Children’s hospital · CA
Van #1 (Tiburcio)
Filed as SANTA ROSA COMMUNITY HEALTH CENTERS.
Taking partNoTermination date filed1 April 2023Last certified3 February 2022
- 0Registered locations
- 1Associated locations
- 9Contract pharmacies
- 0With no end date
- 1 July 2020In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “Van #1 (Tiburcio)”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 2026-09-07. https://velarionrecords.com/340b/CH09879W. Accessed 8 September 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 July 2020
- Termination date
- 1 April 2023
- Termination reason
- Site closure
- Certification date
- 3 February 2022
- Record last edited
- 1 April 2023
Identifiers
- 340B ID
- CH09879W
- Entity type as filed
- CH
- Site ID
- BPS-H80-021513
- Grant number
- H80CS00259
- NPI
- 1578766085 (CA)
1110 N Dutton Ave, Santa Rosa CA 95401
Associated locations
| Van #1 (Tiburcio) | 1110 N Dutton Ave | Santa Rosa CA 95401 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed9
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| LARK REXALL DRUGS INC | GUERNEVILLE, CA | 1 July 2020 | 1 April 2023 |
| LARK REXALL DRUGS INC | GUERNEVILLE, CA | 13 December 2017 | 1 October 2019 |
| LOMBARDI ROSA PHARMACY | SANTA ROSA, CA | 1 July 2020 | 1 April 2023 |
| MARIN APOTHECARIES, INC. | SANTA ROSA, CA | 1 July 2020 | 1 April 2023 |
| MARIN APOTHECARIES, INC. | SANTA ROSA, CA | 1 January 2018 | 1 October 2019 |
| MARIN APOTHECARIES, INC. | SANTA ROSA, CA | 1 January 2019 | 1 October 2019 |
| RX E-FILL SOLUTIONS | VALENCIA, CA | 1 July 2020 | 1 April 2023 |
| RX E-FILL SOLUTIONS | VALENCIA, CA | 1 January 2019 | 1 October 2019 |
| VISTA CLINIC PHARMACY | SANTA ROSA, CA | 1 July 2020 | 1 April 2023 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.