Yes
| Details | State | Update | | To Be Terminated | Terminated | 4/1/2021 12:01 AM |
| Dates | Last Date That 340B Drugs Purchased | Update | Recertification | | 3/31/2021 12:00:00 AM | 3/10/2021 7:54 AM |
| Details | State | Update | Recertification | Active | To Be Terminated | 3/10/2021 7:54 AM |
| Terminations | Termination Date | Update | Recertification | | 4/1/2021 12:00:00 AM | 3/10/2021 7:54 AM |
| Terminations | Termination Effective Date | Update | Recertification | | 3/31/2021 12:00:00 AM | 3/10/2021 7:54 AM |
| Terminations | Termination Reason | Update | Recertification | | Failure to recertify | 3/10/2021 7:54 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 5:47 PM |
| Details | 340B ID | Update | New Registration | | FQHCLA411B | 8/13/2020 5:47 PM |
| Dates | Participating Approval Date | Update | New Registration | | 8/13/2020 5:47:10 PM | 8/13/2020 5:47 PM |
| Details | State | Update | New Registration | Pending | Approved | 8/13/2020 5:47 PM |
| Dates | Signed By Date | Update | New Registration | | 7/1/2020 3:09:47 PM | 8/13/2020 5:47 PM |
| Dates | Start Date | Update | New Registration | | 10/1/2020 12:00:00 AM | 8/13/2020 5:47 PM |
| Addresses | Main Address | Insert | New Registration | |
2327 Pansy St SW Ste B
Huntsville, AL 35801-3804 | 7/1/2020 3:09 PM |
| Medicaid Billing | NPI: Number | Insert | New Registration | | 1043732662 | 7/1/2020 3:09 PM |
| Contacts | Authorizing Official | Insert | New Registration | | Andrews, Angelique Atrice
Chief Medical Officer
HAPPI Health
2565137342 | 7/1/2020 3:09 PM |
| Contacts | Primary Contact | Insert | New Registration | | Kepner, Ann
Operations Manager
HAPPI Health
2565137342 | 7/1/2020 3:09 PM |
| Details | Last Recertification Date | Insert | New Registration | | | 7/1/2020 3:09 PM |
| Details | Grant Number | Insert | New Registration | | LALCS33898 | 7/1/2020 3:09 PM |
| Details | 340B ID | Insert | New Registration | | | 7/1/2020 3:09 PM |
| Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 7/1/2020 3:09 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 7/1/2020 3:09 PM |
| Details | Medicare Provider Number | Insert | New Registration | | | 7/1/2020 3:09 PM |
| Details | Entity Name | Insert | New Registration | | Happi Health | 7/1/2020 3:09 PM |
| Details | Program Code | Insert | New Registration | | FQHCLA | 7/1/2020 3:09 PM |
| Details | Entity Subname | Insert | New Registration | | HAPPI Behavioral Health | 7/1/2020 3:09 PM |
| Dates | Participating Approval Date | Insert | New Registration | | | 7/1/2020 3:09 PM |
| Details | State | Insert | New Registration | | Pending | 7/1/2020 3:09 PM |
| Dates | Registration Date | Insert | New Registration | | 7/1/2020 3:09:44 PM | 7/1/2020 3:09 PM |
| Dates | Signed By Date | Insert | New Registration | | | 7/1/2020 3:09 PM |
| Dates | Start Date | Insert | New Registration | | | 7/1/2020 3:09 PM |
| Terminations | Termination Comments | Insert | New Registration | | | 7/1/2020 3:09 PM |
| Terminations | Termination Date | Insert | New Registration | | | 7/1/2020 3:09 PM |
| Terminations | Termination Effective Date | Insert | New Registration | | | 7/1/2020 3:09 PM |
| Terminations | Termination Reason | Insert | New Registration | | | 7/1/2020 3:09 PM |