340B Drug Pricing Program Database
RITE AID OF NEW YORK, INC.
CHC29016-00 APICHA COMMUNITY HEALTH CENTER - information as of 6/24/2025 12:26:16 AM
Covered Entity Details
Entity Name
APICHA COMMUNITY HEALTH CENTER
Subdivision Name
Apicha Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC29016-00
Entity Address
400 Broadway
New York, NY 10013-3698
Grant Number
H80CS29016
Participating Start Date
1/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
RITE AID OF NEW YORK, INC.
Pharmacy Address
RITE AID #4865
32-87 STEINWAY STREET
ASTORIA, NY 11103
Pharmacy Comments
Contract Details
Approval Date
4/6/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/15/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Yumiko Sano, COO
(646) 744-0980
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/6/2020
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