340B Drug Pricing Program Database


RHODE ISLAND CVS PHARMACY, L.L.C. - information as of 4/23/2025 11:38:48 PM


RHODE ISLAND CVS PHARMACY, L.L.C.

DBA: CVS/PHARMACY # 00621
763 TIOGUE AVENUE
COVENTRY, RI 02816



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH010480NORTHWEST COMMUNITY HEALTH CAREDBA WellOne Primary Medical and Dental CareHRSA-Funded Health Center36 BRIDGE WAY
PASCOAGRI02/07/2012 3/28/2013 3:11 PM
DetailsCH011820THUNDERMIST HEALTH CENTERTHUNDERMIST DENTAL ADMIN WOONSOCKETHRSA-Funded Health Center25 John A. Cummings Way
WoonsocketRI01/01/2017 3/23/2017 5:22 PM
DetailsCH012230WOOD RIVER HEALTH SERVICES, INC.WOOD RIVER HEALTH SERVICES, INC.HRSA-Funded Health Center823 Main St
Hope ValleyRI07/01/2021 7/1/2021 12:01 AM
DetailsCH01223AWood River Health Services, Inc.WRHS Westerly SiteHRSA-Funded Health Center17 Wells Street
WesterlyRI07/01/2021 7/1/2021 12:01 AM
DetailsDSH070022YALE NEW HAVEN HOSPITAL Disproportionate Share Hospital20 York Street
New HavenCT07/01/2021 7/1/2021 12:01 AM
DetailsDSH410007RHODE ISLAND HOSPITAL Disproportionate Share Hospital593 EDDY STREET
PROVIDENCERI07/01/2020 7/1/2020 12:01 AM
DetailsDSH410009KENT COUNTY MEMORIAL HOSPITAL Disproportionate Share Hospital455 TOLL GATE ROAD
WARWICKRI01/01/201609/08/20169/8/2016 5:15 PM
DetailsDSH410009KENT COUNTY MEMORIAL HOSPITAL Disproportionate Share Hospital455 TOLL GATE ROAD
WARWICKRI04/01/2021 4/1/2021 12:01 AM
DetailsDSH410010WOMEN & INFANTS HOSPITAL OF RHODE ISLAND Disproportionate Share Hospital101 DUDLEY ST.
PROVIDENCERI01/01/2021 1/1/2021 12:01 AM
DetailsFP028795THUNDERMIST HEALTH CENTERThundermist Family Planning South CountyFamily Planning (Title X only)ONE RIVER ST
WAKEFIELDRI01/01/2019 1/1/2019 12:05 AM
DetailsFP028951THUNDERMIST HEALTH CENTERThundermist Family Planning WoonsocketFamily Planning (Title X only)450 CLINTON STREET
WOONSOCKETRI01/01/2019 1/1/2019 12:05 AM
DetailsHV02895THUNDERMIST HEALTH CENTERThundermist Ryan White Part C WoonsocketRyan White Part C450 CLINTON STREET
WOONSOCKETRI01/01/2019 1/1/2019 12:05 AM
DetailsSTD02910CODAC Behavioral Healthcare, Inc Sexually Transmitted Diseases1052 Park Ave
CranstonRI01/01/202112/29/202012/31/2020 12:22 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate CVS Store # 621 763 Tiogue Ave Coventry, RI 02816RHODE ISLAND CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 00621 763 TIOGUE AVENUE COVENTRY, RI 028163/28/2013 4:00 PM
DetailsNameUpdate CVS Store # 621RHODE ISLAND CVS PHARMACY, L.L.C.3/28/2013 4:00 PM
DetailsCommentsInsert   1/18/2012 12:42 PM
DetailsIs DeletedInsert  False1/18/2012 12:42 PM
AddressesPharmacy AddressInsert  CVS Store # 621 763 Tiogue Ave Coventry, RI 028161/18/2012 12:42 PM
DetailsNameInsert  CVS Store # 6211/18/2012 12:42 PM