Yes
Contract Detail | BROWNSVILLE COMMUNITY PHARM | 592 ROCKAWAY AVE |
| BROOKLYN | NY | 11212 | 04/19/2016 | 07/01/2016 | | | 04/19/2016 |
Details | Last Recertification Date | Update | Recertification | 2/8/2024 2:18:02 PM | 2/20/2025 4:04:40 PM | 2/20/2025 4:04 PM |
Contacts | Authorizing Official | Update | AO Change Request | Lawrence, Harvey
President & CEO
BMS Family Health Center
7183455000-1123 | Everett-Oxley, Michelle
President & CEO
Brownsville Community Development Corporation
7183455000 | 2/20/2025 6:40 AM |
Details | Last Recertification Date | Update | Recertification | 2/20/2023 4:34:04 PM | 2/8/2024 2:18:02 PM | 2/8/2024 2:18 PM |
Details | Last Recertification Date | Update | Recertification | 2/2/2022 1:06:18 PM | 2/20/2023 4:34:04 PM | 2/20/2023 4:34 PM |
Details | Last Recertification Date | Update | Recertification | 2/12/2021 1:52:59 PM | 2/2/2022 1:06:18 PM | 2/2/2022 1:06 PM |
Medicaid Billing | NPI: State | Update | Recertification | | NY | 2/12/2021 1:52 PM |
Details | Last Recertification Date | Update | Recertification | 1/28/2020 11:03:21 AM | 2/12/2021 1:52:59 PM | 2/12/2021 1:52 PM |
Details | Is Authorizing Official EHB Data | Update | Recertification | False | | 2/12/2021 1:52 PM |
Details | Last Recertification Date | Update | Recertification | 2/1/2019 8:53:17 AM | 1/28/2020 11:03:21 AM | 1/28/2020 11:03 AM |
Details | Last Recertification Date | Update | Recertification | 2/7/2018 9:54:19 PM | 2/1/2019 8:53:17 AM | 2/1/2019 8:53 AM |
Details | Last Recertification Date | Update | Recertification | 1/27/2017 12:00:00 AM | 2/7/2018 9:54:19 PM | 2/7/2018 9:54 PM |
Contacts | Primary Contact | Update | Recertification | Awuah, Edmund
CFO
7183455000-1122 | Awuah, Edmund
CFO
Brownsville community development corporation
7183455000-1122 | 2/7/2018 9:52 PM |
Contacts | Authorizing Official | Update | | Lawrence, Harvey
President & CEO
7183455000-1123 | Lawrence, Harvey
President & CEO
BMS Family Health Center
7183455000-1123 | 2/7/2018 9:40 PM |
Contacts | Signed By | Update | | Lawrence, Harvey
President & CEO
7183455000-1123 | Lawrence, Harvey
President & CEO
BMS Family Health Center
7183455000-1123 | 2/7/2018 9:40 PM |
Contacts | Authorizing Official | Insert | | | Lawrence, Harvey
President & CEO
7183455000-1123 | 7/10/2017 11:54 AM |
Contacts | Signed By | Insert | | | Lawrence, Harvey
President & CEO
7183455000-1123 | 7/10/2017 11:54 AM |
Addresses | Main Address | Insert | | |
400 Pennsylvania Ave
Brooklyn, NY 11207-4707 | 1/27/2017 4:14 PM |
Contacts | Primary Contact | Insert | | | Awuah, Edmund
CFO
7183455000-1122 | 1/27/2017 4:14 PM |
Details | Last Recertification Date | Update | | | 1/27/2017 12:00:00 AM | 1/27/2017 4:13 PM |
Dates | Participating Approval Date | Update | | | 4/19/2016 12:00:00 AM | 4/19/2016 1:50 PM |
Details | State | Update | | Pending | Active | 4/19/2016 1:50 PM |
Dates | Start Date | Update | | | 7/1/2016 12:00:00 AM | 4/19/2016 1:50 PM |
Addresses | Billing Address | Insert | | | Brownsville Community Development Corp.
592 Rockaway Avenue
Brooklyn, NY 11207-4512 | 4/19/2016 1:50 PM |
Details | 340B ID | Update | | ONLINE_REG_60261 | CH02196K | 4/18/2016 9:06 AM |
Details | 340B ID | Update | | ONLINE_REG | ONLINE_REG_60261 | 4/14/2016 1:25 PM |
Medicaid Billing | Medicaid: Is Primary | Insert | | | False | 4/14/2016 1:25 PM |
Medicaid Billing | Medicaid: Number | Insert | | | 03045865 | 4/14/2016 1:25 PM |
Medicaid Billing | Medicaid: State | Insert | | | NY | 4/14/2016 1:25 PM |
Medicaid Billing | NPI: Number | Insert | | | 1083891329 | 4/14/2016 1:25 PM |
Details | Last Recertification Date | Insert | | | | 4/14/2016 1:25 PM |
Details | Grant Number | Insert | | | H80CS00589 | 4/14/2016 1:25 PM |
Details | 340B ID | Insert | | | ONLINE_REG | 4/14/2016 1:25 PM |
Details | Is Authorizing Official EHB Data | Insert | | | False | 4/14/2016 1:25 PM |
Dates | Last Date That 340B Drugs Purchased | Insert | | | | 4/14/2016 1:25 PM |
Details | Medicare Provider Number | Insert | | | | 4/14/2016 1:25 PM |
Details | Entity Name | Insert | | | BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION | 4/14/2016 1:25 PM |
Details | Program Code | Insert | | | CH | 4/14/2016 1:25 PM |
Details | Entity Subname | Insert | | | BMS@Jefferson High School Campus | 4/14/2016 1:25 PM |
Dates | Participating Approval Date | Insert | | | | 4/14/2016 1:25 PM |
Details | State | Insert | | | Pending | 4/14/2016 1:25 PM |
Dates | Registration Date | Insert | | | 4/14/2016 12:00:00 AM | 4/14/2016 1:25 PM |
Dates | Signed By Date | Insert | | | 4/14/2016 12:00:00 AM | 4/14/2016 1:25 PM |
Dates | Start Date | Insert | | | | 4/14/2016 1:25 PM |
Terminations | Termination Comments | Insert | | | | 4/14/2016 1:25 PM |
Terminations | Termination Date | Insert | | | | 4/14/2016 1:25 PM |
Terminations | Termination Effective Date | Insert | | | | 4/14/2016 1:25 PM |
Terminations | Termination Reason | Insert | | | | 4/14/2016 1:25 PM |