340B Drug Pricing Program Database


CHC24168-00 STERLING HEALTH SOLUTIONS, INC. (Active) - information as of 6/22/2025 11:10:37 PM

Main Details
STERLING HEALTH SOLUTIONS, INC.
Sterling Health Care
HRSA-Funded Health Center
BPS-H80-036517
CHC24168-00
H80CS24168


Additional Details
Active
1/2/2013
4/1/2013
1/9/2013
2/10/2025

Contacts

Sterling Health Solutions
Tina Bryant, CEO
(859) 404-7686

Sterling Health Solutions Inc.
Florence Mahoney, CFO
(859) 404-7686 Ext: 527

Addresses

633 MAYSVILLE RD
Mount Sterling, KY 40353-1149

Sterling Health Care - Administration
236 W Main St
Mount Sterling, KY 40353-1348


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
KY7100517960,7100883750,7100808160,7100944520,71002339601366790099,1134629207,1518618255,1023731197,1134753726
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280901/08/202404/01/2024  04/01/2024
Contract DetailAHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271201/15/201604/01/2016 07/18/201607/18/2016
Contract DetailAPOTHE-CARE125 FOXGLOVE DR DBA: ROSS DRUGS
MT STERLINGKY40353-973504/12/201307/01/2013 10/01/201501/16/2016
Contract DetailAVELLA OF COLUMBUS4830 KNIGHTSBRIDGE BLVD STE C
COLUMBUSOH43214-230001/15/201604/01/2016 07/18/201607/18/2016
Contract DetailAVELLA OF DEER VALLEY23620 N 20TH DR #12
PHOENIXAZ85085-062101/15/201604/01/2016 07/18/201607/18/2016
Contract DetailAVELLA OF ORLANDO100 TECHNOLOGY PARK STE 155
LAKE MARYFL32746-620501/15/201604/01/2016 07/18/201607/18/2016
Contract DetailBATH HOMETOWN PHARMACY19 MILLER DR.
OWINGSVILLEKY4036001/04/201704/01/2017  01/04/2017
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526101/08/202404/01/2024  04/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771301/08/202404/01/2024  04/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267001/08/202404/01/2024  04/01/2024
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361404/08/202107/01/2021  07/01/2021
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005604/08/202107/01/2021  07/01/2021
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621904/08/202107/01/2021  07/01/2021
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175704/08/202107/01/2021  07/01/2021
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808304/08/202107/01/2021  07/01/2021
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700404/08/202107/01/2021  07/01/2021
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761704/08/202107/01/2021  07/01/2021
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813304/08/202107/01/2021  07/01/2021
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237404/08/202107/01/2021  07/01/2021
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911904/08/202107/01/2021  07/01/2021
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870604/08/202107/01/2021  07/01/2021
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005604/08/202107/01/2021  07/01/2021
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502804/08/202107/01/2021  07/01/2021
Contract DetailDOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K
GREENVILLESC29607-654101/08/202404/01/2024  04/01/2024
Contract DetailDONALDSON DRUG, INC.CARRINGTON DRUG 506 NORTH MAYSVILLE ROAD
MOUNT STERLINGKY4035310/07/201301/01/2014 10/01/201501/16/2016
Contract DetailFAMILY DISCOUNT DRUGS60 SLATE AVE
OWINGSVILLEKY40360-220107/01/202110/01/2021  10/01/2021
Contract DetailGENOA HEALTHCARE LLC1351 NEWTOWN PIKE BUILDING 5
LEXINGTONKY40511-128201/11/202304/01/2023  04/01/2023
Contract DetailH&H PHARMACY LLCDBA NORTHVIEW PHARMACY PO BOX 1220
638 NORTHVIEW DR
MOUNT STERLINGKY4035304/12/201307/01/2013 03/31/202004/06/2020
Contract DetailH&H PHARMACY LLCDBA NORTHVIEW PHARMACY PO BOX 1220
638 NORTHVIEW DR
MOUNT STERLINGKY4035304/08/202107/01/2021 03/30/202204/01/2022
Contract DetailKENTUCKY CENTRAL FILL FACILITY, L-0105594 SHEPHERDSVILLE ROAD
LOUISVILLEKY40228-101201/04/201704/01/2017  01/04/2017
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06337 1201 INDIAN MOUND DRIVE
MOUNT STERLINGKY4035304/05/202107/01/2021  07/01/2021
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03016 101 LACY LANE
PARISKY4036104/08/202107/01/2021  07/01/2021
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06345 24 W LEXINGTON AVE
WINCHESTERKY4039104/08/202107/01/2021  07/01/2021
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06940 2000 HARRODSBURG ROAD
LEXINGTONKY4050304/01/202207/01/2022  07/01/2022
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06941 118 EAST NEW CIRCLE RD.
LEXINGTONKY4050504/01/202207/01/2022  07/01/2022
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06942 3097 TODDS RD.
LEXINGTONKY4050904/01/202207/01/2022  07/01/2022
Contract DetailKROGER810 INDIAN MOUND DRIVE
MT STERLINGKY4035301/04/201704/01/2017 03/31/202004/06/2020
Contract DetailKROGER810 INDIAN MOUND DRIVE
MT STERLINGKY4035304/09/202107/01/2021  07/01/2021
Contract DetailKroger PharmacyJeffersonville Central Fill Facility 301 Logistics Ave
Suite 200
JeffersonvilleIN4713010/17/202201/01/2023  01/01/2023
Contract DetailKROGER PHARMACY L411179 WEST COLLEGE AVENUE
STANTONKY4038004/09/202107/01/2021  07/01/2021
Contract DetailKROGER PHARMACY L734300 KROGER CENTER
MOREHEADKY4035104/09/202107/01/2021  07/01/2021
Contract DetailP.I.C.DBA FAMILY DISCOUNT DRUGS 60 SLATE AVENUE
PO BOX 1119
OWINGSVILLEKY40360-403610/09/201301/01/2014 10/01/201501/16/2016
Contract DetailP.I.C.DBA FAMILY DISCOUNT DRUGS 60 SLATE AVENUE
PO BOX 1119
OWINGSVILLEKY40360-403607/16/201610/01/2016 03/31/202004/06/2020
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514607/01/202210/01/2022  10/01/2022
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523304/08/202107/01/2021 07/01/202207/01/2022
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681304/08/202107/01/2021 07/01/202207/01/2022
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920307/01/202210/01/2022  10/01/2022
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523310/07/202201/01/2023  01/01/2023
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681310/07/202201/01/2023  01/01/2023
Contract DetailRAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103
NEWBURGHNY1255001/08/202404/01/2024  04/01/2024
Contract DetailRIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500201/08/202404/01/2024  04/01/2024
Contract DetailSANTA BARBARA SPECIALTY PHARMACY LLC4690 CARPINTERIA AVE STE B
CARPINTERIACA9301301/08/202404/01/2024  04/01/2024
Contract DetailSTANLEY AND TURNER DRUG COMPANYDBA STANLEY PHARMACY COMPOUNDING CENTER 2413 W BEEBE CAPPS EXPY
SEARCYAR7214304/03/201907/01/2019 03/31/202004/06/2020
Contract DetailSTANTON DRUGS INC.STANTON DRUGS 638 E. COLLEGE AVE.
STANTONKY4038004/05/202107/01/2021  07/01/2021
Contract DetailSTERLING PHARMACY GROUPDBA OWINGSVILLE DRUG 53 MILLER DR UNIT 3
OWINGSVILLEKY40360-221204/12/201307/01/2013 10/01/201501/16/2016
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738607/14/201710/01/2017  10/01/2017
Contract DetailWAL-MART PHARMACY #10-1139200 WAL-MART WAY
MOREHEADKY4035104/05/202107/01/2021  07/01/2021
Contract DetailWAL-MART PHARMACY 10-1140499 INDIAN MOUND DRIVE
MOUNT STERLINGKY4035307/15/201510/01/2015  07/15/2015
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283707/14/201710/01/2017  10/01/2017
Contract DetailWALGREEN CODBA: WALGREENS #10889 2045 BYPASS RD
WINCHESTERKY40391-330901/08/202404/01/2024  04/01/2024
Contract DetailWALGREEN CODBA: WALGREENS #11796 220 RICHMOND RD N
BEREAKY4040301/08/202404/01/2024  04/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS #15561 501 CAPERTON DR.
RICHMONDKY4047501/08/202404/01/2024  04/01/2024
Contract DetailWALGREEN CO.WALGREENS #17142 6401 POLO CLUB LN
LEXINGTONKY4050901/08/202404/01/2024  04/01/2024
Contract DetailWALGREEN CO.WALGREENS #17445 110 RICHMOND RD
IRVINEKY4033601/08/202404/01/2024  04/01/2024
Contract DetailWALGREEN CO.WALGREENS #18005 103 ASH DR
PARISKY4036101/08/202404/01/2024  04/01/2024
Contract DetailWALGREEN CO.WALGREENS #18010 380 W MAIN ST
MOREHEADKY4035101/08/202404/01/2024  04/01/2024
Contract DetailWALGREEN CO.WALGREENS #18171 125 N MAIN ST
STANTONKY4038001/08/202404/01/2024  04/01/2024
Contract DetailWALGREEN CO.WALGREENS #18427 31 BIG HILL DR
BEATTYVILLEKY4131101/08/202404/01/2024  04/01/2024
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #21170 393 WALLER AVE STE 5
LEXINGTONKY4050401/08/202404/01/2024  04/01/2024
Contract DetailWalgreens #21423Walgreens Central Fill #21423 6275 Winchester Blvd
Canal WInchesterOH43110-653701/08/202404/01/2024  04/01/2024
Contract DetailWALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A
ROGERSAR7275601/11/202304/01/2023  04/01/2023
Contract DetailWalmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616810/10/202301/01/2024  01/01/2024
Contract DetailWHITAKER PHARMACARE INC570 INDIAN MOUND DR
MT STERLINGKY40353-200501/04/201704/01/2017  01/04/2017
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC24168-00ActiveBPS-H80-036517STERLING HEALTH SOLUTIONS, INC.Sterling Health Care633 MAYSVILLE RD Mount SterlingKY
CHC24168-01ActiveBPS-H80-019386STERLING HEALTH SOLUTIONS, INC.Sterling Women's Care635 Maysville Road Mount SterlingKY
CHC24168-02ActiveBPS-H80-017663STERLING HEALTH SOLUTIONS, INC.Sterling Health Care - Owingsville44 Water St OwingsvilleKY
CHC24168-03TerminatedBPS-H80-018911STERLING HEALTH SOLUTIONS, INC.Sterling Health Care - Carlisle2330 Concrete Rd CarlisleKY
CHC24168-04ActiveBPS-H80-019292STERLING HEALTH SOLUTIONS, INC.Montgomery Dental Center635 Maysville Rd. Mt SterlingKY
CHC24168-05ActiveBPS-H80-018025STERLING HEALTH SOLUTIONS, INC.Mapleton Community Health Center809 INDIAN MOUND DRIVE Mount SterlingKY
CHC24168-06ActiveBPS-H80-018024STERLING HEALTH SOLUTIONS, INC.Montgomery County Community Health Center724 Woodford Dr. Mt SterlingKY
CHC24168-07ActiveBPS-H80-018023STERLING HEALTH SOLUTIONS, INC.Camargo Community Health Center4307 Camargo Road Mount SterlingKY
CHC24168-08ActiveBPS-H80-018022STERLING HEALTH SOLUTIONS, INC.MSE Community Health Center6601 INDIAN MOUND RD Mount SterlingKY
CHC24168-09ActiveBPS-H80-018021STERLING HEALTH SOLUTIONS, INC.MCIS Community Health Center1040 Maysville Road Mount SterlingKY
CHC24168-10ActiveBPS-H80-018007STERLING HEALTH SOLUTIONS, INC.McNabb Community Health Center3570 INDIAN MOUND DRIVE Mount SterlingKY
CHC24168-11TerminatedBPS-H80-022176STERLING HEALTH SOLUTIONS, INC.Sterling Crossroads105 Brandon Way, Ste A Mt SterlingKY
CHC24168-12TerminatedBPS-H80-022207STERLING HEALTH SOLUTIONS, INC.Sterling Crossroads - Bath521 E High St OwingsvilleKY
CHC24168-13ActiveBPS-H80-024878STERLING HEALTH SOLUTIONS, INC.Nicholas County School Based Health133 School Dr CarlisleKY
CHC24168-14ActiveBPS-H80-027691STERLING HEALTH SOLUTIONS, INC.Sterling Health Care - Indian Mound103 Commonwealth Dr Mt SterlingKY
CHC24168-15TerminatedBPS-H80-030473STERLING HEALTH SOLUTIONS, INC.Sterling Women's Care - Winchester225 Hospital Dr Ste 255 WinchesterKY
CHC24168-16TerminatedBPS-H80-031099STERLING HEALTH SOLUTIONS, INC.Sterling Health Care - Urgent Treatment Center506 Maysville Rd Ste 2 Mount SterlingKY
CHC24168-17ActiveBPS-H80-031096STERLING HEALTH SOLUTIONS, INC.Powell County Middle School Based Health770 W College Ave StantonKY
CHC24168-18ActiveBPS-H80-031102STERLING HEALTH SOLUTIONS, INC.Bourbon Co Preschool School Based Health369 Bethlehem Rd ParisKY
CHC24168-19ActiveBPS-H80-031091STERLING HEALTH SOLUTIONS, INC.Cane Ridge Elementary School Based Health8000 Martin Luther King Jr Blvd ParisKY
CHC24168-20ActiveBPS-H80-031093STERLING HEALTH SOLUTIONS, INC.Bourbon Co Middle School Based Health3339 Lexington Rd ParisKY
CHC24168-21ActiveBPS-H80-031095STERLING HEALTH SOLUTIONS, INC.Stanton Elementary School Based Health651 Breckenridge St StantonKY
CHC24168-22ActiveBPS-H80-031097STERLING HEALTH SOLUTIONS, INC.Powell County High School Based Health700 W College Ave StantonKY
CHC24168-23TerminatedBPS-H80-031090STERLING HEALTH SOLUTIONS, INC.Powell Academy School Based Health642 Rose Way StantonKY
CHC24168-24ActiveBPS-H80-031875STERLING HEALTH SOLUTIONS, INC.Sterling Health Care - Stanton68 E Elkins St StantonKY
CHC24168-25ActiveBPS-H80-031094STERLING HEALTH SOLUTIONS, INC.Clay City Elementary School Based Health4901 Main St Clay CityKY
CHC24168-26ActiveBPS-H80-031092STERLING HEALTH SOLUTIONS, INC.North Middletown Elementary School Based Health301 College St ParisKY
CHC24168-27ActiveBPS-H80-031101STERLING HEALTH SOLUTIONS, INC.Bowen Elementary School Based Health5099 Campton Rd StantonKY
CHC24168-28ActiveBPS-H80-031100STERLING HEALTH SOLUTIONS, INC.Bourbon Central Elementary School Based Health367 Bethlehem Rd ParisKY
CHC24168-29ActiveBPS-H80-031098STERLING HEALTH SOLUTIONS, INC.Bourbon Co High School Based Health3341 Lexington Rd ParisKY
CHC24168-30ActiveBPS-H80-035592Sterling Health Solutions, Inc.Sterling Health Care - Carlisle1355 Concrete Rd CarlisleKY
CHC24168-31ActiveBPS-H80-036518Sterling Health Solutions, Inc.Sterling Health Care - Winchester455 Bullion Blvd WinchesterKY
CHC24168-32TerminatedBPS-H80-036517Sterling Health Solutions, Inc.Sterling Health Care - Mt. Sterling633 Maysville Rd Mount SterlingKY
CHC24168-33ActiveBPS-H80-036933STERLING HEALTH SOLUTIONS, INC.Paris Elementary School Based Health1481 S Main St ParisKY
CHC24168-34ActiveBPS-H80-036935STERLING HEALTH SOLUTIONS, INC.Paris Middle School School Based Health304 W 7th St ParisKY
CHC24168-35ActiveBPS-H80-036934STERLING HEALTH SOLUTIONS, INC.Paris High School Based Health308 W 7th St ParisKY
CHC24168-36ActiveBPS-H80-037259STERLING HEALTH SOLUTIONS, INC.Crossroads Elementary School Based Health4755 E Highway 60 OwingsvilleKY
CHC24168-37ActiveBPS-H80-037262STERLING HEALTH SOLUTIONS, INC.Bath County High School Based Health645 Chenault Dr OwingsvilleKY
CHC24168-38ActiveBPS-H80-037261STERLING HEALTH SOLUTIONS, INC.Owingsville Elementary School Based Health50 Chenault Dr OwingsvilleKY
CHC24168-39ActiveBPS-H80-037260STERLING HEALTH SOLUTIONS, INC.Bath County Middle School Based Health335 W Main St OwingsvilleKY
CHC24168-40ActiveBPS-H80-038056STERLING HEALTH SOLUTIONS, INC.Nicholas County High School Based Health103 School Dr CarlisleKY
CHC24168-41ActiveBPS-H80-038113STERLING HEALTH SOLUTIONS, INC.Powell County Academy School Based Health691 Breckenridge St StantonKY
CHC24168-42ActiveBPS-H80-039122STERLING HEALTH SOLUTIONS, INC.Sterling Health Care - Paris2228 Martin Luther King Jr Blvd ParisKY
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC24168-00ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101
ORLANDOFL3280904/01/2024  
CHC24168-00AHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271204/01/2016 07/18/2016
CHC24168-00APOTHE-CARE125 FOXGLOVE DR DBA: ROSS DRUGS
MT STERLINGKY40353-973507/01/2013 10/01/2015
CHC24168-01APOTHE-CARE125 FOXGLOVE DR DBA: ROSS DRUGS
MT STERLINGKY40353-973507/01/2014 10/01/2015
CHC24168-00AVELLA OF COLUMBUS4830 KNIGHTSBRIDGE BLVD STE C
COLUMBUSOH43214-230004/01/2016 07/18/2016
CHC24168-00AVELLA OF DEER VALLEY23620 N 20TH DR #12
PHOENIXAZ85085-062104/01/2016 07/18/2016
CHC24168-00AVELLA OF ORLANDO100 TECHNOLOGY PARK STE 155
LAKE MARYFL32746-620504/01/2016 07/18/2016
CHC24168-00BATH HOMETOWN PHARMACY19 MILLER DR.
OWINGSVILLEKY4036004/01/2017  
CHC24168-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526104/01/2024  
CHC24168-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771304/01/2024  
CHC24168-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267004/01/2024  
CHC24168-00CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361407/01/2021  
CHC24168-00CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/01/2021  
CHC24168-00CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621907/01/2021  
CHC24168-00CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175707/01/2021  
CHC24168-00CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808307/01/2021  
CHC24168-00CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700407/01/2021  
CHC24168-00CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761707/01/2021  
CHC24168-00CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813307/01/2021  
CHC24168-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237407/01/2021  
CHC24168-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911907/01/2021  
CHC24168-00CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/2021  
CHC24168-00CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/2021  
CHC24168-00CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502807/01/2021  
CHC24168-00DOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K
GREENVILLESC29607-654104/01/2024  
CHC24168-00DONALDSON DRUG, INC.CARRINGTON DRUG 506 NORTH MAYSVILLE ROAD
MOUNT STERLINGKY4035301/01/2014 10/01/2015
CHC24168-01DONALDSON DRUG, INC.CARRINGTON DRUG 506 NORTH MAYSVILLE ROAD
MOUNT STERLINGKY4035307/01/2014 10/01/2015
CHC24168-00FAMILY DISCOUNT DRUGS60 SLATE AVE
OWINGSVILLEKY40360-220110/01/2021  
CHC24168-00GENOA HEALTHCARE LLC1351 NEWTOWN PIKE BUILDING 5
LEXINGTONKY40511-128204/01/2023  
CHC24168-00H&H PHARMACY LLCDBA NORTHVIEW PHARMACY PO BOX 1220
638 NORTHVIEW DR
MOUNT STERLINGKY4035307/01/2013 03/31/2020
CHC24168-01H&H PHARMACY LLCDBA NORTHVIEW PHARMACY PO BOX 1220
638 NORTHVIEW DR
MOUNT STERLINGKY4035307/01/2014  
CHC24168-00H&H PHARMACY LLCDBA NORTHVIEW PHARMACY PO BOX 1220
638 NORTHVIEW DR
MOUNT STERLINGKY4035307/01/2021 03/30/2022
CHC24168-00KENTUCKY CENTRAL FILL FACILITY, L-0105594 SHEPHERDSVILLE ROAD
LOUISVILLEKY40228-101204/01/2017  
CHC24168-00KENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06337 1201 INDIAN MOUND DRIVE
MOUNT STERLINGKY4035307/01/2021  
CHC24168-00KENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03016 101 LACY LANE
PARISKY4036107/01/2021  
CHC24168-00KENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06345 24 W LEXINGTON AVE
WINCHESTERKY4039107/01/2021  
CHC24168-00KENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06940 2000 HARRODSBURG ROAD
LEXINGTONKY4050307/01/2022  
CHC24168-00KENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06941 118 EAST NEW CIRCLE RD.
LEXINGTONKY4050507/01/2022  
CHC24168-00KENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06942 3097 TODDS RD.
LEXINGTONKY4050907/01/2022  
CHC24168-00KROGER810 INDIAN MOUND DRIVE
MT STERLINGKY4035304/01/2017 03/31/2020
CHC24168-00KROGER810 INDIAN MOUND DRIVE
MT STERLINGKY4035307/01/2021  
CHC24168-00Kroger PharmacyJeffersonville Central Fill Facility 301 Logistics Ave
Suite 200
JeffersonvilleIN4713001/01/2023  
CHC24168-00KROGER PHARMACY L411179 WEST COLLEGE AVENUE
STANTONKY4038007/01/2021  
CHC24168-00KROGER PHARMACY L734300 KROGER CENTER
MOREHEADKY4035107/01/2021  
CHC24168-00P.I.C.DBA FAMILY DISCOUNT DRUGS 60 SLATE AVENUE
PO BOX 1119
OWINGSVILLEKY40360-403601/01/2014 10/01/2015
CHC24168-00P.I.C.DBA FAMILY DISCOUNT DRUGS 60 SLATE AVENUE
PO BOX 1119
OWINGSVILLEKY40360-403610/01/2016 03/31/2020
CHC24168-01P.I.C.DBA FAMILY DISCOUNT DRUGS 60 SLATE AVENUE
PO BOX 1119
OWINGSVILLEKY40360-403607/01/2014 10/01/2015
CHC24168-00PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514610/01/2022  
CHC24168-00PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523307/01/2021 07/01/2022
CHC24168-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681307/01/2021 07/01/2022
CHC24168-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920310/01/2022  
CHC24168-00PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523301/01/2023  
CHC24168-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681301/01/2023  
CHC24168-00RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103
NEWBURGHNY1255004/01/2024  
CHC24168-00RIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500204/01/2024  
CHC24168-00SANTA BARBARA SPECIALTY PHARMACY LLC4690 CARPINTERIA AVE STE B
CARPINTERIACA9301304/01/2024  
CHC24168-00STANLEY AND TURNER DRUG COMPANYDBA STANLEY PHARMACY COMPOUNDING CENTER 2413 W BEEBE CAPPS EXPY
SEARCYAR7214307/01/2019 03/31/2020
CHC24168-00STANTON DRUGS INC.STANTON DRUGS 638 E. COLLEGE AVE.
STANTONKY4038007/01/2021  
CHC24168-00STERLING PHARMACY GROUPDBA OWINGSVILLE DRUG 53 MILLER DR UNIT 3
OWINGSVILLEKY40360-221207/01/2013 10/01/2015
CHC24168-01STERLING PHARMACY GROUPDBA OWINGSVILLE DRUG 53 MILLER DR UNIT 3
OWINGSVILLEKY40360-221207/01/2014 10/01/2015
CHC24168-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2017  
CHC24168-00WAL-MART PHARMACY #10-1139200 WAL-MART WAY
MOREHEADKY4035107/01/2021  
CHC24168-00WAL-MART PHARMACY 10-1140499 INDIAN MOUND DRIVE
MOUNT STERLINGKY4035310/01/2015  
CHC24168-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2017  
CHC24168-00WALGREEN CODBA: WALGREENS #10889 2045 BYPASS RD
WINCHESTERKY40391-330904/01/2024  
CHC24168-00WALGREEN CODBA: WALGREENS #11796 220 RICHMOND RD N
BEREAKY4040304/01/2024  
CHC24168-00WALGREEN CO.DBA: WALGREENS #15561 501 CAPERTON DR.
RICHMONDKY4047504/01/2024  
CHC24168-00WALGREEN CO.WALGREENS #17142 6401 POLO CLUB LN
LEXINGTONKY4050904/01/2024  
CHC24168-00WALGREEN CO.WALGREENS #17445 110 RICHMOND RD
IRVINEKY4033604/01/2024  
CHC24168-00WALGREEN CO.WALGREENS #18005 103 ASH DR
PARISKY4036104/01/2024  
CHC24168-00WALGREEN CO.WALGREENS #18010 380 W MAIN ST
MOREHEADKY4035104/01/2024  
CHC24168-00WALGREEN CO.WALGREENS #18171 125 N MAIN ST
STANTONKY4038004/01/2024  
CHC24168-00WALGREEN CO.WALGREENS #18427 31 BIG HILL DR
BEATTYVILLEKY4131104/01/2024  
CHC24168-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #21170 393 WALLER AVE STE 5
LEXINGTONKY4050404/01/2024  
CHC24168-00Walgreens #21423Walgreens Central Fill #21423 6275 Winchester Blvd
Canal WInchesterOH43110-653704/01/2024  
CHC24168-00WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A
ROGERSAR7275604/01/2023  
CHC24168-00Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CHC24168-00WHITAKER PHARMACARE INC570 INDIAN MOUND DR
MT STERLINGKY40353-200504/01/2017  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/29/2024 8:22:45 AM2/10/2025 9:05:35 AM2/10/2025 9:05 AM
DetailsLast Recertification DateUpdateRecertification1/30/2023 9:03:10 AM1/29/2024 8:22:45 AM1/29/2024 8:22 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False1/8/2024 10:29 AM
Medicaid BillingMedicaid: NumberInsertChange Request 71009445201/8/2024 10:29 AM
Medicaid BillingMedicaid: StateInsertChange Request KY1/8/2024 10:29 AM
Medicaid BillingNPI: NumberInsertChange Request 11347537261/8/2024 10:29 AM
Medicaid BillingNPI: StateInsertChange Request KY1/8/2024 10:29 AM
AddressesShipping AddressDeleteChange RequestSterling Health Pharmacy 633 Maysville Road Mount Sterling, KY 40353 10/19/2023 5:43 PM
AddressesShipping AddressDeleteChange RequestSterling Health Care - Winchester 455 Bullion Blvd. Winchester, KY 40391 10/19/2023 5:43 PM
AddressesMain AddressUpdateChange Request 209 N Maysville St STE 200 Mount Sterling, KY 40353-1149 633 MAYSVILLE RD Mount Sterling, KY 40353-114910/19/2023 5:43 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False7/21/2023 11:02 AM
Medicaid BillingMedicaid: NumberInsertChange Request 71008081607/21/2023 11:02 AM
Medicaid BillingMedicaid: StateInsertChange Request KY7/21/2023 11:02 AM
AddressesShipping AddressInsertChange Request Sterling Health Care - Winchester 455 Bullion Blvd. Winchester, KY 403914/12/2023 1:14 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False4/3/2023 9:42 AM
Medicaid BillingMedicaid: NumberInsertChange Request 71008837504/3/2023 9:42 AM
Medicaid BillingMedicaid: StateInsertChange Request KY4/3/2023 9:42 AM
AddressesShipping AddressDeleteRecertificationSterling Health Carlisle Pharmacy 1355 Concrete Road Carlisle, KY 40311 1/30/2023 9:03 AM
DetailsLast Recertification DateUpdateRecertification1/31/2022 10:49:36 AM1/30/2023 9:03:10 AM1/30/2023 9:03 AM
AddressesShipping AddressInsertChange Request Sterling Health Pharmacy 633 Maysville Road Mount Sterling, KY 4035312/5/2022 2:54 PM
ContactsPrimary ContactUpdateChange RequestGrant, Rick CFO Sterling Health Solutions, Inc. 8599481387Mahoney, Florence CFO Sterling Health Solutions Inc. 8594047686-52712/5/2022 12:06 AM
AddressesShipping AddressInsertChange Request Sterling Health Carlisle Pharmacy 1355 Concrete Road Carlisle, KY 4031111/23/2022 1:04 PM
Medicaid BillingNPI: NumberInsertChange Request 151861825510/7/2022 11:52 AM
Medicaid BillingNPI: StateInsertChange Request KY10/7/2022 11:52 AM
Medicaid BillingNPI: NumberInsertChange Request 102373119710/7/2022 11:52 AM
Medicaid BillingNPI: StateInsertChange Request KY10/7/2022 11:52 AM
DetailsLast Recertification DateUpdateRecertification2/11/2021 2:11:33 PM1/31/2022 10:49:36 AM1/31/2022 10:49 AM
ContactsPrimary ContactUpdateChange RequestHall, Tina S CAO Sterling Health Solutions, Inc 8594047686Grant, Rick CFO Sterling Health Solutions, Inc. 85994813872/24/2021 10:25 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestBryant, Tina Interim CEO Sterling Health Solutions 8594047686Bryant, Tina CEO Sterling Health Solutions 85940476862/12/2021 11:14 AM
Medicaid BillingNPI: NumberInsertRecertification 13667900992/11/2021 2:11 PM
Medicaid BillingNPI: StateInsertRecertification KY2/11/2021 2:11 PM
Medicaid BillingNPI: NumberInsertRecertification 11346292072/11/2021 2:11 PM
Medicaid BillingNPI: StateInsertRecertification KY2/11/2021 2:11 PM
Medicaid BillingNPI: NumberDeleteRecertification1134629207 ( ) 2/11/2021 2:11 PM
Medicaid BillingNPI: NumberDeleteRecertification1366790099 ( ) 2/11/2021 2:11 PM
DetailsLast Recertification DateUpdateRecertification1/30/2020 9:59:51 AM2/11/2021 2:11:33 PM2/11/2021 2:11 PM
ContactsAuthorizing OfficialUpdateAO Change RequestConrad, Alex CEO Sterling Health Solutions 8594047686-104Bryant, Tina Interim CEO Sterling Health Solutions 85940476862/11/2021 12:20 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False7/13/2020 4:18 PM
Medicaid BillingMedicaid: NumberInsertChange Request 71005179607/13/2020 4:18 PM
Medicaid BillingMedicaid: StateInsertChange Request KY7/13/2020 4:18 PM
DetailsLast Recertification DateUpdateRecertification2/4/2019 9:50:33 AM1/30/2020 9:59:51 AM1/30/2020 9:59 AM
Medicaid BillingNPI: NumberDeleteChange Request1730689894 ( ) 7/15/2019 10:25 AM
AddressesBilling AddressUpdateRecertificationSterling Health Care - Administration 236 W Main St Ste 200 Mount Sterling, KY 40353-1348Sterling Health Care - Administration 236 W Main St Mount Sterling, KY 40353-13482/4/2019 9:50 AM
DetailsLast Recertification DateUpdateRecertification2/9/2018 10:13:11 AM2/4/2019 9:50:33 AM2/4/2019 9:50 AM
AddressesBilling AddressInsertChange Request Sterling Health Care - Administration 236 W Main St Ste 200 Mount Sterling, KY 40353-13481/12/2019 9:15 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestConrad, Alex CFO Sterling Health Solutions 8594047686-105Conrad, Alex CEO Sterling Health Solutions 8594047686-1041/12/2019 9:13 AM
Medicaid BillingNPI: NumberInsertChange Request 113462920710/1/2018 10:33 AM
Medicaid BillingNPI: NumberInsertChange Request 17306898947/3/2018 8:43 AM
ContactsAuthorizing OfficialUpdateChange RequestBrown, Harold CEO/Executive Director Sterling Health Solutions, Inc 8594047686Conrad, Alex CFO Sterling Health Solutions 8594047686-1056/4/2018 11:08 AM
ContactsPrimary ContactUpdateChange RequestConrad, Alex CFO Sterling Health Solutions 8594047686-105Hall, Tina S CAO Sterling Health Solutions, Inc 85940476866/4/2018 11:08 AM
DetailsLast Recertification DateUpdateRecertification1/25/2017 12:00:00 AM2/9/2018 10:13:11 AM2/9/2018 10:13 AM
ContactsPrimary ContactUpdateChange RequestBrown, Harold CEO/Executive Director Sterling Health Solutions, Inc 8594047686Conrad, Alex CFO Sterling Health Solutions 8594047686-1051/10/2018 10:35 AM
ContactsAuthorizing OfficialUpdate Brown, Harold CEO/Executive Director 8594047686Brown, Harold CEO/Executive Director Sterling Health Solutions, Inc 85940476861/10/2018 10:23 AM
ContactsPrimary ContactUpdate Brown, Harold CEO/Executive Director 8594047686Brown, Harold CEO/Executive Director Sterling Health Solutions, Inc 85940476861/10/2018 10:23 AM
ContactsAuthorizing OfficialInsert  Brown, Harold CEO/Executive Director 85940476868/11/2017 10:05 AM
ContactsPrimary ContactInsert  Brown, Harold CEO/Executive Director 85940476868/11/2017 10:05 AM
ContactsSigned ByInsert  NeSmith, Jennifer CEO 85940476868/11/2017 10:05 AM
AddressesMain AddressInsert   209 N Maysville St STE 200 Mount Sterling, KY 40353-11494/13/2017 2:08 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False4/13/2017 2:08 PM
Medicaid BillingMedicaid: NumberInsert  71002339604/13/2017 2:08 PM
Medicaid BillingMedicaid: StateInsert  KY4/13/2017 2:08 PM
DetailsLast Recertification DateUpdate 2/25/2016 12:00:00 AM1/25/2017 12:00:00 AM1/25/2017 4:01 PM
DetailsLast Recertification DateUpdate 1/28/2015 12:00:00 AM2/25/2016 12:00:00 AM2/25/2016 1:11 PM
DetailsEntity SubnameUpdate Sterling Health Solutions, Inc.Sterling Health Care2/2/2015 9:52 AM
DetailsLast Recertification DateUpdate 2/10/2014 12:00:00 AM1/28/2015 12:00:00 AM1/28/2015 12:39 PM
DetailsEntity NameUpdate Sterling Health Solutions, Inc.STERLING HEALTH SOLUTIONS, INC.3/31/2014 4:25 PM
DetailsEntity SubnameUpdate  Sterling Health Solutions, Inc.3/31/2014 4:25 PM
DetailsLast Recertification DateUpdate  2/10/2014 12:00:00 AM2/10/2014 10:59 AM
Medicaid BillingNPI: NumberInsert  13667900991/9/2013 4:05 PM
Details340B IDUpdate IS-FN-CHC24168-00CHC24168-001/9/2013 1:46 PM
DatesParticipating Approval DateUpdate  1/9/2013 12:00:00 AM1/9/2013 1:46 PM
DetailsStateUpdate PendingActive1/9/2013 1:46 PM
DatesStart DateUpdate  4/1/2013 12:00:00 AM1/9/2013 1:46 PM
Details340B IDUpdate ONLINE_REGIS-FN-CHC24168-001/8/2013 4:23 PM
DetailsLast Recertification DateInsert   1/2/2013 9:19 AM
DetailsGrant NumberInsert  H80CS241681/2/2013 9:19 AM
Details340B IDInsert  ONLINE_REG1/2/2013 9:19 AM
DetailsIs Authorizing Official EHB DataInsert   1/2/2013 9:19 AM
DatesLast Date That 340B Drugs PurchasedInsert   1/2/2013 9:19 AM
DetailsMedicare Provider NumberInsert   1/2/2013 9:19 AM
DetailsEntity NameInsert  Sterling Health Solutions, Inc.1/2/2013 9:19 AM
DetailsProgram CodeInsert  CH1/2/2013 9:19 AM
DetailsEntity SubnameInsert   1/2/2013 9:19 AM
DatesParticipating Approval DateInsert   1/2/2013 9:19 AM
DetailsStateInsert  Pending1/2/2013 9:19 AM
DatesRegistration DateInsert  1/2/2013 12:00:00 AM1/2/2013 9:19 AM
DatesSigned By DateInsert  1/2/2013 12:00:00 AM1/2/2013 9:19 AM
DatesStart DateInsert   1/2/2013 9:19 AM
TerminationsTermination CommentsInsert   1/2/2013 9:19 AM
TerminationsTermination DateInsert   1/2/2013 9:19 AM
TerminationsTermination Effective DateInsert   1/2/2013 9:19 AM
TerminationsTermination ReasonInsert   1/2/2013 9:19 AM