340B Drug Pricing Program Database


RWI19380 Family Service of Chester County (Active) - information as of 6/4/2025 12:07:46 PM

Main Details
Family Service of Chester County
Ryan White Part A
RWI19380
H89HA00013


Additional Details
Active
1/15/2015
4/1/2015
2/9/2015
2/12/2025
3/1/2024 - 2/28/2026

Contacts

Family Service of Chester County
Mark L Butler, Executive Director
(267) 625-3657

Family Service of Chester County
Albert Anderson, Fiscal Director
(610) 696-4900

Addresses

1001 E Lincoln Highway
Coatesville, PA 19320

Family Service of Chester County
310 N Matlack St.
West Chester, PA 19380


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

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailHARROLD'S PHARMACY250 OLD RIVER RD
WILKES BARREPA18702-162110/11/201901/01/2020  01/01/2020
Contract DetailLIFE TREE PHARMACY5 BLUE HERON DRIVE
COLLEGEVILLEPA1942602/09/201504/01/2015  02/06/2019
Contract DetailSUMMIT HEALTH PHARMACY INC3400 EDGMONT AVENUE
BROOKHAVENPA1901501/08/202004/01/2020  04/01/2020
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsAssistance Received To DateUpdateRecertification2/28/2025 12:00:00 AM2/28/2026 12:00:00 AM2/12/2025 1:37 PM
DetailsLast Recertification DateUpdateRecertification2/7/2024 11:04:10 AM2/12/2025 1:37:39 PM2/12/2025 1:37 PM
DetailsAssistance Received From DateUpdateChange Request3/1/2023 12:00:00 AM3/1/2024 12:00:00 AM6/25/2024 12:13 PM
DetailsAssistance Received To DateUpdateChange Request2/28/2024 12:00:00 AM2/28/2025 12:00:00 AM6/25/2024 12:13 PM
DetailsAssistance Received From DateUpdateRecertification3/1/2022 12:00:00 AM3/1/2023 12:00:00 AM2/7/2024 11:04 AM
DetailsAssistance Received To DateUpdateRecertification2/28/2023 12:00:00 AM2/28/2024 12:00:00 AM2/7/2024 11:04 AM
DetailsLast Recertification DateUpdateRecertification2/15/2023 12:22:27 PM2/7/2024 11:04:10 AM2/7/2024 11:04 AM
DetailsNOFO NumberUpdate HRSA-20-063 12/16/2023 10:34 AM
DetailsAssistance Received From DateUpdateRecertification3/1/2021 12:00:00 AM3/1/2022 12:00:00 AM2/15/2023 12:22 PM
DetailsAssistance Received To DateUpdateRecertification2/28/2022 12:00:00 AM2/28/2023 12:00:00 AM2/15/2023 12:22 PM
DetailsLast Recertification DateUpdateRecertification2/4/2022 10:56:13 AM2/15/2023 12:22:27 PM2/15/2023 12:22 PM
DetailsLast Recertification DateUpdateRecertification2/23/2021 11:19:56 AM2/4/2022 10:56:13 AM2/4/2022 10:56 AM
AddressesBilling AddressInsertChange Request Family Service of Chester County 310 N Matlack St. West Chester, PA 1938011/22/2021 11:27 AM
AddressesMain AddressUpdateChange Request 310 North Matlack Street West Chester, PA 19380 1001 E Lincoln Highway Coatesville, PA 1932011/22/2021 11:27 AM
DetailsAssistance Received From DateUpdateChange Request3/1/2020 12:00:00 AM3/1/2021 12:00:00 AM11/22/2021 11:27 AM
DetailsAssistance Received To DateUpdateChange Request2/28/2021 12:00:00 AM2/28/2022 12:00:00 AM11/22/2021 11:27 AM
DetailsAssistance Received From DateUpdateRecertification 3/1/2020 12:00:00 AM2/23/2021 11:19 AM
DetailsAssistance Received To DateUpdateRecertification 2/28/2021 12:00:00 AM2/23/2021 11:19 AM
DetailsLast Recertification DateUpdateRecertification2/13/2020 11:22:20 AM2/23/2021 11:19:56 AM2/23/2021 11:19 AM
DetailsNOFO NumberUpdateRecertification HRSA-20-0632/23/2021 11:19 AM
DetailsLast Recertification DateUpdateRecertification2/7/2018 7:58:41 AM2/13/2020 11:22:20 AM2/13/2020 11:22 AM
ContactsAuthorizing OfficialUpdateAO Change RequestMack, Burroughs Executive Director Family Service of Chester County 6106964900-117Butler, Mark L Executive Director Family Service of Chester County 26762536574/18/2019 2:44 PM
DatesLast Date That 340B Drugs PurchasedUpdateOPA Cancel Termination Request7/2/2018 12:00:00 AM 2/6/2019 11:13 AM
DetailsStateUpdateOPA Cancel Termination RequestTo Be TerminatedActive2/6/2019 11:13 AM
TerminationsTermination DateUpdateOPA Cancel Termination Request4/1/2019 12:00:00 AM 2/6/2019 11:13 AM
TerminationsTermination Effective DateUpdateOPA Cancel Termination Request8/31/2018 12:00:00 AM 2/6/2019 11:13 AM
TerminationsTermination ReasonUpdateOPA Cancel Termination RequestChange of covered entity type (non-hospital) 2/6/2019 11:13 AM
DatesLast Date That 340B Drugs PurchasedUpdateRecertification 7/2/2018 12:00:00 AM1/30/2019 7:34 AM
DetailsStateUpdateRecertificationActiveTo Be Terminated1/30/2019 7:34 AM
TerminationsTermination DateUpdateRecertification 4/1/2019 12:00:00 AM1/30/2019 7:34 AM
TerminationsTermination Effective DateUpdateRecertification 8/31/2018 12:00:00 AM1/30/2019 7:34 AM
TerminationsTermination ReasonUpdateRecertification Change of covered entity type (non-hospital)1/30/2019 7:34 AM
ContactsPrimary ContactUpdateRecertificationMack, Burroughs Executive Director Family Service of Chester County 6106964900-117Anderson, Albert Fiscal Director Family Service of Chester County 61069649002/7/2018 7:58 AM
DetailsLast Recertification DateUpdateRecertification1/25/2017 12:00:00 AM2/7/2018 7:58:41 AM2/7/2018 7:58 AM
ContactsAuthorizing OfficialUpdate Mack, Burroughs Executive Director 6106964900-117Mack, Burroughs Executive Director Family Service of Chester County 6106964900-11710/23/2017 1:54 PM
ContactsPrimary ContactUpdate Mack, Burroughs Executive Director 6106964900-117Mack, Burroughs Executive Director Family Service of Chester County 6106964900-11710/23/2017 1:54 PM
ContactsSigned ByUpdate Mack, Burroughs Executive Director 6106964900-117Mack, Burroughs Executive Director Family Service of Chester County 6106964900-11710/23/2017 1:54 PM
AddressesMain AddressInsert   310 North Matlack Street West Chester, PA 193801/25/2017 11:18 AM
ContactsAuthorizing OfficialInsert  Mack, Burroughs Executive Director 6106964900-1171/25/2017 11:18 AM
ContactsPrimary ContactInsert  Mack, Burroughs Executive Director 6106964900-1171/25/2017 11:18 AM
ContactsSigned ByInsert  Mack, Burroughs Executive Director 6106964900-1171/25/2017 11:18 AM
DetailsLast Recertification DateUpdate 2/12/2016 12:00:00 AM1/25/2017 12:00:00 AM1/25/2017 11:18 AM
DetailsLast Recertification DateUpdate  2/12/2016 12:00:00 AM2/12/2016 8:53 AM
DatesParticipating Approval DateUpdate  2/9/2015 12:00:00 AM2/9/2015 9:18 AM
DetailsStateUpdate PendingActive2/9/2015 9:18 AM
DatesStart DateUpdate  4/1/2015 12:00:00 AM2/9/2015 9:18 AM
Details340B IDUpdate ONLINE_REG_49942RWI193802/6/2015 9:53 AM
DetailsGrant NumberUpdate  H89HA000132/4/2015 3:32 PM
Details340B IDUpdate ONLINE_REGONLINE_REG_499421/15/2015 5:10 PM
DetailsLast Recertification DateInsert   1/15/2015 5:10 PM
DetailsGrant NumberInsert   1/15/2015 5:10 PM
Details340B IDInsert  ONLINE_REG1/15/2015 5:10 PM
DetailsIs Authorizing Official EHB DataInsert   1/15/2015 5:10 PM
DatesLast Date That 340B Drugs PurchasedInsert   1/15/2015 5:10 PM
DetailsMedicare Provider NumberInsert   1/15/2015 5:10 PM
DetailsEntity NameInsert  Family Service of Chester County1/15/2015 5:10 PM
DetailsProgram CodeInsert  RWI1/15/2015 5:10 PM
DetailsEntity SubnameInsert   1/15/2015 5:10 PM
DatesParticipating Approval DateInsert   1/15/2015 5:10 PM
DetailsStateInsert  Pending1/15/2015 5:10 PM
DatesRegistration DateInsert  1/15/2015 12:00:00 AM1/15/2015 5:10 PM
DatesSigned By DateInsert  1/15/2015 12:00:00 AM1/15/2015 5:10 PM
DatesStart DateInsert   1/15/2015 5:10 PM
TerminationsTermination CommentsInsert   1/15/2015 5:10 PM
TerminationsTermination DateInsert   1/15/2015 5:10 PM
TerminationsTermination Effective DateInsert   1/15/2015 5:10 PM
TerminationsTermination ReasonInsert   1/15/2015 5:10 PM