No
Contract Detail | ALTRUIX | 601 CHINQUAPIN ROUND RD |
| ANNAPOLIS | MD | 21401 | 04/02/2025 | 07/01/2025 | | | 04/02/2025 |
Contract Detail | LIFE TREE PHARMACY | 5 BLUE HERON DRIVE |
| COLLEGEVILLE | PA | 19426 | 11/09/2021 | 11/15/2021 | | | 11/15/2021 |
Details | Last Recertification Date | Update | Recertification | 5/8/2023 11:53:05 AM | 5/7/2024 10:06:02 AM | 5/7/2024 10:06 AM |
Contacts | Primary Contact | Update | Change Request | Kovich, Lynn
CEO
Conexio Care, Inc
4846501937 | Smith, Jason
Executive Director
Conexio Care Inc.
4844010087 | 12/22/2023 8:25 AM |
Details | Last Recertification Date | Update | Recertification | 5/11/2022 2:42:51 PM | 5/8/2023 11:53:05 AM | 5/8/2023 11:53 AM |
Details | Nature of Support: In Kind Support Description | Update | Change Request | testing kits | Condoms | 3/28/2023 11:53 AM |
Contacts | Authorizing Official | Update | AO Change Request | Logan, Angie
VP of Policy and Program Development
Conexio Care, Inc.
4846501937 | Tozzi, Dana
Health Services Administrator
Conexio Care Inc.
3026504497 | 7/5/2022 1:11 PM |
Details | Last Recertification Date | Update | Recertification | | 5/11/2022 2:42:51 PM | 5/11/2022 2:42 PM |
Details | State | Update | | Approved | Active | 11/15/2021 12:01 AM |
Dates | Start Date | Update | OPA Edit | 1/1/2022 12:00:00 AM | 11/15/2021 12:00:00 AM | 11/13/2021 9:21 AM |
Contacts | Signed By | Insert | New Registration | | Logan, Angie
VP of Policy and Program Development
Conexio Care, Inc.
4846501937 | 11/9/2021 8:56 AM |
Details | 340B ID | Update | New Registration | | STD197113 | 11/9/2021 8:56 AM |
Dates | Participating Approval Date | Update | New Registration | | 11/9/2021 8:56:53 AM | 11/9/2021 8:56 AM |
Details | State | Update | New Registration | Pending | Approved | 11/9/2021 8:56 AM |
Dates | Signed By Date | Update | New Registration | | 10/6/2021 9:38:31 AM | 11/9/2021 8:56 AM |
Dates | Start Date | Update | New Registration | | 1/1/2022 12:00:00 AM | 11/9/2021 8:56 AM |
Addresses | Main Address | Insert | New Registration | |
3106 Drummond Plaza
Newark, DE 19711 | 10/6/2021 9:38 AM |
Addresses | Billing Address | Insert | New Registration | | Conexio Care, Inc
590 Naamans Rd
Claymont, DE 19703 | 10/6/2021 9:38 AM |
Details | Nature of Support: In Kind Support Description | Insert | New Registration | | testing kits | 10/6/2021 9:38 AM |
Details | Nature Of Support | Insert | New Registration | | In-Kind products or services (see note below; must have been purchased with section 318 funds) | 10/6/2021 9:38 AM |
Details | Nature of Support: Support Received From Date | Insert | New Registration | | 10/1/2021 12:00:00 AM | 10/6/2021 9:38 AM |
Details | Nature of Support: Support Received To Date | Insert | New Registration | | | 10/6/2021 9:38 AM |
Contacts | Authorizing Official | Insert | New Registration | | Logan, Angie
VP of Policy and Program Development
Conexio Care, Inc.
4846501937 | 10/6/2021 9:38 AM |
Contacts | Primary Contact | Insert | New Registration | | Kovich, Lynn
CEO
Conexio Care, Inc
4846501937 | 10/6/2021 9:38 AM |
Details | Assistance Received From Date | Insert | New Registration | | | 10/6/2021 9:38 AM |
Details | Assistance Received To Date | Insert | New Registration | | | 10/6/2021 9:38 AM |
Details | Last Recertification Date | Insert | New Registration | | | 10/6/2021 9:38 AM |
Details | Grant Number | Insert | New Registration | | NH25PS005156-03-00 | 10/6/2021 9:38 AM |
Details | 340B ID | Insert | New Registration | | | 10/6/2021 9:38 AM |
Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 10/6/2021 9:38 AM |
Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 10/6/2021 9:38 AM |
Details | Medicare Provider Number | Insert | New Registration | | | 10/6/2021 9:38 AM |
Details | Entity Name | Insert | New Registration | | Conexio Care, Inc | 10/6/2021 9:38 AM |
Details | NOFO Number | Insert | New Registration | | PS-19-1901 | 10/6/2021 9:38 AM |
Details | Program Code | Insert | New Registration | | STD | 10/6/2021 9:38 AM |
Details | Entity Subname | Insert | New Registration | | | 10/6/2021 9:38 AM |
Dates | Participating Approval Date | Insert | New Registration | | | 10/6/2021 9:38 AM |
Details | State | Insert | New Registration | | Pending | 10/6/2021 9:38 AM |
Dates | Registration Date | Insert | New Registration | | 10/6/2021 9:38:28 AM | 10/6/2021 9:38 AM |
Dates | Signed By Date | Insert | New Registration | | | 10/6/2021 9:38 AM |
Dates | Start Date | Insert | New Registration | | | 10/6/2021 9:38 AM |
Terminations | Termination Comments | Insert | New Registration | | | 10/6/2021 9:38 AM |
Terminations | Termination Date | Insert | New Registration | | | 10/6/2021 9:38 AM |
Terminations | Termination Effective Date | Insert | New Registration | | | 10/6/2021 9:38 AM |
Terminations | Termination Reason | Insert | New Registration | | | 10/6/2021 9:38 AM |