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TRICARE PHARMACY NETWORK, LLC

Company Details

Name: TRICARE PHARMACY NETWORK, LLC
Jurisdiction: Kentucky
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 26 Apr 2001 (24 years ago)
Organization Date: 26 Apr 2001 (24 years ago)
Organization Number: 0514824
Industry: Miscellaneous Services
Number of Employees: Small (0-19)
Primary County: Fayette
Place of Formation: KENTUCKY
Last Annual Report: 06 Mar 2024 (8 months ago)
Managed By: Members
Principal Office: 280 PASADENA DRIVE, LEXINGTON, KY 40503
Principal Office ZIP code: 40503

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TRICARE PHARMACY NETWORK LLC 401(K) PLAN 2023 611391053 2024-06-27 TRICARE PHARMACY NETWORK LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 446110
Sponsor’s telephone number 5026392621
Plan sponsor’s address 280 PASADENA DR, LEXINGTON, KY, 405032925

Signature of
Role Plan administrator
Date 2024-06-27
Name of individual signing DAREN WHITE
Valid signature Filed with authorized/valid electronic signature
TRICARE PHARMACY NETWORK LLC 401(K) PLAN 2022 611391053 2023-08-15 TRICARE PHARMACY NETWORK LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 446110
Sponsor’s telephone number 5026392621
Plan sponsor’s address PO BOX 221195, LOUISVILLE, KY, 402521195

Signature of
Role Plan administrator
Date 2023-08-15
Name of individual signing DAREN WHITE
Valid signature Filed with authorized/valid electronic signature
TRICARE PHARMACY NETWORK LLC 401(K) PLAN 2021 611391053 2022-06-08 TRICARE PHARMACY NETWORK LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 446110
Sponsor’s telephone number 5026392621
Plan sponsor’s address PO BOX 221195, LOUISVILLE, KY, 40252

Signature of
Role Plan administrator
Date 2022-06-08
Name of individual signing DAREN WHITE
Valid signature Filed with authorized/valid electronic signature
TRICARE PHARMACY NETWORK LLC 401(K) PLAN 2020 611391053 2021-07-13 TRICARE PHARMACY NETWORK LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 446110
Sponsor’s telephone number 5026392621
Plan sponsor’s address 105 BIG SINK, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2021-07-13
Name of individual signing DAREN WHITE
Valid signature Filed with authorized/valid electronic signature
TRICARE PHARMACY NETWORK LLC 401(K) PLAN 2019 611391053 2020-10-18 TRICARE PHARMACY NETWORK LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 446110
Sponsor’s telephone number 5026392621
Plan sponsor’s address 105 RUSSELL AVENUE, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2020-10-18
Name of individual signing DAREN WHITE
Valid signature Filed with authorized/valid electronic signature
TRICARE PHARMACY NETWORK LLC 401(K) PLAN 2018 611391053 2019-08-29 TRICARE PHARMACY NETWORK LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 446110
Sponsor’s telephone number 5026392621
Plan sponsor’s address 105 BIG SINK, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2019-08-29
Name of individual signing DAREN WHITE
Valid signature Filed with authorized/valid electronic signature
TRICARE PHARMACY NETWORK LLC 401(K) PLAN 2017 611391053 2018-08-22 TRICARE PHARMACY NETWORK LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 446110
Sponsor’s telephone number 5026392621
Plan sponsor’s address 105 BIG SINK, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2018-08-22
Name of individual signing DAREN WHITE
Valid signature Filed with authorized/valid electronic signature
TRICARE PHARMACY NETWORK LLC 401(K) PLAN 2016 611391053 2017-10-12 TRICARE PHARMACY NETWORK LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 446110
Sponsor’s telephone number 5026392621
Plan sponsor’s address 1051 NEWTOWN PIKE SUITE 140, LEXINGTON, KY, 40511

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing DAREN WHITE
Valid signature Filed with authorized/valid electronic signature
TRICARE PHARMACY NETWORK, LLC 401(K) PROFIT SHARING PLAN 2012 611391053 2013-10-15 TRICARE PHARMACY NETWORK, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 446110
Sponsor’s telephone number 8592772271
Plan sponsor’s address 1501 BULL LEA ROAD, SUITE 102B, LEXINGTON, KY, 40511

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing KATHY KEATON
Valid signature Filed with authorized/valid electronic signature
TRICARE PHARMACY NETWORK, LLC 401(K) PROFIT SHARING PLAN 2011 611391053 2012-10-15 TRICARE PHARMACY NETWORK, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 446110
Sponsor’s telephone number 8592772271
Plan sponsor’s address 1501 BULL LEA ROAD, SUITE 102B, LEXINGTON, KY, 40511

Plan administrator’s name and address
Administrator’s EIN 611391053
Plan administrator’s name TRICARE PHARMACY NETWORK, LLC
Plan administrator’s address 1501 BULL LEA ROAD, SUITE 102B, LEXINGTON, KY, 40511
Administrator’s telephone number 8592772271

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing DAREN WHITE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/28/20110328082806P040152590384001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 446110
Sponsor’s telephone number 8592772271
Plan sponsor’s address 1501 BULL LEA ROAD, SUITE 102B, LEXINGTON, KY, 40511

Plan administrator’s name and address
Administrator’s EIN 611391053
Plan administrator’s name TRICARE PHARMACY NETWORK LLC
Plan administrator’s address 1501 BULL LEA ROAD, SUITE 102B, LEXINGTON, KY, 40511
Administrator’s telephone number 8592772271

Signature of
Role Plan administrator
Date 2011-03-28
Name of individual signing DAREN WHITE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/07/20100607053349P030027498615001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 446110
Sponsor’s telephone number 8592772271
Plan sponsor’s address 1501 BULL LEA ROAD, SUITE 102B, LEXINGTON, KY, 40511

Plan administrator’s name and address
Administrator’s EIN 611391053
Plan administrator’s name TRICARE PHARMACY NETWORK LLC
Plan administrator’s address 1501 BULL LEA ROAD, SUITE 102B, LEXINGTON, KY, 40511
Administrator’s telephone number 8592772271

Signature of
Role Plan administrator
Date 2010-06-07
Name of individual signing DAREN WHITE
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
DAREN WHITE Registered Agent

Member

Name Role
Gary Harris Member
Daren White Member

Organizer

Name Role
DAREN ANTHONY WHITE Organizer
GARY STEVEN HARRIS Organizer

Filings

Name File Date
Annual Report 2024-03-06
Annual Report 2023-07-13
Annual Report 2022-06-30
Annual Report 2021-06-30
Annual Report 2020-06-24
Annual Report 2019-05-29
Registered Agent name/address change 2018-06-30
Principal Office Address Change 2018-06-30
Annual Report 2018-06-30
Annual Report 2017-05-26

Related by officers

DAREN WHITE

CARTER PHARMACIST GROUP, LLC PASADENA PHARMACY, LLC TPN GRAYSON, LLC TPN CAMARGO, LLC WOLFE PROPERTIES, LLC TPN LEXINGTON, LLC TPN JACKSON, LLC

Gary Harris

COVENANT BAPTIST CHURCH, INC. GARY AND FONDA HARRIS MINISTRIES, INCORPORATED THE CLAUDE AND BETTY HARRIS FOUNDATION, INC. CARTER PHARMACIST GROUP, LLC INSURANCE PARTNERS, INC. PASADENA PHARMACY, LLC TPN GRAYSON, LLC TPN CAMARGO, LLC WOLFE PROPERTIES, LLC TPN LEXINGTON, LLC

Daren White

CARTER PHARMACIST GROUP, LLC PASADENA PHARMACY, LLC TPN GRAYSON, LLC TPN CAMARGO, LLC WOLFE PROPERTIES, LLC TPN LEXINGTON, LLC TPN JACKSON, LLC

Related by address

280 PASADENA DRIVE, LEXINGTON, KY 40503

CARTER PHARMACIST GROUP, LLC TPN GRAYSON, LLC

Date of last update: 10 Nov 2024

Sources: Kentucky Secretary of State

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