No
CHC06672-00 | ACCREDO HEALTH GROUP INC | 1620 CENTURY CENTER PKWY |
# 109
| MEMPHIS | TN | 38134-8849 | 04/01/2022 | | 12/08/2022 |
CHC06672-00 | ACCREDO HEALTH GROUP INC | 3000 ERICSSON DRIVE, SUITE 100 |
| WARRENDALE | PA | 15086-7502 | 04/01/2022 | | 12/08/2022 |
CHC06672-00 | ACCREDO HEALTH GROUP INC | 2040 W RIO SALADO PKWY STE 101B |
| TEMPE | AZ | 85281-2010 | 04/01/2022 | | 12/08/2022 |
CHC06672-00 | ACCREDO HEALTH GROUP, INC. | 2825 W PERIMETER RD STE 112 |
| INDIANAPOLIS | IN | 46241 | 04/01/2022 | | 12/08/2022 |
CHC06672-00 | ACCREDO HEALTH GROUP, INC. | 6272 LEE VISTA BLVD STE 100 |
| ORLANDO | FL | 32822 | 04/01/2022 | | 12/08/2022 |
CHC06672-00 | ACCREDO HEALTH GROUP, INC. | 2 BOULDEN CIR STE 1 |
| NEW CASTLE | DE | 19720-3492 | 04/01/2022 | | 12/08/2022 |
CHC06672-00 | ACCREDO HEALTH GROUP, INC. | 4750 E 450 S |
SUITE A
| WHITESTOWN | IN | 46075 | 04/01/2022 | | 12/08/2022 |
CHC06672-00 | ESI MAIL PHARMACY SERVICE | DBA EXPRESS SCRIPTS |
7909 S HARDY DR STE 106
| TEMPE | AZ | 85284-1112 | 04/01/2022 | | 12/08/2022 |
CHC06672-00 | EXPRESS SCRIPTS | ESI MAIL PHARMACY SERVICE INC |
4600 N HANLEY RD
| SAINT LOUIS | MO | 63134 | 04/01/2022 | | 12/08/2022 |
CHC06672-00 | EXPRESS SCRIPTS PHARMACY, INC. | DBA EXPRESS SCRIPTS |
2040 ROUTE 130 NORTH
| BURLINGTON | NJ | 08016 | 04/01/2022 | | 12/08/2022 |
CHC06672-00 | EXPRESS SCRIPTS PHARMACY, INC. | DBA EXPRESS SCRIPTS |
4750 E. 450 S.
| WHITESTOWN | IN | 46075 | 04/01/2022 | | 12/08/2022 |
CHC06672-00 | GRUBB'S PHARMACY SE, INC. | GRUBBS PHARMACY SE, INC. |
1800 MARTIN LUTHER KING JR AVE SE
| WASHINGTON | DC | 20020-6900 | 04/01/2019 | | 05/04/2022 |
CHC06672-00 | GRUBBS CARE PHARMACY NW INC. | GRUBB'S NW SPECIALTY PHARMACY |
1517 17TH ST NW FL 1
| WASHINGTON | DC | 20036-6230 | 04/01/2019 | | 05/04/2022 |
CHC06672-00 | GRUBBS PHARMACY OF D C INC | GRUBBS CARE PHARMACY |
326 E CAPITOL ST NE
| WASHINGTON | DC | 20003-3809 | 04/01/2019 | | 05/04/2022 |
CHC06672-00 | NAI SATURN EASTERN LLC | DBA SAFEWAY PHARMACY #2808 |
3830 GEORGIA AVE NW
| WASHINGTON | DC | 20011 | 04/01/2022 | | 11/11/2022 |
CHC06672-00 | OPTUM PHARMACY 700, LLC | 19 CHAPIN RD BLDG D, STE D8 |
| PINE BROOK | NJ | 07058 | 04/01/2022 | | 10/01/2022 |
CHC06672-00 | OPTUM PHARMACY 702, LLC | 1050 PATROL RD |
| JEFFERSONVILLE | IN | 47130 | 04/01/2022 | | 10/01/2022 |
CHC06672-00 | OPTUM PHARMACY 706, INC. | 30-30 47TH AVENUE |
SUITE 410
| LONG ISLAND CITY | NY | 11101 | 04/01/2022 | | 10/01/2022 |
Details | Last Recertification Date | Update | Recertification | 2/5/2024 10:04:29 AM | 2/10/2025 5:28:11 PM | 2/10/2025 5:28 PM |
Details | Last Recertification Date | Update | Recertification | | 2/5/2024 10:04:29 AM | 2/5/2024 10:04 AM |
Details | State | Update | | Approved | Active | 1/1/2024 12:01 AM |
Addresses | Billing Address | Insert | New Registration | | Community of Hope
4 Atlantic St, SW
Washington, DC 20032 | 10/12/2023 11:30 AM |
Contacts | Signed By | Insert | New Registration | | McShane, Kelly Sweeney
Executive director
Community of Hope
2024077747-2024077746 | 10/12/2023 11:30 AM |
Details | 340B ID | Update | New Registration | | CHC06672-03 | 10/12/2023 11:30 AM |
Dates | Participating Approval Date | Update | New Registration | | 10/12/2023 11:30:29 AM | 10/12/2023 11:30 AM |
Details | State | Update | New Registration | Pending | Approved | 10/12/2023 11:30 AM |
Dates | Signed By Date | Update | New Registration | | 10/11/2023 1:02:35 PM | 10/12/2023 11:30 AM |
Dates | Start Date | Update | New Registration | | 1/1/2024 12:00:00 AM | 10/12/2023 11:30 AM |
Addresses | Main Address | Insert | New Registration | |
2375 Elvans Rd SE
Washington, DC 20020-3543 | 10/5/2023 2:24 PM |
Contacts | Authorizing Official | Insert | New Registration | | McShane, Kelly Sweeney
Executive director
Community of Hope
2024077747-2024077746 | 10/5/2023 2:24 PM |
Contacts | Primary Contact | Insert | New Registration | | Bellard, Alsan
Chief Medical Officer
Community of Hope DC
2029841683 | 10/5/2023 2:24 PM |
Details | Assistance Received From Date | Insert | New Registration | | | 10/5/2023 2:24 PM |
Details | Assistance Received To Date | Insert | New Registration | | | 10/5/2023 2:24 PM |
Details | Last Recertification Date | Insert | New Registration | | | 10/5/2023 2:24 PM |
Details | Grant Number | Insert | New Registration | | H80CS06672 | 10/5/2023 2:24 PM |
Details | 340B ID | Insert | New Registration | | | 10/5/2023 2:24 PM |
Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 10/5/2023 2:24 PM |
Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 10/5/2023 2:24 PM |
Details | Medicare Provider Number | Insert | New Registration | | | 10/5/2023 2:24 PM |
Details | Entity Name | Insert | New Registration | | COMMUNITY OF HOPE INC. | 10/5/2023 2:24 PM |
Details | NOFO Number | Insert | New Registration | | | 10/5/2023 2:24 PM |
Details | Program Code | Insert | New Registration | | CH | 10/5/2023 2:24 PM |
Details | Entity Subname | Insert | New Registration | | The Commons | 10/5/2023 2:24 PM |
Dates | Participating Approval Date | Insert | New Registration | | | 10/5/2023 2:24 PM |
Details | State | Insert | New Registration | | Pending | 10/5/2023 2:24 PM |
Dates | Registration Date | Insert | New Registration | | 10/5/2023 2:24:15 PM | 10/5/2023 2:24 PM |
Dates | Signed By Date | Insert | New Registration | | | 10/5/2023 2:24 PM |
Dates | Start Date | Insert | New Registration | | | 10/5/2023 2:24 PM |
Terminations | Termination Comments | Insert | New Registration | | | 10/5/2023 2:24 PM |
Terminations | Termination Date | Insert | New Registration | | | 10/5/2023 2:24 PM |
Terminations | Termination Effective Date | Insert | New Registration | | | 10/5/2023 2:24 PM |
Terminations | Termination Reason | Insert | New Registration | | | 10/5/2023 2:24 PM |