Covered Entity Details

FP198053 Brandywine Counseling and Community Services, Inc (Terminated) - information as of 4/27/2025 12:53:32 AM

Main Details

Name

Brandywine Counseling and Community Services, Inc

Subdivision Name

Type

Family Planning (Title X only)

340B ID

FP198053

Grant Number

FPHPA006418-01-00

Additional Details

Current Program Status

Terminated

Registration Date

4/10/2019

Participating Start Date

7/1/2019

Participating Approval Date

4/30/2019

Last Recertification Date

6/4/2020

Termination Date
Termination Reason

7/1/2021
Never implemented the 340B Program

Contacts

Authorizing Official

Brandywine Counseling and Community Services, Inc
Lynn Fahey, Cheif Executive Officer
(302) 225-9269

Primary Contact

Brandywine Counsleing and Community Services
Aseia Frank, Controller
(302) 225-9357

Addresses

Street Address

2713 Lancaster Avenue
Wilmington, DE 19805

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
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
DE	000047051
		1346320983

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	10/08/2019	01/01/2020	07/01/2021	07/01/2021
Contract Detail	HAPPY HARRY'S INC.	DBA: WALGREENS # 11017	1120 PULASKI HIGHWAY	BEAR	DE	19701	10/08/2019	01/01/2020	07/01/2021	07/01/2021
Contract Detail	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	10/08/2019	01/01/2020	07/01/2021	07/01/2021
Contract Detail	WALGREEN EASTERN CO., INC.	WALGREENS SPECIALTY PHARMACY #16532	1201 N MARKET ST STE 101	WILMINGTON	DE	19801	10/08/2019	01/01/2020	07/01/2021	07/01/2021
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/08/2019	01/01/2020	07/01/2021	07/01/2021
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	10/08/2019	01/01/2020	07/01/2021	07/01/2021
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	10/08/2019	01/01/2020	07/01/2021	07/01/2021
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	10/08/2019	01/01/2020	07/01/2021	07/01/2021

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	7/1/2021 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		6/3/2019 12:00:00 AM	5/24/2021 10:58 AM
Details	State	Update	Recertification	Active	To Be Terminated	5/24/2021 10:58 AM
Terminations	Termination Comments	Update	Recertification		Never implemented 340B - We do receive Title X for Family Planning	5/24/2021 10:58 AM
Terminations	Termination Date	Update	Recertification		7/1/2021 12:00:00 AM	5/24/2021 10:58 AM
Terminations	Termination Effective Date	Update	Recertification		6/3/2019 12:00:00 AM	5/24/2021 10:58 AM
Terminations	Termination Reason	Update	Recertification		Never implemented the 340B Program	5/24/2021 10:58 AM
Details	Last Recertification Date	Update	Recertification		6/4/2020 10:59:21 AM	6/4/2020 10:59 AM
Details	State	Update		Approved	Active	7/1/2019 12:05 AM
Contacts	Signed By	Insert	New Registration		Fahey, Lynn Cheif Executive Officer Brandywine Counseling and Community Services, Inc 3022259269	4/30/2019 6:51 AM
Details	340B ID	Update	New Registration		FP198053	4/30/2019 6:51 AM
Dates	Participating Approval Date	Update	New Registration		4/30/2019 6:51:27 AM	4/30/2019 6:51 AM
Details	State	Update	New Registration	Pending	Approved	4/30/2019 6:51 AM
Dates	Signed By Date	Update	New Registration		4/11/2019 10:50:21 AM	4/30/2019 6:51 AM
Dates	Start Date	Update	New Registration		7/1/2019 12:00:00 AM	4/30/2019 6:51 AM
Contacts	Primary Contact	Update	Profile Change Request	Frank, Aseia Controller Brandywine Counsleing and Community Services 3026229357	Frank, Aseia Controller Brandywine Counsleing and Community Services 3022259357	4/10/2019 3:10 PM
Addresses	Main Address	Insert	New Registration		2713 Lancaster Avenue Wilmington, DE 19805	4/10/2019 2:37 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/10/2019 2:37 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		000047051	4/10/2019 2:37 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		DE	4/10/2019 2:37 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1346320983	4/10/2019 2:37 PM
Contacts	Primary Contact	Insert	New Registration		Frank, Aseia Controller Brandywine Counsleing and Community Services 3026229357	4/10/2019 2:37 PM
Contacts	Authorizing Official	Insert	New Registration		Fahey, Lynn Cheif Executive Officer Brandywine Counseling and Community Services, Inc 3022259269	4/10/2019 2:37 PM
Details	Last Recertification Date	Insert	New Registration			4/10/2019 2:37 PM
Details	Grant Number	Insert	New Registration		FPHPA006418-01-00	4/10/2019 2:37 PM
Details	340B ID	Insert	New Registration			4/10/2019 2:37 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/10/2019 2:37 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/10/2019 2:37 PM
Details	Medicare Provider Number	Insert	New Registration			4/10/2019 2:37 PM
Details	Entity Name	Insert	New Registration		Brandywine Counseling and Community Services, Inc	4/10/2019 2:37 PM
Details	Program Code	Insert	New Registration		FP	4/10/2019 2:37 PM
Details	Entity Subname	Insert	New Registration			4/10/2019 2:37 PM
Dates	Participating Approval Date	Insert	New Registration			4/10/2019 2:37 PM
Details	State	Insert	New Registration		Pending	4/10/2019 2:37 PM
Dates	Registration Date	Insert	New Registration		4/10/2019 2:37:06 PM	4/10/2019 2:37 PM
Dates	Signed By Date	Insert	New Registration			4/10/2019 2:37 PM
Dates	Start Date	Insert	New Registration			4/10/2019 2:37 PM
Terminations	Termination Comments	Insert	New Registration			4/10/2019 2:37 PM
Terminations	Termination Date	Insert	New Registration			4/10/2019 2:37 PM
Terminations	Termination Effective Date	Insert	New Registration			4/10/2019 2:37 PM
Terminations	Termination Reason	Insert	New Registration			4/10/2019 2:37 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History