Covered Entity Details

FQHCLA411A Happi Health (Terminated) - information as of 4/25/2025 5:40:50 PM

Main Details

Name

Happi Health

Subdivision Name

HAPPI Urgent Care

Type

Health Center Program Look-Alike

Site ID

BPS-LAL-030268

340B ID

FQHCLA411A

Grant Number

LALCS33898

Additional Details

Current Program Status

Terminated

Registration Date

7/1/2020

Participating Start Date

10/1/2020

Participating Approval Date

8/13/2020

Last Recertification Date

2/21/2023

Termination Date
Termination Reason

4/1/2024
Business decision by the Covered Entity

Contacts

Authorizing Official

HAPPI Health
angelique atrice andrews, CMO
(323) 547-7873

Primary Contact

HAPPI Health
Ann Marie Kepner, COO
(256) 513-7342

Addresses

Street Address

807 Franklin St.
Huntsville, AL 35801-4311

Billing Address
Same as Street Address

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
AL	250702	1790207314

Shipping Addresses

Same as Street Address

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	City	State
FQHCLA411	Active	BPS-LAL-030270	Happi Health	HAPPI Pediatric &ily Care	813 Franklin St.	Huntsville	AL
FQHCLA411A	Terminated	BPS-LAL-030268	Happi Health	HAPPI Urgent Care	807 Franklin St.	Huntsville	AL
FQHCLA411B	Terminated	BPS-LAL-030265	Happi Health	HAPPI Behavioral Health	2327 Pansy St SW Ste B	Huntsville	AL
FQHCLA411C	Active	BPS-LAL-030264	Happi Health	Sparkman Family Practice &ent Care	2597 Sparkman Dr. NW	Huntsville	AL
FQHCLA411D	Active	BPS-LAL-036238	HAPPI HEALTH	HAPPI Health-St. Clair	115 Saint Clair Ave SE	Huntsville	AL

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date
FQHCLA411	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	07/01/2025
FQHCLA411C	WAL-MART PHARMACY 10-0433	2200 SPARKMAN DR		HUNTSVILLE	AL	35810	07/01/2025
FQHCLA411D	WAL-MART PHARMACY 10-0433	2200 SPARKMAN DR		HUNTSVILLE	AL	35810	07/01/2025
FQHCLA411	WAL-MART PHARMACY 10-0433	2200 SPARKMAN DR		HUNTSVILLE	AL	35810	07/01/2025
	WAL-MART PHARMACY 10-0433	2200 SPARKMAN DR		HUNTSVILLE	AL	35810	07/01/2025
FQHCLA411C	WAL-MART PHARMACY 10-0434	11610 MEMORIAL PKWY SOUTH		HUNTSVILLE	AL	35803	07/01/2025
FQHCLA411D	WAL-MART PHARMACY 10-0434	11610 MEMORIAL PKWY SOUTH		HUNTSVILLE	AL	35803	07/01/2025
FQHCLA411	WAL-MART PHARMACY 10-0434	11610 MEMORIAL PKWY SOUTH		HUNTSVILLE	AL	35803	07/01/2025
	WAL-MART PHARMACY 10-0434	11610 MEMORIAL PKWY SOUTH		HUNTSVILLE	AL	35803	07/01/2025
FQHCLA411	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	07/01/2025
FQHCLA411	WALGREEN CO.	DBA: WALGREENS # 06956	3500 MASTIN LAKE RD NW	HUNTSVILLE	AL	35810	07/01/2025
FQHCLA411	WALGREEN CO.	WALGREENS #17256	2139 WINCHESTER RD NE STE A	HUNTSVILLE	AL	35811	07/01/2025
	WALGREEN CO.	DBA: WALGREENS # 06956	3500 MASTIN LAKE RD NW	HUNTSVILLE	AL	35810	07/01/2025
	WALGREEN CO.	WALGREENS #17256	2139 WINCHESTER RD NE STE A	HUNTSVILLE	AL	35811	07/01/2025
FQHCLA411C	WALGREEN CO.	DBA: WALGREENS # 06956	3500 MASTIN LAKE RD NW	HUNTSVILLE	AL	35810	07/01/2025
FQHCLA411C	WALGREEN CO.	WALGREENS #17256	2139 WINCHESTER RD NE STE A	HUNTSVILLE	AL	35811	07/01/2025
FQHCLA411D	WALGREEN CO.	DBA: WALGREENS # 06956	3500 MASTIN LAKE RD NW	HUNTSVILLE	AL	35810	07/01/2025
FQHCLA411D	WALGREEN CO.	WALGREENS #17256	2139 WINCHESTER RD NE STE A	HUNTSVILLE	AL	35811	07/01/2025
FQHCLA411	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	07/01/2025
FQHCLA411	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	07/01/2025
FQHCLA411C	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	07/01/2025
FQHCLA411D	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	07/01/2025
FQHCLA411	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	07/01/2025
	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	07/01/2025

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Primary Contact	Update	Change Request	Kepner, Ann COO HAPPI Health 2565137342	Kepner, Ann Marie COO HAPPI Health 2565137342	3/15/2025 7:13 PM
Details	State	Update		To Be Terminated	Terminated	4/1/2024 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		1/31/2024 12:00:00 AM	2/27/2024 7:36 AM
Details	State	Update	Recertification	Active	To Be Terminated	2/27/2024 7:36 AM
Terminations	Termination Date	Update	Recertification		4/1/2024 12:00:00 AM	2/27/2024 7:36 AM
Terminations	Termination Effective Date	Update	Recertification		4/1/2024 12:00:00 AM	2/27/2024 7:36 AM
Terminations	Termination Reason	Update	Recertification		Business decision by the Covered Entity	2/27/2024 7:36 AM
Contacts	Primary Contact	Update	Recertification	Kepner, Ann Operations Manager HAPPI Health 2565137342	Kepner, Ann COO HAPPI Health 2565137342	2/21/2023 1:11 PM
Details	Last Recertification Date	Update	Recertification	2/22/2022 5:35:15 PM	2/21/2023 1:11:01 PM	2/21/2023 1:11 PM
Details	Last Recertification Date	Update	Recertification	3/1/2021 2:20:49 PM	2/22/2022 5:35:15 PM	2/22/2022 5:35 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	3/1/2021 2:20 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		250702	3/1/2021 2:20 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	3/1/2021 2:20 PM
Medicaid Billing	NPI: State	Update	Recertification		AL	3/1/2021 2:20 PM
Details	Last Recertification Date	Update	Recertification		3/1/2021 2:20:49 PM	3/1/2021 2:20 PM
Contacts	Authorizing Official	Update	AO Change Request	Andrews, Angelique Atrice Chief Medical Officer HAPPI Health 2565137342	andrews, angelique atrice CMO HAPPI Health 3235477873	2/28/2021 8:24 AM
Details	State	Update		Approved	Active	10/1/2020 12:01 AM
Contacts	Signed By	Insert	New Registration		Andrews, Angelique Atrice Chief Medical Officer HAPPI Health 2565137342	8/13/2020 5:51 PM
Details	340B ID	Update	New Registration		FQHCLA411A	8/13/2020 5:51 PM
Dates	Participating Approval Date	Update	New Registration		8/13/2020 5:51:20 PM	8/13/2020 5:51 PM
Details	State	Update	New Registration	Pending	Approved	8/13/2020 5:51 PM
Dates	Signed By Date	Update	New Registration		7/1/2020 3:07:27 PM	8/13/2020 5:51 PM
Dates	Start Date	Update	New Registration		10/1/2020 12:00:00 AM	8/13/2020 5:51 PM
Addresses	Main Address	Insert	New Registration		807 Franklin St. Huntsville, AL 35801-4311	7/1/2020 3:07 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1790207314	7/1/2020 3:07 PM
Contacts	Authorizing Official	Insert	New Registration		Andrews, Angelique Atrice Chief Medical Officer HAPPI Health 2565137342	7/1/2020 3:07 PM
Contacts	Primary Contact	Insert	New Registration		Kepner, Ann Operations Manager HAPPI Health 2565137342	7/1/2020 3:07 PM
Details	Last Recertification Date	Insert	New Registration			7/1/2020 3:07 PM
Details	Grant Number	Insert	New Registration		LALCS33898	7/1/2020 3:07 PM
Details	340B ID	Insert	New Registration			7/1/2020 3:07 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/1/2020 3:07 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/1/2020 3:07 PM
Details	Medicare Provider Number	Insert	New Registration			7/1/2020 3:07 PM
Details	Entity Name	Insert	New Registration		Happi Health	7/1/2020 3:07 PM
Details	Program Code	Insert	New Registration		FQHCLA	7/1/2020 3:07 PM
Details	Entity Subname	Insert	New Registration		HAPPI Urgent Care	7/1/2020 3:07 PM
Dates	Participating Approval Date	Insert	New Registration			7/1/2020 3:07 PM
Details	State	Insert	New Registration		Pending	7/1/2020 3:07 PM
Dates	Registration Date	Insert	New Registration		7/1/2020 3:07:25 PM	7/1/2020 3:07 PM
Dates	Signed By Date	Insert	New Registration			7/1/2020 3:07 PM
Dates	Start Date	Insert	New Registration			7/1/2020 3:07 PM
Terminations	Termination Comments	Insert	New Registration			7/1/2020 3:07 PM
Terminations	Termination Date	Insert	New Registration			7/1/2020 3:07 PM
Terminations	Termination Effective Date	Insert	New Registration			7/1/2020 3:07 PM
Terminations	Termination Reason	Insert	New Registration			7/1/2020 3:07 PM

340B Drug Pricing Program Database