340B Drug Pricing Program Database


AVITA PHARMACY 1058 - information as of 4/28/2025 11:27:32 PM


AVITA PHARMACY 1058

MEDEXPRESS PHARMACY, LTD. DBA AVITA PHAR
1431 W. INNES ST.
SALISBURY, NC 28144



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH0423590Tandem Health SCTandem HealthHRSA-Funded Health Center1278 North Lafayette Drive
SumterSC01/01/2024 1/1/2024 12:01 AM
DetailsCH042780CAROLINA HEALTH CENTERS, INC. HRSA-Funded Health Center313 MAIN STREET SUITE B
GREENWOODSC01/01/2025 1/1/2025 12:01 AM
DetailsCH045230CARE SOUTH CAROLINA,INCCareSouth Carolina Inc. Corporate OfficeHRSA-Funded Health Center201 S 5th St
HartsvilleSC07/01/201907/14/20227/18/2022 10:34 AM
DetailsCH045630GASTON FAMILY HEALTH SERVICES INCKintegra Family Medicine - HudsonHRSA-Funded Health Center991 W Hudson Blvd
GastoniaNC10/01/2023 10/1/2023 12:01 AM
DetailsCHC10592-00HCHC Stone PortHarrisonburg Community Health CenterHRSA-Funded Health Center1380 Little Sorrell Drive Suite #100
HARRISONBURGVA04/01/2018 1/12/2018 4:24 PM
DetailsFP280257CABARRUS HEALTH ALLIANCE Family Planning (Title X only)300 MOORESVILLE ROAD
KANNAPOLISNC12/15/2020 12/15/2020 7:27 AM
DetailsFQHCLA486UNITY HEALTH ON MAINUnity Health On MainHealth Center Program Look-Alike505 N Main St, Ste C
GreenvilleSC07/01/2025 4/4/2025 6:22 AM
DetailsHV00206Beaufort Jasper Hampton Comprehensive Health Services, Inc. Ryan White Part C721 N Okatie Highway 170
RidgelandSC10/01/201711/30/202311/30/2023 1:47 PM
DetailsHV00793CATAWBA VALLEY MEDICAL CENTERFAIRGROVE PRIMARY HEALTHRyan White Part C3412 GRAYSTONE PLACE SUITE A
CONOVERNC07/01/2022 7/1/2022 12:01 AM
DetailsRWI200091ADistrict of Columbia Department of HealthUs Helping Us, People Into Living, Inc.Ryan White Part A3636 Georgia Avenue NW
WashingtonDC08/16/2022 8/16/2022 3:15 PM
DetailsRWI20012Casa Ruby, Inc. Ryan White Part A7530 Georgia Avenue NW
WashingtonDC01/01/202104/01/20224/1/2022 12:01 AM
DetailsRWI282022RAO Community Health Ryan White Part A321 W 11th St
CharlotteNC04/01/2021 4/1/2021 12:01 AM
DetailsRWI78754The Wright House Wellness Center DBA ASHWELL Ryan White Part A3100 Red River St.
STE 3
AustinTX07/01/2018 7/1/2018 12:00 AM
DetailsRWII20010District of Columbia Department of HealthUs Helping Us, People Into Living Inc.Ryan White Part B3636 Georgia Ave. NW
WashingtonDC07/01/202007/01/20227/1/2022 12:01 AM
DetailsRWII27407Central Carolina Health Network Ryan White Part B1 Centerview Drive Suite 202
GreensboroNC01/01/2017 11/1/2016 12:20 PM
DetailsRWII27604AThe Alliance of AIDS Services - CarolinaN/ARyan White Part B3109 Poplarwood Ct Suite 200
RaleighNC06/01/2021 6/1/2021 9:15 AM
DetailsRWII29204Palmetto AIDS Life Support Services, Inc. Ryan White Part B2638 Two Notch Road Suite 108
ColumbiaSC10/01/2016 9/16/2016 1:46 PM
DetailsRWII29425MEDICAL UNIVERSITY OF SC INFECTIOUS DISEASES RYAN WHITE PROGRAMMUSC Ryan White ProgramRyan White Part B135 Rutledge Ave. MSC 752
CharlestonSC07/01/2025 4/2/2025 7:31 AM
DetailsRWII29425AMedical University of SC Infectious Disease Ryan White ProgramMUSC Ryan White ProgramRyan White Part B5500 Front Street
SummervilleSC07/01/2025 4/2/2025 7:31 AM
DetailsRWII29425BMedical University of SC Infectious Disease Ryan White ProgramMUSC Ryan White ProgramRyan White Part B2250 Mall Dr
North CharlestonSC07/01/2025 4/2/2025 7:31 AM
DetailsRWII29425CMedical University of SC Infectious Disease Ryan White ProgramMUSC Ryan White ProgramRyan White Part B4040 Hwy 17 Bypass
Suite 306
Murrells InletSC07/01/2025 4/2/2025 7:30 AM
DetailsRWII33807Harrisonburg Community Health Center Ryan White Part B1380 Little sorrell dr
HarrisonburgVA07/18/2018 7/18/2018 4:33 PM
DetailsRWII35233Birmingham AIDS Outreach, Inc. Magic City Wellness CenterRyan White Part B3220 5th Avenue South
Suite 100
BirminghamAL01/01/2017 10/7/2016 3:17 PM
DetailsSTD200104Us Helping Us, People Into Living, Inc. Sexually Transmitted Diseases3636 Georgia Avenue NW
WashingtonDC07/01/201907/01/20227/1/2022 12:01 AM
DetailsSTD20012Casa Ruby Inc. Sexually Transmitted Diseases7530 Georgia Ave NW
WashingtonDC07/01/202007/01/20217/1/2021 12:01 AM
DetailsSTD20012Casa Ruby Inc. Sexually Transmitted Diseases7530 Georgia Ave NW
WashingtonDC08/16/202107/01/20227/1/2022 12:01 AM
DetailsSTD22044NovaSalud, Inc. Sexually Transmitted Diseases2946 Sleepy Hollow Rd Ste 3C
FALLS CHURCHVA04/01/2024 4/1/2024 12:01 AM
DetailsSTD23231Nationz Foundation Inc. Sexually Transmitted Diseases1603 Santa Rosa Rd.
203
RichmondVA04/01/2024 4/1/2024 12:01 AM
DetailsSTD237041Empowering Transgender Services Inc.ETSI Health ClinicSexually Transmitted Diseases446 Effingham Street
Suite 302
PortsmouthVA10/01/2024 10/1/2024 12:01 AM
DetailsSTD27262Triad Health Project Sexually Transmitted Diseases501 W. Westwood Avenue
High PointNC07/01/202107/01/20227/1/2022 12:01 AM
DetailsSTD274011Piedmont Health Services and Sickle cell Agency Sexually Transmitted Diseases1102 E. Market Street
GreensboroNC07/01/2021 7/1/2021 12:01 AM
DetailsSTD27403Triad Health Project Sexually Transmitted Diseases801 Summit Avenue
GreensboroNC04/19/2021 4/19/2021 10:08 AM
DetailsSTD27604Alliance of AIDS Services-Carolina Sexually Transmitted Diseases4 North Blount Street
100
RaleighNC10/01/2018 10/1/2018 12:05 AM
DetailsSTD27604Alliance of AIDS Services-Carolina Sexually Transmitted Diseases4 North Blount Street
100
RaleighNC10/01/201807/28/20207/29/2020 10:11 AM
DetailsSTD277011Triangle Empowerment Center, Inc. Sexually Transmitted Diseases112 Broadway St.
Suite B
DurhamNC10/01/202007/01/20227/1/2022 12:01 AM
DetailsSTD277011Triangle Empowerment Center, Inc. Sexually Transmitted Diseases112 Broadway St.
Suite B
DurhamNC08/31/2022 8/31/2022 3:18 PM
DetailsSTD28083CABARRUS HEALTH ALLIANCE Sexually Transmitted Diseases300 Mooresville Road
KANNAPOLISNC12/15/2020 12/15/2020 7:30 AM
DetailsSTD28202RAO Community Health Sexually Transmitted Diseases321 W 11 St.
CharlotteNC10/01/2019 10/1/2019 12:05 AM
DetailsSTD28216Quality Home Care ServicesDBA: Quality Comprehensive Health CenterSexually Transmitted Diseases3607 Beatties Ford Road
CharlotteNC07/01/2022 7/1/2022 12:01 AM
DetailsSTD283011Community Health Interventions and Sickle Cell Agency, Inc Sexually Transmitted Diseases2409 Murchison Road
FayettevilleNC06/08/2021 6/9/2021 2:28 PM
DetailsSTD292017Joseph H Neal Health Collaborative Sexually Transmitted Diseases1411 Barnwell Street Ste 1
ColumbiaSC01/01/2022 1/1/2022 12:01 AM
DetailsSTD292041Palmetto AIDS Life Support Services, Inc. Sexually Transmitted Diseases2638 Two Notch Road Suite 108
ColumbiaSC10/01/2016 5/4/2017 2:30 PM
DetailsSTD29601AID UPSTATE Sexually Transmitted Diseases811 PENDLETON STREET
SUITES 10 & 11
GREENVILLESC04/01/201704/01/20173/10/2025 3:54 PM
DetailsSTD29621AID UPSTATE Sexually Transmitted Diseases118 MONTGOMERY DRIVE
ANDERSONSC04/01/201704/01/20173/10/2025 3:57 PM
DetailsSTD35233BIRMINGHAM AIDS OUTREACH INC.Magic City Wellness CenterSexually Transmitted Diseases3220 5th Avenue South
Suite 100
BirminghamAL01/01/2017 5/9/2017 11:07 AM
DetailsSTD40206Music City PrEP Clinic Sexually Transmitted Diseases1101 E Washington St
LouisvilleKY10/01/2021 10/1/2021 12:01 AM
DetailsSTD40504AVOL Kentucky Sexually Transmitted Diseases1824 Hill Rise Drive
Suite 100
LexingtonKY04/01/2024 4/1/2024 12:01 AM
DetailsSTD78666The Wright House Wellness Center DBA ASHWELL Sexually Transmitted Diseases611 Martin Luther King Drive
San MarcosTX10/01/201907/01/20254/22/2025 6:45 AM
DetailsSTD78754The Wright House Wellness Center DBA ASHWELL Sexually Transmitted Diseases3100 Red River St.
STE 3
AustinTX07/01/2018 7/1/2018 12:00 AM
DetailsTB28083CABARRUS HEALTH ALLIANCE Tuberculosis300 MOORESVILLE ROAD
KANNAPOLISNC12/15/2020 12/15/2020 7:32 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  AVITA PHARMACY 1058 MEDEXPRESS PHARMACY, LTD. DBA AVITA PHAR 1431 W. INNES ST. SALISBURY, NC 281442/19/2021 12:12 PM
DetailsNameUpdate MEDEXPRESS PHARMACY, LTD.AVITA PHARMACY 10582/19/2021 12:12 PM
AddressesPharmacy AddressInsert  MEDEXPRESS PHARMACY, LTD. DBA AVITA PHARMACY 1431 W. INNES ST. SALISBURY, NC 281441/15/2020 6:38 AM
AddressesPharmacy AddressInsert  MEDEXPRESS PHARMACY, LTD. 1431 W. INNES ST. SALISBURY, NC 281449/29/2017 6:44 AM
DetailsCommentsInsert   7/15/2016 2:35 PM
DetailsIs DeletedInsert  False7/15/2016 2:35 PM
AddressesPharmacy AddressInsert  MEDEXPRESS PHARMACY, LTD. 1431 W. INNES ST. SALISBURY, NC 281447/15/2016 2:35 PM
DetailsNameInsert  MEDEXPRESS PHARMACY, LTD.7/15/2016 2:35 PM