340B Drug Pricing Program Database


PED083300-12 Nemours Children's Hospital, Delaware (Active) - information as of 5/9/2025 10:50:16 PM

Main Details
Nemours Children's Hospital, Delaware
DPF Day Medicine - Day Medicine
Children's Hospital
No
PED083300-12
083300


Additional Details
Active
1/10/2018
4/1/2018
1/25/2018
8/20/2024

Contacts

Alfred I dupont Hospital or Children
Ryan Forman, Vice President of Finance
(302) 256-6060

Alfred I duPont Hospital for Children
Robert Mullen, Vice President, Patient Operations
(302) 651-5711

Addresses

1280 Almonesson Road
Deptford, NJ 08096

Same as Street Address


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

Yes
StateMedicaid NumberNPI Number
DE 1467505073,1386830859,1649323262
PA 1467505073,1386830859,1649323262
NJ 1467505073,1386830859,1649323262
MD 1467505073,1386830859,1649323262
Shipping Addresses

Same as Street Address
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
PED083300-01ChildPEDALFRED I DUPONT HOSP FOR CHILDRENBryn Mawr / Outpatient Surgery825 Old Lancaster RoadBryn MawrPATerminated
PED083300-02ChildPEDNemours Children's Hospital, DelawareBryn Mawr / Anesthesiology825 Old Lancaster RoadBryn MawrPATerminated
PED083300-03ChildPEDNemours Children's Hospital, DelawareBryn Mawr / Radiology825 Old Lancaster RoadBryn MawrPATerminated
PED083300-04ChildPEDNemours Children's Hospital, DelawareBryn Mawr / Outpatient Therapy Services825 Old Lancaster RoadBryn MawrPATerminated
PED083300-05ChildPEDNemours Children's Hospital, DelawareBryn Mawr / Ambulatory Care Center825 Old Lancaster RoadBryn MawrPATerminated
PED083300-06ChildPEDNemours Children's Hospital, DelawareDPF MRI - MRI1280 Almonnesson RoadDeptfordNJActive
PED083300-07ChildPEDNemours Children's Hospital, DelawareDPF Radiology - Radiology1280 Almonesson RoadDeptfordNJActive
PED083300-08ChildPEDNemours Children's Hospital, DelawareDPF Anesthesiology - Anesthesiology1280 Almonesson RoadDeptfordNJActive
PED083300-09ChildPEDNemours Children's Hospital, DelawareDPF Ambulatory Care Center - Ambulatory Care Center1280 Almonesson RoadDeptfordNJActive
PED083300-10ChildPEDNemours Children's Hospital, DelawareDPF Ultrasound - Ultrasound1280 Almonesson RoadDeptfordNJActive
PED083300-11ChildPEDNemours Children's Hospital, DelawareDPF Audiologyy - Audiology1280 Almonesson RoadDeptfordNJActive
PED083300-12ChildPEDNemours Children's Hospital, DelawareDPF Day Medicine - Day Medicine1280 Almonesson RoadDeptfordNJActive
PED083300-13ChildPEDNemours Children's Hospital, DelawareDPF Outpatient Therapy Services - Outpatient Therapy Services1280 Almonesson RoaddeptfordNJActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification8/30/2023 10:18:52 AM8/20/2024 2:11:54 PM8/20/2024 2:11 PM
DetailsLast Recertification DateUpdateRecertification9/8/2022 12:40:21 PM8/30/2023 10:18:52 AM8/30/2023 10:18 AM
ContactsPrimary ContactUpdateRecertificationMullen, Robert Senior Director, Patient Operations Alfred I duPont Hospital for Children 3026515711Mullen, Robert Vice President, Patient Operations Alfred I duPont Hospital for Children 30265157112/6/2023 10:10 AM
DetailsLast Recertification DateUpdateRecertification8/31/2021 9:34:05 AM9/8/2022 12:40:21 PM9/8/2022 12:40 PM
DetailsEntity NameUpdateChange RequestNEMOURS/ALFRED I DUPONT HOSPITAL FOR CHILDRENNemours Children's Hospital, Delaware1/12/2022 1:46 PM
Medicaid BillingNPI: NumberInsertChange Request 146750507312/6/2021 11:27 AM
Medicaid BillingNPI: StateInsertChange Request DE12/6/2021 11:27 AM
Medicaid BillingNPI: NumberInsertChange Request 138683085912/6/2021 11:27 AM
Medicaid BillingNPI: StateInsertChange Request DE12/6/2021 11:27 AM
Medicaid BillingNPI: NumberInsertChange Request 164932326212/6/2021 11:27 AM
Medicaid BillingNPI: StateInsertChange Request DE12/6/2021 11:27 AM
Medicaid BillingNPI: NumberInsertChange Request 146750507312/6/2021 11:27 AM
Medicaid BillingNPI: StateInsertChange Request PA12/6/2021 11:27 AM
Medicaid BillingNPI: NumberInsertChange Request 138683085912/6/2021 11:27 AM
Medicaid BillingNPI: StateInsertChange Request PA12/6/2021 11:27 AM
Medicaid BillingNPI: NumberInsertChange Request 164932326212/6/2021 11:27 AM
Medicaid BillingNPI: StateInsertChange Request PA12/6/2021 11:27 AM
Medicaid BillingNPI: NumberInsertChange Request 146750507312/6/2021 11:27 AM
Medicaid BillingNPI: StateInsertChange Request NJ12/6/2021 11:27 AM
Medicaid BillingNPI: NumberInsertChange Request 138683085912/6/2021 11:27 AM
Medicaid BillingNPI: StateInsertChange Request NJ12/6/2021 11:27 AM
Medicaid BillingNPI: NumberInsertChange Request 164932326212/6/2021 11:27 AM
Medicaid BillingNPI: StateInsertChange Request NJ12/6/2021 11:27 AM
Medicaid BillingNPI: NumberInsertChange Request 146750507312/6/2021 11:27 AM
Medicaid BillingNPI: StateInsertChange Request MD12/6/2021 11:27 AM
Medicaid BillingNPI: NumberInsertChange Request 138683085912/6/2021 11:27 AM
Medicaid BillingNPI: StateInsertChange Request MD12/6/2021 11:27 AM
Medicaid BillingNPI: NumberInsertChange Request 164932326212/6/2021 11:27 AM
Medicaid BillingNPI: StateInsertChange Request MD12/6/2021 11:27 AM
DetailsLast Recertification DateUpdateRecertification8/28/2020 11:24:19 AM8/31/2021 9:34:05 AM8/31/2021 9:34 AM
ContactsAuthorizing OfficialUpdateChange RequestBRITTON, WILLIAM Operating Vice President for Finance - Delaware Nemours 3026514000Forman, Ryan Vice President of Finance Alfred I dupont Hospital or Children 302256606012/8/2020 9:43 AM
ContactsPrimary ContactUpdateChange RequestMullen, Robert Seniort Director of Pharmacy and Nutrition Nemours 3026515711Mullen, Robert Senior Director, Patient Operations Alfred I duPont Hospital for Children 302651571112/7/2020 11:10 AM
DetailsLast Recertification DateUpdateRecertification8/27/2019 10:18:29 AM8/28/2020 11:24:19 AM8/28/2020 11:24 AM
DetailsLast Recertification DateUpdateRecertification8/23/2018 1:13:50 PM8/27/2019 10:18:29 AM8/27/2019 10:18 AM
ContactsPrimary ContactUpdateRecertificationMullen, Robert Director of Pharmacy Nemours 3026515711Mullen, Robert Seniort Director of Pharmacy and Nutrition Nemours 30265157118/27/2019 10:13 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestBRITTON, WILLIAM CHIEF FINANCIAL OFFICER Nemours 3026514000BRITTON, WILLIAM Operating Vice President for Finance - Delaware Nemours 30265140008/13/2019 11:57 AM
ContactsSigned ByUpdateProfile Change RequestBRITTON, WILLIAM CHIEF FINANCIAL OFFICER Nemours 3026514000BRITTON, WILLIAM Operating Vice President for Finance - Delaware Nemours 30265140008/13/2019 11:57 AM
DetailsLast Recertification DateUpdateRecertification 8/23/2018 1:13:50 PM8/23/2018 1:13 PM
DetailsStateUpdate ApprovedActive4/1/2018 12:00 AM
ContactsSigned ByInsertNew Registration BRITTON, WILLIAM CHIEF FINANCIAL OFFICER Nemours 30265140001/25/2018 12:59 PM
Details340B IDUpdateNew Registration PED083300-121/25/2018 12:59 PM
DetailsEntity SubnameUpdateNew RegistrationDPF Day MedicineDPF Day Medicine - Day Medicine1/25/2018 12:59 PM
DatesParticipating Approval DateUpdateNew Registration 1/25/2018 12:59:48 PM1/25/2018 12:59 PM
DetailsStateUpdateNew RegistrationPendingApproved1/25/2018 12:59 PM
DatesSigned By DateUpdateNew Registration 1/15/2018 11:42:16 AM1/25/2018 12:59 PM
DatesStart DateUpdateNew Registration 4/1/2018 12:00:00 AM1/25/2018 12:59 PM
AddressesMain AddressInsertNew Registration  1280 Almonesson Road Deptford, NJ 080961/10/2018 9:19 AM
ContactsPrimary ContactInsertNew Registration Mullen, Robert Director of Pharmacy Nemours 30265157111/10/2018 9:19 AM
ContactsAuthorizing OfficialInsertNew Registration BRITTON, WILLIAM CHIEF FINANCIAL OFFICER Nemours 30265140001/10/2018 9:19 AM
DetailsLast Recertification DateInsertNew Registration  1/10/2018 9:19 AM
DetailsGrant NumberInsertNew Registration  1/10/2018 9:19 AM
Details340B IDInsertNew Registration  1/10/2018 9:19 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/10/2018 9:19 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/10/2018 9:19 AM
DetailsMedicare Provider NumberInsertNew Registration 0833001/10/2018 9:19 AM
DetailsEntity NameInsertNew Registration NEMOURS/ALFRED I DUPONT HOSPITAL FOR CHILDREN1/10/2018 9:19 AM
DetailsProgram CodeInsertNew Registration PED1/10/2018 9:19 AM
DetailsEntity SubnameInsertNew Registration DPF Day Medicine1/10/2018 9:19 AM
DatesParticipating Approval DateInsertNew Registration  1/10/2018 9:19 AM
DetailsStateInsertNew Registration Pending1/10/2018 9:19 AM
DatesRegistration DateInsertNew Registration 1/10/2018 9:19:37 AM1/10/2018 9:19 AM
DatesSigned By DateInsertNew Registration  1/10/2018 9:19 AM
DatesStart DateInsertNew Registration  1/10/2018 9:19 AM
TerminationsTermination CommentsInsertNew Registration  1/10/2018 9:19 AM
TerminationsTermination DateInsertNew Registration  1/10/2018 9:19 AM
TerminationsTermination Effective DateInsertNew Registration  1/10/2018 9:19 AM
TerminationsTermination ReasonInsertNew Registration  1/10/2018 9:19 AM