Covered Entity Details

CH011720 Duffy Health Center, Inc. (Active) - information as of 5/20/2025 11:36:24 PM

Main Details

Name

Duffy Health Center, Inc.

Subdivision Name

St. Joseph's House

Type

HRSA-Funded Health Center

Site ID

BPS-H80-006193

340B ID

CH011720

Grant Number

H80CS00271

Additional Details

Current Program Status

Active

Registration Date

10/1/2002

Participating Start Date

10/1/2002

Participating Approval Date

3/25/2005

Last Recertification Date

2/18/2025

Contacts

Authorizing Official

Duffy Health Center
Stephanie Wroten, CEO
(508) 771-7517 Ext: 101

Primary Contact

Duffy Health Center
Vikki Ciavarro, CFO
(508) 771-7517 Ext: 102

Addresses

Street Address

77 Winter St.
Hyannis, MA 02601-5553

Billing Address

Duffy Health Center
94 Main St.
Hyannis, MA 02601

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

Comments

Comment	Last Updated On
3/25/05 - ADMIN CORRECTION - REPLACES HO011720	10/01/2002

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Shipping Address 1

Duffy Health Center
94 Main St.
Hyannis, MA 02601

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	04/04/2025	07/01/2025		04/04/2025
Contract Detail	CAPE COD HEALTHCARE PHARMACY AT CCH	27 PARK ST		HYANNIS	MA	02601-5230	01/17/2023	04/01/2023		04/01/2023
Contract Detail	CAPE COD PHARMACY & HEALTH	DBA: WHOLE HEALTH PHARMACY	596 W MAIN ST	HYANNIS	MA	02601-3465	01/17/2023	04/01/2023		04/01/2023
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/04/2025	07/01/2025		04/04/2025
Contract Detail	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/04/2025	07/01/2025		04/04/2025
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/04/2025	07/01/2025		04/04/2025
Contract Detail	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/04/2025	07/01/2025		04/04/2025
Contract Detail	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/04/2025	07/01/2025		04/04/2025
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/04/2025	07/01/2025		04/04/2025
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/04/2025	07/01/2025		04/04/2025
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/04/2025	07/01/2025		04/04/2025
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/04/2025	07/01/2025		04/04/2025
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/04/2025	07/01/2025		04/04/2025
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00735	976 ROUTE 28	SOUTH YARMOUTH	MA	02664	10/14/2022	01/01/2023		01/01/2023
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01253	8 GREENE STREET	MASHPEE	MA	02649	10/14/2022	01/01/2023		01/01/2023
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01021	500 ROUTE 134 STE 2	SOUTH DENNIS	MA	02660	10/14/2022	01/01/2023		01/01/2023
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 02322	176 NORTH STREET	HYANNIS	MA	02601	10/14/2022	01/01/2023		01/01/2023
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 02200	1030 PUTNAM AVENUE	MARSTONS MILLS	MA	02648	10/14/2022	01/01/2023		01/01/2023
Contract Detail	CVS PHARMACY, INC.	DBA CVS/PHARMACY # 4313	438 RT 28	WEST YARMOUTH	MA	02673	10/14/2022	01/01/2023		01/01/2023
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01869	1080 FALMOUTH RD.	HYANNIS	MA	02601	10/14/2022	01/01/2023		01/01/2023
Contract Detail	CVS PHARMACY, INC.	DBA CVS PHARMACY # 1878	12 QUEEN ANNE ROAD	CHATHAM	MA	02633	10/14/2022	01/01/2023		01/01/2023
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01859	148 ROUTE 137	HARWICH	MA	02645	04/12/2023	07/01/2023		07/01/2023
Contract Detail	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/04/2025	07/01/2025		04/04/2025
Contract Detail	OUTER CAPE HEALTH SERVICES	710 ROUTE 28		HARWICH PORT	MA	02646	07/15/2020	10/01/2020	03/07/2023	06/29/2023
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/04/2025	07/01/2025		04/04/2025
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/04/2025	07/01/2025		04/04/2025
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/04/2025	07/01/2025		04/04/2025
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03021	1737 ACUSHNET AVE	NEW BEDFORD	MA	02746	10/22/2015	01/01/2016	04/28/2020	04/28/2020
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03090	838 PLEASANT STREET	NEW BEDFORD	MA	02740	10/22/2015	01/01/2016	04/28/2020	04/28/2020
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03469	369 PLYMOUTH AVE	FALL RIVER	MA	02721	10/22/2015	01/01/2016	04/28/2020	04/28/2020
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10460	1041ROUTE 28	SOUTH YARMOUTH	MA	02664-4115	10/22/2015	01/01/2016		10/22/2015
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #21414	854 PURCHASE ST	NEW BEDFORD	MA	02740	10/22/2015	01/01/2016		10/22/2015
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11885	495 STATE RD.	NORTH DARTMOUTH	MA	02747-1801	10/22/2015	01/01/2016	04/28/2020	04/28/2020
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #13135	21 SOUTH STREET	MASHPEE	MA	02649-6501	10/22/2015	01/01/2016		10/22/2015
Contract Detail	WALGREEN EASTERN CO., INC.	WALGREENS #17259	467 IYANNOUGH RD	HYANNIS	MA	02601	01/16/2024	04/01/2024	01/23/2025	01/23/2025
Contract Detail	WALGREEN EASTERN CO., INC.	WALGREENS #17545	520 W MAIN ST	HYANNIS	MA	02601	01/16/2024	04/01/2024		04/01/2024
Contract Detail	WALGREEN EASTERN CO., INC.	WALGREENS #19983	711 MAIN ST	DENNISPORT	MA	02639	10/15/2024	01/01/2025	02/27/2025	02/27/2025
Contract Detail	WALGREEN EASTERN CO., INC.	WALGREENS SPECIALTY PHARMACY#10996	429 BROOKLINE AVENUE	BOSTON	MA	02215	04/04/2025	07/01/2025		04/04/2025
Contract Detail	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	01/17/2023	04/01/2023		04/01/2023

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	Address Cont.	City	State
CH011720	Active	BPS-H80-006193	Duffy Health Center, Inc.	St. Joseph's House	77 Winter St.		Hyannis	MA
CH01172A	Active	BPS-H80-010095	Duffy Health Center, Inc.	Duffy Health Center	94 Main St.		Hyannis	MA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH011720	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	07/01/2025
CH01172A	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	07/01/2025
CH01172A	APOTHECARE OF CAPE COD INC		205 WEST MAIN STREET PO BOX R	HYANNIS	MA	02601	03/01/2004	07/07/2020
CH01172A	CAPE COD HEALTHCARE PHARMACY AT CCH	27 PARK ST		HYANNIS	MA	02601-5230	04/01/2023
CH011720	CAPE COD HEALTHCARE PHARMACY AT CCH	27 PARK ST		HYANNIS	MA	02601-5230	04/01/2023
CH01172A	CAPE COD PHARMACY & HEALTH	DBA: WHOLE HEALTH PHARMACY	596 W MAIN ST	HYANNIS	MA	02601-3465	04/01/2023
CH011720	CAPE COD PHARMACY & HEALTH	DBA: WHOLE HEALTH PHARMACY	596 W MAIN ST	HYANNIS	MA	02601-3465	04/01/2023
CH01172A	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/01/2025
CH011720	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/01/2025
CH011720	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/01/2025
CH01172A	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/01/2025
CH011720	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/01/2025
CH01172A	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/01/2025
CH011720	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	07/01/2025
CH01172A	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	07/01/2025
CH01172A	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	07/01/2025
CH011720	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	07/01/2025
CH011720	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/01/2025
CH01172A	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/01/2025
CH01172A	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	07/01/2025
CH011720	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	07/01/2025
CH011720	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	07/01/2025
CH01172A	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	07/01/2025
CH01172A	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	07/01/2025
CH011720	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	07/01/2025
CH011720	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	07/01/2025
CH01172A	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	07/01/2025
CH01172A	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01253	8 GREENE STREET	MASHPEE	MA	02649	01/01/2023
CH01172A	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01021	500 ROUTE 134 STE 2	SOUTH DENNIS	MA	02660	01/01/2023
CH01172A	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 02322	176 NORTH STREET	HYANNIS	MA	02601	01/01/2023
CH01172A	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 02200	1030 PUTNAM AVENUE	MARSTONS MILLS	MA	02648	01/01/2023
CH01172A	CVS PHARMACY, INC.	DBA CVS/PHARMACY # 4313	438 RT 28	WEST YARMOUTH	MA	02673	01/01/2023
CH01172A	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00735	976 ROUTE 28	SOUTH YARMOUTH	MA	02664	01/01/2023
CH01172A	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01869	1080 FALMOUTH RD.	HYANNIS	MA	02601	01/01/2023
CH01172A	CVS PHARMACY, INC.	DBA CVS PHARMACY # 1878	12 QUEEN ANNE ROAD	CHATHAM	MA	02633	01/01/2023
CH011720	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00735	976 ROUTE 28	SOUTH YARMOUTH	MA	02664	01/01/2023
CH011720	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01253	8 GREENE STREET	MASHPEE	MA	02649	01/01/2023
CH011720	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01021	500 ROUTE 134 STE 2	SOUTH DENNIS	MA	02660	01/01/2023
CH011720	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 02322	176 NORTH STREET	HYANNIS	MA	02601	01/01/2023
CH011720	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 02200	1030 PUTNAM AVENUE	MARSTONS MILLS	MA	02648	01/01/2023
CH011720	CVS PHARMACY, INC.	DBA CVS/PHARMACY # 4313	438 RT 28	WEST YARMOUTH	MA	02673	01/01/2023
CH011720	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01869	1080 FALMOUTH RD.	HYANNIS	MA	02601	01/01/2023
CH011720	CVS PHARMACY, INC.	DBA CVS PHARMACY # 1878	12 QUEEN ANNE ROAD	CHATHAM	MA	02633	01/01/2023
CH01172A	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01859	148 ROUTE 137	HARWICH	MA	02645	07/01/2023
CH011720	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01859	148 ROUTE 137	HARWICH	MA	02645	07/01/2023
CH011720	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	07/01/2025
CH01172A	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	07/01/2025
CH01172A	OUTER CAPE HEALTH SERVICES	710 ROUTE 28		HARWICH PORT	MA	02646	04/01/2020	03/07/2023
CH011720	OUTER CAPE HEALTH SERVICES	710 ROUTE 28		HARWICH PORT	MA	02646	10/01/2020	03/07/2023
CH01172A	OUTER CAPE HEALTH SERVICES PHARMACY	2700 STATE HWY RTE 6 UNIT 3		WELLFLEET	MA	02667-7405	10/01/2013	07/07/2020
CH01172A	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/01/2025
CH011720	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/01/2025
CH01172A	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	07/01/2025
CH011720	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	07/01/2025
CH01172A	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	07/01/2025
CH011720	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	07/01/2025
CH011720	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03021	1737 ACUSHNET AVE	NEW BEDFORD	MA	02746	01/01/2016	04/28/2020
CH011720	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03090	838 PLEASANT STREET	NEW BEDFORD	MA	02740	01/01/2016	04/28/2020
CH011720	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03469	369 PLYMOUTH AVE	FALL RIVER	MA	02721	01/01/2016	04/28/2020
CH011720	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10460	1041ROUTE 28	SOUTH YARMOUTH	MA	02664-4115	01/01/2016
CH011720	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #21414	854 PURCHASE ST	NEW BEDFORD	MA	02740	01/01/2016
CH011720	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11885	495 STATE RD.	NORTH DARTMOUTH	MA	02747-1801	01/01/2016	04/28/2020
CH011720	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #13135	21 SOUTH STREET	MASHPEE	MA	02649-6501	01/01/2016
CH01172A	WALGREEN EASTERN CO., INC.	WALGREENS #17545	520 W MAIN ST	HYANNIS	MA	02601	07/01/2019
CH01172A	WALGREEN EASTERN CO., INC.	WALGREENS #17259	467 IYANNOUGH RD	HYANNIS	MA	02601	07/01/2019	01/23/2025
CH01172A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #21414	854 PURCHASE ST	NEW BEDFORD	MA	02740	04/01/2024
CH01172A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10460	1041ROUTE 28	SOUTH YARMOUTH	MA	02664-4115	04/01/2024
CH01172A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #13135	21 SOUTH STREET	MASHPEE	MA	02649-6501	04/01/2024
CH011720	WALGREEN EASTERN CO., INC.	WALGREENS #17259	467 IYANNOUGH RD	HYANNIS	MA	02601	04/01/2024	01/23/2025
CH011720	WALGREEN EASTERN CO., INC.	WALGREENS #17545	520 W MAIN ST	HYANNIS	MA	02601	04/01/2024
CH01172A	WALGREEN EASTERN CO., INC.	WALGREENS #19983	711 MAIN ST	DENNISPORT	MA	02639	01/01/2025	02/27/2025
CH011720	WALGREEN EASTERN CO., INC.	WALGREENS #19983	711 MAIN ST	DENNISPORT	MA	02639	01/01/2025	02/27/2025
CH011720	WALGREEN EASTERN CO., INC.	WALGREENS SPECIALTY PHARMACY#10996	429 BROOKLINE AVENUE	BOSTON	MA	02215	07/01/2025
CH01172A	WALGREEN EASTERN CO., INC.	WALGREENS SPECIALTY PHARMACY#10996	429 BROOKLINE AVENUE	BOSTON	MA	02215	07/01/2025
CH01172A	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023
CH011720	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Primary Contact	Update	Change Request	Dykens, Jeffrey CFO Duffy Health Center 5087717517-102	Ciavarro, Vikki CFO Duffy Health Center 5087717517-102	3/24/2025 6:26 AM
Contacts	Authorizing Official	Update	AO Change Request	Nelson, Heidi CEO Duffy Health Center 5087717517-101	Wroten, Stephanie CEO Duffy Health Center 5087717517-101	3/14/2025 10:43 AM
Details	Last Recertification Date	Update	Recertification	1/29/2024 8:29:12 AM	2/18/2025 11:56:18 AM	2/18/2025 11:56 AM
Details	Last Recertification Date	Update	Recertification	2/3/2023 9:12:02 AM	1/29/2024 8:29:12 AM	1/29/2024 8:29 AM
Details	Last Recertification Date	Update	Recertification	2/3/2022 4:29:35 PM	2/3/2023 9:12:02 AM	2/3/2023 9:12 AM
Contacts	Primary Contact	Update	Change Request	Burke, Margaret Associate Director, Clinical Operations Duffy Health Center 5087719599-226	Dykens, Jeffrey CFO Duffy Health Center 5087717517-102	12/23/2022 10:53 AM
Details	Last Recertification Date	Update	Recertification	2/1/2021 8:35:03 AM	2/3/2022 4:29:35 PM	2/3/2022 4:29 PM
Addresses	Billing Address	Insert	Recertification		Duffy Health Center 94 Main St. Hyannis, MA 02601	2/1/2021 8:35 AM
Addresses	Shipping Address	Insert	Recertification		Duffy Health Center 94 Main St. Hyannis, MA 02601	2/1/2021 8:35 AM
Addresses	Main Address	Update	Recertification	79 Winter St Hyannis, MA 02601-5553	77 Winter St. Hyannis, MA 02601-5553	2/1/2021 8:35 AM
Details	Last Recertification Date	Update	Recertification	2/3/2020 7:04:46 AM	2/1/2021 8:35:03 AM	2/1/2021 8:35 AM
Contacts	Primary Contact	Update	Recertification	Burke, David CFO Duffy Health Center 5087717517-102	Burke, Margaret Associate Director, Clinical Operations Duffy Health Center 5087719599-226	2/3/2020 7:04 AM
Details	Last Recertification Date	Update	Recertification	2/1/2019 9:37:10 AM	2/3/2020 7:04:46 AM	2/3/2020 7:04 AM
Details	Last Recertification Date	Update	Recertification	2/8/2018 8:00:05 AM	2/1/2019 9:37:10 AM	2/1/2019 9:37 AM
Details	Entity Subname	Update	Change Request	NOAH Shelter	St. Joseph's House	10/16/2018 10:46 AM
Details	Last Recertification Date	Update	Recertification	1/25/2017 12:00:00 AM	2/8/2018 8:00:05 AM	2/8/2018 8:00 AM
Contacts	Primary Contact	Update		Burke, David CFO 5087717517-102	Burke, David CFO Duffy Health Center 5087717517-102	9/29/2017 11:42 AM
Contacts	Authorizing Official	Update		Nelson, Heidi CEO 5087717517-101	Nelson, Heidi CEO Duffy Health Center 5087717517-101	9/29/2017 10:53 AM
Addresses	Main Address	Insert			79 Winter St Hyannis, MA 02601-5553	1/25/2017 9:26 AM
Contacts	Authorizing Official	Update		GOYER, CLAIRE F. EXECUTIVE DIRECTOR 5087719599	Nelson, Heidi CEO 5087717517-101	1/25/2017 9:26 AM
Contacts	Primary Contact	Update		GOYER, CLAIRE F. EXECUTIVE DIRECTOR 5087719599	Burke, David CFO 5087717517-102	1/25/2017 9:26 AM
Details	Last Recertification Date	Update		2/19/2016 12:00:00 AM	1/25/2017 12:00:00 AM	1/25/2017 9:25 AM
Dates	Participating Approval Date	Update		3/25/2005 9:03:39 AM	3/25/2005 12:00:00 AM	1/18/2017 2:30 PM
Details	Last Recertification Date	Update		2/3/2015 12:00:00 AM	2/19/2016 12:00:00 AM	2/19/2016 4:16 PM
Details	Last Recertification Date	Update		3/15/2014 12:00:00 AM	2/3/2015 12:00:00 AM	2/3/2015 10:46 AM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	3/15/2014 12:00:00 AM	3/15/2014 9:00 AM
Details	Entity Name	Update		ONEILL HEALTH CENTER, INC.	Duffy Health Center, Inc.	3/15/2014 9:00 AM
Details	Entity Subname	Update			NOAH Shelter	3/15/2014 9:00 AM
Contacts	Authorizing Official	Insert			GOYER, CLAIRE F. EXECUTIVE DIRECTOR 5087719599	11/12/2013 7:27 AM
Contacts	Primary Contact	Insert			GOYER, CLAIRE F. EXECUTIVE DIRECTOR 5087719599	11/12/2013 7:27 AM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	3/25/2013 8:33 AM
Details	Last Recertification Date	Insert				10/1/2002 12:00 AM
Details	Grant Number	Insert			H80CS00271	10/1/2002 12:00 AM
Details	340B ID	Insert			CH011720	10/1/2002 12:00 AM
Details	Is Authorizing Official EHB Data	Insert				10/1/2002 12:00 AM
Dates	Last Date That 340B Drugs Purchased	Insert				10/1/2002 12:00 AM
Details	Medicare Provider Number	Insert				10/1/2002 12:00 AM
Details	Entity Name	Insert			ONEILL HEALTH CENTER, INC.	10/1/2002 12:00 AM
Details	Program Code	Insert			CH	10/1/2002 12:00 AM
Details	Entity Subname	Insert				10/1/2002 12:00 AM
Dates	Participating Approval Date	Insert			3/25/2005 9:03:39 AM	10/1/2002 12:00 AM
Details	State	Insert			Active	10/1/2002 12:00 AM
Dates	Registration Date	Insert			10/1/2002 12:00:00 AM	10/1/2002 12:00 AM
Dates	Signed By Date	Insert				10/1/2002 12:00 AM
Dates	Start Date	Insert			10/1/2002 12:00:00 AM	10/1/2002 12:00 AM
Terminations	Termination Comments	Insert				10/1/2002 12:00 AM
Terminations	Termination Date	Insert				10/1/2002 12:00 AM
Terminations	Termination Effective Date	Insert				10/1/2002 12:00 AM
Terminations	Termination Reason	Insert				10/1/2002 12:00 AM
Details	Comments Public	Insert			3/25/05 - ADMIN CORRECTION - REPLACES HO011720	10/1/2002 12:00 AM

340B Drug Pricing Program Database