340B Drug Pricing Program Database


HM02114 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION (Active) - information as of 5/5/2025 11:58:37 PM

Main Details
MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION
MASSACHUSETTS GENERAL COMPREHENSIVE HEMOPHILIA AND THROMBOSIS TREATMENT CENTER
Comprehensive Hemophilia Treatment Center
HM02114
H30MC24048


Additional Details
Active
9/22/2011
10/1/2011
9/30/2011
2/10/2025

Contacts

Massachusetts General Physicians Organization
Mario DiBenedetto, Executive Director of Finance
(857) 282-7036

MGH Comprehensive Hemophilia Treatment Center
Eric F Grabowski, Director
(617) 726-2737

Addresses

55 FRUIT STREET
BOSTON, MA 02114

Mass General Brigham - MGPO
Accounts Payable
399 Revolution Drive, Suite 327
Somerville, MA 02145


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
MA110000037C1417472812
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailD.A.W., LLCEATON APOTHECARY #3060 427 TURNPIKE ST STE 5
CANTONMA02021-270907/15/201310/01/2013 01/01/201901/01/2019
Contract DetailD.A.W., LLC.EATON APOTHECARY #3035 2 CENTENNIAL DR
STE 1A 		PEABODYMA0196010/23/201401/01/2015 01/01/201901/01/2019
Contract DetailNEW ENGLAND LIFE CARE780 DEDHAM ST STE 300
CANTONMA0202110/12/201801/01/2019  01/01/2019
Contract DetailNEW ENGLAND LIFE CARE INC.4 CONSTITUTION WAY STE J
WOBURNMA0180110/12/201801/01/2019  01/01/2019
Contract DetailPOSITUDES INC44 BOND ST
WESTBURYNY1159004/16/201807/01/2018  04/16/2018
Contract DetailRED CHIP OF NEVADA18009 SKY PARK CIRCLE SUITE F
IRVINECA92614-926107/15/202210/01/2022  10/01/2022
Contract DetailRed Chip of Nevada18009 Sky Park Circle, Suite G
IrvineCA9261407/15/202210/01/2022 01/31/202411/05/2024
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/29/2024 9:20:54 AM2/10/2025 8:49:55 AM2/10/2025 8:49 AM
DetailsLast Recertification DateUpdateRecertification2/16/2023 8:29:18 AM1/29/2024 9:20:54 AM1/29/2024 9:20 AM
ContactsAuthorizing OfficialUpdateAO Change RequestMorash, Daniel Chief Financial Officer Mass General Physicians Organization 6177262684DiBenedetto, Mario Executive Director of Finance Massachusetts General Physicians Organization 85728270362/17/2023 8:26 AM
ContactsPrimary ContactUpdateRecertificationGRABOWSKI, ERIC F. DIRECTOR MGPO 6177262737Grabowski, Eric F Director MGH Comprehensive Hemophilia Treatment Center 61772627372/16/2023 8:29 AM
DetailsLast Recertification DateUpdateRecertification1/31/2022 11:42:55 AM2/16/2023 8:29:18 AM2/16/2023 8:29 AM
AddressesBilling AddressUpdateRecertificationPARTNERS HEALTHCARE SYSTEM ATTN: ACCOUNTS PAYABLE 529 MAIN STREET - PO BOX 9127 CHARLESTOWN, MA 02129-1151Mass General Brigham - MGPO Accounts Payable 399 Revolution Drive, Suite 327 Somerville, MA 021451/31/2022 11:42 AM
DetailsLast Recertification DateUpdateRecertification2/4/2021 2:02:05 PM1/31/2022 11:42:55 AM1/31/2022 11:42 AM
ContactsAuthorizing OfficialUpdateAO Change RequestHEFFERNAN, JAMES SR. VP OF FINANCE AND TREASURER MGPO 6177262684Morash, Daniel Chief Financial Officer Mass General Physicians Organization 61772626847/28/2021 8:20 AM
Medicaid BillingNPI: NumberDeleteRecertification1801874573 ( ) 2/4/2021 2:02 PM
Medicaid BillingNPI: NumberInsertRecertification 14174728122/4/2021 2:02 PM
Medicaid BillingNPI: StateInsertRecertification MA2/4/2021 2:02 PM
DetailsLast Recertification DateUpdateRecertification1/31/2020 12:23:19 PM2/4/2021 2:02:05 PM2/4/2021 2:02 PM
DetailsLast Recertification DateUpdateRecertification2/6/2019 9:25:38 AM1/31/2020 12:23:19 PM1/31/2020 12:23 PM
AddressesShipping AddressDeleteRecertificationEATON-MGHTC 427 TURNPIKE STREET SUITE #5 CANTON, MA 02021-2709 2/6/2019 9:25 AM
DetailsLast Recertification DateUpdateRecertification2/13/2018 4:55:37 PM2/6/2019 9:25:38 AM2/6/2019 9:25 AM
ContactsPrimary ContactUpdate GRABOWSKI, ERIC DIRECTOR MGPO 6177262737GRABOWSKI, ERIC F. DIRECTOR MGPO 61772627374/16/2018 5:21 PM
ContactsAuthorizing OfficialUpdateAO Change RequestHeffernan, James CFO Hemophilia 6177262684HEFFERNAN, JAMES SR. VP OF FINANCE AND TREASURER MGPO 61772626844/16/2018 4:16 PM
ContactsAuthorizing OfficialUpdateAO Change RequestHEFFERNAN, JAMES SR. VP OF FINANCE AND TREASURER MGPO 6177262684Heffernan, James CFO Hemophilia 61772626842/20/2018 2:39 PM
DetailsLast Recertification DateUpdateRecertification1/27/2017 12:00:00 AM2/13/2018 4:55:37 PM2/13/2018 4:55 PM
ContactsPrimary ContactUpdateRecertificationGRABOWSKI, ERIC DIRECTOR 6177262737GRABOWSKI, ERIC DIRECTOR MGPO 61772627372/13/2018 4:55 PM
ContactsAuthorizing OfficialUpdate HEFFERNAN, JAMES SR. VP OF FINANCE AND TREASURER 6177262684HEFFERNAN, JAMES SR. VP OF FINANCE AND TREASURER MGPO 61772626842/13/2018 4:51 PM
AddressesMain AddressInsert   55 FRUIT STREET BOSTON, MA 021141/27/2017 11:58 AM
ContactsPrimary ContactInsert  GRABOWSKI, ERIC DIRECTOR 61772627371/27/2017 11:58 AM
ContactsAuthorizing OfficialInsert  HEFFERNAN, JAMES SR. VP OF FINANCE AND TREASURER 61772626841/27/2017 11:58 AM
DetailsLast Recertification DateUpdate 2/22/2016 12:00:00 AM1/27/2017 12:00:00 AM1/27/2017 11:58 AM
Medicaid BillingNPI: NumberInsert  18018745732/22/2016 10:38 AM
DetailsLast Recertification DateUpdate 2/5/2015 12:00:00 AM2/22/2016 12:00:00 AM2/22/2016 10:38 AM
AddressesShipping AddressInsert  EATON-MGHTC 427 TURNPIKE STREET SUITE #5 CANTON, MA 02021-27092/5/2015 8:28 AM
DetailsLast Recertification DateUpdate 3/3/2014 12:00:00 AM2/5/2015 12:00:00 AM2/5/2015 8:28 AM
AddressesBilling AddressInsert  PARTNERS HEALTHCARE SYSTEM ATTN: ACCOUNTS PAYABLE 529 MAIN STREET - PO BOX 9127 CHARLESTOWN, MA 02129-115111/4/2014 11:14 AM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM3/3/2014 12:00:00 AM3/3/2014 1:50 PM
Medicaid BillingMedicaid: NumberUpdate 10000037C110000037C10/24/2013 3:20 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False7/15/2013 3:19 PM
Medicaid BillingMedicaid: NumberInsert  10000037C7/15/2013 3:19 PM
Medicaid BillingMedicaid: StateInsert  MA7/15/2013 3:19 PM
DetailsGrant NumberUpdate H30MC00037H30MC240483/8/2013 7:42 AM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM2/6/2013 3:19 PM
DetailsGrant NumberUpdate  H30MC000372/6/2013 3:19 PM
DetailsLast Recertification DateUpdate 9/29/2011 12:00:00 AM 9/30/2011 11:37 AM
DatesParticipating Approval DateUpdate  9/30/2011 12:00:00 AM9/30/2011 11:37 AM
DetailsStateUpdate PendingActive9/30/2011 11:37 AM
DetailsLast Recertification DateUpdate  9/29/2011 12:00:00 AM9/29/2011 1:55 PM
DetailsLast Recertification DateInsert   9/22/2011 3:42 PM
DetailsGrant NumberInsert   9/22/2011 3:42 PM
Details340B IDInsert  HM021149/22/2011 3:42 PM
DetailsIs Authorizing Official EHB DataInsert   9/22/2011 3:42 PM
DatesLast Date That 340B Drugs PurchasedInsert   9/22/2011 3:42 PM
DetailsMedicare Provider NumberInsert   9/22/2011 3:42 PM
DetailsEntity NameInsert  MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION9/22/2011 3:42 PM
DetailsProgram CodeInsert  HM9/22/2011 3:42 PM
DetailsEntity SubnameInsert  MASSACHUSETTS GENERAL COMPREHENSIVE HEMOPHILIA AND THROMBOSIS TREATMENT CENTER9/22/2011 3:42 PM
DatesParticipating Approval DateInsert   9/22/2011 3:42 PM
DetailsStateInsert  Pending9/22/2011 3:42 PM
DatesRegistration DateInsert  9/22/2011 12:00:00 AM9/22/2011 3:42 PM
DatesSigned By DateInsert   9/22/2011 3:42 PM
DatesStart DateInsert  10/1/2011 12:00:00 AM9/22/2011 3:42 PM
TerminationsTermination CommentsInsert   9/22/2011 3:42 PM
TerminationsTermination DateInsert   9/22/2011 3:42 PM
TerminationsTermination Effective DateInsert   9/22/2011 3:42 PM
TerminationsTermination ReasonInsert   9/22/2011 3:42 PM