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PAXON PRESCRIPTION CENTER INC

Company Details

Entity Name: PAXON PRESCRIPTION CENTER INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Feb 1964 (61 years ago)
Document Number: 278935
FEI/EIN Number 591053892
Address: 757 NORTH EDGEWOOD AVENUE, JACKSONVILLE, FL, 32254, US
Mail Address: 757 NORTH EDGEWOOD AVENUE, JACKSONVILLE, FL, 32254, US
ZIP code: 32254
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407879372 2006-07-25 2023-03-07 757 EDGEWOOD AVE N, JACKSONVILLE, FL, 322543013, US 757 EDGEWOOD AVE N, JACKSONVILLE, FL, 322543013, US

Contacts

Phone +1 904-388-0514
Fax 9043882596

Authorized person

Name GREGORY SCOTT TOOLE
Role VICE PRESIDENT
Phone 9043880514

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH561
State FL
Is Primary Yes

Other Provider Identifiers

Issuer NABP
Number 1012563
State FL
Issuer MEDICAID
Number 100911701
State FL
Issuer MEDICAID
Number 100911700
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAXON PRESCRIPTION CENTER, INC. RETIREMENT PLAN 2022 591053892 2023-09-11 PAXON PRESCRIPTION CENTER, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 424210
Sponsor’s telephone number 9043880514
Plan sponsor’s address 757 EDGEWOOD AVE N, JACKSONVILLE, FL, 32254

Signature of

Role Plan administrator
Date 2023-09-11
Name of individual signing SCOTT TOOLE
Valid signature Filed with authorized/valid electronic signature
PAXON PRESCRIPTION CENTER, INC. RETIREMENT PLAN 2021 591053892 2022-09-29 PAXON PRESCRIPTION CENTER, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 424210
Sponsor’s telephone number 9043880514
Plan sponsor’s address 757 NORTH EDGEWOOD AVE, JACKSONVILLE, FL, 32254

Signature of

Role Plan administrator
Date 2022-09-29
Name of individual signing SCOTT TOOLE
Valid signature Filed with authorized/valid electronic signature
PAXON PRESCRIPTION CENTER, INC. RETIREMENT PLAN 2020 591053892 2021-08-09 PAXON PRESCRIPTION CENTER, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 424210
Sponsor’s telephone number 9043880514
Plan sponsor’s address 757 NORTH EDGEWOOD AVE, JACKSONVILLE, FL, 32254

Signature of

Role Plan administrator
Date 2021-08-09
Name of individual signing HEIDI HUNTER
Valid signature Filed with authorized/valid electronic signature
PAXON PRESCRIPTION CENTER, INC. RETIREMENT PLAN 2017 591053892 2018-07-23 PAXON PRESCRIPTION CENTER, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 424210
Sponsor’s telephone number 9043880514
Plan sponsor’s address 757 NORTH EDGEWOOD AVENUE, JACKSONVILLE, FL, 32254
PAXON PRESCRIPTION CENTER, INC. RETIREMENT PLAN 2016 591053892 2017-07-19 PAXON PRESCRIPTION CENTER, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 424210
Sponsor’s telephone number 9043880514
Plan sponsor’s address 757 NORTH EDGEWOOD AVENUE, JACKSONVILLE, FL, 32254

Signature of

Role Plan administrator
Date 2017-07-19
Name of individual signing GREG TOOLE
Valid signature Filed with authorized/valid electronic signature
PAXON PRESCRIPTION CENTER, INC. RETIREMENT PLAN 2015 591053892 2016-10-07 PAXON PRESCRIPTION CENTER, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 424210
Sponsor’s telephone number 9043880514
Plan sponsor’s address 757 NORTH EDGEWOOD AVENUE, JACKSONVILLE, FL, 32254

Signature of

Role Plan administrator
Date 2016-10-07
Name of individual signing DANNIELLE PARSLEY
Valid signature Filed with authorized/valid electronic signature
PAXON PRESCRIPTION CENTER, INC. RETIREMENT PLAN 2014 591053892 2015-10-01 PAXON PRESCRIPTION CENTER, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 424210
Sponsor’s telephone number 9043880514
Plan sponsor’s address 757 NORTH EDGEWOOD AVENUE, JACKSONVILLE, FL, 32254

Signature of

Role Plan administrator
Date 2015-10-01
Name of individual signing GREG TOOLE
Valid signature Filed with authorized/valid electronic signature
PAXON PRESCRIPTION CENTER, INC. RETIREMENT PLAN 2013 591053892 2014-10-13 PAXON PRESCRIPTION CENTER, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 424210
Sponsor’s telephone number 9043880514
Plan sponsor’s address 757 NORTH EDGEWOOD AVENUE, JACKSONVILLE, FL, 32254

Signature of

Role Plan administrator
Date 2014-10-13
Name of individual signing GREG TOOLE
Valid signature Filed with authorized/valid electronic signature
PAXON PRESCRIPTION CENTER, INC. RETIREMENT PLAN 2012 591053892 2013-10-01 PAXON PRESCRIPTION CENTER, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 424210
Sponsor’s telephone number 9043880514
Plan sponsor’s address 757 NORTH EDGEWOOD AVENUE, JACKSONVILLE, FL, 32254

Signature of

Role Plan administrator
Date 2013-10-01
Name of individual signing GREG TOOLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-01
Name of individual signing GREG TOOLE
Valid signature Filed with authorized/valid electronic signature
PAXON PRESCRIPTION CENTER, INC. RETIREMENT PLAN 2011 591053892 2012-10-10 PAXON PRESCRIPTION CENTER, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 424210
Sponsor’s telephone number 9043880514
Plan sponsor’s address 757 NORTH EDGEWOOD AVENUE, JACKSONVILLE, FL, 32254

Plan administrator’s name and address

Administrator’s EIN 591053892
Plan administrator’s name PAXON PRESCRIPTION CENTER, INC.
Plan administrator’s address 757 NORTH EDGEWOOD AVENUE, JACKSONVILLE, FL, 32254
Administrator’s telephone number 9043880514

Signature of

Role Plan administrator
Date 2012-10-09
Name of individual signing GREG TOOLE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TOOLE GREGORY S Agent 757 N. EDGEWOOD AVE, JACKSONVILLE, FL, 32254

President

Name Role Address
TOOLE GREGORY S President 757 NORTH EDGEWOOD AVE., JACKSONVILLE, FL, 32254

Vice President

Name Role Address
Toole Scott C Vice President 757 NORTH EDGEWOOD AVENUE, JACKSONVILLE, FL, 32254

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000040842 O'STEENS PHARMACY ACTIVE 2018-03-28 2028-12-31 No data 757 NORTH EDGEWOOD AVE, JACKSONVILLE, FL, 32254

Date of last update: 02 Feb 2025

Sources: Florida Department of State