340B Drug Pricing Program Database


STD48150 Planned Parenthood of Michigan (Active) - information as of 5/6/2025 11:13:43 PM

Main Details
Planned Parenthood of Michigan
Livonia Health Center
Sexually Transmitted Diseases
STD48150
NH25PS005170


In-Kind products or services (see note below; must have been purchased with section 318 funds)
 Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
318 supported chlamydia and gonorrhea lab service
1/1/2024


Additional Details
Active
1/15/2018
4/1/2018
2/14/2018
5/5/2025
CDC-RFA-PS 19-1901

Contacts

Planned Parenthood of Michigan
Sarah Wallett, Chief Medical Operating Officer
(734) 926-4817

Planned Parenthood of Michigan
James J Osborne, Executive Assistant to Chief Medical Officer
(734) 222-2224

Addresses

15707 Farmington Rd
Livonia, MI 48154

PLANNED PARENTHOOD OF MIchigan Livonia
PO BOX 3673
Ann Arbor, MI 48106


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

Yes
StateMedicaid NumberNPI Number
MI 1366525370,1275840134
Shipping Addresses

PLANNED PARENTHOOD OF MIchigan Livonia
950 Victors Way
100
Ann Arbor, MI 48106

PLANNED PARENTHOOD OF MIchigan Livonia
15707 Farmington Rd
Livonia, MI 48154
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailAVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080804/06/202107/01/2021 03/31/202303/31/2023
Contract DetailCAREPOINT HEALTHCAREDBA CAREPOINT PHARMACY 9 COMMERCE DR.
SCHAUMBURGIL6017307/06/202210/01/2022  10/01/2022
Contract DetailLONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D 		LEXINGTONSC29072-245307/11/202110/01/2021 03/31/202303/31/2023
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification5/24/2024 6:39:18 AM5/5/2025 8:13:32 AM5/5/2025 8:13 AM
DetailsEntity SubnameUpdateRecertificationLavonia Health CenterLivonia Health Center5/5/2025 8:13 AM
DetailsNature of Support: Support Received To DateUpdateChange Request12/31/2024 12:00:00 AM 3/17/2025 12:14 PM
DetailsNature of Support: Support Received From DateUpdateRecertification1/1/2023 12:00:00 AM1/1/2024 12:00:00 AM5/24/2024 6:39 AM
DetailsNature of Support: Support Received To DateUpdateRecertification12/31/2023 12:00:00 AM12/31/2024 12:00:00 AM5/24/2024 6:39 AM
DetailsLast Recertification DateUpdateRecertification5/11/2023 8:43:12 AM5/24/2024 6:39:18 AM5/24/2024 6:39 AM
DetailsGrant NumberUpdateRecertificationNH25PS005170-03-00NH25PS0051705/24/2024 6:39 AM
DetailsNature of Support: Support Received From DateUpdateRecertification1/1/2021 12:00:00 AM1/1/2023 12:00:00 AM5/11/2023 8:43 AM
DetailsNature of Support: Support Received To DateUpdateRecertification12/31/2021 12:00:00 AM12/31/2023 12:00:00 AM5/11/2023 8:43 AM
DetailsLast Recertification DateUpdateRecertification5/19/2022 5:57:44 PM5/11/2023 8:43:12 AM5/11/2023 8:43 AM
Medicaid BillingNPI: NumberInsertChange Request 12758401343/16/2023 12:32 PM
Medicaid BillingNPI: StateInsertChange Request MI3/16/2023 12:32 PM
ContactsAuthorizing OfficialUpdateGroup Change RequestThal, Denise EVP & CFO Planned Parenthood of Michigan 7349264828Wallett, Sarah Chief Medical Operating Officer Planned Parenthood of Michigan 73492648172/14/2023 11:54 AM
ContactsPrimary ContactUpdateRecertificationWarner, Natalie Purchasing and Inventory Coordinator Planned Parenthood of Michigan 7349264820Osborne, James J Executive Assistant to Chief Medical Officer Planned Parenthood of Michigan 73422222245/19/2022 5:57 PM
DetailsLast Recertification DateUpdateRecertification5/19/2021 12:53:29 PM5/19/2022 5:57:44 PM5/19/2022 5:57 PM
DetailsNature of Support: In Kind Support DescriptionUpdateRecertification 318 supported chlamydia and gonorrhea lab service5/19/2021 12:53 PM
DetailsNature of Support: Support Received From DateUpdateRecertification 1/1/2021 12:00:00 AM5/19/2021 12:53 PM
DetailsNature of Support: Support Received To DateUpdateRecertification 12/31/2021 12:00:00 AM5/19/2021 12:53 PM
Medicaid BillingNPI: StateUpdateRecertification MI5/19/2021 12:53 PM
DetailsLast Recertification DateUpdateRecertification5/21/2020 12:07:39 PM5/19/2021 12:53:29 PM5/19/2021 12:53 PM
DetailsGrant NumberUpdateRecertificationNH25PS005170-01-00NH25PS005170-03-005/19/2021 12:53 PM
DetailsNOFO NumberUpdateRecertification CDC-RFA-PS 19-19015/19/2021 12:53 PM
ContactsPrimary ContactUpdateRecertificationCollins, Taleia Medical Administrative Coordinator Planned Parenthood of Michigan 7349264816Warner, Natalie Purchasing and Inventory Coordinator Planned Parenthood of Michigan 73492648205/21/2020 12:07 PM
DetailsLast Recertification DateUpdateRecertification6/3/2019 8:33:00 AM5/21/2020 12:07:39 PM5/21/2020 12:07 PM
DetailsLast Recertification DateUpdateRecertification5/8/2018 2:03:56 PM6/3/2019 8:33:00 AM6/3/2019 8:33 AM
DetailsGrant NumberUpdateRecertificationNH25PS004333 –05-00NH25PS005170-01-006/3/2019 8:33 AM
ContactsAuthorizing OfficialUpdateAO Change RequestWarren, Tammara Chief Operating Officer Planned Parenthood of Michigan 7349264819Thal, Denise EVP & CFO Planned Parenthood of Michigan 73492648285/2/2019 12:09 PM
AddressesMain AddressUpdateRecertification 37625 Ann Arbor Rd Lavonia, MI 48150 15707 Farmington Rd Livonia, MI 481545/8/2018 2:03 PM
AddressesBilling AddressInsertRecertification PLANNED PARENTHOOD OF MIchigan Livonia PO BOX 3673 Ann Arbor, MI 481065/8/2018 2:03 PM
AddressesShipping AddressInsertRecertification PLANNED PARENTHOOD OF MIchigan Livonia 950 Victors Way 100 Ann Arbor, MI 481065/8/2018 2:03 PM
AddressesShipping AddressInsertRecertification PLANNED PARENTHOOD OF MIchigan Livonia 15707 Farmington Rd Livonia, MI 481545/8/2018 2:03 PM
DetailsLast Recertification DateUpdateRecertification 5/8/2018 2:03:56 PM5/8/2018 2:03 PM
DetailsStateUpdate ApprovedActive4/1/2018 12:00 AM
AddressesMain AddressInsertNew Registration  37625 Ann Arbor Rd Lavonia, MI 481502/14/2018 12:53 PM
ContactsSigned ByInsertNew Registration Warren, Tammara Chief Operating Officer Planned Parenthood of Michigan 73492648192/14/2018 12:53 PM
DetailsGrant NumberUpdateNew RegistrationMI Dept of HealthNH25PS004333 –05-002/14/2018 12:53 PM
Details340B IDUpdateNew Registration STD481502/14/2018 12:53 PM
DatesParticipating Approval DateUpdateNew Registration 2/14/2018 12:53:29 PM2/14/2018 12:53 PM
DetailsStateUpdateNew RegistrationPendingApproved2/14/2018 12:53 PM
DatesSigned By DateUpdateNew Registration 1/31/2018 1:05:10 PM2/14/2018 12:53 PM
DatesStart DateUpdateNew Registration 4/1/2018 12:00:00 AM2/14/2018 12:53 PM
AddressesMain AddressInsertNew Registration  37625 Ann Arbor Rd Lavonia, MI 481501/15/2018 1:12 PM
DetailsNature Of SupportInsertNew Registration In-Kind products or services (see note below; must have been purchased with section 318 funds)1/15/2018 1:12 PM
Medicaid BillingNPI: NumberInsertNew Registration 13665253701/15/2018 1:12 PM
ContactsAuthorizing OfficialInsertNew Registration Warren, Tammara Chief Operating Officer Planned Parenthood of Michigan 73492648191/15/2018 1:12 PM
ContactsPrimary ContactInsertNew Registration Collins, Taleia Medical Administrative Coordinator Planned Parenthood of Michigan 73492648161/15/2018 1:12 PM
DetailsLast Recertification DateInsertNew Registration  1/15/2018 1:12 PM
DetailsGrant NumberInsertNew Registration MI Dept of Health1/15/2018 1:12 PM
Details340B IDInsertNew Registration  1/15/2018 1:12 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/15/2018 1:12 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/15/2018 1:12 PM
DetailsMedicare Provider NumberInsertNew Registration  1/15/2018 1:12 PM
DetailsEntity NameInsertNew Registration Planned Parenthood of Michigan1/15/2018 1:12 PM
DetailsProgram CodeInsertNew Registration STD1/15/2018 1:12 PM
DetailsEntity SubnameInsertNew Registration Lavonia Health Center1/15/2018 1:12 PM
DatesParticipating Approval DateInsertNew Registration  1/15/2018 1:12 PM
DetailsStateInsertNew Registration Pending1/15/2018 1:12 PM
DatesRegistration DateInsertNew Registration 1/15/2018 1:12:38 PM1/15/2018 1:12 PM
DatesSigned By DateInsertNew Registration  1/15/2018 1:12 PM
DatesStart DateInsertNew Registration  1/15/2018 1:12 PM
TerminationsTermination CommentsInsertNew Registration  1/15/2018 1:12 PM
TerminationsTermination DateInsertNew Registration  1/15/2018 1:12 PM
TerminationsTermination Effective DateInsertNew Registration  1/15/2018 1:12 PM
TerminationsTermination ReasonInsertNew Registration  1/15/2018 1:12 PM