Contract Pharmacy Details

CHEM RX PHARMACY SERVICES LLC
CH021917C UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTH CARE CENTER

Covered Entity Details

Entity Name

UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTH CARE CENTER

Subdivision Name

The Nest Community Health Center

Type

HRSA-Funded Health Center

340B ID

CH021917C

Entity Address

169 W 133rd St
New York, NY 10030-3301

Grant Number

H80CS17251

Participating Start Date

4/1/2016

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

CHEM RX PHARMACY SERVICES LLC

Pharmacy Address

TRADE NAME: PHARMERICA
51 CHARLES LINDBERGH BLVD
UNIONDALE, NY 11553-3658

Pharmacy Comments

Contract Details

Approval Date

4/14/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/8/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Jacquelyn Kilmer, CEO
(212) 803-2886

Contract Pharmacy Representative

ChemRx
Jody Silva Falk, Associate Vice President
(516) 721-8717

Signed By Date

4/14/2016

340B Drug Pricing Program Database