340B Drug Pricing Program Database


CHC28988-10 DAP HEALTH INC (Active) - information as of 5/11/2025 11:45:59 PM

Main Details
DAP HEALTH INC
PALM SPRINGS FAMILY HEALTH
HRSA-Funded Health Center
BPS-H80-037245
CHC28988-10
H80CS28988


Additional Details
Active
9/21/2023
10/1/2023
9/22/2023
2/12/2025

Contacts

DAP Health Inc
Judy Stith, Chief Administration Officer
(760) 323-2118 Ext: 526

Desert Aids Project
Kendra Pilar Coburn, 340B Program Manager
(760) 835-1935

Addresses

1100 N. PALM CANYON DRIVE STE 104-106
PALM SPRINGS, CA 92262

DAP Health
1695 N Sunrise Way
Palm Springs, CA 92262


  • 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
CA17307121831730712183,1619036514
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC28988-00ActiveBPS-H80-015616DAP HEALTH INCDesert AIDS Project, Inc.1695 N Sunrise Way Palm SpringsCA
CHC28988-01ActiveBPS-H80-029884DAP HEALTH INCDesert AIDS Project, Inc1695 N Sunrise Way STE 201 - 203 Palm SpringsCA
CHC28988-02ActiveBPS-H80-032763DAP HEALTH INCDesert AIDS Project, Inc1695 N Sunrise Way Ste 204 Palm SpringsCA
CHC28988-03ActiveBPS-H80-035232DAP HEALTH INCDesert AIDS Project, Inc81719 Doctor Carreon Blvd Ste 1D IndioCA
CHC28988-04ActiveBPS-H80-037240DAP HEALTH INCSTONEWALL MEDICAL CENTER68555 RAMON ROAD, STE 101,103,104,105 CATHEDRAL CITYCA
CHC28988-05TerminatedBPS-H80-037239DESERT AIDS PROJECT INCMARTHAS VILLAGE CLINIC83791 Date Ave IndioCA
CHC28988-06ActiveBPS-H80-037235DAP HEALTH INCCENTRO MEDICO EL CAJON133 W MAIN ST EL CAJONCA
CHC28988-07TerminatedBPS-H80-037238DESERT AIDS PROJECT INCLa Mesa Pediatrics8881 Fletcher Parkway STE 200 La MesaCA
CHC28988-08ActiveBPS-H80-037231DAP HEALTH INCSAN JACINTO HEALTH CENTER651 N STATE ST SAN JACINTOCA
CHC28988-09ActiveBPS-H80-037242DAP HEALTH INCDESERT HOT SPRINGS HEALTH AND WELLNESS CENTER11750 Cholla Dr STE B Desert Hot SpringsCA
CHC28988-10ActiveBPS-H80-037245DAP HEALTH INCPALM SPRINGS FAMILY HEALTH1100 N. PALM CANYON DRIVE STE 104-106 PALM SPRINGSCA
CHC28988-11ActiveBPS-H80-037225DAP HEALTH INCCentro Medico Cathedral City General Dentistry69-195 Ramon Road STE C-3 Cathedral CityCA
CHC28988-12ActiveBPS-H80-037226DAP HEALTH INCANZA COMMUNITY HEALTH CENTER58581 US HIGHWAY 371 STE F,G,H ANZACA
CHC28988-13ActiveBPS-H80-037227DAP HEALTH INCMobile Dental Trailer #169-175 RAMON ROAD BLDG A CATHEDRAL CITYCA
CHC28988-14ActiveBPS-H80-037243DAP HEALTH INCMobile Dental Trailer #269-175 RAMON ROAD BLDG A CATHEDRAL CITYCA
CHC28988-15ActiveBPS-H80-037236DAP HEALTH INCMobile Unit #41970 University Ave RiversideCA
CHC28988-16ActiveBPS-H80-037237DAP HEALTH INCCOACHELLA VALLEY COMMUNITY HEALTH CENTER49869 CALHOUN ST FL 1 COACHELLACA
CHC28988-17ActiveBPS-H80-037233DAP HEALTH INCCENTRO MEDICO ESCONDIDO1121 E WASHINGTON AVE ESCONDIDOCA
CHC28988-18ActiveBPS-H80-037246DAP HEALTH INCDesert Hot Springs Community Health Center66675 Pierson Blvd Desert Hot SpringsCA
CHC28988-19ActiveBPS-H80-037228DAP HEALTH INCMOBILE DENTAL UNIT #369-175 RAMON ROAD BLDG A CATHEDRAL CITYCA
CHC28988-20ActiveBPS-H80-037232DAP HEALTH INCCENTRO MEDICO COACHELLA55497 VAN BUREN ST THERMALCA
CHC28988-21ActiveBPS-H80-037241DAP HEALTH INCBORREGO MEDICAL CENTER4343 YAQUI PASS RD PO BOX2369 BORREGO SPRINGSCA
CHC28988-22TerminatedBPS-H80-037244DESERT AIDS PROJECT INCBORREGO HEALTH ESCONDIDO PEDIATRICS1111 E Washington Ave STE A, B, G ESCONDIDOCA
CHC28988-23ActiveBPS-H80-037630DAP HEALTH INCJAY HOFFMAN HEALTH CENTER29490 Lakeview Ave NuevoCA
CHC28988-24TerminatedBPS-H80-037582DESERT AIDS PROJECT INCVISTA VILLAGE PEDIATRICS950 Civic Center Dr Ste A VistaCA
CHC28988-25ActiveBPS-H80-037627DAP HEALTH INCDental Unit 766675 Pierson Blvd Desert Hot SpringsCA
CHC28988-26ActiveBPS-H80-037581DAP HEALTH INCCOD STUDENT HEALTH CENTER43500 MONTEREY AVE PALM DESERTCA
CHC28988-27ActiveBPS-H80-037629DAP HEALTH INCBORREGO HEALTH SPECIALTY CARE CENTER12520 PALM DR DESERT HOT SPRINGSCA
CHC28988-28ActiveBPS-H80-037631DAP HEALTH INCMOBILE UNIT # 858581 US HIGHWAY 371 STE F, G, H ANZACA
CHC28988-29ActiveBPS-H80-037583DAP HEALTH INCCentro Medico Oasis88-775 AVENUE 76 STE 1 THERMALCA
CHC28988-30ActiveBPS-H80-037580DAP HEALTH INCCentro Medico Mobile Clinic55497 Van Buren St ThermalCA
CHC28988-31ActiveBPS-H80-037628DAP HEALTH INCCENTRO MEDICO CATHEDRAL CITY69-175 Ramon Rd BLDG A CATHEDRAL CITYCA
CHC28988-32ActiveBPS-H80-037584DAP HEALTH INCWOOLCOTT DENTAL CLINIC590 Palm Canyon Dr Ste 212 Borrego SpringsCA
CHC28988-33ActiveBPS-H80-032252DAP HEALTH INCDesert AIDS Project - Mobile1695 N Sunrise Way Palm SpringsCA
CHC28988-34ActiveBPS-H80-022050DAP HEALTH INCDesert AIDS Project Administrative Offices II1445 N Sunrise Way, Suites 100 & 104 Palm SpringsCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC28988-00ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/01/2017  
CHC28988-00ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/01/2017  
CHC28988-00ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/01/2017  
CHC28988-00ACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/01/2017 07/01/2023
CHC28988-00ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/01/2017  
CHC28988-00ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/01/2017  
CHC28988-00ACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607507/01/2024  
CHC28988-00ADVANCECARE PHARMACY2484 E GETTYSBURG AVE
FRESNOCA9372601/25/2022 10/07/2024
CHC28988-00ALBERTSONS LLCSAV-ON PHARMACY #1569 1751 N SUNRISE WAY #1
PALM SPRINGSCA9226207/01/2019  
CHC28988-00ALBERTSONS LLCSAV-ON PHARMACY #0704 2955 ALPINE BLVD
ALPINECA9190107/01/2023 08/09/2024
CHC28988-00ALBERTSONS LLCSAV-ON PHARMACY #4713 1509 E VALLEY PKWY
ESCONDIDOCA9202707/01/2023  
CHC28988-00ALBERTSONS LLCSAV-ON PHARMACY #0723 9831 CAMPO RD
SPRING VALLEYCA9197707/01/2023  
CHC28988-00ALBERTSONS LLCSAV-ON PHARMACY #0725 1459 MAIN ST
RAMONACA9206507/01/2023  
CHC28988-00ALBERTSONS LLCSAV-ON PHARMACY #2783 2899 JAMACHA RD
EL CAJONCA9201907/01/2023  
CHC28988-00ALBERTSONS LLCSAV-ON PHARMACY #2586 40101 MONTEREY AVE
RANCHO MIRAGECA9227007/01/2023  
CHC28988-00AMAZON PHARMACY #0014500 S PLEASANT VALLEY RD STE 201
AUSTINTX78744-291107/01/2023  
CHC28988-00AMAZON PHARMACY #0063620 PLAINFIELD RD
INDIANAPOLISIN46231-700307/01/2023  
CHC28988-00AMAZON PHARMACY #008408 TECHNOLOGY PARKWAY BUILDING B, STE 101
COLLEGE STATIONTX7784510/01/2024 01/10/2025
CHC28988-00AMAZON PHARMACY #0097469 KINGSPOINTE PKWY STE 400
ORLANDOFL3281910/01/2024 01/10/2025
CHC28988-00AMAZON PHARMACY #0101331 E 6TH ST
CORONACA9287910/01/2024  
CHC28988-00ARKANSAS CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10409 2402 N. COLLEGE AVENUE
FAYETTEVILLEAR7270310/01/2021  
CHC28988-00AVITA PHARMACY 1025PHARMEDQUEST PHARMACY SERVICES DBA AVITA 3020 SATURN ST STE 100
BREACA9282111/22/2021  
CHC28988-00AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080811/22/2021  
CHC28988-00AZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503407/01/2023 01/10/2025
CHC28988-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771301/01/2024  
CHC28988-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526101/01/2024  
CHC28988-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267001/01/2024  
CHC28988-00CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2021  
CHC28988-00CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2021  
CHC28988-00CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/01/2021  
CHC28988-00CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2021  
CHC28988-00CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2021  
CHC28988-00CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2020  
CHC28988-00CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2021  
CHC28988-00CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813301/01/2021  
CHC28988-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237401/01/2020  
CHC28988-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/01/2021  
CHC28988-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00366 51 NORTH BROADWAY
TARRYTOWNNY1059101/01/2021 01/01/2022
CHC28988-00CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/01/2021  
CHC28988-00CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/01/2021  
CHC28988-00CVS PHARMACY, INC.DBA CVS/PHARMACY #10804 750 16TH STREET
DENVERCO8020210/01/2020 01/01/2022
CHC28988-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 09269 195 PASEO DE PERALTA
SANTA FENM8750101/01/2021  
CHC28988-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07402 7900 S MAIN
HOUSTONTX7702510/01/2021 05/05/2022
CHC28988-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02283 715 MORRISSEY BOULEVARD
DORCHESTERMA0212207/01/2022  
CHC28988-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00938 8 EAST WASHINGTON STREET
NORTH ATTLEBOROMA0276007/01/2023  
CHC28988-00CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2021  
CHC28988-00CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503301/01/2020  
CHC28988-00DESERT HOSPITAL OUTPATIENT PHARMACY1180 N INDIAN CANYON DR STE E140
PALM SPRINGSCA92262-488304/01/2017  
CHC28988-00DIB PHARMACEUTICAL INCDBA: BETTER LIFE PHARMACY 528 E MAIN ST
EL CAJONCA9202010/01/2023  
CHC28988-00DOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K 		GREENVILLESC29607-654101/01/2024  
CHC28988-00ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111207/01/2020  
CHC28988-00EXPRESS PHARMACY1111 E WASHINGTON AVE STE C
ESCONDIDOCA92025-222610/01/2023 04/09/2024
CHC28988-00EXPRESS PHARMACY1111 E WASHINGTON AVE STE C
ESCONDIDOCA92025-222601/01/2025  
CHC28988-00EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313407/01/2020  
CHC28988-00EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607507/01/2020  
CHC28988-00EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801607/01/2020  
CHC28988-00FIRESIDE PHARMACY73847 HIGHWAY 111
PALM DESERTCA9226007/25/2022 11/24/2024
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 01520 68-010 VISTA CHINO
CATHEDRAL CITYCA9223401/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09804 425 S. SUNRISE WAY
PALM SPRINGSCA9226201/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09616 31575 DATE PALM DR.
CATHEDRAL CITYCA9223407/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09648 82-270 HIGHWAY 111
INDIOCA9220107/01/2020 05/29/2024
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09549 1980 COLLEGE BLVD
OCEANSIDECA9205610/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09660 3751 WILSHIRE BOULEVARD
LOS ANGELESCA9001010/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09610 12280 PERRIS BLVD
MORENO VALLEYCA9255710/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08838 2130 N. BELLFLOWER BLVD.
LONG BEACHCA9081510/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09574 883 S. SANTA FE AVENUE
VISTACA9208310/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17377 27100 EUCALYPTUS AVE
MORENO VALLEYCA9255501/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 05497 84010 AVE 50
COACHELLACA9223601/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08881 1020 IRVINE AVENUE
NEWPORT BEACHCA9266001/01/2021 01/01/2022
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08894 101 REDLANDS MALL
REDLANDSCA9237310/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09739 42136 BIG BEAR BLVD/PO BOX 6966
BIG BEAR LAKECA9231510/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS/PHARMACY #10663 1919 SOUTH HOOVER STREET
LOS ANGELESCA9000710/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #11216 7030 HOLLISTER AVENUE
GOLETACA9311710/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16507 1415 MAIN ST
WATSONVILLECA9507610/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16987 78935 US HWY 111
LA QUINTACA9225310/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #11178 500 WILSHIRE BLVD
SANTA MONICACA9040110/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08521 1003 E. DEVONSHIRE AVE.
HEMETCA9254310/01/2021 08/23/2023
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16104 67750 E PALM CANYON DR
CATHEDRAL CITYCA9223410/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09628 25080 HANCOCK AVE.
MURRIETACA9256210/01/2021 06/06/2024
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08818 997 WOODLAND PKWY.
SAN MARCOSCA9206910/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10310 1795 E. LUGONIA AVENUE
REDLANDSCA9237410/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS/PHARMACY# 1983 701 PORTOLA DR
SAN FRANCISCOCA9412710/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 03341 44-075 JEFFERSON ST.
LA QUINTACA9225310/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16359 72549 HIGHWAY 111
PALM DESERTCA9226010/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16964 2755 CANYON SPRINGS PKWY
RIVERSIDECA9250710/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09779 74955 US HIGHWAY 111
INDIAN WELLSCA9221010/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09646 42155 WASHINGTON ST.
PALM DESERTCA9221110/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09649 33499 YUCAIPA BLVD
YUCAIPACA9239907/01/2022  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 02050 42150 A JACKSON ST.
INDIOCA9220307/01/2022  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08897 3361 MARKET ST.
RIVERSIDECA9250107/01/2022  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 07127 1302 WEST MISSION RD.
SAN MARCOSCA9206907/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09166 734 S. RANCHO SANTA FE RD.
SAN MARCOSCA9207807/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09103 318 W EL NORTE PARKWAY
ESCONDIDOCA9202607/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09108 1655 S. CENTRE CITY PKWY.
ESCONDIDOCA9202507/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09668 727 S. ARROYO PARKWAY
PASADENACA9110507/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09849 8280 MAGNOLIA AVE.
RIVERSIDECA9250407/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09104 2427 E. VALLEY PKWY
ESCONDIDOCA9202707/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09145 9730 MISSION GORGE RD.
SANTEECA9207107/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09175 4829 CLAIREMONT DR
SAN DIEGOCA9211707/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08859 16 3RD AVENUE EXT.
CHULA VISTACA9191007/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09114 1299 BROADWAY
EL CAJONCA9202107/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09193 1380 43RD ST.
SAN DIEGOCA9211307/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS/PHARMACY # 17709 233 WINSTON DRIVE
SAN FRANCISCOCA9413207/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09109 6265 EL CAJON BLVD
SAN DIEGOCA9211507/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08833 3332 SANDROCK ROAD
SAN DIEGOCA9212307/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08866 1706 OCEANSIDE BLVD
OCEANSIDECA9205407/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08836 1631 S MELROSE DR
VISTACA9208107/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16937 2295 N IMPERIAL AVE
EL CENTROCA9224307/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09740 15210 ROSECRANS AVENUE
LA MIRADACA9063807/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09721 1401 S. BALDWIN AVE.
ARCADIACA9100707/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09115 645 SATURN BLVD
SAN DIEGOCA9215407/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09561 17625 HARVARD AVENUE
IRVINECA9261407/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09120 800 PALM AVE.
IMPERIAL BEACHCA9193207/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09799 6215 RIVERSIDE AVE.
RIVERSIDECA9250607/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09137 7393 JACKSON DR.
SAN DIEGOCA9211907/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09483 10011 ADAMS AVENUE
HUNTINGTON BEACHCA9264607/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16083 1280 AUTO PARKWAY SOUTH
ESCONDIDOCA9202907/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09173 2760 FLETCHER PKY
EL CAJONCA9202007/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16094 3333 ARLINGTON AVE
RIVERSIDECA9250607/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09634 2521 EAST AVENUE S
PALMDALECA9355007/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09524 3350 PALM AVE.
SAN DIEGOCA9215407/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY # 10931 1745 S. IMPERIAL AVE
EL CENTROCA9224307/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09112 7100 BROADWAY
LEMON GROVECA9194507/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09194 1810 MAIN ST.
RAMONACA9206507/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09580 5101 OBAMA BLVD
LOS ANGELESCA9001607/01/2023 03/05/2025
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09657 44430 CHALLENGER WAY
LANCASTERCA9353507/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 04768 510 C STREET
SAN DIEGOCA9210107/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY # 3055 38012 47TH STREET EAST
PALMDALECA9355207/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16053 3520 TYLER ST
RIVERSIDECA9250307/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09746 6840 LINCOLN AVENUE
RIVERSIDECA9250607/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08862 12031 BROOKHURST STREET
GARDEN GROVECA9284007/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09728 1322 W. 6TH ST.
CORONACA9288207/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17625 2675 GEARY BLVD
SAN FRANCISCOCA9411807/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08857 1441 N SANTA FE
VISTACA9208407/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08842 426 EAST CHASE AVENUE
EL CAJONCA9202007/01/2023  
CHC28988-17GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09103 318 W EL NORTE PARKWAY
ESCONDIDOCA9202610/01/2024  
CHC28988-06GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09114 1299 BROADWAY
EL CAJONCA9202110/01/2024  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08943 102 S. SANDERSON AVE.
SAN JACINTOCA9258201/01/2025  
CHC28988-00GENOA HEALTHCARE LLC1850 W FLORIDA AVE
HEMETCA9254501/01/2024 04/01/2025
CHC28988-00GENOA HEALTHCARE LLC17782 COWAN ST STE G
IRVINECA9261401/01/2024  
CHC28988-00GENOA HEALTHCARE LLC474 W VERMONT AVE, STE 104
ESCONDIDOCA9202504/01/2025  
CHC28988-00HOOK-SUPERX, L.L.C.DBA: CVS/PHARMACY # 06875 930 N. GOSPEL ST
PAOLIIN4745410/01/2021  
CHC28988-00IC PHARMACY LLCAMAZON PHARMACY #004 34 35TH STREET
STE 4BSW, UNIT 28 		BROOKLYNNY1123210/01/2024 01/10/2025
CHC28988-00ICARE RX LLC14447 COUNTRY WALK DR
MIAMIFL3318601/25/2022  
CHC28988-00INDIO MEDICAL PHARMACY81-893 DR CARREON BLVD STE 7
INDIOCA92201-559207/25/2022 05/21/2023
CHC28988-00LA QUINTA PHARMACY43875 WASHINGTON ST STE A
PALM DESERTCA92211-824907/25/2022 11/24/2024
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03058 26180 IRIS AVE
MORENO VALLEYCA9255510/01/2020  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09134 49980 JEFFERSON ST
INDIOCA9220110/01/2020  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 07962 5685 BALBOA AVE
SAN DIEGOCA9211110/01/2020  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09656 2771 4TH ST
SANTA ROSACA9540501/01/2021 01/01/2022
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09933 1405 HERNDON AVENUE
CLOVISCA9361101/01/2021  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09922 3950 W POINT LOMA BLVD
SAN DIEGOCA9211010/01/2021  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09918 31021 TEMECULA PARKWAY
TEMECULACA9259210/01/2021  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09086 670 EL CERRITO PLZ
EL CERRITOCA9453010/01/2021  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09987 1798 MIRAMONTE AVE
MOUNTAIN VIEWCA9404010/01/2021 10/26/2023
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09153 42520 BOB HOPE DR
RANCHO MIRAGECA9227010/01/2021  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09286 581 W CHANNEL ISLANDS BLVD
PORT HUENEMECA9304107/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09969 7850 TELEGRAPH RD
VENTURACA9300407/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09169 5500 GROSSMONT CENTER DR BLDG P
LA MESACA9194207/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09282 1471 W COVELL BLVD
DAVISCA9561607/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09959 1560 W VALLEY PKWY
ESCONDIDOCA9202907/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09818 572 FLETCHER PKWY
EL CAJONCA9202007/01/2023 04/15/2025
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09506 1140 S MAIN ST
SALINASCA9390107/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09162 3749 AVOCADO BLVD
LA MESACA9194107/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09973 1595 MAIN STREET
WEAVERVILLECA9609307/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09961 191 WOODLAND PKWY
SAN MARCOSCA9206907/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 06368 635 S MELROSE DR
VISTACA9208107/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09167 790 JAMACHA RD
EL CAJONCA9201907/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09632 691 3RD AVE
CHULA VISTACA9191007/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09240 380 E H ST
CHULA VISTACA9191007/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03033 110 E STETSON AVE
HEMETCA9254301/01/2025  
CHC28988-00LONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D 		LEXINGTONSC29072-245311/22/2021  
CHC28988-00M.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312607/01/2023 01/10/2025
CHC28988-00NEVADA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 09770 2830 BICENTENNIAL PKWY.
HENDERSONNV8904410/01/2021  
CHC28988-00NEVADA CVS PHARMACY, L.L.C.CVS/PHARMACY # 10861 8491 FARM RD.
LAS VEGASNV8913110/01/2021  
CHC28988-00NEVADA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08788 1812 E. CHARLESTON BLVD.
LAS VEGASNV8910410/01/2021 08/01/2023
CHC28988-00NEW JERSEY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03136 440 BELLEVILLE TPKE.
NORTH ARLINGTONNJ0703110/01/2021  
CHC28988-00NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02571 1235 PECAN AVE.,
CHARLOTTENC2820510/01/2021  
CHC28988-00NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16480 4711 NEW CENTRE DR
WILMINGTONNC2840510/01/2021  
CHC28988-00NSKAPE INCDBA: INDIANA PHARMACY 6780 INDIANA AVE STE 145
RIVERSIDECA92506-427010/01/2023  
CHC28988-00OPTUM FRONTIER THERAPIES II, LLC6425 SANTA MARGARITA ST UNIT 110
LAS VEGASNV89118-191307/01/2023 03/29/2024
CHC28988-00OPTUM INFUSION SERVICES 305, LLC15529 COLLEGE BLVD.
LENEXAKS66219-135107/01/2023  
CHC28988-00OPTUM INFUSION SERVICES 401, LLC4610 NORTHGATE BLVD. STE. 130
SACRAMENTOCA95834-115407/01/2023  
CHC28988-00OPTUM INFUSION SERVICES 402, LLC2300 MAIN ST STE 150
IRVINECA92614-622307/01/2023 10/01/2024
CHC28988-00OPTUM PHARMACY 701, LLC8131 W BOSTIAN RD STE A350
WOODINVILLEWA98072-502904/01/2022  
CHC28988-00OPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520401/01/2024  
CHC28988-00OPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850704/01/2024  
CHC28988-00OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713004/01/2022  
CHC28988-00OPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824901/01/2023  
CHC28988-00OPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729804/01/2022  
CHC28988-00OPTUM PHARMACY 707, INC4900 RIVERGRADE RD STE E110
IRWINDALECA91706-140104/01/2022  
CHC28988-00OPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508504/01/2022  
CHC28988-00OPTUMRX2858 LOKER AVE E STE 100
CARLSBADCA92010-660804/01/2022 06/06/2022
CHC28988-00OPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983804/01/2022  
CHC28988-00PATHWAY PHARMACEUTICALS INCDBA LAS PALMAS PHARMACY 555 E TACHEVAH DR
STE 1W101 		PALM SPRINGSCA9226207/25/2022 11/24/2024
CHC28988-00PHARMEDQUEST PHARMACYPHARMEDQUEST PHARMACY SERVICES 451 W. LAMBERT RD STE 209
BREACA92821-928201/01/2022 10/15/2021
CHC28988-00PHYSICIAN'S RX PHARMACY, LLCPHYSICIANS RX PHARMACY, LLC 9701 APOLLO DRIVE
#400 		LARGOMD2077401/25/2022  
CHC28988-00PILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310107/01/2023  
CHC28988-00PILLPACK LLCAMAZON PHARMACY #005 20416 72ND AVE S
KENTWA98032-231910/01/2024  
CHC28988-00PREMIER PHARMACY SERVICES410 CLOVERLEAF DR
BALDWIN PARKCA9170610/01/2023  
CHC28988-00PRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999201/01/2020 01/01/2023
CHC28988-00PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/01/2020  
CHC28988-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY 445 CASTRO STREET
SAN FRANCISCOCA9411410/01/2020  
CHC28988-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY 8607 SANTA MONICA BOULEVARD
WEST HOLLYWOODCA9006910/01/2020  
CHC28988-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920301/01/2021 01/01/2022
CHC28988-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681301/01/2021 01/01/2022
CHC28988-00PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523301/01/2021 01/01/2022
CHC28988-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681307/01/2023  
CHC28988-00PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523307/01/2023  
CHC28988-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920307/01/2023  
CHC28988-00PRXP OF CA LLCPRXP OF CA LLC 4345 E LOWELL ST
STE C & D 		ONTARIOCA9176101/25/2022  
CHC28988-00PRXP OF NEW YORK LLCDBA BROADWAY FAMILY PHARMACY 601 AMSTERDAM AVE
NEW YORKNY1002401/25/2022  
CHC28988-00RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255001/01/2024  
CHC28988-00RALPHS GROCERY CODBA RALPHS #611 425 S SUNRISE WAY STE A
PALM SPRINGSCA9226207/01/2020  
CHC28988-01RALPHS GROCERY CODBA RALPHS #611 425 S SUNRISE WAY STE A
PALM SPRINGSCA9226207/01/2020 04/25/2023
CHC28988-00RIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500201/01/2024  
CHC28988-00SANTA BARBARA SPECIALTY PHARMACY LLC4690 CARPINTERIA AVE STE B
CARPINTERIACA9301301/01/2024  
CHC28988-00SINA DRUG LLCDBA ONCO360 1985 MARCUS AVE STE 120
NEW HYDE PARKNY1104207/01/2025  
CHC28988-00SINA DRUG LLCD/B/A ONCO 360 13410 EASTPOINT CENTRE DR
STE 101 		LOUISVILLEKY4022307/01/2025  
CHC28988-00SINA DRUG, LLC D/B/A ONCO36015990 N GREENWAY HAYDEN LOOP STE D-100
SCOTTSDALEAZ8526007/01/2025  
CHC28988-00THE VONS COMPANIES INCVONS PHARMACY #2384 4733 EAST PALM CANYON DRIVE
PALM SPRINGSCA9226407/01/2019  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5673 616 EAST HOBSONWAY
BLYTHECA9222501/01/2021  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5671 1660 E FIRST ST
BEAUMONTCA92223-371501/01/2021  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5685 72253 29 PALMS HWY
TWENTYNINE PALMSCA9227701/01/2021  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5681 72-875 HIGHWAY 111
PALM DESERTCA9226001/01/2021 01/01/2024
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5679 12900 PALM DRIVE
DESERT HOT SPRINGSCA9224001/01/2021  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5683 366 SOUTH PALM CANYON DRIVE
PALM SPRINGSCA9226201/01/2021 09/18/2023
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5684 111 S SUNRISE WAY
PALM SPRINGSCA9226201/01/2021  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5297 2519 MAIN STREET
UNION GAPWA9890301/01/2021 01/01/2021
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5676 69155 RAMON ROAD
CATHEDRAL CITYCA9223401/01/2021  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5672 806 W RAMSEY STREET
BANNINGCA9222001/01/2021  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #6532 47985 MONROE STREET BLDG A
INDIOCA9220107/01/2022  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5714 4920 LA SIERRA AVE
RIVERSIDECA9250501/24/2023  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5686 57701 29 PALMS HIGHWAY
YUCCA VALLEYCA9228401/24/2023  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5712 6150 VAN BUREN BOULEVARD
RIVERSIDECA9250307/01/2023  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5678 51101 CESAR CHAVEZ ST
COACHELLACA9223607/01/2023  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #6486 1180 N STATE STREET
SAN JACINTOCA9258310/01/2023  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #6293 1605 SOUTH SAN JACINTO AVE.
SAN JACINTOCA9258310/01/2023 10/01/2023
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5704 27350 SUN CITY BOULEVARD
MENIFEECA9258610/01/2023  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5623 2516 JAMACHA ROAD
EL CAJONCA9201910/01/2023  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5682 74958 COUNTRY CLUB DRIVE
PALM DESERTCA9226007/01/2024  
CHC28988-00TOWN SQUARE PHARMACY, INC.81709 DOCTOR CARREON BLVD STE E3
INDIOCA9220107/25/2022  
CHC28988-00UTAH CVS PHARMACY, L.L.C.CVS PHARMACY # 17596 1110 S 300 W
SALT LAKE CITYUT8410110/01/2021  
CHC28988-00UTAH CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #10423 1269 E 2100 S
SALT LAKE CITYUT8410610/01/2021  
CHC28988-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2023  
CHC28988-00WAL-MART PHARMACY 10-15552150 N. WATERMAN AVE
EL CENTROCA9224310/01/2023  
CHC28988-00WAL-MART PHARMACY 10-1600201 EAST BOWMAN RD.
RIDGECRESTCA9355510/01/2023  
CHC28988-00WAL-MART PHARMACY 10-16921120 SOUTH MT VERNON AVE
COLTONCA9232410/01/2023  
CHC28988-00WAL-MART PHARMACY 10-175617251 FOOTHILL BLVD
FONTANACA9233510/01/2023  
CHC28988-00WAL-MART PHARMACY 10-180579295 HWY 111
LAQUINTACA9225310/01/2023  
CHC28988-00WAL-MART PHARMACY 10-18325601 E RAMON RD
PALM SPRINGSCA9226410/01/2023  
CHC28988-00WAL-MART PHARMACY 10-18592540 ROCKWOOD AVENUE
CALEXICOCA9223110/01/2023  
CHC28988-00WAL-MART PHARMACY 10-18621366 SOUTH RIVERSIDE AVE
RIALTOCA9237610/01/2023  
CHC28988-00WAL-MART PHARMACY 10-1879301 MONTARA RD
BARSTOWCA9231110/01/2023  
CHC28988-00WAL-MART PHARMACY 10-18996250 VALLEY SPRINGS PKWY
RIVERSIDECA9250710/01/2023  
CHC28988-00WAL-MART PHARMACY 10-1917170 TOWN CENTER PARKWAY
SANTEECA9207110/01/2023  
CHC28988-00WAL-MART PHARMACY 10-192212549 FOOTHILL BLVD
RANCHO CUCAMONGACA9173910/01/2023  
CHC28988-00WAL-MART PHARMACY 10-20285200 VAN BUREN BOULEVARD
RIVERSIDECA9250310/01/2023  
CHC28988-00WAL-MART PHARMACY 10-2150710 DENNERY RD
SAN DIEGOCA9215410/01/2023  
CHC28988-00WAL-MART PHARMACY 10-218182-491 AVENUE 42
INDIOCA9220310/01/2023  
CHC28988-00WAL-MART PHARMACY 10-225313487 CAMINO CANADA
EL CAJON (EAST)CA9202110/01/2023  
CHC28988-00WAL-MART PHARMACY 10-24793412 COLLEGE AVENUE
SAN DIEGO (E)CA9211510/01/2023  
CHC28988-00WAL-MART PHARMACY 10-270832225 TEMECULA PKWY
TEMECULACA9259210/01/2023  
CHC28988-00WAL-MART PHARMACY 10-32764001 HALLMARK PKWY
SAN BERNARDINO (N)CA9240710/01/2023  
CHC28988-00WAL-MART PHARMACY 10-34643943 GRAND AVENUE
CHINOCA9171010/01/2023  
CHC28988-00WAL-MART PHARMACY 10-3494732 CENTER DR
SAN MARCOSCA9206910/01/2023  
CHC28988-00WAL-MART PHARMACY 10-3524605 FLETCHER PKWY
EL CAJON (C)CA9202010/01/2023 04/01/2025
CHC28988-00WAL-MART PHARMACY 10-509634500 MONTEREY AVE.
PALM DESERT(C. CITY)CA9226010/01/2023  
CHC28988-00WAL-MART PHARMACY 10-519312721 MORENO BEACH DRIVE
MORENO VALLEYCA9255510/01/2023  
CHC28988-00WAL-MART PHARMACY 10-54251861 SOUTH SAN JACINTO AVENUE
SAN JACINTOCA9258310/01/2023  
CHC28988-00WAL-MART PHARMACY 10-59961330 EAST GRAND AVE
ESCONDIDOCA9202710/01/2023  
CHC28988-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2023  
CHC28988-00WALGREEN CODBA: WALGREENS #10467 1236 N WATERMAN AVE
SAN BERNARDINOCA92404-531104/01/2016 04/14/2016
CHC28988-00WALGREEN CODBA: WALGREENS #09885 2465 E. PALM CANYON DR, BLDG 14
PALM SPRINGSCA9226404/01/2016  
CHC28988-00WALGREEN CODBA: WALGREENS #09021 1811 S SAN JACINTO AVE
SAN JACINTOCA92583-560504/01/2017  
CHC28988-00WALGREEN CODBA: WALGREENS #09641 72027 DINAH SHORE DR
RANCHO MIRAGECA92270-173904/01/2017  
CHC28988-00WALGREEN CODBA: WALGREENS #09781 82-955 AVENUE 48, BLDG B
INDIOCA9220104/01/2017  
CHC28988-00WALGREEN CODBA: WALGREENS #10242 78218 VARNER RD
PALM DESERTCA9221104/01/2017  
CHC28988-00WALGREEN CODBA: WALGREENS #10368 2261 W ESPLANADE AVE
SAN JACINTOCA9258204/01/2017  
CHC28988-00WALGREEN CODBA: WALGREENS #10703 82900 AVENUE 42
STE D 		INDIOCA9220304/01/2017  
CHC28988-00WALGREEN CODBA: WALGREENS #12143 5504 BALBOA AVE
SAN DIEGOCA9211107/01/2023  
CHC28988-00WALGREEN CODBA: WALGREENS #10467 1236 N WATERMAN AVE
SAN BERNARDINOCA92404-531107/01/2023  
CHC28988-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #07577 1695 N SUNRISE WAY
PALM SPRINGSCA9226204/01/2016  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 01079 1700 E VISTA CHINO ROAD
PALM SPRINGSCA9226204/01/2016  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 09183 1301 W BASELINE ST
SAN BERNARDINOCA92411-170704/01/2016 04/14/2016
CHC28988-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #13435 555 S SUNRISE WAY STE 112-113
PALM SPRINGSCA9226404/01/2016  
CHC28988-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #12694 10990 WARNER AVE STE A
FOUNTAIN VALLEYCA9270807/01/2016  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 04756 44840 MONTEREY AVE.
PALM DESERTCA9226007/01/2016  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 09229 30-015 DATE PALM
CATHEDRAL CITYCA9223407/01/2016  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05037 14001 PALM DR
DESERT HOT SPRINGSCA9224007/01/2016  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05301 33975 DATE PALM DR
CATHEDRAL CITYCA9223407/01/2016  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 01254 44100 JEFFERSON ST
INDIOCA9220104/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 04757 42010 WASHINGTON ST.
BERMUDA DUNESCA9220304/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05182 60 N HIGHLAND SPRINGS AVE
BANNINGCA9222004/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05220 12275 PERRIS BLVD
MORENO VALLEYCA9255704/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05348 34503 YUCAIPA BLVD
YUCAIPACA9239904/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05349 1311 E. FLORIDA AVE.
HEMETCA9254404/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05506 118 E BASE LINE ROAD
RIALTOCA92376-360704/01/2017 01/01/2022
CHC28988-00WALGREEN CO.DBA: WALGREENS # 06126 27975 BRADLEY RD
MENIFEECA92586-227304/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 06127 30251 MURRIETA ROAD
MENIFEECA9258404/01/2017 01/01/2022
CHC28988-00WALGREEN CO.DBA: WALGREENS # 06399 58133 29 PALMS HWY
YUCCA VALLEYCA9228404/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 07714 1400 BEAUMONT AVE
BEAUMONTCA9222304/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 07765 47900 WASHINGTON STREET
LA QUINTACA9225304/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 09080 80925 US HIGHWAY 111
INDIOCA9220104/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS #10366 1186 CALIMESA BLVD
CALIMESACA9232004/01/2017 01/01/2022
CHC28988-00WALGREEN CO.DBA: WALGREENS #11611 50040 CESAR CHAVEZ ST
COACHELLACA9223604/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 13833 10992 MAGNOLIA AVENUE
RIVERSIDECA9250501/24/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 07176 8766 NAVAJO RD
SAN DIEGOCA92119-272207/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05455 111 W WASHINGTON AVE
ESCONDIDOCA9202507/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 01080 43200 STATE HWY 74
HEMETCA9254407/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS #11990 9728 WINTER GARDENS BLVD
LAKESIDECA9204007/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 01995 40420 MURRIETA HOT SPRINGS
MURRIETACA9256307/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 02712 8044 LIMONITE AVE
RIVERSIDECA9250907/01/2023  
CHC28988-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #16554 7000 INDIANA AVE STE 112
RIVERSIDECA9250607/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS #12915 7195 BROADWAY
LEMON GROVECA91945-140807/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 01870 12109 APPLE VALLEY RD
APPLE VALLEYCA9230807/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS #11653 1320 ENCINITAS BLVD
ENCINITASCA9202407/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 06856 100 N IMPERIAL AVE
EL CENTROCA9224307/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS #09817 9305 MISSION GORGE RD
SANTEECA92071-381507/01/2023  
CHC28988-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #16490 4130 LA JOLLA VILLAGE DR STE 103
LA JOLLACA9203707/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05038 1661 W FLORIDA AVE
HEMETCA9254307/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 06685 1634 E HIGHLAND AVE
SAN BERNARDINOCA92404-461607/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05556 17051 BEAR VALLEY ROAD
HESPERIACA9234507/01/2023  
CHC28988-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15294 8490 SANTA MONICA BLVD STE 1
WEST HOLLYWOODCA9006907/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 01081 1101 S SANDERSON AVE
HEMETCA9254507/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 07262 6600 MAGNOLIA AVE
RIVERSIDECA92506-290307/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05844 215 NORTH 2ND STREET
EL CAJONCA9202107/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05700 1574 E VALLEY PKWY
ESCONDIDOCA9202707/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS #07990 1745 UNIVERSITY AVE.
RIVERSIDECA9250707/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 07976 800 E LUGONIA AVENUE
REDLANDSCA9237407/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 06656 3222 UNIVERSITY AVENUE
SAN DIEGOCA92104-201007/01/2023 11/15/2023
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05527 25011 ALESSANDRO BLVD
MORENO VALLEYCA9255307/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 02223 17383 MAIN STREET
HESPERIACA92345-611707/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 10142 460 W FELICITA AVENUE
ESCONDIDOCA92025-651807/01/2023  
CHC28988-18WALGREEN CO.DBA: WALGREENS # 05037 14001 PALM DR
DESERT HOT SPRINGSCA9224010/01/2024  
CHC28988-00WALGREENS MAIL SERVICE, LLCWALGREENS MAIL SERVICE #03397 8350 S RIVER PARKWAY
TEMPEAZ8528407/01/2023  
CHC28988-00WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700801/01/2020 01/01/2022
CHC28988-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818801/01/2020  
CHC28988-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503301/01/2020  
CHC28988-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527501/01/2020  
CHC28988-00WALGREENS.COM, INC.DBA: WALGREENS 2225 S. PRICE ROAD
CHANDLERAZ8528607/01/2023  
CHC28988-00WALMART PHARMACY #10-4169300 N. 2ND ST
EL CAJONCA9202110/01/2023  
CHC28988-00WALMART PHARMACY 10-282683053 AVENUE 48
COACHELLACA9223610/01/2023  
CHC28988-00WALMART PHARMACY 10-302672314 HIGHWAY 111
PALM DESERTCA9226010/01/2023  
CHC28988-00WALMART PHARMACY 10-30841266 E VALLEY PKWY
ESCONDIDOCA9202710/01/2023  
CHC28988-00WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275610/01/2023  
CHC28988-00WALMART PHARMACY 10-56638844 LIMONITE AVE
JURUPA VALLEYCA92509-502110/01/2023  
CHC28988-00Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CHC28988-00WHITE CROSS PHARMACY #11717 E VISTA CHINO STE B2
PALM SPRINGSCA92262-370004/01/2017  
CHC28988-00WISCONSIN CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08768 240 E HAMPTON AVENUE
WHITEFISH BAYWI5321701/01/2021 01/01/2022
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
Medicaid BillingNPI: NumberInsertChange Request 16190365144/3/2025 4:15 PM
Medicaid BillingNPI: StateInsertChange Request CA4/3/2025 4:15 PM
DetailsEntity NameUpdateGroup Change RequestDESERT AIDS PROJECT INCDAP HEALTH INC3/19/2025 6:13 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestStith, Judy Chief Financial Officer Desert AIDS Project 7603232118-526Stith, Judy Chief Administration Officer DAP Health Inc 7603232118-5263/19/2025 6:11 AM
DetailsLast Recertification DateUpdateRecertification2/6/2024 1:34:49 PM2/12/2025 3:08:03 PM2/12/2025 3:08 PM
ContactsAuthorizing OfficialUpdateGroup Change RequestBrinkman, David Chief Executive Officer Desert AIDS Project 7609920418Stith, Judy Chief Financial Officer Desert AIDS Project 7603232118-5267/15/2024 7:06 AM
ContactsPrimary ContactUpdateGroup Change RequestStith, Judy Chief Financial Officer Desert AIDS Project 7603232118-526Coburn, Kendra Pilar 340B Program Manager Desert Aids Project 76083519357/15/2024 7:06 AM
DetailsLast Recertification DateUpdateRecertification 2/6/2024 1:34:49 PM2/6/2024 1:34 PM
DetailsStateUpdate ApprovedActive10/1/2023 12:01 AM
ContactsSigned ByInsertNew Registration Brinkman, David Chief Executive Officer Desert AIDS Project 76099204189/22/2023 10:03 AM
Details340B IDUpdateNew Registration CHC28988-109/22/2023 10:03 AM
DatesParticipating Approval DateUpdateNew Registration 9/22/2023 10:03:19 AM9/22/2023 10:03 AM
DetailsStateUpdateNew RegistrationPendingApproved9/22/2023 10:03 AM
DatesSigned By DateUpdateNew Registration 9/21/2023 3:37:55 PM9/22/2023 10:03 AM
DatesStart DateUpdateNew Registration 10/1/2023 12:00:00 AM9/22/2023 10:03 AM
AddressesMain AddressInsertNew Registration  1100 N. PALM CANYON DRIVE STE 104-106 PALM SPRINGS, CA 922629/21/2023 9:28 AM
AddressesBilling AddressInsertNew Registration DAP Health 1695 N Sunrise Way Palm Springs, CA 922629/21/2023 9:28 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False9/21/2023 9:28 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 17307121839/21/2023 9:28 AM
Medicaid BillingMedicaid: StateInsertNew Registration CA9/21/2023 9:28 AM
Medicaid BillingNPI: NumberInsertNew Registration 17307121839/21/2023 9:28 AM
Medicaid BillingNPI: StateInsertNew Registration CA9/21/2023 9:28 AM
ContactsPrimary ContactInsertNew Registration Stith, Judy Chief Financial Officer Desert AIDS Project 7603232118-5269/21/2023 9:28 AM
ContactsAuthorizing OfficialInsertNew Registration Brinkman, David Chief Executive Officer Desert AIDS Project 76099204189/21/2023 9:28 AM
DetailsAssistance Received From DateInsertNew Registration  9/21/2023 9:28 AM
DetailsAssistance Received To DateInsertNew Registration  9/21/2023 9:28 AM
DetailsLast Recertification DateInsertNew Registration  9/21/2023 9:28 AM
DetailsGrant NumberInsertNew Registration H80CS289889/21/2023 9:28 AM
Details340B IDInsertNew Registration  9/21/2023 9:28 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  9/21/2023 9:28 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  9/21/2023 9:28 AM
DetailsMedicare Provider NumberInsertNew Registration  9/21/2023 9:28 AM
DetailsEntity NameInsertNew Registration DESERT AIDS PROJECT INC9/21/2023 9:28 AM
DetailsNOFO NumberInsertNew Registration  9/21/2023 9:28 AM
DetailsProgram CodeInsertNew Registration CH9/21/2023 9:28 AM
DetailsEntity SubnameInsertNew Registration PALM SPRINGS FAMILY HEALTH9/21/2023 9:28 AM
DatesParticipating Approval DateInsertNew Registration  9/21/2023 9:28 AM
DetailsStateInsertNew Registration Pending9/21/2023 9:28 AM
DatesRegistration DateInsertNew Registration 9/21/2023 9:28:34 AM9/21/2023 9:28 AM
DatesSigned By DateInsertNew Registration  9/21/2023 9:28 AM
DatesStart DateInsertNew Registration  9/21/2023 9:28 AM
TerminationsTermination CommentsInsertNew Registration  9/21/2023 9:28 AM
TerminationsTermination DateInsertNew Registration  9/21/2023 9:28 AM
TerminationsTermination Effective DateInsertNew Registration  9/21/2023 9:28 AM
TerminationsTermination ReasonInsertNew Registration  9/21/2023 9:28 AM