340B Drug Pricing Program Database


HV33975A Florida Department of Health in Hendry (Active) - information as of 5/15/2025 11:42:40 PM

Main Details
Florida Department of Health in Hendry
Ryan White Part C
Ryan White Part C
HV33975A
H76HA00594


Additional Details
Active
1/14/2016
4/1/2016
2/10/2016
2/10/2025
4/1/2022 - 3/31/2025

Contacts

Florida Department of Health
JOSEPH D PEPE, CHD ADMINISTRATOR
(941) 624-7255

FDOH Hendry
Andrea May, Senior Human Service Program Specialist
(863) 302-6017

Addresses

1100 S Olympia Street
Clewiston, FL 33440

Same as Street Address


  • 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 DetailCURANT HEALTH FLORIDA, LLC11001 ROOSEVELT BLVD STE 1400
ST PETERSBURGFL33716-233803/30/201604/01/2016  03/30/2016
Contract DetailCURANT HEALTH GEORGIA LLCCURANT HEALTH 200 TECHNOLOGY CT SE BLDG 200
SUITE B 		SMYRNAGA30082-525003/30/201604/01/2016  03/30/2016
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/29/2024 7:16:08 AM2/10/2025 8:49:24 AM2/10/2025 8:49 AM
ContactsAuthorizing OfficialUpdateChange RequestHood, Jennifer Community Health Nursing Director FDOH - Hendry and Glades 8633026048PEPE, JOSEPH D CHD ADMINISTRATOR Florida Department of Health 941624725512/19/2024 7:43 AM
AddressesMain AddressUpdateChange Request 1100 S Olympia Clewiston, FL 33440 1100 S Olympia Street Clewiston, FL 334407/18/2024 7:56 AM
DetailsLast Recertification DateUpdateRecertification2/14/2023 3:57:45 PM1/29/2024 7:16:08 AM1/29/2024 7:16 AM
DetailsNOFO NumberUpdate HRSA-22-014 12/16/2023 10:34 AM
DetailsAssistance Received From DateUpdateRecertification4/1/2018 12:00:00 AM4/1/2022 12:00:00 AM2/14/2023 3:57 PM
DetailsAssistance Received To DateUpdateRecertification3/31/2021 12:00:00 AM3/31/2025 12:00:00 AM2/14/2023 3:57 PM
DetailsLast Recertification DateUpdateRecertification2/9/2022 8:45:08 AM2/14/2023 3:57:45 PM2/14/2023 3:57 PM
DetailsNOFO NumberUpdateRecertificationHRSA-18-004HRSA-22-0142/14/2023 3:57 PM
ContactsPrimary ContactUpdateRecertificationPEPE, JOSEPH D CHD ADMINISTRATOR Florida Department of Health 8636744041-120May, Andrea Senior Human Service Program Specialist FDOH Hendry 86330260172/9/2022 8:45 AM
DetailsLast Recertification DateUpdateRecertification2/8/2021 10:44:09 AM2/9/2022 8:45:08 AM2/9/2022 8:45 AM
ContactsAuthorizing OfficialUpdateAO Change RequestRodriguez, Leo Director Hendry County Health Department 8633026069Hood, Jennifer Community Health Nursing Director FDOH - Hendry and Glades 86330260482/4/2022 8:57 AM
DetailsAssistance Received From DateUpdateRecertification 4/1/2018 12:00:00 AM2/8/2021 10:44 AM
DetailsAssistance Received To DateUpdateRecertification 3/31/2021 12:00:00 AM2/8/2021 10:44 AM
DetailsLast Recertification DateUpdateRecertification1/28/2020 8:40:48 AM2/8/2021 10:44:09 AM2/8/2021 10:44 AM
DetailsNOFO NumberUpdateRecertification HRSA-18-0042/8/2021 10:44 AM
DetailsLast Recertification DateUpdateRecertification2/1/2019 1:52:28 PM1/28/2020 8:40:48 AM1/28/2020 8:40 AM
DetailsLast Recertification DateUpdateRecertification2/13/2018 11:33:57 AM2/1/2019 1:52:28 PM2/1/2019 1:52 PM
ContactsPrimary ContactUpdateChange RequestPEPE, JOSEPH CHD ADMINISTRATOR Florida Department of Health 8636744041-120PEPE, JOSEPH D CHD ADMINISTRATOR Florida Department of Health 8636744041-1204/2/2018 2:14 PM
DetailsLast Recertification DateUpdateRecertification2/9/2017 12:00:00 AM2/13/2018 11:33:57 AM2/13/2018 11:33 AM
ContactsAuthorizing OfficialUpdate Rodriguez, Leo Director 8633026069Rodriguez, Leo Director Hendry County Health Department 86330260692/13/2018 11:29 AM
ContactsPrimary ContactUpdate PEPE, JOSEPH CHD ADMINISTRATOR 8636744041-120PEPE, JOSEPH CHD ADMINISTRATOR Florida Department of Health 8636744041-1201/9/2018 1:50 PM
ContactsPrimary ContactInsert  PEPE, JOSEPH CHD ADMINISTRATOR 8636744041-1204/26/2017 10:08 AM
ContactsAuthorizing OfficialInsert  Rodriguez, Leo Director 86330260692/9/2017 4:28 PM
ContactsSigned ByInsert  Bobo, Robert M. Program Manager 8636744051-1332/9/2017 4:28 PM
AddressesMain AddressInsert   1100 S Olympia Clewiston, FL 334402/9/2017 4:25 PM
DetailsLast Recertification DateUpdate  2/9/2017 12:00:00 AM2/9/2017 4:25 PM
DatesParticipating Approval DateUpdate  2/10/2016 12:00:00 AM2/10/2016 4:07 PM
DetailsStateUpdate PendingActive2/10/2016 4:07 PM
DatesStart DateUpdate  4/1/2016 12:00:00 AM2/10/2016 4:07 PM
Details340B IDUpdate ONLINE_REG_58014HV33975A1/15/2016 3:11 PM
Details340B IDUpdate ONLINE_REGONLINE_REG_580141/14/2016 2:22 PM
DetailsLast Recertification DateInsert   1/14/2016 2:22 PM
DetailsGrant NumberInsert  H76HA005941/14/2016 2:22 PM
Details340B IDInsert  ONLINE_REG1/14/2016 2:22 PM
DetailsIs Authorizing Official EHB DataInsert   1/14/2016 2:22 PM
DatesLast Date That 340B Drugs PurchasedInsert   1/14/2016 2:22 PM
DetailsMedicare Provider NumberInsert   1/14/2016 2:22 PM
DetailsEntity NameInsert  Florida Department of Health in Hendry1/14/2016 2:22 PM
DetailsProgram CodeInsert  HV1/14/2016 2:22 PM
DetailsEntity SubnameInsert  Ryan White Part C1/14/2016 2:22 PM
DatesParticipating Approval DateInsert   1/14/2016 2:22 PM
DetailsStateInsert  Pending1/14/2016 2:22 PM
DatesRegistration DateInsert  1/14/2016 12:00:00 AM1/14/2016 2:22 PM
DatesSigned By DateInsert  1/14/2016 12:00:00 AM1/14/2016 2:22 PM
DatesStart DateInsert   1/14/2016 2:22 PM
TerminationsTermination CommentsInsert   1/14/2016 2:22 PM
TerminationsTermination DateInsert   1/14/2016 2:22 PM
TerminationsTermination Effective DateInsert   1/14/2016 2:22 PM
TerminationsTermination ReasonInsert   1/14/2016 2:22 PM