| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Washington DC
2141 K Street NW
Suite 707
Washington, DC 20037 | | 5/29/2025 12:16 PM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy- Washington DC
1701 K Street N.W.
Suite 400
Washington, DC 20006 | 5/29/2025 12:16 PM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Fort Myers
2320 Cleveland Ave
Fort Myers, FL 33901 | 5/22/2025 11:57 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy- Cumberland
8425 Cumberland Pl
Baton Rouge, LA 70806 | 5/22/2025 11:57 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy- Hollywood FL
3800 Johnson Street
Suite F
Hollywood, FL 33019 | 5/22/2025 11:57 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Gardena
19300 S. Hamilton Avenue
Suite 170/180
Gardena, CA 90248 | | 5/16/2025 6:26 AM |
| Addresses | Shipping Address | Update | Change Request | AHF Pharmacy - Oakland
400 30th Street
400 30th Street
Oakland, CA 94609 | AHF Pharmacy - Oakland
400 30th Street
Oakland, CA 94609 | 5/16/2025 6:26 AM |
| Addresses | Shipping Address | Update | Change Request | AHF Pharmacy - Jamaica
161-21 Jamaica Avenue 7th Floor
Jamaica, NY 11432 | AHF Pharmacy - Jamaica
91-30 Van Wyck Expressway
Jamaica, NY 11418 | 5/16/2025 6:26 AM |
| Details | Assistance Received From Date | Update | Change Request | 5/1/2024 12:00:00 AM | 5/1/2025 12:00:00 AM | 5/16/2025 6:26 AM |
| Details | Assistance Received To Date | Update | Change Request | 4/30/2025 12:00:00 AM | 4/30/2026 12:00:00 AM | 5/16/2025 6:26 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Westside
99 N. La Cienega
Suite 200
Beverly Hills, CA 90211 | | 4/15/2025 12:02 PM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Westside
8641 WILSHIRE BLVD
Ste 200
BEVERLY HILLS, CA 90211 | 4/15/2025 12:02 PM |
| Details | Last Recertification Date | Update | Recertification | 2/27/2024 8:58:25 AM | 2/20/2025 5:12:29 PM | 2/20/2025 5:12 PM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Hillcrest Pharmacy
120 University Avenue
San Diego, CA 92103 | | 12/19/2024 12:51 PM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - East Los Angeles
5356 Whittier Blvd.
Los Angeles, CA 90022 | | 11/25/2024 8:36 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - West Hollywood
8212 Santa Monica Blvd.
West Hollywood, CA 90046 | | 11/25/2024 8:36 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Hillcrest North
1988 Hacienda Drive
Vista, CA 92081 | | 11/25/2024 8:36 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Sunrise
1785 E. Sunrise Blvd.
Fort Lauderdale, FL 33304 | | 11/25/2024 8:36 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Wilton Manors
2097 Wilton Drive
Wilton Manors, FL 33305 | | 11/25/2024 8:36 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Orlando OTC
1349 N Mills Avenue
Orlando, FL 32803 | | 11/25/2024 8:36 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Farmingdale
619 Main Street
Farmingdale, NY 11735 | | 11/25/2024 8:36 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - City View
2307 Astoria Blvd.
Astoria, NY 11102 | | 11/25/2024 8:36 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Columbus
1230 N. High Street
Columbus, OH 43201 | | 11/25/2024 8:36 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Dallas
3920 Cedar Springs Rd.
Dallas, TX 75219 | | 11/25/2024 8:36 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Houston OTC
1435 Westheimer Rd.
Houston, TX 77006 | | 11/25/2024 8:36 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Cabrini
901 Boren Avenue
Suite 800
Seattle, WA 98104 | | 11/25/2024 8:36 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy- West
18421 South Main Street
Gardena, CA 90248 | 11/25/2024 8:36 AM |
| Details | Assistance Received From Date | Update | Change Request | 5/1/2023 12:00:00 AM | 5/1/2024 12:00:00 AM | 6/24/2024 10:29 AM |
| Details | Assistance Received To Date | Update | Change Request | 4/30/2024 12:00:00 AM | 4/30/2025 12:00:00 AM | 6/24/2024 10:29 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Castro
4071 18th Street
San Francisco, CA 94114 | | 5/6/2024 7:22 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - San Francisco
518 A Castro Street
San Francisco, CA 94114 | 5/6/2024 7:22 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Austin
2927 GUADALUPE ST
AUSTIN, TX 78705-3721 | 3/26/2024 1:49 PM |
| Addresses | Shipping Address | Delete | Recertification | AHF Pharmacy - Miami Beach
4308 Alton Road
Suite 950
Miami Beach, FL 33140 | | 2/27/2024 8:58 AM |
| Addresses | Shipping Address | Insert | Recertification | | AHF Pharmacy - Miami Beach
4308 Alton Road
Suite 870
Miami Beach, FL 33140 | 2/27/2024 8:58 AM |
| Addresses | Shipping Address | Insert | Recertification | | AHF Pharmacy - Capitol Hill
650 Pennsylvania Ave.
Suite 380
Washington, DC 20003 | 2/27/2024 8:58 AM |
| Details | Last Recertification Date | Update | Recertification | | 2/27/2024 8:58:25 AM | 2/27/2024 8:58 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Safety Harbor
3135 SR 580
SAFETY HARBOR, FL 34695 | | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Castro
4071 18th Street
San Francisco, CA 94114 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Downtown
1400 S. Grand Avenue
Suite 801
Los Angeles, CA 90015 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - East Los Angeles
5356 Whittier Blvd.
Los Angeles, CA 90022 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Gardena
19300 S. Hamilton Avenue
Suite 170/180
Gardena, CA 90248 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Long Beach
3500 E. Pacific Coast Highway
Long Beach, CA 90804 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Oakland
400 30th Street
400 30th Street
Oakland, CA 94609 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Hollywood Flagship
4905 Hollywood Blvd.
Los Angeles, CA 90027 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Valley
4940 Van Nuys Blvd.
Suite 200
Sherman Oaks, CA 91403 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - West Hollywood
8212 Santa Monica Blvd.
West Hollywood, CA 90046 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Westside
99 N. La Cienega
Suite 200
Beverly Hills, CA 90211 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Hillcrest Pharmacy
120 University Avenue
San Diego, CA 92103 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Hillcrest North
1988 Hacienda Drive
Vista, CA 92081 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Mi Farmacia San Ysidro
4630 Border Village Road
San Ysidro, CA 92173 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Priority
3580 5th Avenue
Suite 200
San Diego, CA 92103-5017 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Washington DC
2141 K Street NW
Suite 707
Washington, DC 20037 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - ACC Fort Lauderdale
700 S.E. 3rd Avenue
Suite 100
Fort Lauderdale, FL 33316 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - AHF Campus Fort Lauderdale
700 S.E. 3rd Avenue
Suite 100A
Fort Lauderdale, FL 33316 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Coconut Grove
3661 S. Miami Avenue
Suite 806
Miami, FL 33133 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Delray Beach
200 Congress Park Drive
Suite 210
Delray Beach, FL 33445 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Jackson North
100 N.W. 170th Street
Suite 208
North Miami Beach, FL 33169 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Jacksonville
2 Shircliff Way
Suite 900
Jacksonville, FL 32204 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Miami Beach
4308 Alton Road
Suite 950
Miami Beach, FL 33140 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Orlando
1701 N. Mills Avenue
Orlando, FL 32803 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Pensacola
4300 Bayou Blvd.
Suite 17D
Pensacola, FL 32503 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Safety Harbor
3135 SR 580
Suite 1
Safety Harbor, FL 34695 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - St. Petersburg
3400 26th Ave. S.
St. Petersburg, FL 33711 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Sunrise
1785 E. Sunrise Blvd.
Fort Lauderdale, FL 33304 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Wilton Manors
2097 Wilton Drive
Wilton Manors, FL 33305 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - West Palm Beach
1411 N. Flagler Drive
Suite 9300
West Palm Beach, FL 33401 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Biscayne
2400 Biscayne Blvd.
Miami, FL 33137 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Orlando OTC
1349 N Mills Avenue
Orlando, FL 32803 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - North Point
6333 N. Federal Highway
Suite 301
Fort Lauderdale, FL 33308 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Oakland Park
2866 E Oakland Park 2nd FL
Ft Lauderdale, FL 33306 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Lithonia
5700 Hillandale Drive
Suite 100
Lithonia, GA 30058 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Newnan
770 Greison Trail
Suite H
Newnan, GA 30263 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Piedmont
735 Piedmont Ave NE
Atlanta, GA 30308 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Cheshire Bridge
659 Auburn Avenue NE
Suite 156
Atlanta, GA 30312 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Peachtree
1438 W. Peachtree NW
Atlanta, GA 30309 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Chicago
3311 N. Halsted Street
Chicago, IL 60657 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Baton Rouge
4890 Bluebonnet Blvd.
Baton Rouge, LA 70809 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Baltimore
2510 Saint Paul Street
Suite 1
Baltimore, MD 21218 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Jackson
766 Lakeland Drive
Jackson, MS 39216 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - North Las Vegas
3201 S. Maryland Pkwy.
Suite 218
Las Vegas, NV 89109 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Brooklyn
475 Atlantic Ave.
Brooklyn, NY 11217 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Chelsea
352 7th Avenue
Suite 1206
New York, NY 10001 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Farmingdale
619 Main Street
Farmingdale, NY 11735 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Jamaica
161-21 Jamaica Avenue 7th Floor
Jamaica, NY 11432 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - City View
2307 Astoria Blvd.
Astoria, NY 11102 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Bronx
655 Morris Avenue #2
Bronx, NY 10451 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Cleveland
2829 Euclid Avenue
Cleveland, OH 44115 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Columbus
1230 N. High Street
Columbus, OH 43201 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Philadelphia
1211 Chestnut Street
Suite 405
Philadelphia, PA 19107 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Carolina
Paseo Del Prado Shopping Center, Primer Nivel
Suite 107
Carolina, PR 00987 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Columbia
3025 Farrow Road
Columbia, SC 29203 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Dallas
3920 Cedar Springs Rd.
Dallas, TX 75219 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Dallas (Medical City)
7777 Forest Lane
Suite B-A80
Dallas, TX 75230 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Fort Worth
400 N. Beach Street
Suite 102
Fort Worth, TX 76111 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Houston (Binz)
1200 Binz Street
Suite 1040
Houston, TX 77004 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Houston OTC
1435 Westheimer Rd.
Houston, TX 77006 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Dallas Market Center
2600 N. Stemmons Fwy
Suite 141-A
Dallas, TX 75207 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Cabrini
901 Boren Avenue
Suite 800
Seattle, WA 98104 | 10/20/2023 8:52 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Pike Street
1016 East Pike Street
Suite 100
Seattle, WA 98122 | 10/20/2023 8:52 AM |
| Details | State | Update | | Approved | Active | 10/1/2023 12:01 AM |
| Contacts | Signed By | Insert | New Registration | | DeStefano, Rena
Director of Pharmacy Finance
AIDS Healthcare Foundation
6313702022 | 8/2/2023 1:18 PM |
| Details | 340B ID | Update | New Registration | | HV46007A | 8/2/2023 1:18 PM |
| Dates | Participating Approval Date | Update | New Registration | | 8/2/2023 1:18:35 PM | 8/2/2023 1:18 PM |
| Details | State | Update | New Registration | Pending | Approved | 8/2/2023 1:18 PM |
| Dates | Signed By Date | Update | New Registration | | 7/17/2023 5:29:46 PM | 8/2/2023 1:18 PM |
| Dates | Start Date | Update | New Registration | | 10/1/2023 12:00:00 AM | 8/2/2023 1:18 PM |
| Addresses | Main Address | Insert | New Registration | |
4300 Bayou Blvd.
PENSACOLA, FL 32503 | 7/17/2023 5:29 PM |
| Addresses | Billing Address | Insert | New Registration | | AIDS Healthcare Foundation
6255 West Sunset Blvd. 21st Floor
Los Angeles, CA 90028 | 7/17/2023 5:29 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Safety Harbor
3135 SR 580
SAFETY HARBOR, FL 34695 | 7/17/2023 5:29 PM |
| Contacts | Primary Contact | Insert | New Registration | | Altstaedter, Barry
Director of Pharmacy Finance
AIDS Healthcare Foundation
6318705169 | 7/17/2023 5:29 PM |
| Contacts | Authorizing Official | Insert | New Registration | | DeStefano, Rena
Director of Pharmacy Finance
AIDS Healthcare Foundation
6313702022 | 7/17/2023 5:29 PM |
| Details | Assistance Received From Date | Insert | New Registration | | 5/1/2023 12:00:00 AM | 7/17/2023 5:29 PM |
| Details | Assistance Received To Date | Insert | New Registration | | 4/30/2024 12:00:00 AM | 7/17/2023 5:29 PM |
| Details | Last Recertification Date | Insert | New Registration | | | 7/17/2023 5:29 PM |
| Details | Grant Number | Insert | New Registration | | H76HA46008 | 7/17/2023 5:29 PM |
| Details | 340B ID | Insert | New Registration | | | 7/17/2023 5:29 PM |
| Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 7/17/2023 5:29 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 7/17/2023 5:29 PM |
| Details | Medicare Provider Number | Insert | New Registration | | | 7/17/2023 5:29 PM |
| Details | Entity Name | Insert | New Registration | | AIDS Healthcare Foundation | 7/17/2023 5:29 PM |
| Details | NOFO Number | Insert | New Registration | | | 7/17/2023 5:29 PM |
| Details | Program Code | Insert | New Registration | | HV | 7/17/2023 5:29 PM |
| Details | Entity Subname | Insert | New Registration | | AHF Healthcare Center - Pensacola | 7/17/2023 5:29 PM |
| Dates | Participating Approval Date | Insert | New Registration | | | 7/17/2023 5:29 PM |
| Details | State | Insert | New Registration | | Pending | 7/17/2023 5:29 PM |
| Dates | Registration Date | Insert | New Registration | | 7/17/2023 5:29:43 PM | 7/17/2023 5:29 PM |
| Dates | Signed By Date | Insert | New Registration | | | 7/17/2023 5:29 PM |
| Dates | Start Date | Insert | New Registration | | | 7/17/2023 5:29 PM |
| Terminations | Termination Comments | Insert | New Registration | | | 7/17/2023 5:29 PM |
| Terminations | Termination Date | Insert | New Registration | | | 7/17/2023 5:29 PM |
| Terminations | Termination Effective Date | Insert | New Registration | | | 7/17/2023 5:29 PM |
| Terminations | Termination Reason | Insert | New Registration | | | 7/17/2023 5:29 PM |