Covered Entity Details

CH0452880 TRIAD HEALTH SYSTEM INC (Active) - information as of 5/13/2025 10:51:58 PM

Main Details

Name

TRIAD HEALTH SYSTEM INC

Subdivision Name

TRIAD HEALTH SYSTEMS CHC

Type

HRSA-Funded Health Center

Site ID

BPS-H80-014372

340B ID

CH0452880

Grant Number

H80CS08785

Additional Details

Current Program Status

Active

Registration Date

5/21/2008

Participating Start Date

7/1/2008

Participating Approval Date

5/22/2008

Last Recertification Date

2/25/2025

Contacts

Authorizing Official

Triad Health Systems
ADAM CRAFT, EXECUTIVE DIRECTOR
(859) 567-1271

Primary Contact

Triad Health Systems, Inc.
Juliet Lynn Unsinger, CFO
(937) 367-5556

Addresses

Street Address

441 US Highway 42 West
Warsaw, KY 41095-9323

Billing Address

TRIAD HEALTH SYSTEMS, INC.
PO BOX 845
WARSAW, KY 41095

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?
No

Shipping Addresses

Shipping Address 1

Triad Pharmacy Carrollton
329 Floyd Dr
F
Carrollton, KY 41008

Shipping Address 2

Triad Pharmacy Warsaw
441 US Hwy 42 West
Warsaw, KY 41095

Shipping Address 3

Triad Pharmacy Owenton
120 Progress Way
Owenton, KY 40359

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	01/13/2016	04/01/2016	01/31/2020	02/04/2020
Contract Detail	AVELLA OF COLUMBUS	4830 KNIGHTSBRIDGE BLVD STE C		COLUMBUS	OH	43214-2300	01/13/2016	04/01/2016	01/31/2020	02/04/2020
Contract Detail	AVELLA OF DEER VALLEY	23620 N 20TH DR #12		PHOENIX	AZ	85085-0621	01/13/2016	04/01/2016	01/31/2020	02/04/2020
Contract Detail	AVELLA OF ORLANDO	100 TECHNOLOGY PARK STE 155		LAKE MARY	FL	32746-6205	01/13/2016	04/01/2016	01/31/2020	02/04/2020
Contract Detail	BERINGER DRUG CENTER	102 W MAIN ST STE A		WARSAW	KY	41095-9300	07/08/2015	10/01/2015	12/30/2022	01/09/2023
Contract Detail	CPHARMA, INC.	965 HIGHWAY 127 N		OWENTON	KY	40359-9302	10/14/2018	01/01/2019		01/01/2019
Contract Detail	KENTUCKY CENTRAL FILL FACILITY, L-010	5594 SHEPHERDSVILLE ROAD		LOUISVILLE	KY	40228-1012	07/17/2017	10/01/2017	01/09/2023	01/09/2023
Contract Detail	Kroger Pharmacy	Jeffersonville Central Fill Facility	301 Logistics Ave Suite 200	Jeffersonville	IN	47130	01/09/2023	04/01/2023		04/01/2023
Contract Detail	KROGER PHARMACY L-710	2549 HIGHWAY 227		CARROLLTON	KY	41008	07/17/2017	10/01/2017		10/01/2017
Contract Detail	OWEN PHARMACIST GROUP	D/B/A MED-SAVE CARTER	261 W. TOM T. HALL BLVD. P.O. BOX 717	OLIVE HILL	KY	41164	01/14/2016	04/01/2016	04/01/2022	10/05/2022
Contract Detail	RITE AID OF KENTUCKY, INC.	RITE AID #3936	204 PARK AVENUE	CARROLLTON	KY	41008	07/17/2017	10/01/2017	09/13/2018	09/13/2018
Contract Detail	ST. MATTHEWS SPECIALTY PHARMACY	DBA ST. MATTHEWS SPECIALTY PHARMACY	200 N HURSTBOURNE PKWY STE 176	LOUISVILLE	KY	40222	10/14/2024	01/01/2025		01/01/2025
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/10/2018	01/01/2019		01/01/2019
Contract Detail	WAL-MART PHARMACY 10-2968	200 FLOYD DRIVE		CARROLLTON	KY	41008	10/10/2018	01/01/2019		01/01/2019
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/10/2018	01/01/2019		01/01/2019
Contract Detail	WALGREEN CO.	WALGREENS #17241	204 PARK AVE	CARROLLTON	KY	41008	09/14/2018	10/01/2018	08/20/2024	08/28/2024
Contract Detail	Walgreens Central Fill #21399	4132Plainfield Rd	Ste 110	Indianapolis	IN	46231-7021	01/09/2023	04/01/2023	09/26/2024	09/26/2024
Contract Detail	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/11/2023	04/01/2023		04/01/2023
Contract Detail	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	10/10/2023	01/01/2024		01/01/2024
Contract Detail	WEBSTER DRUGS	99 PARKLANES SHOPPING CENTER	PO BOX 311	CARROLLTON	KY	41008	07/08/2015	10/01/2015	04/01/2022	10/05/2022

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH0452880	Active	BPS-H80-014372	TRIAD HEALTH SYSTEM INC	TRIAD HEALTH SYSTEMS CHC	441 US Highway 42 West	Warsaw	KY
CH045288A	Terminated	BPS-H80-014372	TRIAD HEALTH SYSTEM INC	TRIAD HEALTH SYSTEMS CHC	441 US Highway 42 West	WARSAW	KY
CH045288B	Active	BPS-H80-013506	TRIAD HEALTH SYSTEM INC	School based clinic	88 Pawprint Path	Warsaw	KY
CH045288C	Terminated	BPS-H80-013999	TRIAD HEALTH SYSTEM INC	Gallatin Co Health Department	102 W PEARL ST	WARSAW	KY
CH045288D	Terminated	BPS-H80-014494	TRIAD HEALTH SYSTEM INC	Owen County Clinic	1005 HIGHWAY 22 E	OWENTON	KY
CH045288E	Terminated	BPS-H80-019541	TRIAD HEALTH SYSTEM INC	New Owen	327 North Main Street	Owenton	KY
CH045288F	Active	BPS-H80-019560	TRIAD HEALTH SYSTEM INC	Carroll Floyd Dr	329 Floyd Dr	Carrollton	KY
CH045288G	Active	BPS-H80-027030	TRIAD HEALTH SYSTEM INC	120 Progress Way	120 Progress Way	Owenton	KY

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH0452880	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	04/01/2016	01/31/2020
CH0452880	AVELLA OF COLUMBUS	4830 KNIGHTSBRIDGE BLVD STE C		COLUMBUS	OH	43214-2300	04/01/2016	01/31/2020
CH0452880	AVELLA OF DEER VALLEY	23620 N 20TH DR #12		PHOENIX	AZ	85085-0621	04/01/2016	01/31/2020
CH0452880	AVELLA OF ORLANDO	100 TECHNOLOGY PARK STE 155		LAKE MARY	FL	32746-6205	04/01/2016	01/31/2020
CH0452880	BERINGER DRUG CENTER	102 W MAIN ST STE A		WARSAW	KY	41095-9300	10/01/2015	12/30/2022
CH045288A	BERINGER DRUG CENTER	102 W MAIN ST STE A		WARSAW	KY	41095-9300	11/17/2008	04/01/2022
CH0452880	CPHARMA, INC.	965 HIGHWAY 127 N		OWENTON	KY	40359-9302	01/01/2019
CH0452880	KENTUCKY CENTRAL FILL FACILITY, L-010	5594 SHEPHERDSVILLE ROAD		LOUISVILLE	KY	40228-1012	10/01/2017	01/09/2023
CH0452880	Kroger Pharmacy	Jeffersonville Central Fill Facility	301 Logistics Ave Suite 200	Jeffersonville	IN	47130	04/01/2023
CH0452880	KROGER PHARMACY L-710	2549 HIGHWAY 227		CARROLLTON	KY	41008	10/01/2017
CH0452880	OWEN PHARMACIST GROUP	D/B/A MED-SAVE CARTER	261 W. TOM T. HALL BLVD. P.O. BOX 717	OLIVE HILL	KY	41164	04/01/2016	04/01/2022
CH0452880	RITE AID OF KENTUCKY, INC.	RITE AID #3936	204 PARK AVENUE	CARROLLTON	KY	41008	10/01/2017	09/13/2018
CH0452880	ST. MATTHEWS SPECIALTY PHARMACY	DBA ST. MATTHEWS SPECIALTY PHARMACY	200 N HURSTBOURNE PKWY STE 176	LOUISVILLE	KY	40222	01/01/2025
CH0452880	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2019
CH0452880	WAL-MART PHARMACY 10-2968	200 FLOYD DRIVE		CARROLLTON	KY	41008	01/01/2019
CH0452880	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2019
CH0452880	WALGREEN CO.	WALGREENS #17241	204 PARK AVE	CARROLLTON	KY	41008	10/01/2018	08/20/2024
CH0452880	Walgreens Central Fill #21399	4132Plainfield Rd	Ste 110	Indianapolis	IN	46231-7021	04/01/2023	09/26/2024
CH0452880	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CH0452880	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH0452880	WEBSTER DRUGS	99 PARKLANES SHOPPING CENTER	PO BOX 311	CARROLLTON	KY	41008	10/01/2015	04/01/2022

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/19/2024 11:00:18 AM	2/25/2025 12:11:51 PM	2/25/2025 12:11 PM
Addresses	Shipping Address	Insert	Change Request		Triad Pharmacy Owenton 120 Progress Way Owenton, KY 40359	7/15/2024 10:40 AM
Contacts	Primary Contact	Update	Change Request	Williams, Roger CFO Triad Health Systems, Inc. 8955671271	Unsinger, Juliet Lynn CFO Triad Health Systems, Inc. 9373675556	7/12/2024 8:11 AM
Details	Last Recertification Date	Update	Recertification	2/22/2023 10:41:58 AM	2/19/2024 11:00:18 AM	2/19/2024 11:00 AM
Addresses	Shipping Address	Insert	Change Request		Triad Pharmacy Carrollton 329 Floyd Dr F Carrollton, KY 41008	12/7/2023 10:43 AM
Addresses	Shipping Address	Insert	Change Request		Triad Pharmacy Warsaw 441 US Hwy 42 West Warsaw, KY 41095	12/7/2023 10:43 AM
Details	Last Recertification Date	Update	Recertification	2/21/2022 9:52:35 AM	2/22/2023 10:41:58 AM	2/22/2023 10:41 AM
Details	Last Recertification Date	Update	Recertification	2/22/2021 9:49:07 AM	2/21/2022 9:52:35 AM	2/21/2022 9:52 AM
Details	Last Recertification Date	Update	Recertification	2/3/2020 11:16:41 AM	2/22/2021 9:49:07 AM	2/22/2021 9:49 AM
Details	Last Recertification Date	Update	Recertification	2/5/2019 10:31:41 AM	2/3/2020 11:16:41 AM	2/3/2020 11:16 AM
Details	Last Recertification Date	Update	Recertification	3/1/2018 10:01:25 AM	2/5/2019 10:31:41 AM	2/5/2019 10:31 AM
Details	Last Recertification Date	Update	Recertification	2/15/2017 12:00:00 AM	3/1/2018 10:01:25 AM	3/1/2018 10:01 AM
Contacts	Authorizing Official	Update		CRAFT, ADAM EXECUTIVE DIRECTOR 8595671271	CRAFT, ADAM EXECUTIVE DIRECTOR Triad Health Systems 8595671271	3/1/2018 9:56 AM
Contacts	Primary Contact	Update		Williams, Roger CFO 8955671271	Williams, Roger CFO Triad Health Systems, Inc. 8955671271	9/26/2017 3:59 PM
Contacts	Authorizing Official	Insert			CRAFT, ADAM EXECUTIVE DIRECTOR 8595671271	7/17/2017 4:34 PM
Contacts	Primary Contact	Insert			Williams, Roger CFO 8955671271	7/13/2017 5:08 PM
Addresses	Main Address	Insert			441 US Highway 42 West Warsaw, KY 41095-9323	2/15/2017 9:28 AM
Details	Last Recertification Date	Update		2/18/2016 12:00:00 AM	2/15/2017 12:00:00 AM	2/15/2017 9:28 AM
Addresses	Billing Address	Insert			TRIAD HEALTH SYSTEMS, INC. PO BOX 845 WARSAW, KY 41095	6/24/2016 11:17 AM
Details	Entity Subname	Update		Triad Admin	TRIAD HEALTH SYSTEMS CHC	6/24/2016 11:17 AM
Details	Last Recertification Date	Update		3/3/2015 12:00:00 AM	2/18/2016 12:00:00 AM	2/18/2016 4:18 PM
Details	Last Recertification Date	Update		3/19/2014 12:00:00 AM	3/3/2015 12:00:00 AM	3/3/2015 9:08 AM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	3/19/2014 12:00:00 AM	3/19/2014 1:44 PM
Details	Entity Name	Update		TRIAD HEALTH SYSTEMS, INC.	TRIAD HEALTH SYSTEM INC	3/19/2014 1:44 PM
Details	Entity Subname	Update			Triad Admin	3/19/2014 1:44 PM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	2/14/2013 2:00 PM
Details	Last Recertification Date	Insert				5/22/2008 8:57 AM
Details	Grant Number	Insert			H80CS08785	5/22/2008 8:57 AM
Details	340B ID	Insert			CH0452880	5/22/2008 8:57 AM
Details	Is Authorizing Official EHB Data	Insert				5/22/2008 8:57 AM
Dates	Last Date That 340B Drugs Purchased	Insert				5/22/2008 8:57 AM
Details	Medicare Provider Number	Insert				5/22/2008 8:57 AM
Details	Entity Name	Insert			TRIAD HEALTH SYSTEMS, INC.	5/22/2008 8:57 AM
Details	Program Code	Insert			CH	5/22/2008 8:57 AM
Details	Entity Subname	Insert				5/22/2008 8:57 AM
Dates	Participating Approval Date	Insert			5/22/2008 12:00:00 AM	5/22/2008 8:57 AM
Details	State	Insert			Active	5/22/2008 8:57 AM
Dates	Registration Date	Insert			5/21/2008 12:00:00 AM	5/22/2008 8:57 AM
Dates	Signed By Date	Insert			4/1/2008 12:00:00 AM	5/22/2008 8:57 AM
Dates	Start Date	Insert			7/1/2008 12:00:00 AM	5/22/2008 8:57 AM
Terminations	Termination Comments	Insert				5/22/2008 8:57 AM
Terminations	Termination Date	Insert				5/22/2008 8:57 AM
Terminations	Termination Effective Date	Insert				5/22/2008 8:57 AM
Terminations	Termination Reason	Insert				5/22/2008 8:57 AM

340B Drug Pricing Program Database