Covered Entity Details

CH021622H Ocean Health Initiatives Inc. (Active) - information as of 4/27/2025 12:51:19 AM

Main Details

Name

Ocean Health Initiatives Inc.

Subdivision Name

OHI - Freehold

Type

HRSA-Funded Health Center

Site ID

BPS-H80-022193

340B ID

CH021622H

Grant Number

H80CS06656

Additional Details

Current Program Status

Active

Registration Date

7/11/2018

Participating Start Date

10/1/2018

Participating Approval Date

7/13/2018

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

Ocean Health Initiatives
THERESA BERGER, CEO
(732) 363-6655

Primary Contact

Ocean Health Initiatives
Jesus Melendez, Pharmacist
(732) 597-6580

Addresses

Street Address

20 Jackson Street
Freehold, NJ 07728

Billing Address

Ocean Health Initiatives
3600 Route 66
Ste 400
Neptune City, NJ 08733

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
NJ	0614122,0515191,0586722,0681423,0761168,0760048	1194226373,1902204282,1851842769,1861958811,1386246411,1992307037

Shipping Addresses

Shipping Address 1

Ocean Health Initiatives
20 Jackson Street
Freehold, NJ 07728

Shipping Address 2

Ocean Health Initiatives
101 Second Street
Lakewood, NJ 08701-3324

Shipping Address 3

Ocean Health Initiatives
686 Route 70
Lakehurst, NJ 08733

Shipping Address 4

Ocean Health Initiatives
798 Route 539
Building 3
Little Egg Harbor, NJ 08087

Shipping Address 5

Ocean Health Initiatives
625 Clifton Ave
Lakewood, NJ 08701

Shipping Address 6

Ocean Health Initiatives
855 Somerset Ave A
Lakewood, NJ 08701

Shipping Address 7

Ocean Health Initiatives
10 Stockton Drive
Toms River, NJ 08755

Shipping Address 8

Ocean Health Initiatives
333 Haywood Rd
Manahawkin, NJ 08050

Shipping Address 9

Ocean Health Initiatives
1610 Route 88 Suite 204
Brick, NJ 08724

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	Address Cont.	City	State
CH0216220	Active	BPS-H80-002970	OCEAN HEALTH INITIATIVES	OCEAN HEALTH INITIATIVES LAKEWOOD SITE	101 2nd St		Lakewood	NJ
CH021622A	Active	BPS-H80-002740	OCEAN HEALTH INITIATIVES	OCEAN HEALTH TOMS RIVER SITE	10 Stockton Drive		Toms River	NJ
CH021622B	Active	BPS-H80-010315	OCEAN HEALTH INITIATIVES	OHI at Stafford Township	333 Haywood Rd		Manahawkin	NJ
CH021622C	Terminated	BPS-H80-014277	OCEAN HEALTH INITIATIVES	OHI - Manchester	686 ROUTE 70		LAKEHURST	NJ
CH021622D	Active	BPS-H80-018507	OCEAN HEALTH INITIATIVES INC.	OHI - Little Egg	798 Route 539	Building 3	Little Egg Harbor	NJ
CH021622E	Active	BPS-H80-017393	OCEAN HEALTH INITIATIVES INC.	OHI - SBHC at Lakewood High School	855 Somerset Ave		Lakewood	NJ
CH021622F	Active	BPS-H80-012868	OCEAN HEALTH INITIATIVES INC.	OHI-Clifton Avenue School Based Health Center	625 Clifton Ave		Lakewood	NJ
CH021622G	Active	BPS-H80-019363	Ocean Health Initiatives Inc.	OHI - Brick Township	1610 Route 88	Bldg 3	Brick	NJ
CH021622H	Active	BPS-H80-022193	Ocean Health Initiatives Inc.	OHI - Freehold	20 Jackson Street		Freehold	NJ

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH0216220	NEW JERSEY CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 2284	2545 HOOPER AVE	BRICK	NJ	08723	04/01/2020
CH0216220	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY #05675	955 WEST BAY AVE.	BARNEGAT	NJ	08005	04/01/2020
CH0216220	NEW JERSEY CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #10458	300 ATLANTIC CITY BLVD.	BEACHWOOD	NJ	08722	04/01/2020
CH0216220	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02970	700 MAIN ST.	LANOKA HARBOR	NJ	08734	04/01/2020	04/08/2025
CH0216220	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02464	989 BURNT TAVERN RD, STE #2	BRICK	NJ	08724	04/01/2020
CH0216220	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00356	51 BANANIER DR.	TOMS RIVER	NJ	08755	04/01/2020
CH0216220	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02853	327 S. PITNEY RD.	GALLOWAY	NJ	08205	01/01/2024
CH0216220	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03972	421 LACEY RD.	WHITING	NJ	08759	01/01/2024
CH0216220	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/01/2020	04/01/2020
CH0216220	WAL-MART PHARMACY 10-1977	1872 ROUTE 88		BRICK	NJ	08724	04/01/2020	04/01/2020
CH0216220	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/01/2020	04/01/2020
CH0216220	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06321	2479 CHURCH ROAD	TOMS RIVER	NJ	08753	04/01/2020
CH0216220	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01315	2353 LAKEWOOD RD	TOMS RIVER	NJ	08755	04/01/2020
CH0216220	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #15649	500 ROUTE 530	WHITING	NJ	08759-3124	04/01/2020
CH0216220	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09989	201 MATHISTOWN ROAD	LITTLE EGG HARBOR TWP	NJ	08087	04/01/2020
CH0216220	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09503	879 W. BAY AVE.	BARNEGAT	NJ	08005-2127	04/01/2020
CH0216220	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05201	216 STATE ROUTE 36	WEST LONG BRANCH	NJ	07764	04/01/2020
CH0216220	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07921	2546 HOOPER AVE	BRICK	NJ	08723	04/01/2020
CH0216220	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10695	1311 ROUTE 37 W	TOMS RIVER	NJ	08755	04/01/2020
CH0216220	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04885	1890 ROUTE 88	BRICK	NJ	08724	04/01/2020

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Medicaid Billing	Medicaid: Number	Delete	Recertification	0507733 (NJ)		2/10/2025 1:50 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1942608815 (NJ)		2/10/2025 1:50 PM
Details	Last Recertification Date	Update	Recertification	2/14/2024 9:59:09 AM	2/10/2025 1:50:02 PM	2/10/2025 1:50 PM
Contacts	Primary Contact	Update	Profile Change Request	Melendez, Jesus Pharmacist Ocean Health Initiatives 6093537418	Melendez, Jesus Pharmacist Ocean Health Initiatives 7325976580	2/10/2025 1:16 PM
Contacts	Primary Contact	Update	Recertification	Bello, Theresa Pharmacist Ocean Health Initiatives 8488882423	Melendez, Jesus Pharmacist Ocean Health Initiatives 6093537418	2/14/2024 9:59 AM
Details	Last Recertification Date	Update	Recertification	2/7/2023 9:32:13 AM	2/14/2024 9:59:09 AM	2/14/2024 9:59 AM
Details	Last Recertification Date	Update	Recertification	2/7/2022 11:15:58 AM	2/7/2023 9:32:13 AM	2/7/2023 9:32 AM
Details	Last Recertification Date	Update	Recertification	2/23/2021 12:19:29 PM	2/7/2022 11:15:58 AM	2/7/2022 11:15 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	5/17/2021 9:28 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		0761168	5/17/2021 9:28 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		NJ	5/17/2021 9:28 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	5/17/2021 9:28 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		0760048	5/17/2021 9:28 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		NJ	5/17/2021 9:28 AM
Addresses	Billing Address	Update	Recertification	Ocean Health Initiatives 3600 Route 66 Ste 400 Neptune City, NJ 07753	Ocean Health Initiatives 3600 Route 66 Ste 400 Neptune City, NJ 08733	2/23/2021 12:19 PM
Addresses	Shipping Address	Insert	Recertification		Ocean Health Initiatives 625 Clifton Ave Lakewood, NJ 08701	2/23/2021 12:19 PM
Addresses	Shipping Address	Insert	Recertification		Ocean Health Initiatives 855 Somerset Ave A Lakewood, NJ 08701	2/23/2021 12:19 PM
Addresses	Shipping Address	Insert	Recertification		Ocean Health Initiatives 10 Stockton Drive Toms River, NJ 08755	2/23/2021 12:19 PM
Addresses	Shipping Address	Insert	Recertification		Ocean Health Initiatives 333 Haywood Rd Manahawkin, NJ 08050	2/23/2021 12:19 PM
Addresses	Shipping Address	Insert	Recertification		Ocean Health Initiatives 1610 Route 88 Suite 204 Brick, NJ 08724	2/23/2021 12:19 PM
Medicaid Billing	NPI: State	Update	Recertification		NJ	2/23/2021 12:19 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1386246411	2/23/2021 12:19 PM
Medicaid Billing	NPI: State	Insert	Recertification		NJ	2/23/2021 12:19 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1992307037	2/23/2021 12:19 PM
Medicaid Billing	NPI: State	Insert	Recertification		NJ	2/23/2021 12:19 PM
Medicaid Billing	NPI: State	Update	Recertification		NJ	2/23/2021 12:19 PM
Medicaid Billing	NPI: State	Update	Recertification		NJ	2/23/2021 12:19 PM
Medicaid Billing	NPI: State	Update	Recertification		NJ	2/23/2021 12:19 PM
Medicaid Billing	NPI: State	Update	Recertification		NJ	2/23/2021 12:19 PM
Details	Last Recertification Date	Update	Recertification	2/12/2020 11:46:25 AM	2/23/2021 12:19:29 PM	2/23/2021 12:19 PM
Details	Last Recertification Date	Update	Recertification	2/12/2019 11:07:20 AM	2/12/2020 11:46:25 AM	2/12/2020 11:46 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	9/23/2019 2:59 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		0681423	9/23/2019 2:59 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		NJ	9/23/2019 2:59 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1861958811	9/23/2019 2:59 PM
Addresses	Billing Address	Insert	Recertification		Ocean Health Initiatives 3600 Route 66 Ste 400 Neptune City, NJ 07753	2/12/2019 11:07 AM
Addresses	Shipping Address	Insert	Recertification		Ocean Health Initiatives 20 Jackson Street Freehold, NJ 07728	2/12/2019 11:07 AM
Addresses	Shipping Address	Insert	Recertification		Ocean Health Initiatives 101 Second Street Lakewood, NJ 08701-3324	2/12/2019 11:07 AM
Addresses	Shipping Address	Insert	Recertification		Ocean Health Initiatives 686 Route 70 Lakehurst, NJ 08733	2/12/2019 11:07 AM
Addresses	Shipping Address	Insert	Recertification		Ocean Health Initiatives 798 Route 539 Building 3 Little Egg Harbor, NJ 08087	2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		0614122	2/12/2019 11:07 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		NJ	2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		0515191	2/12/2019 11:07 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		NJ	2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		0507733	2/12/2019 11:07 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		NJ	2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		0586722	2/12/2019 11:07 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		NJ	2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	0614122 (NJ)		2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	0586650 (NJ)		2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	0026590 (NJ)		2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	0515191 (NJ)		2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	0428442 (NJ)		2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	0507733 (NJ)		2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	0535958 (NJ)		2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	0076244 (NJ)		2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	0489557 (NJ)		2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	0369331 (NJ)		2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	0076244 (NJ)		2/12/2019 11:07 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	0586722 (NJ)		2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1194226373 ( )		2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1679096796 ( )		2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1043306574 ( )		2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1902204282 ( )		2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1891195723 ( )		2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1942608815 ( )		2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1235598616 ( )		2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1851842769 ( )		2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1467762526 ( )		2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1649643420 ( )		2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1265867287 ( )		2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1417938044 ( )		2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1194226373	2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1902204282	2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1942608815	2/12/2019 11:07 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1851842769	2/12/2019 11:07 AM
Details	Last Recertification Date	Update	Recertification		2/12/2019 11:07:20 AM	2/12/2019 11:07 AM
Contacts	Primary Contact	Update	Profile Change Request	Bello, Theresa Pharmacist Ocean Health Initiatives 7323636655-8385	Bello, Theresa Pharmacist Ocean Health Initiatives 8488882423	2/8/2019 11:15 AM
Details	State	Update		Approved	Active	10/1/2018 12:05 AM
Contacts	Signed By	Insert	New Registration		BERGER, THERESA CEO Ocean Health Initiatives 7323636655	7/13/2018 7:48 AM
Details	340B ID	Update	New Registration		CH021622H	7/13/2018 7:48 AM
Dates	Participating Approval Date	Update	New Registration		7/13/2018 7:48:36 AM	7/13/2018 7:48 AM
Details	State	Update	New Registration	Pending	Approved	7/13/2018 7:48 AM
Dates	Signed By Date	Update	New Registration		7/12/2018 2:04:13 PM	7/13/2018 7:48 AM
Dates	Start Date	Update	New Registration		10/1/2018 12:00:00 AM	7/13/2018 7:48 AM
Addresses	Main Address	Insert	New Registration		20 Jackson Street Freehold, NJ 07728	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0614122	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		NJ	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0586650	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		NJ	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0026590	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		NJ	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0515191	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		NJ	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0428442	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		NJ	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0507733	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		NJ	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0535958	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		NJ	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0076244	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		NJ	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0489557	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		NJ	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0369331	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		NJ	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0076244	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		NJ	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0586722	7/11/2018 8:23 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		NJ	7/11/2018 8:23 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1194226373	7/11/2018 8:23 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1679096796	7/11/2018 8:23 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1043306574	7/11/2018 8:23 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1902204282	7/11/2018 8:23 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1891195723	7/11/2018 8:23 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1942608815	7/11/2018 8:23 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1235598616	7/11/2018 8:23 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1851842769	7/11/2018 8:23 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1467762526	7/11/2018 8:23 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1649643420	7/11/2018 8:23 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1265867287	7/11/2018 8:23 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1417938044	7/11/2018 8:23 AM
Contacts	Primary Contact	Insert	New Registration		Bello, Theresa Pharmacist Ocean Health Initiatives 7323636655-8385	7/11/2018 8:23 AM
Contacts	Authorizing Official	Insert	New Registration		BERGER, THERESA CEO Ocean Health Initiatives 7323636655	7/11/2018 8:23 AM
Details	Last Recertification Date	Insert	New Registration			7/11/2018 8:23 AM
Details	Grant Number	Insert	New Registration		H80CS06656	7/11/2018 8:23 AM
Details	340B ID	Insert	New Registration			7/11/2018 8:23 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/11/2018 8:23 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/11/2018 8:23 AM
Details	Medicare Provider Number	Insert	New Registration			7/11/2018 8:23 AM
Details	Entity Name	Insert	New Registration		Ocean Health Initiatives Inc.	7/11/2018 8:23 AM
Details	Program Code	Insert	New Registration		CH	7/11/2018 8:23 AM
Details	Entity Subname	Insert	New Registration		OHI - Freehold	7/11/2018 8:23 AM
Dates	Participating Approval Date	Insert	New Registration			7/11/2018 8:23 AM
Details	State	Insert	New Registration		Pending	7/11/2018 8:23 AM
Dates	Registration Date	Insert	New Registration		7/11/2018 8:23:45 AM	7/11/2018 8:23 AM
Dates	Signed By Date	Insert	New Registration			7/11/2018 8:23 AM
Dates	Start Date	Insert	New Registration			7/11/2018 8:23 AM
Terminations	Termination Comments	Insert	New Registration			7/11/2018 8:23 AM
Terminations	Termination Date	Insert	New Registration			7/11/2018 8:23 AM
Terminations	Termination Effective Date	Insert	New Registration			7/11/2018 8:23 AM
Terminations	Termination Reason	Insert	New Registration			7/11/2018 8:23 AM

340B Drug Pricing Program Database