340B Drug Pricing Program Database


NORTH CAROLINA CVS PHARMACY, L.L.C. - information as of 4/30/2025 12:13:38 AM


NORTH CAROLINA CVS PHARMACY, L.L.C.

CVS PHARMACY # 17168
9841 NORTHLAKE CENTRE PKWY
CHARLOTTE, NC 28216



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH340053Presbyterian Hospital, d/b/a Novant Health Presbyterian Medical Center  Disproportionate Share Hospital200 HAWTHORNE LANE
CHARLOTTENC04/01/2023 4/1/2023 12:01 AM
DetailsFQHCLA460AMITY MEDICAL GROUP INCAMG1 Harris BlvdHealth Center Program Look-Alike6010 E W T Harris Blvd Ste A
CharlotteNC07/01/2024 7/1/2024 12:01 AM
DetailsFQHCLA460AAMITY MEDICAL GROUP INCAMG2 Park RdHealth Center Program Look-Alike10508 Park Rd Ste 130
CharlotteNC07/01/2024 7/1/2024 12:01 AM
DetailsFQHCLA460BAMITY MEDICAL GROUP INCAMG3 Monroe RdHealth Center Program Look-Alike9835 Monroe Rd Ste B
CharlotteNC07/01/2024 7/1/2024 12:01 AM
DetailsFQHCLA460CAMITY MEDICAL GROUP INCAMG4 DallasHealth Center Program Look-Alike824 Lower Dallas Hwy
DallasNC07/01/2024 7/1/2024 12:01 AM
DetailsFQHCLA460DAMITY MEDICAL GROUP INCAMG - N Tryon RdHealth Center Program Look-Alike7945 N. Tryon St # 112
CharlotteNC01/01/2025 1/1/2025 12:01 AM
DetailsRWI20825Amity Medical Group, IncAMG1 Harris Blvd locationRyan White Part A6010 EAST W T HARRIS BLVD
CHARLOTTENC07/01/2022 7/1/2022 12:01 AM
DetailsRWI20825AAmity Medical Group, IncAMG2 Park Rd locationRyan White Part A10508 Park Rd Suite 130
CharlotteNC07/01/2022 7/1/2022 12:01 AM
DetailsRWI20825BAmity Medical Group, IncAMG3 Monroe Rd locationRyan White Part A9835 Monroe Rd
Suite B 		CharlotteNC07/01/2022 7/1/2022 12:01 AM
DetailsRWI20825CAmity Medical Group, IncAMG4 Dallas locationRyan White Part A824 Lower Dallas Hwy
DallasNC08/29/2022 8/29/2022 5:02 PM
DetailsRWI20825DAmity Medical Group Ryan White Part A2300A Randolph Rd 1586
CharlotteNC04/01/2024 4/1/2024 12:01 AM
DetailsRWI20825EAmity Medical Group Ryan White Part A7945 N Tryon
ste 112 		CharlotteNC04/01/2024 4/1/2024 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate NORTH CAROLINA CVS PHARMACY, L.L.C. TARGET PHARMACY # 17168 9841 NORTHLAKE CENTRE PKWY CHARLOTTE, NC 28216NORTH CAROLINA CVS PHARMACY, L.L.C. CVS PHARMACY # 17168 9841 NORTHLAKE CENTRE PKWY CHARLOTTE, NC 282165/4/2016 9:32 AM
DetailsCommentsInsert   12/23/2015 4:52 PM
DetailsIs DeletedInsert  False12/23/2015 4:52 PM
AddressesPharmacy AddressInsert  NORTH CAROLINA CVS PHARMACY, L.L.C. TARGET PHARMACY # 17168 9841 NORTHLAKE CENTRE PKWY CHARLOTTE, NC 2821612/23/2015 4:52 PM
DetailsNameInsert  NORTH CAROLINA CVS PHARMACY, L.L.C.12/23/2015 4:52 PM