340B Drug Pricing Program Database


MAGELLAN RX PHARMACY, LLC. - information as of 5/6/2025 12:19:33 AM


MAGELLAN RX PHARMACY, LLC.

31-75 23RD STREET
SUITE 410
ASTORIA, NY 11106



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH021630COMMUNITY HEALTHCARE NETWORKCOMMUNITY HEALTHCARE NETWORKHRSA-Funded Health Center60 MADSION AVE 5TH FLOOR
NEW YORKNY10/01/201608/07/20188/7/2018 12:48 PM
DetailsCH022110THE ADDABBO JOSEPH P FAMILY HEALTH CENTER INCJOSEPH P. ADDABBO FAMILY HEALTH CENTERHRSA-Funded Health Center6200 Beach Channel Dr
ArverneNY01/01/201701/01/20177/28/2020 5:29 PM
DetailsDSH100113SHANDS TEACHING HOSPITAL AND CLINICS, INC. Disproportionate Share Hospital1600 SW Archer Road
GAINESVILLEFL01/01/201308/01/20152/29/2016 5:20 PM
DetailsDSH330024THE MOUNT SINAI HOSPITAL Disproportionate Share HospitalONE GUSTAVE L. LEVY PLACE
NEW YORKNY10/01/201607/15/20167/24/2017 6:49 PM
DetailsDSH330046MOUNT SINAI WEST Disproportionate Share Hospital1000 TENTH AVENUE
NEW YORKNY10/01/201607/15/20168/3/2017 10:15 AM
DetailsDSH330169MOUNT SINAI BETH ISRAEL Disproportionate Share HospitalFIRST AVENUE AT 16TH STREET
NEW YORKNY10/01/201607/15/20167/25/2017 11:18 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  MAGELLAN RX PHARMACY, LLC. 31-75 23RD STREET SUITE 410 ASTORIA, NY 111069/29/2017 6:44 AM
AddressesPharmacy AddressUpdate ICORE HEALTHCARE LLC 31-75 23RD STREET ASTORIA, NY 11106MAGELLAN RX PHARMACY, LLC. 31-75 23RD STREET SUITE 410 ASTORIA, NY 111063/16/2015 10:36 AM
DetailsNameUpdate ICORE HEALTHCARE LLCMAGELLAN RX PHARMACY, LLC.3/16/2015 10:36 AM
DetailsCommentsUpdate   3/28/2013 4:02 PM
AddressesPharmacy AddressUpdate ICORE HEALTHCARE LLC 31-75 23RD STREET SUITE 410 ASTORIA, NY 11106ICORE HEALTHCARE LLC 31-75 23RD STREET ASTORIA, NY 111063/28/2013 4:02 PM
AddressesPharmacy AddressUpdate Icore Healthcare, LLC 3175 23rd Street, Suite 410 Astoria, NY 11106ICORE HEALTHCARE LLC 31-75 23RD STREET SUITE 410 ASTORIA, NY 1110611/28/2012 5:03 PM
DetailsNameUpdate Icore Healthcare, LLCICORE HEALTHCARE LLC11/28/2012 5:03 PM
DetailsCommentsInsert   10/11/2012 11:45 AM
DetailsIs DeletedInsert  False10/11/2012 11:45 AM
AddressesPharmacy AddressInsert  Icore Healthcare, LLC 3175 23rd Street, Suite 410 Astoria, NY 1110610/11/2012 11:45 AM