2022
CH0438590	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	04/01/2022
CH0438590	OPTUMRX	2858 LOKER AVE E STE 100		CARLSBAD	CA	92010-6608	04/01/2022	05/27/2022
CH0438590	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	01/01/2021	09/29/2022
CH0438590	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/01/2017
CH0438590	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	07/01/2017
CH0438590	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	01/01/2021
CH0438590	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	10/01/2021
CH0438590	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	04/01/2024
CH0438590	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	04/01/2024
CH0438590	SANTA BARBARA SPECIALTY PHARMACY LLC	4690 CARPINTERIA AVE STE B		CARPINTERIA	CA	93013	04/01/2024
CH0438590	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05575	101 EDGEFIELD RD.	NORTH AUGUSTA	SC	29841	04/01/2020
CH0438590	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07318	230 APPLE SQUARE PLAZA	EDGEFIELD	SC	29824	04/01/2021
CH0438590	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05529	1041 YORK STREET	AIKEN	SC	29801	10/01/2021
CH0438590	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04295	2062 WHISKEY ROAD	AIKEN	SC	29803	10/01/2021
CH0438590	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04523	1638 RICHLAND AVE W	AIKEN	SC	29801-3236	07/01/2025
CH0438590	SOUTH CAROLINA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16653	2545 WHISKEY RD	AIKEN	SC	29803	07/01/2025
CH0438590	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04388	4295 JEFFERSON DAVIS HWY.	BEECH ISLAND	SC	29842	07/01/2025
CH0438590	SUMMERVILLE PHARMACY		2839 CENTRAL AVENUE	AUGUSTA	GA	30909	04/01/2016	02/09/2017
CH0438590	THOMSON DRUG COMPANY	THOMSON DRUG COMPANY	501 MOUNT PLEASANT RD	THOMSON	GA	30824	04/01/2024
CH0438590	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2017
CH0438590	WAL-MART PHARMACY #10-4144	3338 WRIGHTSBORO ROAD		AUGUSTA	GA	30909	04/01/2021
CH0438590	WAL-MART PHARMACY 10-0514	2035 WHISKEY ROAD		AIKEN	SC	29803	07/01/2025
CH0438590	WAL-MART PHARMACY 10-1227	260 BOBBY JONES EXPRESSWAY		AUGUSTA	GA	30907	04/01/2021
CH0438590	WAL-MART PHARMACY 10-1293	3209 DEANS BRIDGE RD		AUGUSTA	GA	30906	07/01/2017
CH0438590	WAL-MART PHARMACY 10-1658	2205 HARRISON RD		THOMSON	GA	30824	04/01/2023
CH0438590	WAL-MART PHARMACY 10-2754	1500 NORTH LIBERTY STREET		WAYNESBORO	GA	30830	04/01/2020
CH0438590	WAL-MART PHARMACY 10-4487	WAL-MART STORES EAST, LP	3581 RICHLAND AVENUE SW	AIKEN	SC	29801	07/01/2025
CH0438590	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2017
CH0438590	WALGREEN CO	DBA: WALGREENS #11827	2744 WASHINGTON RD	AUGUSTA	GA	30909	02/01/2012	01/12/2016
CH0438590	WALGREEN CO	DBA: WALGREENS #11827	2744 WASHINGTON RD	AUGUSTA	GA	30909	07/01/2017
CH0438590	WALGREEN CO	DBA; WALGREENS #12107	400 S LIBERTY ST	WAYNESBORO	GA	30830	04/01/2020
CH0438590	WALGREEN CO	DBA: WALGREENS #11995	668 MAIN ST	THOMSON	GA	30824	04/01/2023
CH0438590	WALGREEN CO.	DBA: WALGREENS # 06632	3204 PEACH ORCHARD ROAD	AUGUSTA	GA	30906-4862	02/01/2012
CH0438590	WALGREEN CO.	DBA: WALGREENS # 09789	3228 WRIGHTSBORO RD	AUGUSTA	GA	30909	02/01/2012	03/06/2025
CH0438590	WALGREEN CO.	DBA: WALGREENS #10581	1228 KNOX AVE.	NORTH AUGUSTA	SC	29841-4055	07/06/2012	01/12/2016
CH0438590	WALGREEN CO.	DBA WALGREENS #15333	2493 TOBACCO RD	HEPHZIBAH	GA	30815	04/01/2016
CH0438590	WALGREEN CO.	DBA: WALGREENS # 06394	3900 WASHINGTON RD	MARTINEZ	GA	30907-2322	04/01/2016	02/20/2025
CH0438590	WALGREEN CO.	WALGREENS #19735	3650 WHEELER RD	AUGUSTA	GA	30909	10/01/2018
CH0438590	WALGREEN CO.	WALGREENS #19024	1505 WALTON WAY	AUGUSTA	GA	30904	10/01/2018	10/14/2021
CH0438590	WALGREEN CO.	DBA: WALGREENS #19793	2803 WRIGHTSBORO RD STE 17	AUGUSTA	GA	30909	10/01/2018
CH0438590	WALGREEN CO.	RITE AID #11833	377 FURYS FERRY RD	MARTINEZ	GA	30907	10/01/2018	06/04/2019
CH0438590	WALGREEN CO.	WALGREENS SPECIALTY PHARMACY #21163	1022 WALTON WAY SPC C	AUGUSTA	GA	30901	01/01/2019
CH0438590	WALGREEN CO.	DBA: WALGREENS #10581	1228 KNOX AVE.	NORTH AUGUSTA	SC	29841-4055	04/01/2024
CH0438590	WALGREEN CO.	DBA: WALGREENS # 06395	4470 COLUMBIA RD	MARTINEZ	GA	30907	01/01/2025
CH0438590	WALGREEN CO.	DBA: WALGREENS #11849	2191 WHISKEY RD.	AIKEN	SC	29803	07/01/2025
CH0438590	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/01/2021
CH0438590	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2021
CH0438590	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	01/01/2021	10/01/2021
CH0438590	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/01/2021
CH0438590	WALMART PHARMACY 10-2465	3697 WINDSOR SPRING ROAD		HEPHZIBAH	GA	30815	07/01/2017
CH0438590	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CH0438590	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH0438590	WRENS DRUG		206 BROAD STREET PO BOX 693	WRENS	GA	30833	01/01/2015	04/30/2018

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/30/2024 9:05:58 AM	2/20/2025 11:16:29 AM	2/20/2025 11:16 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	2/29/2024 4:32 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		003284969A	2/29/2024 4:32 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		GA	2/29/2024 4:32 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	2/29/2024 4:32 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		FQC285	2/29/2024 4:32 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		SC	2/29/2024 4:32 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1164134664	2/29/2024 4:32 PM
Medicaid Billing	NPI: State	Insert	Change Request		SC	2/29/2024 4:32 PM
Details	Last Recertification Date	Update	Recertification		1/30/2024 9:05:58 AM	1/30/2024 9:05 AM
Details	State	Update		Approved	Active	4/1/2023 12:01 AM
Contacts	Signed By	Insert	New Registration		Wood, Wesley CFO NEIGHBORHOOD IMPROVEMENT PROJECT, INC 7067904440-100	1/11/2023 10:54 AM
Details	340B ID	Update	New Registration		CH043859S	1/11/2023 10:54 AM
Dates	Participating Approval Date	Update	New Registration		1/11/2023 10:54:50 AM	1/11/2023 10:54 AM
Details	State	Update	New Registration	Pending	Approved	1/11/2023 10:54 AM
Dates	Signed By Date	Update	New Registration		1/10/2023 1:15:22 PM	1/11/2023 10:54 AM
Dates	Start Date	Update	New Registration		4/1/2023 12:00:00 AM	1/11/2023 10:54 AM
Addresses	Main Address	Insert	New Registration		2508 University Dr Thomson, GA 30824-0040	1/10/2023 12:34 PM
Addresses	Billing Address	Insert	New Registration		Neighborhood Improvement Project, Inc. 2467 Golden Camp Rd Augusta, GA 30906	1/10/2023 12:34 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1164134664	1/10/2023 12:34 PM
Medicaid Billing	NPI: State	Insert	New Registration		GA	1/10/2023 12:34 PM
Contacts	Primary Contact	Insert	New Registration		Gandhi, Purnank Pharmacy Manager NEIGHBORHOOD IMPROVEMENT PROJECT, INC 7067904440-148	1/10/2023 12:34 PM
Contacts	Authorizing Official	Insert	New Registration		Wood, Wesley CFO NEIGHBORHOOD IMPROVEMENT PROJECT, INC 7067904440-100	1/10/2023 12:34 PM
Details	Assistance Received From Date	Insert	New Registration			1/10/2023 12:34 PM
Details	Assistance Received To Date	Insert	New Registration			1/10/2023 12:34 PM
Details	Last Recertification Date	Insert	New Registration			1/10/2023 12:34 PM
Details	Grant Number	Insert	New Registration		H80CS08751	1/10/2023 12:34 PM
Details	340B ID	Insert	New Registration			1/10/2023 12:34 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			1/10/2023 12:34 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			1/10/2023 12:34 PM
Details	Medicare Provider Number	Insert	New Registration			1/10/2023 12:34 PM
Details	Entity Name	Insert	New Registration		NEIGHBORHOOD IMPROVEMENT PROJECT INC	1/10/2023 12:34 PM
Details	NOFO Number	Insert	New Registration			1/10/2023 12:34 PM
Details	Program Code	Insert	New Registration		CH	1/10/2023 12:34 PM
Details	Entity Subname	Insert	New Registration		MAP @ University Drive	1/10/2023 12:34 PM
Dates	Participating Approval Date	Insert	New Registration			1/10/2023 12:34 PM
Details	State	Insert	New Registration		Pending	1/10/2023 12:34 PM
Dates	Registration Date	Insert	New Registration		1/10/2023 12:34:20 PM	1/10/2023 12:34 PM
Dates	Signed By Date	Insert	New Registration			1/10/2023 12:34 PM
Dates	Start Date	Insert	New Registration			1/10/2023 12:34 PM
Terminations	Termination Comments	Insert	New Registration			1/10/2023 12:34 PM
Terminations	Termination Date	Insert	New Registration			1/10/2023 12:34 PM
Terminations	Termination Effective Date	Insert	New Registration			1/10/2023 12:34 PM
Terminations	Termination Reason	Insert	New Registration			1/10/2023 12:34 PM

340B Drug Pricing Program Database