Covered Entity Details

CHC24153-04 ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA (Active) - information as of 4/25/2025 5:41:22 PM

Main Details

Name

ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA

Subdivision Name

HOPE Aldine Meadows School Based Clinic

Type

HRSA-Funded Health Center

Site ID

BPS-H80-035752

340B ID

CHC24153-04

Grant Number

H80CS24153

Additional Details

Current Program Status

Active

Registration Date

7/10/2023

Participating Start Date

10/1/2023

Participating Approval Date

7/13/2023

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

Asian American Health Coalition dba HOPE Clinic
Andrea Caracostis, Chief Executive Officer
(713) 337-3640

Primary Contact

Asian American Health Coalition
Claudia Leicht, Pharmacist
(713) 773-0803

Addresses

Street Address

2112 Aldine Meadows Rd
Houston, TX 77032-3102

Billing Address
Same as Street Address

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
TX	455524501	1699966754,1972239341

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
CHC24153-00	Active	BPS-H80-011695	ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA, INC.	Asian American Health Coalition of the Greater Houston Area	7001 Corporate Dr STE 120	Houston	TX
CHC24153-01	Active	BPS-H80-018614	ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA, INC.	HOPE Clinic WEST	12121 Westheimer Road Suite 205	Houston	TX
CHC24153-02	Active	BPS-H80-036272	ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA, INC.	HOPE Clinic Alief	13930 BELLAIRE BLVD	HOUSTON	TX
CHC24153-03	Active	BPS-H80-027684	Asian American Health Coalition Of the Greater Houston Area, Inc.	HOPE Aldine	3000 Aldine Mail Route Rd	Houston	TX
CHC24153-04	Active	BPS-H80-035752	ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA	HOPE Aldine Meadows School Based Clinic	2112 Aldine Meadows Rd	Houston	TX

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC24153-00	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2025
CHC24153-00	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2025
CHC24153-00	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2025
CHC24153-00	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2025
CHC24153-00	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2025
CHC24153-00	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2025
CHC24153-00	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2025
CHC24153-00	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2025
CHC24153-00	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2025
CHC24153-00	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2025
CHC24153-01	FAMILY PHARMACY CARE - WEST	12121 RICHMOND AVE	SUITE 126	HOUSTON	TX	77082	04/01/2015	10/14/2021
CHC24153-00	MEDIC PHARMACY	MEDIC RX INC	12121 WESTHEIMER RD STE 209 209	HOUSTON	TX	77077	07/01/2016	11/01/2023
CHC24153-00	METRORX	SUPREME PHARMACY LLC	814 HONEA EGYPT RD STE 101	MAGNOLIA	TX	77354	10/01/2019	10/15/2022
CHC24153-00	PRIMESOURCE RX, LLC	2656 S LOOP W STE 574		HOUSTON	TX	77054	10/01/2019	08/28/2023
CHC24153-00	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2021	12/13/2021
CHC24153-00	WAL-MART PHARMACY 10-0772	3506 S HWY 6 SOUTH		HOUSTON	TX	77082	10/01/2021	12/13/2021
CHC24153-00	WAL-MART PHARMACY 10-3296	2700 SOUTH KIRKWOOD DRIVE		HOUSTON (ANDRAU)	TX	77077	10/01/2021	12/13/2021
CHC24153-00	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2021	12/13/2021
CHC24153-00	WALGREEN ARIZONA DRUG CO.	WALGREENS CENTRAL FILL #21372	120 N 83RD AVE STE 200	TOLLESON	AZ	85353	10/01/2021
CHC24153-00	WALGREEN CO	DBA WALGREENS SPECIALTY PHARMACY #15514	16605 SOUTHWEST FWY MOB3 STE 100	SUGAR LAND	TX	77479	07/01/2017
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 01580	6730 HILLCROFT ST	HOUSTON	TX	77081	04/01/2014
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 02862	14531 WESTHEIMER RD	HOUSTON	TX	77077-5245	04/01/2014	05/02/2018
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 03198	7634 BELLAIRE BLVD	HOUSTON	TX	77036	04/01/2014
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 03661	6768 HIGHWAY 6 SOUTH	HOUSTON	TX	77083	04/01/2014
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 05313	1506 ELDRIDGE PARKWAY	HOUSTON	TX	77077	04/01/2014
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 05390	8300 WILCREST	HOUSTON	TX	77072	04/01/2014
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 07251	11038 WESTHEIMER ROAD	HOUSTON	TX	77042-3206	04/01/2014
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 07071	13196 BELLAIRE BLVD	HOUSTON	TX	77072-5102	04/01/2015
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 03407	12550 WESTHEIMER RD	HOUSTON	TX	77077	04/01/2017
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 07722	11994 RICHMOND AVE	HOUSTON	TX	77082-6827	04/01/2017
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 06484	9600 WESTHEIMER RD	HOUSTON	TX	77063	07/01/2018
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 09504	7102 FM 1464 RD	RICHMOND	TX	77407-6429	07/01/2018
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 05965	9350 HIGHWAY 6 SOUTH	HOUSTON	TX	77083	10/01/2018
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 03717	4841 MOUNT HOUSTON RD	HOUSTON	TX	77093	07/01/2019
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 07773	12959 ALDINE WESTFIELD ROAD	HOUSTON	TX	77039-5307	07/01/2019
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 10522	7777 SOUTHWEST FREEWAY STE 104	HOUSTON	TX	77074	10/01/2020	07/27/2020
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 05094	14616 MEMORIAL DRIVE	HOUSTON	TX	77079	10/01/2020
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 05871	1838 S KIRKWOOD RD	HOUSTON	TX	77077	07/01/2022	11/20/2023
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 03400	9150 S DAIRY ASHFORD RD	HOUSTON	TX	77099	07/01/2022	02/25/2025
CHC24153-00	WALGREEN CO.	DBA: WALGREENS # 06855	11525 SOUTH HIGHWAY 6	SUGAR LAND	TX	77498	07/01/2022
CHC24153-00	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	04/01/2014	07/02/2015

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/29/2024 5:34:12 PM	2/10/2025 11:01:13 AM	2/10/2025 11:01 AM
Details	Last Recertification Date	Update	Recertification		1/29/2024 5:34:12 PM	1/29/2024 5:34 PM
Details	State	Update		Approved	Active	10/1/2023 12:01 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	8/16/2023 4:15 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		455524501	8/16/2023 4:15 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		TX	8/16/2023 4:15 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1699966754	8/16/2023 4:15 PM
Medicaid Billing	NPI: State	Insert	Change Request		TX	8/16/2023 4:15 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1972239341	8/16/2023 4:15 PM
Medicaid Billing	NPI: State	Insert	Change Request		TX	8/16/2023 4:15 PM
Medicaid Billing	Medicaid: Number	Delete	New Registration	455524501 (TX)		7/13/2023 8:22 AM
Medicaid Billing	NPI: Number	Delete	New Registration	1972239341 (TX)		7/13/2023 8:22 AM
Medicaid Billing	NPI: Number	Delete	New Registration	1699966754 (TX)		7/13/2023 8:22 AM
Contacts	Signed By	Insert	New Registration		Caracostis, Andrea Chief Executive Officer Asian American Health Coalition dba HOPE Clinic 7133373640	7/13/2023 8:22 AM
Details	340B ID	Update	New Registration		CHC24153-04	7/13/2023 8:22 AM
Dates	Participating Approval Date	Update	New Registration		7/13/2023 8:22:41 AM	7/13/2023 8:22 AM
Details	State	Update	New Registration	Pending	Approved	7/13/2023 8:22 AM
Dates	Signed By Date	Update	New Registration		7/11/2023 11:10:16 AM	7/13/2023 8:22 AM
Dates	Start Date	Update	New Registration		10/1/2023 12:00:00 AM	7/13/2023 8:22 AM
Addresses	Main Address	Insert	New Registration		2112 Aldine Meadows Rd Houston, TX 77032-3102	7/10/2023 1:20 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/10/2023 1:20 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		455524501	7/10/2023 1:20 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		TX	7/10/2023 1:20 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1972239341	7/10/2023 1:20 PM
Medicaid Billing	NPI: State	Insert	New Registration		TX	7/10/2023 1:20 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1699966754	7/10/2023 1:20 PM
Medicaid Billing	NPI: State	Insert	New Registration		TX	7/10/2023 1:20 PM
Contacts	Authorizing Official	Insert	New Registration		Caracostis, Andrea Chief Executive Officer Asian American Health Coalition dba HOPE Clinic 7133373640	7/10/2023 1:20 PM
Contacts	Primary Contact	Insert	New Registration		Leicht, Claudia Pharmacist Asian American Health Coalition 7137730803	7/10/2023 1:20 PM
Details	Assistance Received From Date	Insert	New Registration			7/10/2023 1:20 PM
Details	Assistance Received To Date	Insert	New Registration			7/10/2023 1:20 PM
Details	Last Recertification Date	Insert	New Registration			7/10/2023 1:20 PM
Details	Grant Number	Insert	New Registration		H80CS24153	7/10/2023 1:20 PM
Details	340B ID	Insert	New Registration			7/10/2023 1:20 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/10/2023 1:20 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/10/2023 1:20 PM
Details	Medicare Provider Number	Insert	New Registration			7/10/2023 1:20 PM
Details	Entity Name	Insert	New Registration		ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA	7/10/2023 1:20 PM
Details	NOFO Number	Insert	New Registration			7/10/2023 1:20 PM
Details	Program Code	Insert	New Registration		CH	7/10/2023 1:20 PM
Details	Entity Subname	Insert	New Registration		HOPE Aldine Meadows School Based Clinic	7/10/2023 1:20 PM
Dates	Participating Approval Date	Insert	New Registration			7/10/2023 1:20 PM
Details	State	Insert	New Registration		Pending	7/10/2023 1:20 PM
Dates	Registration Date	Insert	New Registration		7/10/2023 1:20:13 PM	7/10/2023 1:20 PM
Dates	Signed By Date	Insert	New Registration			7/10/2023 1:20 PM
Dates	Start Date	Insert	New Registration			7/10/2023 1:20 PM
Terminations	Termination Comments	Insert	New Registration			7/10/2023 1:20 PM
Terminations	Termination Date	Insert	New Registration			7/10/2023 1:20 PM
Terminations	Termination Effective Date	Insert	New Registration			7/10/2023 1:20 PM
Terminations	Termination Reason	Insert	New Registration			7/10/2023 1:20 PM

340B Drug Pricing Program Database