340B Drug Pricing Program Database
KINGS PHARMACY INC.
CHC29018-00 NEW YORK CITY HEALTH AND HOSPITALS - information as of 5/6/2025 11:31:14 PM
Covered Entity Details
Entity Name
NEW YORK CITY HEALTH AND HOSPITALS
Subdivision Name
Cumberland Diagnostic and Treatment Center
Type
HRSA-Funded Health Center
340B ID
CHC29018-00
Entity Address
100 N Portland Ave
Brooklyn, NY 11205-2005
Grant Number
H80CS29018
Participating Start Date
4/1/2016
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
KINGS PHARMACY INC.
Pharmacy Address
DBA-NEW YORK AVE PHARMACY
3424 CHURCH AVE
BROOKLYN, NY 11203
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Deborah Alyse Brown, Senior Vice President, Chief External Affairs Officer
(347) 947-0446
Contract Pharmacy Representative
Kings
Jatin Gumpella, Pharmacist
(718) 856-8048
Signed By Date
1/17/2023
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