340B Drug Pricing Program Database


CH051831G HEART OF OHIO FAMILY HEALTH CENTERS (Active) - information as of 5/20/2025 11:39:09 PM

Main Details
HEART OF OHIO FAMILY HEALTH CENTERS
Heart of Ohio Family Health OB-GYN at St. Ann's
HRSA-Funded Health Center
BPS-H80-035735
CH051831G
H80CS07897


Additional Details
Active
1/17/2023
4/1/2023
1/19/2023
2/17/2025

Contacts

Heart of Ohio Family Health Center
M Buhari Mohammed, CEO
(614) 338-6818 Ext: 1118

Heart of Ohio Family Health
Alexandra Zeleski, Director of Pharmacy
(614) 235-5555 Ext: 1136

Addresses

495 Cooper Rd STE 420
Westerville, OH 43081-8723

Heart of Ohio Family Health Centers
5000 E Main Street
Columbus, OH 43213


  • 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
OH00359361255041190
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailKROGER3675 E BROAD STREET
WHITEHALLOH4321310/15/202401/01/2025 04/08/202504/14/2025
Contract DetailOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06158 1211 MORSE RD.
COLUMBUSOH4322910/15/202401/01/2025  01/01/2025
Contract DetailOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06946 4548 E. MAIN ST.
WHITEHALLOH4321310/15/202401/01/2025  01/01/2025
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514610/15/202401/01/2025 04/08/202504/14/2025
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH051831AActiveBPS-H80-010832HEART OF OHIO FAMILY HEALTH CENTERSCapital Park Family Health Center at Innis Road2365 Innis Rd ColumbusOH
CH051831CActiveBPS-H80-034127HEART OF OHIO FAMILY HEALTH CENTERSHeart of Ohio Family Health at James B. Feibel Center5000 E. Main Street ColumbusOH
CH051831DActiveBPS-H80-032540HEART OF OHIO FAMILY HEALTH CENTERSHeart of Ohio Family Health at Canal Winchester3601 Gender Rd Canal WinchesterOH
CH051831EActiveBPS-H80-029669HEART OF OHIO FAMILY HEALTH CENTERSHeart of Ohio Family Health at Mount Carmel5969 E. Broad St. STE 300 ColumbusOH
CH051831FActiveBPS-H80-030069HEART OF OHIO FAMILY HEALTH CENTERSHeart of Ohio Family Health at Whitehall Yearling High School675 S Yearling Rd Ste 100 WhitehallOH
CH051831GActiveBPS-H80-035735HEART OF OHIO FAMILY HEALTH CENTERSHeart of Ohio Family Health OB-GYN at St. Ann's495 Cooper Rd STE 420 WestervilleOH
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH051831AACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884901/01/2024  
CH051831AACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750201/01/2024  
CH051831AACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201001/01/2024  
CH051831AACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282201/01/2024  
CH051831AACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349201/01/2024  
CH051831AACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607501/01/2024  
CH051831AAHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271201/01/2019 06/02/2025
CH051831DAHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271201/01/2019 06/02/2025
CH051831CAHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271201/01/2019 06/02/2025
CH051831AAMAZON PHARMACY #0014500 S PLEASANT VALLEY RD STE 201
AUSTINTX78744-291110/01/2024  
CH051831AAMAZON PHARMACY #0063620 PLAINFIELD RD
INDIANAPOLISIN46231-700310/01/2024  
CH051831AAMAZON PHARMACY #008408 TECHNOLOGY PARKWAY BUILDING B, STE 101
COLLEGE STATIONTX7784510/01/2024  
CH051831AAMAZON PHARMACY #0097469 KINGSPOINTE PKWY STE 400
ORLANDOFL3281910/01/2024  
CH051831AAMAZON PHARMACY #0101331 E 6TH ST
CORONACA9287910/01/2024  
CH051831AAZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503410/01/2024  
CH051831ABIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526107/01/2020 07/02/2025
CH051831ABIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771307/01/2020 07/02/2025
CH051831CBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771307/01/2020 07/02/2025
CH051831CBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526107/01/2020 07/02/2025
CH051831ACAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2021  
CH051831ACAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2021  
CH051831DCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2025  
CH051831ACAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/01/2021  
CH051831ACAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2021  
CH051831ACAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2021  
CH051831ACAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2021  
CH051831ACAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2021  
CH051831ACAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813301/01/2021  
CH051831ACAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237401/01/2021  
CH051831ACAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/01/2021  
CH051831ACENTERWELL PHARMACY, INC.9843 WINDISCH RD
WEST CHESTEROH4506901/01/2024 06/02/2025
CH051831ACENTERWELL PHARMACY, INC.11010 FLORIDA CROWN DRIVE, SUITE 200
ORLANDOFL3282401/01/2024 06/02/2025
CH051831ACVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/01/2019  
CH051831FCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870601/01/2025 04/08/2025
CH051831ACVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/01/2019  
CH051831ACVS PHARMACY, INC.CVS PHARMACY # 17116 10001 COMMONS ST
LONE TREECO8012410/01/2019 03/01/2020
CH051831ACVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2021  
CH051831ADIPLOMAT SPECIALTY PHARMACY4100 S SAGINAW ST STE D
FLINTMI48507-268304/01/2021 01/01/2021
CH051831CDOGWOOD PHARMACY, INCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER ROAD
SUITE K
GREENVILLESC29607-654007/01/2020 07/02/2025
CH051831ADOGWOOD PHARMACY, INCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER ROAD
SUITE K
GREENVILLESC29607-654007/01/2020 07/02/2025
CH051831AIC PHARMACY LLCAMAZON PHARMACY #004 34 35TH STREET
STE 4BSW, UNIT 28
BROOKLYNNY1123210/01/2024  
CH051831AKROGER3675 E BROAD STREET
WHITEHALLOH4321310/01/2020  
CH051831GKROGER3675 E BROAD STREET
WHITEHALLOH4321301/01/2025 04/08/2025
CH051831CKROGER COLUMBUS CENTRAL FILL #0192270 RICKENBACKER PKWY W
COLUMBUSOH4321707/01/2017  
CH051831AKROGER PHARMACY #0165143588 GENDER RD
CANAL WINCHESTEROH4311001/01/2021  
CH051831DKROGER PHARMACY #0165143588 GENDER RD
CANAL WINCHESTEROH4311001/01/2025 04/08/2025
CH051831AKROGER PHARMACY #5931745 MORSE ROAD
COLUMBUSOH4322904/01/2018  
CH051831DKROGER PHARMACY #5931745 MORSE ROAD
COLUMBUSOH4322901/01/2025  
CH051831AKROGER PHARMACY N-2994485 REFUGEE RD
COLUMBUSOH4323207/01/2021 05/20/2022
CH051831CKROGER SAV-ON #9413353 CLEVELAND AVENUE
COLUMBUSOH4322408/08/2014 01/31/2018
CH051831CKROGER SAV-ON PHARMACY850 S. HAMILTON ROAD
WHITEHALLOH4321308/08/2014  
CH051831DKROGER SAV-ON PHARMACY850 S. HAMILTON ROAD
WHITEHALLOH4321301/01/2025 04/08/2025
CH051831AKROGER SAV-ON PHARMACY N-8537000 EAST BROAD STREET
COLUMBUSOH4321307/01/2021 06/24/2023
CH051831AM.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312601/01/2019  
CH051831DM.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312601/01/2019 04/08/2025
CH051831CM.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312601/01/2019 04/08/2025
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 02518 2160 N. HIGH ST.
COLUMBUSOH4320110/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 02381 9151 S OLD STATE RD
LEWIS CENTEROH43035-949610/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 01223 3575 BROADWAY
GROVE CITYOH4312310/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 01756 8467 E. MAIN ST.
REYNOLDSBURGOH4306810/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 02405 955 N. 21ST STREET
NEWARKOH4305510/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 02540 4961 ROBERTS ROAD
HILLIARDOH4302610/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 02677 175 W MAIN ST
NEW ALBANYOH4305410/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.CVS PHARMACY # 17085 4211 TRUEMAN BLVD
HILLIARDOH4302610/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.CVS PHARMACY # 16590 1485 POLARIS PKWY
COLUMBUSOH4324010/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 02735 4280 MORSE RD
COLUMBUSOH4323010/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03174 1370 WEST MAIN STREET
NEWARKOH4305510/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03407 918 HIGH ST.
WORTHINGTONOH4308510/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03193 1400 PARSONS AVE.
COLUMBUSOH4320610/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03484 591 E. LIVINGSTON AVE.
COLUMBUSOH4321510/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03412 3307 E BROAD ST
COLUMBUSOH4321310/01/2019 12/13/2022
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03405 109 S. HIGH ST.
COLUMBUSOH4321510/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03413 4400 CLEVELAND AVE
COLUMBUSOH4322410/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03992 620 S. CLEVELAND AVE.
WESTERVILLEOH4308110/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03338 22001 LAKESHORE BLVD
EUCLIDOH4412310/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03094 379 E. MAIN ST
NEWARKOH4305510/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03364 111 W CHERRY ST
SUNBURYOH4307410/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03238 1500 LOCKBOURNE RD
COLUMBUSOH4320610/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 04223 3100 CLEVELAND AVE.
COLUMBUSOH4322410/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03410 60 N. STYGLER RD.
COLUMBUSOH4323010/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03613 5445 N. HIGH ST.
COLUMBUSOH4321410/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03408 1795 COLUMBUS AVENUE
WASHINGTONCOURTHSEOH4316010/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05918 933 BETHEL ROAD
COLUMBUSOH4321410/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06147 1495 WEST 5TH AVE.
COLUMBUSOH4321210/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05949 775 NEIL AVE
COLUMBUSOH4321510/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06194 4610 CEMETERY RD
HILLIARDOH4302610/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 04621 1001 NORTON RD.
GALLOWAYOH4311910/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06195 205 EAST MAIN ST
CIRCLEVILLEOH4311310/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06198 2020 EAKIN RD.
COLUMBUSOH4322310/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05715 3355 EAST LIVINGSTON AVE
COLUMBUSOH4322710/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 09898 2929 STELZER RD.
COLUMBUSOH4321910/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06188 111 SOUTH MEMORIAL DRIVE
LANCASTEROH4313010/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06193 32 S. COURT ST.
ATHENSOH4570110/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06946 4548 E. MAIN ST.
WHITEHALLOH4321310/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06161 7470 SAWMILL RD.
DUBLINOH4301610/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05717 3506 GENDER RD.
CANAL WINCHESTEROH4311010/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06163 711 PARK RD.
WORTHINGTONOH4308510/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06159 1515 W. BROAD ST.
COLUMBUSOH4322210/01/2019 12/13/2022
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06162 1202 COUNTY LINE ROAD
WESTERVILLEOH4308110/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06189 11 CENTENNIAL BLVD.
CHILLICOTHEOH4560110/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA CVS/PHARMACY # 5060 3424 S. HIGH STREET
COLUMBUSOH4320710/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06149 1885 WEST HENDERSON ROAD
UPPER ARLINGTONOH4322010/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 07247 900 N. HAMILTON RD.
GAHANNAOH4323010/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05434 1950 HARD ROAD
COLUMBUSOH4323510/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 04483 4777 SAWMILL RD
GALLERIA TOWN CENTRE
COLUMBUSOH4322010/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06158 1211 MORSE RD.
COLUMBUSOH4322910/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06153 2532 E. MAIN ST.
COLUMBUSOH4320910/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06953 6659 E. MAIN ST.
REYNOLDSBURGOH4306810/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05436 2100 EAST DUBLIN-GRANVILLE ROAD
COLUMBUSOH4322910/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06182 3499 CLIME RD
COLUMBUSOH4322310/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06949 4801 W. BROAD ST.
COLUMBUSOH4322810/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06950 2680 N. HIGH ST.
COLUMBUSOH4320210/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06185 1100 HILL RD. N
PICKERINGTONOH4314710/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06192 2120 STRINGTOWN RD.
GROVE CITYOH4312310/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06155 145 S. STATE ST.
WESTERVILLEOH4308110/01/2019  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 07097 6300 SCIOTO DARBY RD.
HILLIARDOH4302610/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05425 8910 E. BROAD ST.
PATASKALAOH4306210/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 04606 620 E MARKET ST
WARRENOH4448110/01/2019 03/01/2020
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06198 2020 EAKIN RD.
COLUMBUSOH4322304/01/2022  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03407 918 HIGH ST.
WORTHINGTONOH4308504/01/2022  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03364 111 W CHERRY ST
SUNBURYOH4307404/01/2022  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06161 7470 SAWMILL RD.
DUBLINOH4301604/01/2022  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 02677 175 W MAIN ST
NEW ALBANYOH4305404/01/2022  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06195 205 EAST MAIN ST
CIRCLEVILLEOH4311304/01/2022  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03405 109 S. HIGH ST.
COLUMBUSOH4321504/01/2022 05/12/2022
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06182 3499 CLIME RD
COLUMBUSOH4322304/01/2022  
CH051831AOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06950 2680 N. HIGH ST.
COLUMBUSOH4320204/01/2022  
CH051831EOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05436 2100 EAST DUBLIN-GRANVILLE ROAD
COLUMBUSOH4322901/01/2025  
CH051831FOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06182 3499 CLIME RD
COLUMBUSOH4322301/01/2025  
CH051831EOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03413 4400 CLEVELAND AVE
COLUMBUSOH4322401/01/2025  
CH051831DOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03992 620 S. CLEVELAND AVE.
WESTERVILLEOH4308101/01/2025  
CH051831EOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 04223 3100 CLEVELAND AVE.
COLUMBUSOH4322401/01/2025  
CH051831GOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06158 1211 MORSE RD.
COLUMBUSOH4322901/01/2025  
CH051831EOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 09898 2929 STELZER RD.
COLUMBUSOH4321901/01/2025  
CH051831GOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06946 4548 E. MAIN ST.
WHITEHALLOH4321301/01/2025  
CH051831FOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05717 3506 GENDER RD.
CANAL WINCHESTEROH4311001/01/2025  
CH051831AOPTUM PHARMACY 700, LLC5700 DOT COM CT, STE 1000
OVIEDOFL3276504/01/2023  
CH051831AOPTUM PHARMACY 700, LLC19 CHAPIN RD BLDG D, STE D8
PINE BROOKNJ0705804/01/2023  
CH051831AOPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850707/21/2022  
CH051831AOPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302504/01/2023  
CH051831AOPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520401/01/2025  
CH051831AOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713004/01/2021  
CH051831AOPTUM PHARMACY 705, LLC3539 BLUECUTT RD
COLUMBUSMS3970504/01/2021  
CH051831AOPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729804/01/2021  
CH051831AOPTUM PHARMACY 705, LLC1893 GENERAL GEORGE PATTON DR STE 106
FRANKLINTN37067-265504/01/2023  
CH051831AOPTUM PHARMACY 706, INC.30-30 47TH AVENUE SUITE 410
LONG ISLAND CITYNY1110104/01/2023  
CH051831AOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508504/01/2021  
CH051831AOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983804/01/2023  
CH051831EOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983801/01/2025 04/08/2025
CH051831CPILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310101/01/2019 04/08/2025
CH051831DPILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310101/01/2019  
CH051831APILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310101/01/2019  
CH051831APILLPACK LLCAMAZON PHARMACY #005 20416 72ND AVE S
KENTWA98032-231910/01/2024  
CH051831APRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDOFL32819-999207/21/2022 10/01/2022
CH051831APROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/01/2021  
CH051831GPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/01/2025 04/08/2025
CH051831APROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523301/01/2021  
CH051831APROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920301/01/2021  
CH051831APROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681301/01/2021  
CH051831ARAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103
NEWBURGHNY1255007/01/2020 07/02/2025
CH051831CRAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103
NEWBURGHNY1255007/01/2020 07/02/2025
CH051831ARIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500207/01/2020 07/02/2025
CH051831CRIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500207/01/2020 07/02/2025
CH051831AWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738607/01/2019 02/28/2022
CH051831CWAL-MART PHARMACY 10-20983900 MORSE RD
COLUMBUSOH4321907/01/2017 02/28/2022
CH051831AWAL-MART PHARMACY 10-20983900 MORSE RD
COLUMBUSOH4321904/01/2021 02/28/2022
CH051831CWAL-MART PHARMACY 10-34473657 EAST MAIN
WHITEHALLOH4321307/01/2017 02/28/2022
CH051831AWAL-MART PHARMACY 10-34473657 EAST MAIN
WHITEHALLOH4321304/01/2021 02/28/2022
CH051831AWAL-MART PHARMACY 10-53152354 COMMERCE PARK DR.
ORLANDOFL3281904/01/2021 02/28/2022
CH051831AWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283707/01/2019 02/28/2022
CH051831AWALGREEN CO.DBA: WALGREENS # 07113 3093 CLEVELAND AVE
COLUMBUSOH4322410/01/2018 02/25/2025
CH051831AWALGREEN CO.DBA: WALGREENS # 07942 4617 E MAIN ST
WHITEHALLOH43213-321910/01/2018  
CH051831AWALGREEN CO.DBA: WALGREENS # 07525 2150 E DUBLIN GRANVILLE ROAD
COLUMBUSOH43229-351310/01/2018  
CH051831AWALGREEN CO.DBA: WALGREENS # 06118 3583 E BROAD ST
COLUMBUSOH4321310/01/2018 05/20/2022
CH051831AWALGREEN CO.DBA: WALGREENS # 02117 181 TAYLOR AVENUE
UNIVERSITY HOSPITALS EAST
COLUMBUSOH4320310/01/2018 07/17/2019
CH051831AWALGREEN CO.WALGREENS SPECIALTY PHARMACY #16422 114 W 3RD AVE STE 114
COLUMBUSOH4320110/01/2018  
CH051831AWALGREEN CO.DBA: WALGREENS # 06119 7900 E BROAD STREET
BLACKLICKOH4300407/01/2021  
CH051831AWALGREEN CO.DBA: WALGREENS # 09193 2615 BRICE ROAD
REYNOLDSBURGOH4306807/01/2021  
CH051831CWALGREEN CO.DBA: WALGREENS #21338 6300 E MAIN ST
REYNOLDSBURGOH4306801/01/2024  
CH051831EWALGREEN CO.DBA: WALGREENS # 07942 4617 E MAIN ST
WHITEHALLOH43213-321901/01/2025 04/08/2025
CH051831FWALGREEN CO.DBA: WALGREENS # 07113 3093 CLEVELAND AVE
COLUMBUSOH4322401/01/2025 02/25/2025
CH051831FWALGREEN CO.DBA: WALGREENS # 07525 2150 E DUBLIN GRANVILLE ROAD
COLUMBUSOH43229-351301/01/2025 04/08/2025
CH051831AWalgreens #21423Walgreens Central Fill #21423 6275 Winchester Blvd
Canal WInchesterOH43110-653701/01/2024  
CH051831AWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527507/21/2022  
CH051831AWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818807/21/2022  
CH051831AWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503307/21/2022  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesBilling AddressInsertRecertification Heart of Ohio Family Health Centers 5000 E Main Street Columbus, OH 432132/17/2025 1:28 PM
DetailsLast Recertification DateUpdateRecertification1/31/2024 4:20:29 PM2/17/2025 1:28:53 PM2/17/2025 1:28 PM
ContactsPrimary ContactUpdateChange RequestMorgan, Yammah L Chief Operating Officer Heart of Ohio Family Health Center 6145361994Zeleski, Alexandra Director of Pharmacy Heart of Ohio Family Health 6142355555-11366/7/2024 1:20 PM
ContactsAuthorizing OfficialUpdateChange RequestMohammed, M Buhari CEO Heart of Ohio Family Health Center 6143386818Mohammed, M Buhari CEO Heart of Ohio Family Health Center 6143386818-11186/7/2024 1:09 PM
ContactsSigned ByUpdateChange RequestMohammed, M Buhari CEO Heart of Ohio Family Health Center 6143386818Mohammed, M Buhari CEO Heart of Ohio Family Health Center 6143386818-11186/7/2024 1:09 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False1/31/2024 4:20 PM
Medicaid BillingMedicaid: NumberInsertRecertification 00359361/31/2024 4:20 PM
Medicaid BillingMedicaid: StateInsertRecertification OH1/31/2024 4:20 PM
Medicaid BillingNPI: NumberInsertRecertification 12550411901/31/2024 4:20 PM
Medicaid BillingNPI: StateInsertRecertification OH1/31/2024 4:20 PM
DetailsLast Recertification DateUpdateRecertification 1/31/2024 4:20:29 PM1/31/2024 4:20 PM
DetailsStateUpdate ApprovedActive4/1/2023 12:01 AM
ContactsSigned ByInsertNew Registration Mohammed, M Buhari CEO Heart of Ohio Family Health Center 61433868181/19/2023 2:50 PM
Details340B IDUpdateNew Registration CH051831G1/19/2023 2:50 PM
DatesParticipating Approval DateUpdateNew Registration 1/19/2023 2:50:36 PM1/19/2023 2:50 PM
DetailsStateUpdateNew RegistrationPendingApproved1/19/2023 2:50 PM
DatesSigned By DateUpdateNew Registration 1/17/2023 6:33:27 PM1/19/2023 2:50 PM
DatesStart DateUpdateNew Registration 4/1/2023 12:00:00 AM1/19/2023 2:50 PM
AddressesMain AddressInsertNew Registration  495 Cooper Rd STE 420 Westerville, OH 43081-87231/17/2023 5:52 PM
ContactsPrimary ContactInsertNew Registration Morgan, Yammah L Chief Operating Officer Heart of Ohio Family Health Center 61453619941/17/2023 5:52 PM
ContactsAuthorizing OfficialInsertNew Registration Mohammed, M Buhari CEO Heart of Ohio Family Health Center 61433868181/17/2023 5:52 PM
DetailsAssistance Received From DateInsertNew Registration  1/17/2023 5:52 PM
DetailsAssistance Received To DateInsertNew Registration  1/17/2023 5:52 PM
DetailsLast Recertification DateInsertNew Registration  1/17/2023 5:52 PM
DetailsGrant NumberInsertNew Registration H80CS078971/17/2023 5:52 PM
Details340B IDInsertNew Registration  1/17/2023 5:52 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/17/2023 5:52 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/17/2023 5:52 PM
DetailsMedicare Provider NumberInsertNew Registration  1/17/2023 5:52 PM
DetailsEntity NameInsertNew Registration HEART OF OHIO FAMILY HEALTH CENTERS1/17/2023 5:52 PM
DetailsNOFO NumberInsertNew Registration  1/17/2023 5:52 PM
DetailsProgram CodeInsertNew Registration CH1/17/2023 5:52 PM
DetailsEntity SubnameInsertNew Registration Heart of Ohio Family Health OB-GYN at St. Ann's1/17/2023 5:52 PM
DatesParticipating Approval DateInsertNew Registration  1/17/2023 5:52 PM
DetailsStateInsertNew Registration Pending1/17/2023 5:52 PM
DatesRegistration DateInsertNew Registration 1/17/2023 5:52:43 PM1/17/2023 5:52 PM
DatesSigned By DateInsertNew Registration  1/17/2023 5:52 PM
DatesStart DateInsertNew Registration  1/17/2023 5:52 PM
TerminationsTermination CommentsInsertNew Registration  1/17/2023 5:52 PM
TerminationsTermination DateInsertNew Registration  1/17/2023 5:52 PM
TerminationsTermination Effective DateInsertNew Registration  1/17/2023 5:52 PM
TerminationsTermination ReasonInsertNew Registration  1/17/2023 5:52 PM