340B Drug Pricing Program Database


RITE AID OF NEW YORK, INC. - information as of 5/9/2025 11:29:34 PM


RITE AID OF NEW YORK, INC.

RITE AID #4722
887 STATE ROUTE 11
PO BOX 576
CHAMPLAIN, NY 12919



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH021790HUDSON HEADWATERS HEALTH NETWORKHudson Headwaters Administrative OfficesHRSA-Funded Health Center9 CAREY ROAD
QUEENSBURYNY10/27/201202/06/20182/8/2018 11:13 AM
DetailsCH02179AHUDSON HEADWATERS HEALTH NETWORKCHESTER-HORICON HEALTH CENTERHRSA-Funded Health Center6223 STATE ROUTE 9
CHESTERTOWNNY10/27/201202/08/201812/4/2020 10:39 AM
DetailsCH02179BHUDSON HEADWATERS HEALTH NETWORKNORTH CREEK HEALTH CENTERHRSA-Funded Health Center126 SKI BOWL RD
NORTH CREEKNY10/27/201202/08/201812/4/2020 10:40 AM
DetailsCH02179CHUDSON HEADWATERS HEALTH NETWORKINDIAN LAKE HEALTH CENTERHRSA-Funded Health Center6356 NYS ROUTE 30
INDIAN LAKENY10/27/201202/08/201812/4/2020 10:36 AM
DetailsCH02179EHUDSON HEADWATERS HEALTH NETWORKSCHROON LAKE HEALTH CENTERHRSA-Funded Health Center24 FAIRFIELD AVENUE
SCHROON LAKENY10/27/201202/08/201812/4/2020 10:38 AM
DetailsCH02179FHUDSON HEADWATERS HEALTH NETWORKTICONDEROGA HEALTH CENTERHRSA-Funded Health Center101 Adirondack Drive
Suite 2
TICONDEROGANY10/27/201202/08/201812/4/2020 10:41 AM
DetailsCH02179GHUDSON HEADWATERS HEALTH NETWORKWarrensburg Health CenterHRSA-Funded Health Center3767 MAIN STREET
WARRENSBURGNY10/27/201202/08/201812/4/2020 10:43 AM
DetailsCH02179IHUDSON HEADWATERS HEALTH NETWORKMoriah Health CenterHRSA-Funded Health Center33 TOM PHELPS LANE
MINEVILLENY10/27/201202/08/201812/4/2020 10:44 AM
DetailsCH02179JHUDSON HEADWATERS HEALTH NETWORKHealth Center on Broad StreetHRSA-Funded Health Center100 BROAD STREET
GLENS FALLSNY10/27/201202/08/201812/4/2020 10:43 AM
DetailsCH02179KHUDSON HEADWATERS HEALTH NETWORKMOREAU FAMILY HEALTHHRSA-Funded Health Center1299 ROUTE 9
GansevoortNY10/27/201202/08/201812/4/2020 10:43 AM
DetailsCH02179LHUDSON HEADWATERS HEALTH NETWORKHudson Headwaters Pediatric and Adolescent HealthHRSA-Funded Health Center28 S Western Ave
QUEENSBURYNY10/27/201202/08/201812/4/2020 10:42 AM
DetailsCH02179PHUDSON HEADWATERS HEALTH NETWORKFt Edward-Kingsbury Health CenterHRSA-Funded Health Center48 EAST STREET
FORT EDWARDNY10/27/201202/08/201812/4/2020 10:42 AM
DetailsCH02179QHUDSON HEADWATERS HEALTH NETWORKWest Mountain Family Health and West Mountain Specialty CareHRSA-Funded Health Center161 CAREY ROAD
QUEENSBURYNY10/27/201202/08/201812/4/2020 10:42 AM
DetailsCH02179RHUDSON HEADWATERS HEALTH NETWORKChamplain Family HealthHRSA-Funded Health Center828 State Route 11
ChamplainNY10/01/201202/08/201812/4/2020 10:41 AM
DetailsCH02179SHUDSON HEADWATERS HEALTH NETWORKHudson Headwaters Women's HealthHRSA-Funded Health Center90 SOUTH STREET
GLENS FALLSNY01/01/201402/08/201812/4/2020 10:37 AM
DetailsDSH330250CHAMPLAIN VALLEY PHYSICIANS HOSPITAL Disproportionate Share Hospital75 BEEKMAN STREET
PLATTSBURGHNY10/01/201402/06/20183/6/2018 11:51 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate RITE AID OF NEW YORK RITE AID PHCY #4722 887 STATE ROUTE 11 CHAMPLAIN, NY 12919-0576RITE AID OF NEW YORK, INC. RITE AID #4722 887 STATE ROUTE 11 PO BOX 576 CHAMPLAIN, NY 129196/23/2015 12:40 PM
DetailsNameUpdate RITE AID OF NEW YORKRITE AID OF NEW YORK, INC.6/23/2015 12:40 PM
DetailsCommentsUpdate   3/28/2013 4:03 PM
AddressesPharmacy AddressUpdate RITE AID PHCY #4722 887 STATE ROUTE 11 PO BOX 576 CHAMPLAIN, NY 12919RITE AID OF NEW YORK RITE AID PHCY #4722 887 STATE ROUTE 11 CHAMPLAIN, NY 12919-05763/28/2013 4:03 PM
DetailsNameUpdate RITE AID PHCY #4722RITE AID OF NEW YORK3/28/2013 4:03 PM
AddressesPharmacy AddressUpdate Rite Aid store #04722 887 State Route 11 Champlain, NY 12919RITE AID PHCY #4722 887 STATE ROUTE 11 PO BOX 576 CHAMPLAIN, NY 129199/19/2012 4:31 PM
DetailsNameUpdate Rite Aid store #04722RITE AID PHCY #47229/19/2012 4:31 PM
DetailsCommentsInsert   8/30/2012 1:18 PM
DetailsIs DeletedInsert  False8/30/2012 1:18 PM
AddressesPharmacy AddressInsert  Rite Aid store #04722 887 State Route 11 Champlain, NY 129198/30/2012 1:18 PM