340B Drug Pricing Program Database


STD85013 Your Health and Wellness PLLC (Active) - information as of 5/5/2025 12:00:09 AM

Main Details
Your Health and Wellness PLLC
Sexually Transmitted Diseases
STD85013
NU51PS005142


In-Kind products or services (see note below; must have been purchased with section 318 funds)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
testing supplies, health education information, databases, care coordination
4/3/2023


Additional Details
Active
4/13/2023
7/1/2023
5/5/2023
5/7/2024
PS21-2103

Contacts

Your Health and Wellness PLLC
Mark Knoblauch, Owner
(602) 625-7944

Your Health and Wellness
Sam Curry, Office Manager
(602) 625-7944

Addresses

3326 N 3rd Avenue
Suite 201
Phoenix, AZ 85013

Same as Street Address


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

No
Shipping Addresses

Same as Street Address
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
WARRENDALEPA15086-750207/04/202310/01/2023  10/01/2023
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884907/04/202310/01/2023  10/01/2023
Contract DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201007/04/202310/01/2023  10/01/2023
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282207/04/202310/01/2023  10/01/2023
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349207/04/202310/01/2023  10/01/2023
Contract DetailACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607507/04/202310/01/2023  10/01/2023
Contract DetailADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280904/10/202407/01/2024  07/01/2024
Contract DetailARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 08914 50 W. JEFFERSON ST., SUITE 140
PHOENIXAZ8500305/05/202307/01/2023  07/01/2023
Contract DetailARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 09347 1525 NORTH CENTRAL AVENUE
PHOENIXAZ8500404/07/202407/01/2024  07/01/2024
Contract DetailARIZONA CVS STORES, L.L.C.DBA: CVS/PHARMACY # 09237 9856 W. PEORIA AVE.
PEORIAAZ8534504/07/202407/01/2024  07/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY LA, LLC2731 MANHATTAN BLVD STE B17
HARVEYLA7005807/17/202310/01/2023  10/01/2023
Contract DetailBIOPLUS SPECIALTY PHARMACY, INC3200 LAKE EMMA RD UNIT 1000
LAKE MARYFL3274607/17/202310/01/2023  10/01/2023
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361405/05/202307/01/2023  07/01/2023
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005605/05/202307/01/2023  07/01/2023
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621905/05/202307/01/2023  07/01/2023
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175705/05/202307/01/2023  07/01/2023
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808305/05/202307/01/2023  07/01/2023
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700405/05/202307/01/2023  07/01/2023
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761705/05/202307/01/2023  07/01/2023
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813305/05/202307/01/2023  07/01/2023
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237405/05/202307/01/2023  07/01/2023
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911905/05/202307/01/2023  07/01/2023
Contract DetailCURANT HEALTH FLORIDA, LLC11001 ROOSEVELT BLVD STE 1400
ST PETERSBURGFL33716-233807/17/202310/01/2023  10/01/2023
Contract DetailCURANT HEALTH GEORGIA LLCCURANT HEALTH 200 TECHNOLOGY CT SE BLDG 200
SUITE B
SMYRNAGA30082-525007/17/202310/01/2023  10/01/2023
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/12/202410/01/2024  10/01/2024
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/12/202410/01/2024  10/01/2024
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502805/05/202307/01/2023  07/01/2023
Contract DetailCYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503310/14/202301/01/2024  01/01/2024
Contract DetailESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111207/04/202310/01/2023  10/01/2023
Contract DetailEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313407/04/202310/01/2023  10/01/2023
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801607/04/202310/01/2023  10/01/2023
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607507/04/202310/01/2023  10/01/2023
Contract DetailGENOA HEALTHCARE LLC1101 NORTH CENTRAL AVE STE 102
PHOENIXAZ8500407/06/202310/01/2023  10/01/2023
Contract DetailGERMAN DOBSON CVS, L.L.C.CVS PHARMACY # 16065 12602 N PARADISE VILLAGE PKWY W
PHOENIXAZ8503205/05/202307/01/2023  07/01/2023
Contract DetailGERMAN DOBSON CVS, L.L.C.CVS PHARMACY # 16292 7409 W VIRGINIA AVE
PHOENIXAZ8503505/05/202307/01/2023  07/01/2023
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 01744 6650 W. LOWER BUCKEYE RD.
PHOENIXAZ8504310/05/202301/01/2024  01/01/2024
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 00069 8332 W THUNDERBIRD RD
PEORIAAZ8538104/07/202407/01/2024  07/01/2024
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 07115 7530 W. CACTUS RD.
PEORIAAZ8538104/07/202407/01/2024  07/01/2024
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 00007 9901B W THUNDERBIRD BLVD
SUN CITYAZ8535104/07/202407/01/2024  07/01/2024
Contract DetailGERMAN DOBSON CVS, L.L.C.CVS PHARMACY # 16700 9350 W NORTHERN AVE
GLENDALEAZ8530504/07/202407/01/2024  07/01/2024
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 07860 1615 E. BASELINE RD.
PHOENIXAZ8504207/12/202410/01/2024  10/01/2024
Contract DetailGERMAN DOBSON CVS, L.L.C.CVS/PHARMACY # 2963 711 E. INDIAN SCHOOL RD.
PHOENIXAZ8501404/06/202507/01/2025  04/06/2025
Contract DetailGERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 04795 6015 E. BROWN ROAD
MESAAZ8520504/06/202507/01/2025  04/06/2025
Contract DetailHIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 07166 250 W. 144TH ST.
RIVERDALEIL6082704/06/202507/01/2025  04/06/2025
Contract DetailMELROSE PHARMACY706 W. MONTECITO AVE
PHOENIXAZ8501307/10/202310/01/2023  10/01/2023
Contract DetailOPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850707/06/202310/01/2023  10/01/2023
Contract DetailOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713007/06/202310/01/2023  10/01/2023
Contract DetailOPTUM PHARMACY 707, INC4900 RIVERGRADE RD STE E110
IRWINDALECA91706-140107/06/202310/01/2023  10/01/2023
Contract DetailOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508507/06/202310/01/2023  10/01/2023
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514605/05/202307/01/2023  07/01/2023
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #3129 1002 EAST MCDOWELL ROAD
PHOENIXAZ8500605/05/202307/01/2023  07/01/2023
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523305/05/202307/01/2023  07/01/2023
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920305/05/202307/01/2023  07/01/2023
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681305/05/202307/01/2023  07/01/2023
Contract DetailSAFEWAY INCSAFEWAY PHARMACY #0174 520 WEST OSBORN ROAD
PHOENIXAZ8501310/14/202301/01/2024  01/01/2024
Contract DetailSAFEWAY INCSAFEWAY PHARMACY #1841 12320 N. 83RD AVENUE
PEORIAAZ8538104/15/202407/01/2024  07/01/2024
Contract DetailSMITH'S FOOD & DRUG CENTERS, INC.D/B/A FRYS PHARMACY #45 7455 W CACTUS RD
PEORIAAZ8538110/13/202401/01/2025  01/01/2025
Contract DetailSMITHS FOOD & DRUG CENTERSDBA FRYS FOOD & DRUG #56 9043 W OLIVE
PEORIAAZ8534510/13/202401/01/2025  01/01/2025
Contract DetailTHOMAS PHOENIX CVS, L.L.C.DBA: CVS/PHARMACY # 03625 8245 W. THOMAS RD.
PHOENIXAZ8503305/05/202307/01/2023  07/01/2023
Contract DetailUNITY RX LLC4515 N 16TH ST STE 105
PHOENIXAZ8501607/08/202410/01/2024  10/01/2024
Contract DetailWAL-MART PHARMACY 10-53152354 COMMERCE PARK DR.
ORLANDOFL3281904/15/202407/01/2024  07/01/2024
Contract DetailWALGREEN ARIZONA DRUG COWALGREENS SPECIALTY PHARMACY #21213 5149 W THUNDERBIRD RD.
GLENDALEAZ8530601/15/202404/01/2024  04/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04722 4111 N 24TH STREET
PHOENIXAZ8501605/05/202307/01/2023  07/01/2023
Contract DetailWALGREEN ARIZONA DRUG CO.WALGREENS CENTRAL FILL #21372 120 N 83RD AVE
STE 200
TOLLESONAZ8535305/05/202307/01/2023  07/01/2023
Contract DetailWALGREEN ARIZONA DRUG CO.WALGREENS SPECIALTY PHARMACY #16431 2302 N. CENTRAL AVE.
SUITE 7
PHOENIXAZ8500405/05/202307/01/2023  07/01/2023
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 03464 3402 N CENTRAL AVE
PHOENIXAZ8501205/05/202307/01/2023  07/01/2023
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 00813 15442 N 99TH AVENUE
SUN CITYAZ8535104/06/202407/01/2024  07/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 07026 12244 W CACTUS RD
EL MIRAGEAZ8533504/07/202407/01/2024  07/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA WALGREENS #12087 13723 N. LITCHFIELD RD.
SURPRISEAZ8537904/07/202407/01/2024  07/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS DRUG # 04020 5895 W. PEORIA AVENUE
GLENDALEAZ8530204/07/202407/01/2024  07/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04620 15490 W BELL RD.
SURPRISEAZ8537404/07/202407/01/2024  07/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04228 5125 W. NORTHERN AVE.
GLENDALEAZ8530104/07/202407/01/2024  07/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06128 19003 N R H JOHNSON BLVD
SUN CITY WESTAZ8537504/07/202407/01/2024  07/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 03427 7448 W THUNDERBIRD RD
PEORIAAZ8538104/07/202407/01/2024  07/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 05222 9040 W. PEORIA AVE.
PEORIAAZ8534504/07/202407/01/2024  07/01/2024
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818810/14/202301/01/2024  01/01/2024
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503310/14/202301/01/2024  01/01/2024
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527510/14/202301/01/2024  01/01/2024
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsPrimary ContactUpdateRecertificationAnderson, George Administrator Your Health and Wellness PLLC 6026257944Curry, Sam Office Manager Your Health and Wellness 60262579445/7/2024 4:24 PM
DetailsLast Recertification DateUpdateRecertification 5/7/2024 4:24:31 PM5/7/2024 4:24 PM
ContactsPrimary ContactUpdateChange RequestMaldonado, Vanessa Medical Assistant Your Health and Wellness 6026257944Anderson, George Administrator Your Health and Wellness PLLC 60262579441/16/2024 7:59 AM
DetailsStateUpdate ApprovedActive7/1/2023 12:01 AM
Medicaid BillingMedicaid: NumberDeleteChange Request103753 (AZ) 6/22/2023 11:15 PM
Medicaid BillingMedicaid: NumberDeleteChange Request356471 (AZ) 6/22/2023 11:15 PM
Medicaid BillingMedicaid: NumberDeleteChange Request154943 (AZ) 6/22/2023 11:15 PM
Medicaid BillingNPI: NumberDeleteChange Request1992476543 (AZ) 6/22/2023 11:15 PM
Medicaid BillingNPI: NumberDeleteChange Request1578072328 (AZ) 6/22/2023 11:15 PM
Medicaid BillingNPI: NumberDeleteChange Request1356072953 (AZ) 6/22/2023 11:15 PM
ContactsAuthorizing OfficialUpdateNew RegistrationKNOBLAUCH, MARK OWNER YOUR HEALTH AND WELLNESS PLLC 6026257944Knoblauch, Mark Owner Your Health and Wellness PLLC 60262579445/5/2023 7:37 AM
ContactsSigned ByInsertNew Registration Knoblauch, Mark Owner Your Health and Wellness PLLC 60262579445/5/2023 7:37 AM
Details340B IDUpdateNew Registration STD850135/5/2023 7:37 AM
DatesParticipating Approval DateUpdateNew Registration 5/5/2023 7:37:07 AM5/5/2023 7:37 AM
DetailsStateUpdateNew RegistrationPendingApproved5/5/2023 7:37 AM
DatesSigned By DateUpdateNew Registration 5/2/2023 1:06:06 AM5/5/2023 7:37 AM
DatesStart DateUpdateNew Registration 7/1/2023 12:00:00 AM5/5/2023 7:37 AM
AddressesMain AddressInsertNew Registration  3326 N 3rd Avenue Suite 201 Phoenix, AZ 850134/13/2023 11:08 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False4/13/2023 11:08 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 1037534/13/2023 11:08 AM
Medicaid BillingMedicaid: StateInsertNew Registration AZ4/13/2023 11:08 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False4/13/2023 11:08 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 3564714/13/2023 11:08 AM
Medicaid BillingMedicaid: StateInsertNew Registration AZ4/13/2023 11:08 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False4/13/2023 11:08 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 1549434/13/2023 11:08 AM
Medicaid BillingMedicaid: StateInsertNew Registration AZ4/13/2023 11:08 AM
DetailsNature of Support: In Kind Support DescriptionInsertNew Registration testing supplies, health education information, databases, care coordination4/13/2023 11:08 AM
DetailsNature Of SupportInsertNew Registration In-Kind products or services (see note below; must have been purchased with section 318 funds)4/13/2023 11:08 AM
DetailsNature of Support: Support Received From DateInsertNew Registration 4/3/2023 12:00:00 AM4/13/2023 11:08 AM
DetailsNature of Support: Support Received To DateInsertNew Registration  4/13/2023 11:08 AM
Medicaid BillingNPI: NumberInsertNew Registration 19924765434/13/2023 11:08 AM
Medicaid BillingNPI: StateInsertNew Registration AZ4/13/2023 11:08 AM
Medicaid BillingNPI: NumberInsertNew Registration 15780723284/13/2023 11:08 AM
Medicaid BillingNPI: StateInsertNew Registration AZ4/13/2023 11:08 AM
Medicaid BillingNPI: NumberInsertNew Registration 13560729534/13/2023 11:08 AM
Medicaid BillingNPI: StateInsertNew Registration AZ4/13/2023 11:08 AM
ContactsAuthorizing OfficialInsertNew Registration KNOBLAUCH, MARK OWNER YOUR HEALTH AND WELLNESS PLLC 60262579444/13/2023 11:08 AM
ContactsPrimary ContactInsertNew Registration Maldonado, Vanessa Medical Assistant Your Health and Wellness 60262579444/13/2023 11:08 AM
DetailsAssistance Received From DateInsertNew Registration  4/13/2023 11:08 AM
DetailsAssistance Received To DateInsertNew Registration  4/13/2023 11:08 AM
DetailsLast Recertification DateInsertNew Registration  4/13/2023 11:08 AM
DetailsGrant NumberInsertNew Registration NU51PS0051424/13/2023 11:08 AM
Details340B IDInsertNew Registration  4/13/2023 11:08 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  4/13/2023 11:08 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  4/13/2023 11:08 AM
DetailsMedicare Provider NumberInsertNew Registration  4/13/2023 11:08 AM
DetailsEntity NameInsertNew Registration Your Health and Wellness PLLC4/13/2023 11:08 AM
DetailsNOFO NumberInsertNew Registration PS21-21034/13/2023 11:08 AM
DetailsProgram CodeInsertNew Registration STD4/13/2023 11:08 AM
DetailsEntity SubnameInsertNew Registration  4/13/2023 11:08 AM
DatesParticipating Approval DateInsertNew Registration  4/13/2023 11:08 AM
DetailsStateInsertNew Registration Pending4/13/2023 11:08 AM
DatesRegistration DateInsertNew Registration 4/13/2023 11:08:39 AM4/13/2023 11:08 AM
DatesSigned By DateInsertNew Registration  4/13/2023 11:08 AM
DatesStart DateInsertNew Registration  4/13/2023 11:08 AM
TerminationsTermination CommentsInsertNew Registration  4/13/2023 11:08 AM
TerminationsTermination DateInsertNew Registration  4/13/2023 11:08 AM
TerminationsTermination Effective DateInsertNew Registration  4/13/2023 11:08 AM
TerminationsTermination ReasonInsertNew Registration  4/13/2023 11:08 AM