340B Drug Pricing Program Database


TENNESSEE CVS PHARMACY, L.L.C. - information as of 5/20/2025 1:58:49 AM


TENNESSEE CVS PHARMACY, L.L.C.

DBA: CVS/PHARMACY # 04240
4400 W. STONE DRIVE
KINGSPORT, TN 37660



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH0412790RURAL HEALTH SERVICES CONSORTIUMHAWKINS MEDICAL CENTERHRSA-Funded Health Center4966 HIGHWAY 11 WEST
ROGERSVILLETN10/01/2022 10/1/2022 12:01 AM
DetailsRRC440017-00HOLSTON VALLEY HOSP & MED CTRHOLSTON VALLEY HOSP & MED CTRRural Referral Center130 W. RAVINE
KINGSPORTTN01/01/201503/01/20161/10/2017 3:46 PM
DetailsRRC440017-00HOLSTON VALLEY HOSP & MED CTRHOLSTON VALLEY HOSP & MED CTRRural Referral Center130 W. RAVINE
KINGSPORTTN01/01/201812/01/20199/25/2020 7:50 AM
DetailsRRC440017-01HOLSTON VALLEY HOSP & MED CTRHolston Valley Med Center Diagnostics / Cardiovascular JC Echo VascularRural Referral Center2428 Knob Creek Rd Suite 251
Johnson CityTN01/01/201812/01/20199/28/2020 2:14 PM
DetailsRRC440017-02HOLSTON VALLEY HOSP & MED CTRComprehensive Breast Center / Radiology Breast CenterRural Referral Center103 W. Stone Drive
KingpsportTN01/01/201812/01/20199/28/2020 2:14 PM
DetailsRRC440017-03HOLSTON VALLEY HOSP & MED CTRHolston Valley Med Center Diagnostic Center / Cardiovascular Stress TestingRural Referral Center2050 Meadowview Parkway
KingsportTN01/01/201812/01/20199/28/2020 2:14 PM
DetailsRRC440017-04HOLSTON VALLEY HOSP & MED CTRHolston Valley Med Center Diagnostic Center / Cardiovascular Echo VascularRural Referral Center2050 Meadowview Parkway
KingsportTN01/01/201812/01/20199/28/2020 2:13 PM
DetailsRRC440017-05HOLSTON VALLEY HOSP & MED CTRHolston Valley Med Center Diagnostics / Cardiovascular JC Stress TestingRural Referral Center2428 Knob Creek Rd Suite 251
Johnson CityTN01/01/201812/01/20199/28/2020 2:14 PM
DetailsRRC440017-06HOLSTON VALLEY HOSP & MED CTRSpine & RehabRural Referral CenterSix Sheridan Square Suite 100
KingsportTN01/01/201812/01/20199/28/2020 2:13 PM
DetailsRRC440017-07HOLSTON VALLEY HOSP & MED CTRWELLMONT CANCER INSTITUTE JOHNSON CITY / INFUSION SERVICESRural Referral Center378 MARKET BLVD SUITE 11
JOHNSON CITYTN01/01/201810/01/201810/1/2018 12:05 AM
DetailsRRC440017-08HOLSTON VALLEY HOSP & MED CTRWELLMONT CANCER INSTITUTE ALLANDALE / INFUSION SERVICESRural Referral Center4485 WEST STONE DRIVE SUITE 200B
KINGSPORTTN01/01/201810/01/201910/1/2019 12:05 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate TENNESSEE CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 04240 4320 W. STONE DRIVE KINGSPORT, TN 37660TENNESSEE CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 04240 4400 W. STONE DRIVE KINGSPORT, TN 376609/11/2015 4:00 PM
DetailsCommentsInsert   3/28/2013 4:13 PM
DetailsIs DeletedInsert  False3/28/2013 4:13 PM
AddressesPharmacy AddressInsert  TENNESSEE CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 04240 4320 W. STONE DRIVE KINGSPORT, TN 376603/28/2013 4:13 PM
DetailsNameInsert  TENNESSEE CVS PHARMACY, L.L.C.3/28/2013 4:13 PM