340B Drug Pricing Program Database


CVS STATE CAPITAL, L.L.C. - information as of 5/27/2025 1:05:30 PM


CVS STATE CAPITAL, L.L.C.

DBA: CVS/PHARMACY # 00806
51 MARKET STREET
MILL CREEK S/C
SOUTH PORTLAND, ME 04106



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCHC25680-00PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at 180 Park AvenueHRSA-Funded Health Center180 Park Ave
PortlandME01/01/2019 1/1/2019 12:05 AM
DetailsCHC25680-01PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at 211 Cumberland AvenueHRSA-Funded Health Center211 CUMBERLAND AVE
PORTLANDME01/01/2019 1/1/2019 12:05 AM
DetailsCHC25680-02PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at 63 Preble StreetHRSA-Funded Health Center63 PREBLE ST
PORTLANDME01/01/2019 1/1/2019 12:05 AM
DetailsCHC25680-03PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at 59 Riverton DriveHRSA-Funded Health Center59 Riverton Dr
PortlandME01/01/2019 1/1/2019 12:05 AM
DetailsCHC25680-04PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at 100 Brickhill AvenueHRSA-Funded Health Center100 BRICKHILL AVE
Suite 301 		SOUTH PORTLANDME01/01/2019 1/1/2019 12:05 AM
DetailsCHC25680-05PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at Casco Bay High SchoolHRSA-Funded Health Center196 ALLEN AVE
PORTLANDME01/01/2019 1/1/2019 12:05 AM
DetailsCHC25680-06PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at Portland High SchoolHRSA-Funded Health Center284 Cumberland Ave
PortlandME01/01/2019 1/1/2019 12:05 AM
DetailsCHC25680-07PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at Deering High SchoolHRSA-Funded Health Center370 Stevens Ave
PortlandME01/01/2019 1/1/2019 12:05 AM
DetailsCHC25680-08PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at King Middle SchoolHRSA-Funded Health Center92 Deering Ave
PortlandME01/01/2019 1/1/2019 12:05 AM
DetailsCHC25680-09PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at Huston CommonsHRSA-Funded Health Center72 Bishop St
PortlandME07/01/2020 7/1/2020 12:01 AM
DetailsCHC25680-10PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at Florence HouseHRSA-Funded Health Center190 Valley St
PortlandME07/01/2020 7/1/2020 12:01 AM
DetailsCHC25680-11PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at Logan PlaceHRSA-Funded Health Center52 Frederic St
PortlandME07/01/2020 7/1/2020 12:01 AM
DetailsCHC25680-12PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at Westbrook High SchoolHRSA-Funded Health Center125 Stroudwater St
WestbrookME01/01/2022 1/1/2022 12:01 AM
DetailsCHC25680-13PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at 234 Oxford StreetHRSA-Funded Health Center234 Oxford St
PortlandME01/01/2022 1/1/2022 12:01 AM
DetailsCHC25680-14Portland Community Health CenterGreater Portland Health at Sagamore VillageHRSA-Funded Health Center68 Popham St
PortlandME01/01/202210/01/202410/1/2024 12:01 AM
DetailsCHC25680-15PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at 295 Park AvenueHRSA-Funded Health Center295 Park Ave
PortlandME07/01/2023 7/1/2023 12:01 AM
DetailsCHC25680-17PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at 934 Congress StreetHRSA-Funded Health Center934 Congress St
PortlandME07/01/2023 7/1/2023 12:01 AM
DetailsCHC25680-18PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at 654 Riverside StreetHRSA-Funded Health Center654 Riverside St
PortlandME01/01/2024 1/1/2024 12:01 AM
DetailsCHC25680-19PORTLAND COMMUNITY HEALTH CENTERGreater Portland Health at South Portland Middle SchoolHRSA-Funded Health Center120 Wescott Rd
South PortlandME01/01/2024 1/1/2024 12:01 AM
DetailsDSH200008MERCY HOSPITAL Disproportionate Share Hospital175 Fore River Parkway
PORTLANDME04/01/2022 4/1/2022 12:01 AM
DetailsDSH200009MAINEHEALTH MAINE MEDICAL CENTER Disproportionate Share Hospital22 BRAMHALL STREET
PORTLANDME10/01/2014 5/11/2017 2:44 PM
DetailsDSH200024CENTRAL MAINE MEDICAL CENTER Disproportionate Share Hospital300 MAIN STREET
LEWISTONME04/01/2022 4/1/2022 12:01 AM
DetailsHV24741MaineGeneral Medical CenterHorizon ProgramRyan White Part C21 Enterprise Drive
AugustaME01/01/2022 1/1/2022 12:01 AM
DetailsHV30726Portland Community Health Center Ryan White Part C59 Riverton Dr.
PORTLANDME07/01/202004/15/20201/14/2022 12:30 PM
DetailsHV30726APortland Community Health Center Ryan White Part C92 Deering Avenue
PortlandME07/01/202004/15/20201/14/2022 2:02 PM
DetailsHV30726BPortland Community Health Center Ryan White Part C284 Cumberland Avenue
PortlandME07/01/202004/15/20201/14/2022 2:00 PM
DetailsHV30726CPortland Community Health Center Ryan White Part C196 Allen Avenue
PORTLANDME07/01/202004/15/20201/14/2022 1:58 PM
DetailsHV30726DPortland Community Health Center Ryan White Part C211 Cumberland Avenue
PORTLANDME07/01/202004/15/20201/14/2022 1:55 PM
DetailsHV30726EPortland Community Health Center Ryan White Part C63 Preble Street
PORTLANDME07/01/202004/15/20201/14/2022 1:46 PM
DetailsHV30726FPortland Community Health Center Ryan White Part C370 Stevens Avenue
PortlandME07/01/202004/15/20201/14/2022 1:31 PM
DetailsHV30726GPortland Community Health Center Ryan White Part C180 Park Avenue
PortlandME07/01/202004/14/20201/14/2022 1:24 PM
DetailsHV30726HPortland Community Health CenterGreater Portland Health at BrickhillRyan White Part C100 Brickhill Avenue
South PortlandME07/01/202004/14/20201/14/2022 1:05 PM
DetailsRRC200024-00CENTRAL MAINE MEDICAL CENTER Rural Referral Center300 MAIN STREET
LEWISTONME01/01/202204/01/20224/1/2022 12:01 AM
DetailsSTD04101City of PortlandPortland Public Health DivisionSexually Transmitted Diseases389 Congress Street
PortlandME04/01/2025 4/1/2025 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate CVS STATE CAPITAL, L.L.C. DBA: CVS/PHARMACY # 00806 51 MARKET STREET SOUTH PORTLAND, ME 04106CVS STATE CAPITAL, L.L.C. DBA: CVS/PHARMACY # 00806 51 MARKET STREET MILL CREEK S/C SOUTH PORTLAND, ME 041063/28/2013 4:00 PM
DetailsCommentsInsert   3/28/2013 4:00 PM
DetailsIs DeletedInsert  False3/28/2013 4:00 PM
AddressesPharmacy AddressInsert  CVS STATE CAPITAL, L.L.C. DBA: CVS/PHARMACY # 00806 51 MARKET STREET SOUTH PORTLAND, ME 041063/28/2013 4:00 PM
DetailsNameInsert  CVS STATE CAPITAL, L.L.C.3/28/2013 4:00 PM