Covered Entity Details

CHC28986-05 COMMUNITY MEDICAL WELLNESS CENTERS, USA (Active) - information as of 6/27/2025 3:30:19 AM

Main Details

Name

COMMUNITY MEDICAL WELLNESS CENTERS, USA

Subdivision Name

Community Medical Wellness Centers USA - Long Beach Mobile

Type

HRSA-Funded Health Center

Site ID

BPS-H80-030939

340B ID

CHC28986-05

Grant Number

H80CS28986

Additional Details

Current Program Status

Active

Registration Date

10/13/2023

Participating Start Date

1/1/2024

Participating Approval Date

10/18/2023

Last Recertification Date

2/11/2025

Contacts

Authorizing Official

Community Medical Wellness Centers
Sompia Paigne, CEO
(562) 270-0324

Primary Contact

CMWC USA
Bakheng Pheng, CMO
(562) 270-0324

Addresses

Street Address

1360 E Anaheim St Ste 101
Long Beach, CA 90813-5515

Billing Address
Same as Street Address

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

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

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

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC28986-00	Active	BPS-H80-015505	COMMUNITY MEDICAL WELLNESS CENTERS USA	Community Medical Wellness Centers USA	1360 E ANAHEIM ST, Suite 101	LONG BEACH	CA
CHC28986-01	Active	BPS-H80-021700	Community Medical Wellness Centers USA	Community Medical Wellness Centers USA-Sylmar	14117 Hubbard St. Ste. M	Sylmar	CA
CHC28986-02	Active	BPS-H80-020963	COMMUNITY MEDICAL WELLNESS CENTERS, USA	Community Medical Wellness Centers USA	1360 E Anaheim St Ste 202-203	Long Beach	CA
CHC28986-03	ToBeTerminated	BPS-H80-030819	COMMUNITY MEDICAL WELLNESS CENTERS, USA	Community Medical Wellness Centers USA--Khemara	1533 Alamitos Ave	Long Beach	CA
CHC28986-04	Terminated	BPS-H80-031050	COMMUNITY MEDICAL WELLNESS CENTERS, USA	Community Medical Wellness Centers USA - Long Beach, Bellflower Blvd.	2700 N Bellflower Blvd Ste 115	Long Beach	CA
CHC28986-05	Active	BPS-H80-030939	COMMUNITY MEDICAL WELLNESS CENTERS, USA	Community Medical Wellness Centers USA - Long Beach Mobile	1360 E Anaheim St Ste 101	Long Beach	CA
CHC28986-06	Active	BPS-H80-034337	COMMUNITY MEDICAL WELLNESS CENTERS, USA	CMWC - Palo Verde	3325 Palo Verde Ave	Long Beach	CA
CHC28986-07	Active	BPS-H80-033857	COMMUNITY MEDICAL WELLNESS CENTERS, USA	CMWC Cultural Awareness Community Annex	1350 E Anaheim St	Long Beach	CA
CHC28986-08	Active	BPS-H80-035705	COMMUNITY MEDICAL WELLNESS CENTERS, USA	CMWC - Rio Hondo	12444 Washington Blvd	Whittier	CA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC28986-00	ABSOLUTE CARE INC	541 N MACLAY AVE STE 104		SAN FERNANDO	CA	91340-2478	10/01/2019
CHC28986-00	GALAXY INVESTMENT PHARMACY INC	DBA GALAXY PHARMACY	10879 LOS ALAMITOS BLVD	LOS ALAMITOS	CA	90720	07/01/2022	09/29/2023
CHC28986-00	GALAXY PHARMACY INC	DBA GALAXY PHARMACY	1295 E ANAHEIM ST	LONG BEACH	CA	90813	01/01/2017
CHC28986-00	GALAXY PHARMACY INC	DBA GALAXY PHARMACY	1360 E ANAHEIM ST STE 106	LONG BEACH	CA	90813	07/01/2022
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 00819	155 5TH ST., SUITE 175	HUNTINGTON BEACH	CA	92648	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 01176	25829 NARBONNE AVE.	LOMITA	CA	90717	07/01/2020	05/03/2024
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 03986	8400 FIRESTONE BLVD.	DOWNEY	CA	90241	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY #4019	5837 S. CENTRAL AVE.	LOS ANGELES	CA	90001	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 04043	3401 KATELLA AVE	LOS ALAMITOS	CA	90720	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05012	23806 MAIN STREET	CARSON	CA	90745	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05014	4909 PARAMOUNT BLVD.	LAKEWOOD	CA	90712	07/01/2020	08/23/2024
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05803	1875 N. KRAEMER BLVD.	PLACENTIA	CA	92870	07/01/2020	08/21/2024
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05809	4775 W. ROSECRANS AVE.	HAWTHORNE	CA	90250	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05837	7065 LA PALMA AVE.	BUENA PARK	CA	90620	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05841	2330 SOUTH MAIN STREET	SANTA ANA	CA	92707	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 06705	316 SOUTH PACIFIC COAST HWY.	REDONDO BEACH	CA	90277	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 06755	5030 LONG BEACH BLVD.	LONG BEACH	CA	90805	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09101	155 PACIFIC COAST HIGHWAY	HERMOSA BEACH	CA	90254	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08868	5020 WEST 190TH STREET	TORRANCE	CA	90503	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08889	12618 STUDEBAKER ROAD	NORWALK	CA	90650	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08867	7915 FLORENCE AVENUE	DOWNEY	CA	90240	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 07079	2200 N. HARBOR BLVD. (NEC)	FULLERTON	CA	92835	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 07191	15718 HAWTHORNE BLVD (NEC)	LAWNDALE	CA	90260	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY 24 HOUR # 06782	18872 BEACH BLVD.	HUNTINGTON BEACH	CA	92648	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08835	3710 TWEEDY BOULEVARD	SOUTH GATE	CA	90280	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08831	3880 W. ROSECRANS AVE.	HAWTHORNE	CA	90250	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08838	2130 N. BELLFLOWER BLVD.	LONG BEACH	CA	90815	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08840	311W. PACIFIC COAST HWY. SUITE C	WILMINGTON	CA	90744	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08844	6510 SOUTH ST.	LAKEWOOD	CA	90713	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08876	233 EAST WILLOW STREET	LONG BEACH	CA	90806	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09122	700 S. GAFFEY ST.	SAN PEDRO	CA	90731	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09557	1250 E.PACIFIC COAST HIGHWAY	LONG BEACH	CA	90806	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09566	596 LONG BEACH BOULEVARD	LONG BEACH	CA	90802	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09571	950 NORTH WESTERN AVENUE	SAN PEDRO	CA	90732	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09579	4570 ATLANTIC AVENUE	LONG BEACH	CA	90807	07/01/2020	07/20/2023
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09590	6000 ATLANTIC AVENUE	LONG BEACH	CA	90805	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY #10008	6265 EAST 2ND ST.	LONG BEACH	CA	90803	07/01/2020
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09651	12717 GLENOAKS BLVD.	SYLMAR	CA	91342	10/01/2021
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09505	4400 EAST LOS COYOTES DIAGONAL	LONG BEACH	CA	90815	07/01/2022
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09488	11851 ARTESIA BOULEVARD	ARTESIA	CA	90701	07/01/2022
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	CVS/PHARMACY # 16040	9725 LAUREL CANYON BLVD	ARLETA	CA	91331	07/01/2022
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 17385	950 E 33RD ST	SIGNAL HILL	CA	90755	07/01/2022
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08841	11623 ROSECRANS AVE.	NORWALK	CA	90650	01/01/2023
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09572	5117 LAKEWOOD BOULEVARD	LAKEWOOD	CA	90712	01/01/2025
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09543	2001 PACIFIC COAST HIGHWAY	LOMITA	CA	90717	01/01/2025
CHC28986-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09747	150 EAST YORBA LINDA BOULEVARD	PLACENTIA	CA	92870	01/01/2025
CHC28986-00	GOOD LIFE PHARMACY INC	DBA AVIVA PHARMACY	2633 ATLANTIC AVE	LONG BEACH	CA	90806	07/01/2020
CHC28986-02	HV HEALTHCARE, INC. DBA VO PHARMACY	12464 E. WASHINGTON BLVD		WHITTIER	CA	90602	10/01/2023
CHC28986-00	HV HEALTHCARE, INC. DBA VO PHARMACY	12464 E. WASHINGTON BLVD		WHITTIER	CA	90602	10/01/2024
CHC28986-00	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03931	650 N BELLFLOWER BLVD	LONG BEACH	CA	90814	07/01/2020

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/15/2024 5:15:50 PM	2/11/2025 3:31:50 PM	2/11/2025 3:31 PM
Details	Last Recertification Date	Update	Recertification		2/15/2024 5:15:50 PM	2/15/2024 5:15 PM
Details	State	Update		Approved	Active	1/1/2024 12:01 AM
Contacts	Signed By	Insert	New Registration		Paigne, Sompia CEO Community Medical Wellness Centers 5622700324	10/18/2023 10:15 AM
Details	340B ID	Update	New Registration		CHC28986-05	10/18/2023 10:15 AM
Dates	Participating Approval Date	Update	New Registration		10/18/2023 10:15:42 AM	10/18/2023 10:15 AM
Details	State	Update	New Registration	Pending	Approved	10/18/2023 10:15 AM
Dates	Signed By Date	Update	New Registration		10/13/2023 5:16:51 PM	10/18/2023 10:15 AM
Dates	Start Date	Update	New Registration		1/1/2024 12:00:00 AM	10/18/2023 10:15 AM
Addresses	Main Address	Insert	New Registration		1360 E Anaheim St Ste 101 Long Beach, CA 90813-5515	10/13/2023 5:16 PM
Contacts	Authorizing Official	Insert	New Registration		Paigne, Sompia CEO Community Medical Wellness Centers 5622700324	10/13/2023 5:16 PM
Contacts	Primary Contact	Insert	New Registration		Pheng, Bakheng CMO CMWC USA 5622700324	10/13/2023 5:16 PM
Details	Assistance Received From Date	Insert	New Registration			10/13/2023 5:16 PM
Details	Assistance Received To Date	Insert	New Registration			10/13/2023 5:16 PM
Details	Last Recertification Date	Insert	New Registration			10/13/2023 5:16 PM
Details	Grant Number	Insert	New Registration		H80CS28986	10/13/2023 5:16 PM
Details	340B ID	Insert	New Registration			10/13/2023 5:16 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			10/13/2023 5:16 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			10/13/2023 5:16 PM
Details	Medicare Provider Number	Insert	New Registration			10/13/2023 5:16 PM
Details	Entity Name	Insert	New Registration		COMMUNITY MEDICAL WELLNESS CENTERS, USA	10/13/2023 5:16 PM
Details	NOFO Number	Insert	New Registration			10/13/2023 5:16 PM
Details	Program Code	Insert	New Registration		CH	10/13/2023 5:16 PM
Details	Entity Subname	Insert	New Registration		Community Medical Wellness Centers USA - Long Beach Mobile	10/13/2023 5:16 PM
Dates	Participating Approval Date	Insert	New Registration			10/13/2023 5:16 PM
Details	State	Insert	New Registration		Pending	10/13/2023 5:16 PM
Dates	Registration Date	Insert	New Registration		10/13/2023 5:16:47 PM	10/13/2023 5:16 PM
Dates	Signed By Date	Insert	New Registration			10/13/2023 5:16 PM
Dates	Start Date	Insert	New Registration			10/13/2023 5:16 PM
Terminations	Termination Comments	Insert	New Registration			10/13/2023 5:16 PM
Terminations	Termination Date	Insert	New Registration			10/13/2023 5:16 PM
Terminations	Termination Effective Date	Insert	New Registration			10/13/2023 5:16 PM
Terminations	Termination Reason	Insert	New Registration			10/13/2023 5:16 PM

340B Drug Pricing Program Database