Covered Entity Details

HV12908A NO/AIDS Task Force (Active) - information as of 5/29/2025 2:01:14 AM

Main Details

Name

NO/AIDS Task Force

Subdivision Name

CrescentCare Mid-City

Type

Ryan White Part C

340B ID

HV12908A

Grant Number

H76HA12908

Additional Details

Current Program Status

Active

Registration Date

10/8/2014

Participating Start Date

1/1/2015

Participating Approval Date

10/17/2014

Last Recertification Date

3/7/2025

Time Period the Assistance was Received

5/1/2024 - 4/30/2026

Contacts

Authorizing Official

NO/AIDS Task Force d.b.a. CrescentCare
Alice Riener, Chief Executive Officer
(504) 821-2601 Ext: 1001

Primary Contact

NO/AIDS Task Force d.b.a CrescentCare
Roxanne Hadnott Songy, Director of Compliance
(504) 821-2601 Ext: 1010

Addresses

Street Address

2515 Canal Street
New Orleans, LA 70119

Billing Address

NO/AIDS Task Force (dba CrescentCare)
1631 Elysian Fields
New Orleans, LA 70117

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	AVITA PHARMACY 1028	340B PARTNERS PHARMACY-DALLAS LLC DBA AV	750 FORT WORTH AVE STE H100	DALLAS	TX	75208-1811	10/17/2014	01/01/2015		10/17/2014
Contract Detail	AVITA PHARMACY 1037	AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC	2519 CANAL ST	NEW ORLEANS	LA	70119	10/17/2014	01/01/2015		10/17/2014
Contract Detail	AVITA PHARMACY 1038	AVITA DRUGS LLC-NOLA 2 D/B/A AVITA PHARM	3308 TULANE AVE STE 102	NEW ORLEANS	LA	70119-7170	01/14/2018	04/01/2018		01/14/2018
Contract Detail	AVITA PHARMACY 1039	1631 ELYSIAN FIELDS AVE STE 200		NEW ORLEANS	LA	70117-8208	01/03/2019	04/01/2019		04/01/2019
Contract Detail	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	10/17/2014	01/01/2015		10/17/2014
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	10/13/2022	01/01/2023		01/01/2023
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	10/13/2022	01/01/2023		01/01/2023
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	10/18/2022	01/01/2023		01/01/2023
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	10/13/2022	01/01/2023		01/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05175	13430 INNERARITY POINT RD	PENSACOLA	FL	32507	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	02/19/2021	02/22/2021		02/22/2021
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 10483	1600 ELYSIAN FIELDS AVE.	NEW ORLEANS	LA	70117	04/12/2022	07/01/2022		07/01/2022
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 167	4401 S CLAIBORNE AVE.	NEW ORLEANS	LA	70125	10/14/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 10058	1116 LOUISIANA AVE	NEW ORLEANS	LA	70115	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05503	4901 PRYTANIA ST	NEW ORLEANS	LA	70115	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 10559	939 GIROD ST., SUITE 160	NEW ORLEANS	LA	70113	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05469	2101 COLLINS BLVD.	COVINGTON	LA	70433	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16781	4500 VETERANS MEMORIAL BLVD	METAIRIE	LA	70006	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 10108	5902 READ BLVD.	NEW ORLEANS	LA	70127	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05441	4301 AIRLINE DRIVE	METAIRIE	LA	70001	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 6360	1695 HIGHWAY 59	MANDEVILLE	LA	70448	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05297	201 N. CANAL BLVD.	THIBODAUX	LA	70301	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08999	2105 CLEARY AVE.	METAIRIE	LA	70001	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05340	9643-B JEFFERSON HWY	RIVER RIDGE	LA	70123	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05333	2242 WILLIAMS BLVD.,	KENNER	LA	70062	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 8266	2585 LEON C, SIMON DR.	NEW ORLEANS	LA	70122	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 10145	1401 VETERANS BLVD.	METAIRIE	LA	70005	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05442	12589 AIRLINE HWY	DESTREHAN	LA	70047	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	CVS/PHARMACY # 10594	500 N. CARROLLTON AVE.	NEW ORLEANS	LA	70119	10/18/2022	01/01/2023		01/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05349	820 W. ESPLANADE AVE.	KENNER	LA	70065	10/18/2022	01/01/2023		01/01/2023
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	10/18/2022	01/01/2023		01/01/2023
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS #10316	4001 CANAL ST	NEW ORLEANS	LA	70119	04/14/2016	07/01/2016		04/14/2016
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS SPECIALTY PHARMACY #13777	1415 TULANE AVE STE 2CW07	NEW ORLEANS	LA	70112	04/14/2016	07/01/2016		04/14/2016
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 05040	1801 SAINT CHARLES AVE	NEW ORLEANS	LA	70130	01/14/2018	04/01/2018		01/14/2018
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 02262	1100 ELYSIAN FIELDS	NEW ORLEANS	LA	70117	01/14/2018	04/01/2018		01/14/2018
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #16395	2000 CANAL ST STE G1-1200	NEW ORLEANS	LA	70112	01/14/2018	04/01/2018		01/14/2018
Contract Detail	WALGREEN LOUISIANA CO., INC.	WALGREENS #17199	8225 JEFFERSON HWY	HARAHAN	LA	70123-4617	07/10/2018	10/01/2018	02/23/2023	03/21/2023
Contract Detail	WALGREEN LOUISIANA CO., INC.	WALGREENS #17089	760 HARRISON AVE	NEW ORLEANS	LA	70124-3156	07/10/2018	10/01/2018		10/01/2018
Contract Detail	WALGREEN LOUISIANA CO., INC.	WALGREENS #17110	800 METAIRIE RD STE D	METAIRIE	LA	70005	07/10/2018	10/01/2018		10/01/2018
Contract Detail	WALGREEN LOUISIANA CO., INC.	WALGREENS #19904	725 VETERANS MEMORIAL BLVD	METAIRIE	LA	70005-2872	07/10/2018	10/01/2018	03/21/2023	05/31/2023
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 03139	1826 N BROAD ST	NEW ORLEANS	LA	70119	04/15/2021	07/01/2021		07/01/2021
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS SPECIALTY PHARMACY #16309	1401 FOUCHER ST STE C-309	NEW ORLEANS	LA	70115	07/09/2021	10/01/2021		10/01/2021
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 03024	4200 CHEF MENTEUR HWY	NEW ORLEANS	LA	70126	07/09/2021	10/01/2021	01/22/2025	01/22/2025
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 02468	4545 WEST ESPLANADE	METAIRIE	LA	70006	07/09/2021	10/01/2021		10/01/2021
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS #16312	5702 CROWDER BLVD	NEW ORLEANS	LA	70127	07/09/2021	10/01/2021		10/01/2021
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 06506	89 WESTBANK EXPRESSWAY	GRETNA	LA	70053-3662	07/09/2021	10/01/2021		10/01/2021
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS #15109	4327 JEFFERSON HWY.	JEFFERSON	LA	70121	07/09/2021	10/01/2021		10/01/2021
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 03558	6201 ELYSIAN FIELDS AVE	NEW ORLEANS	LA	70122	07/09/2021	10/01/2021		10/01/2021
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 02640	3227 MAGAZINE ST	NEW ORLEANS	LA	70115	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 04450	718 S. CARROLLTON AVE.	NEW ORLEANS	LA	70118	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 03156	1556 LAPALCO BLVD.	HARVEY	LA	70058	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 05516	4600 WESTBANK EXPRESSWAY	MARRERO	LA	70072-3065	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS #05866	2418 S. CARROLLTON AVE	NEW ORLEANS	LA	70118-3012	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 04451	4400 S.CLAIBORNE AVE.	NEW ORLEANS	LA	70125	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21205	4200 HOUMA BLVD STE 150	METAIRIE	LA	70006	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 05801	1815 W AIRLINE HWY	LAPLACE	LA	70068	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 13658	9705 JEFFERSON HWY	RIVER RIDGE	LA	70123	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 05472	821 W ESPLANADE	KENNER	LA	70065	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS #11414	3216 GENTILLY BLVD	NEW ORLEANS	LA	70122	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 15533	7101 VETERANS MEMORIAL BLVD	METAIRIE	LA	70003	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS #15067	4607 VETERANS MEMORIAL BLVD.	METAIRIE	LA	70006	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS #15571	4501 AIRLINE DR.	METAIRIE	LA	70001	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 05551	619 DECATUR ST	NEW ORLEANS	LA	70130	10/14/2021	01/01/2022	06/08/2022	06/08/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 07415	100 W JUDGE PEREZ DRIVE	CHALMETTE	LA	70043-5002	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS #11496	101 ALLEN TOUSSAINT BLVD	NEW ORLEANS	LA	70124	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 03889	4110 GENERAL DEGAULLE DR	NEW ORLEANS	LA	70131	10/14/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21176	925 COMMON ST STE A	NEW ORLEANS	LA	70112	10/10/2022	01/01/2023		01/01/2023
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS #13679	1717 VETERANS MEMORIAL BLVD	METAIRIE	LA	70005-2635	10/03/2023	01/01/2024		01/01/2024
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 04305	900 CANAL	NEW ORLEANS	LA	70112	01/14/2024	04/01/2024	01/02/2025	01/09/2025
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS SPECIALTY PHARMACY #15198	1111 MEDICAL CENTER BLVD STE 116N	MARRERO	LA	70072	04/02/2025	07/01/2025		04/02/2025
Contract Detail	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	07/12/2022	10/01/2022		10/01/2022
Contract Detail	WINN DIXIE PHARMACY #1472	401 N. CARROLLTON AVE.		NEW ORLEANS	LA	70119-4702	04/12/2022	07/01/2022	12/31/2023	01/14/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/6/2024 12:55:13 PM	3/7/2025 10:41:27 AM	3/7/2025 10:41 AM
Details	Assistance Received From Date	Update	Change Request	5/1/2022 12:00:00 AM	5/1/2024 12:00:00 AM	7/15/2024 10:30 AM
Details	Assistance Received To Date	Update	Change Request	4/30/2024 12:00:00 AM	4/30/2026 12:00:00 AM	7/15/2024 10:30 AM
Addresses	Main Address	Update	Change Request	3308 Tulane Avenue 2nd floor 3rd floor and 5th floor New Orleans, LA 70119	2515 Canal Street New Orleans, LA 70119	5/3/2024 7:50 AM
Details	Entity Subname	Update	Change Request	CrescentCare - Tulane	CrescentCare Mid-City	5/3/2024 7:50 AM
Details	Assistance Received To Date	Update	Recertification	4/30/2023 12:00:00 AM	4/30/2024 12:00:00 AM	2/6/2024 12:55 PM
Details	Last Recertification Date	Update	Recertification	2/9/2023 10:02:23 AM	2/6/2024 12:55:13 PM	2/6/2024 12:55 PM
Details	NOFO Number	Update		HRSA-18-005		12/16/2023 10:34 AM
Details	Assistance Received From Date	Update	Recertification	5/1/2020 12:00:00 AM	5/1/2022 12:00:00 AM	2/9/2023 10:02 AM
Details	Assistance Received To Date	Update	Recertification	4/30/2021 12:00:00 AM	4/30/2023 12:00:00 AM	2/9/2023 10:02 AM
Details	Last Recertification Date	Update	Recertification	2/9/2022 2:28:02 PM	2/9/2023 10:02:23 AM	2/9/2023 10:02 AM
Contacts	Authorizing Official	Update	Group Change Request	TWILBECK, NOEL John CEO NO/AIDS Task Force (d.b.a. CrescentCare) 5048212601-1000	Riener, Alice Chief Executive Officer NO/AIDS Task Force d.b.a. CrescentCare 5048212601-1001	12/28/2022 7:13 AM
Details	Last Recertification Date	Update	Recertification	2/16/2021 6:50:46 AM	2/9/2022 2:28:02 PM	2/9/2022 2:28 PM
Contacts	Primary Contact	Update	Profile Change Request	Songy, Roxanne Hadnott Compliance Officer NO/AIDS Task Force d.b.a CrescentCare 5048212601-1010	Songy, Roxanne Hadnott Director of Compliance NO/AIDS Task Force d.b.a CrescentCare 5048212601-1010	7/6/2021 3:43 PM
Contacts	Primary Contact	Update	Recertification	Beard, Jeannette Internal Audit Manager no/aids task force 5048212601-1002	Songy, Roxanne Hadnott Compliance Officer NO/AIDS Task Force d.b.a CrescentCare 5048212601-1010	2/16/2021 6:50 AM
Details	Assistance Received From Date	Update	Recertification		5/1/2020 12:00:00 AM	2/16/2021 6:50 AM
Details	Assistance Received To Date	Update	Recertification		4/30/2021 12:00:00 AM	2/16/2021 6:50 AM
Details	Last Recertification Date	Update	Recertification	2/4/2020 1:42:20 PM	2/16/2021 6:50:46 AM	2/16/2021 6:50 AM
Details	NOFO Number	Update	Recertification		HRSA-18-005	2/16/2021 6:50 AM
Contacts	Primary Contact	Update	Profile Change Request	Beard, Jeannette Internal Audit Manager no/aids task force 5048212601-202	Beard, Jeannette Internal Audit Manager no/aids task force 5048212601-1002	2/4/2020 2:08 PM
Details	Last Recertification Date	Update	Recertification	2/11/2019 3:22:52 PM	2/4/2020 1:42:20 PM	2/4/2020 1:42 PM
Details	Entity Subname	Update	Recertification	CrescentCare Health and Wellness Center	CrescentCare - Tulane	2/4/2020 1:42 PM
Details	Last Recertification Date	Update	Recertification	2/12/2018 9:57:45 AM	2/11/2019 3:22:52 PM	2/11/2019 3:22 PM
Addresses	Main Address	Update	Change Request	3308 Tulane Avenue 2nd floor and 5th floor New Orleans, LA 70119	3308 Tulane Avenue 2nd floor 3rd floor and 5th floor New Orleans, LA 70119	12/10/2018 2:52 PM
Addresses	Billing Address	Update	Change Request	NO/AIDS Task Force (dba CrescentCare) 2601 Tulane Avenue Suite 500 New Orleans, LA 70119	NO/AIDS Task Force (dba CrescentCare) 1631 Elysian Fields New Orleans, LA 70117	12/10/2018 2:52 PM
Contacts	Authorizing Official	Update	Profile Change Request	TWILBECK, NOEL John CEO NO/AIDS Task Force (d.b.a. CrescentCare) 5048212601-228	TWILBECK, NOEL John CEO NO/AIDS Task Force (d.b.a. CrescentCare) 5048212601-1000	12/8/2018 2:23 PM
Details	Last Recertification Date	Update	Recertification	2/17/2017 12:00:00 AM	2/12/2018 9:57:45 AM	2/12/2018 9:57 AM
Contacts	Authorizing Official	Update		TWILBECK, NOEL CEO 5048212601-228	TWILBECK, NOEL John CEO NO/AIDS Task Force (d.b.a. CrescentCare) 5048212601-228	10/10/2017 7:55 AM
Contacts	Primary Contact	Update		Beard, Jeannette Internal Audit Manager 5048212601-202	Beard, Jeannette Internal Audit Manager no/aids task force 5048212601-202	10/5/2017 4:37 PM
Contacts	Primary Contact	Update		Holm, Pam Director of HIV Primary Care 5048212601-241	Beard, Jeannette Internal Audit Manager 5048212601-202	8/10/2017 11:48 AM
Contacts	Authorizing Official	Insert			TWILBECK, NOEL CEO 5048212601-228	8/10/2017 11:48 AM
Addresses	Main Address	Insert			3308 Tulane Avenue 2nd floor and 5th floor New Orleans, LA 70119	8/10/2017 11:48 AM
Addresses	Billing Address	Insert			NO/AIDS Task Force (dba CrescentCare) 2601 Tulane Avenue Suite 500 New Orleans, LA 70119	8/10/2017 11:48 AM
Contacts	Signed By	Insert			Twilbeck, Noel CEO 5048212601-228	8/10/2017 11:48 AM
Details	Last Recertification Date	Update		2/25/2016 12:00:00 AM	2/17/2017 12:00:00 AM	2/17/2017 7:14 PM
Details	Last Recertification Date	Update		2/16/2015 12:00:00 AM	2/25/2016 12:00:00 AM	2/25/2016 6:18 PM
Contacts	Primary Contact	Insert			Holm, Pam Director of HIV Primary Care 5048212601-241	2/16/2015 10:11 PM
Details	Last Recertification Date	Update			2/16/2015 12:00:00 AM	2/16/2015 10:11 PM
Dates	Participating Approval Date	Update			10/17/2014 12:00:00 AM	10/17/2014 1:53 PM
Details	State	Update		Pending	Active	10/17/2014 1:53 PM
Dates	Start Date	Update			1/1/2015 12:00:00 AM	10/17/2014 1:53 PM
Details	340B ID	Update		ONLINE_REG_46820	HV12908A	10/10/2014 3:47 PM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_46820	10/8/2014 3:59 PM
Details	Last Recertification Date	Insert				10/8/2014 3:59 PM
Details	Grant Number	Insert			H76HA12908	10/8/2014 3:59 PM
Details	340B ID	Insert			ONLINE_REG	10/8/2014 3:59 PM
Details	Is Authorizing Official EHB Data	Insert				10/8/2014 3:59 PM
Dates	Last Date That 340B Drugs Purchased	Insert				10/8/2014 3:59 PM
Details	Medicare Provider Number	Insert				10/8/2014 3:59 PM
Details	Entity Name	Insert			NO/AIDS Task Force	10/8/2014 3:59 PM
Details	Program Code	Insert			HV	10/8/2014 3:59 PM
Details	Entity Subname	Insert			CrescentCare Health and Wellness Center	10/8/2014 3:59 PM
Dates	Participating Approval Date	Insert				10/8/2014 3:59 PM
Details	State	Insert			Pending	10/8/2014 3:59 PM
Dates	Registration Date	Insert			10/8/2014 12:00:00 AM	10/8/2014 3:59 PM
Dates	Signed By Date	Insert			10/8/2014 12:00:00 AM	10/8/2014 3:59 PM
Dates	Start Date	Insert				10/8/2014 3:59 PM
Terminations	Termination Comments	Insert				10/8/2014 3:59 PM
Terminations	Termination Date	Insert				10/8/2014 3:59 PM
Terminations	Termination Effective Date	Insert				10/8/2014 3:59 PM
Terminations	Termination Reason	Insert				10/8/2014 3:59 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History