Home Page
Counties
Palm Beach
33483
DELRAY SHORES PHARMACY, INC.

DELRAY SHORES PHARMACY, INC. - Florida Company Profile

Company Details

Entity Name:	DELRAY SHORES PHARMACY, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit DELRAY SHORES PHARMACY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status:	Active The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.
Date Filed:	21 Mar 1977 (48 years ago)
Document Number:	529746
FEI/EIN Number	591723387 Federal Employer Identification (FEI) Number assigned by the IRS.
Address:	124 NE 5th Avenue, DELRAY BEACH, FL, 33483, US
Mail Address:	124 NE 5th Avenue, DELRAY BEACH, FL, 33483, US
ZIP code:	33483
County:	Palm Beach
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1912086687

2006-11-03

2020-11-24

124 NE 5TH AVE, DELRAY BEACH, FL, 334835429, US

124 NE 5TH AVE, DELRAY BEACH, FL, 33483, US

Contacts

Phone	+1 561-272-2124
Fax	5612722830

Authorized person

Name	THOMAS DILDINE
Role	PRESIDENT, PIC
Phone	5612722124

Taxonomy

Taxonomy Code	333600000X - Pharmacy
Is Primary	No
Taxonomy Code	3336C0003X - Community/Retail Pharmacy
License Number	PH6174
State	FL
Is Primary	Yes
Taxonomy Code	3336C0004X - Compounding Pharmacy
Is Primary	No

Other Provider Identifiers

Issuer	MEDICAID
Number	103438300
State	FL
Issuer	PK
Number	2009655

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

DELRAY SHORES PHARMACY 401(K) PLAN

2023

591723387

2024-10-08

DELRAY SHORES PHARMACY, INC.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	446110
Sponsor’s telephone number	5612722124
Plan sponsor’s address	124 NE 5TH AVE, DELRAY BEACH, FL, 33483

DELRAY SHORES PHARMACY 401(K) PLAN

2022

591723387

2023-07-06

DELRAY SHORES PHARMACY, INC.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	446110
Sponsor’s telephone number	5612722124
Plan sponsor’s address	124 NE 5TH AVE, DELRAY BEACH, FL, 33483

DELRAY SHORES PHARMACY 401(K) PLAN

2021

591723387

2022-09-30

DELRAY SHORES PHARMACY, INC.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	446110
Sponsor’s telephone number	5612722124
Plan sponsor’s address	124 NE 5TH AVE, DELRAY BEACH, FL, 33483

DELRAY SHORES PHARMACY 401(K) PLAN

2020

591723387

2021-10-05

DELRAY SHORES PHARMACY, INC.

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	446110
Sponsor’s telephone number	5612722124
Plan sponsor’s address	124 NE 5TH AVE, DELRAY BEACH, FL, 33483

DELRAY SHORES PHARMACY 401(K) PLAN

2019

591723387

2020-09-25

DELRAY SHORES PHARMACY, INC.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	446110
Sponsor’s telephone number	5612722124
Plan sponsor’s address	124 NE 5TH AVE, DELRAY BEACH, FL, 33483

DELRAY SHORES PHARMACY 401(K) PLAN

2018

591723387

2019-06-19

DELRAY SHORES PHARMACY, INC.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	446110
Sponsor’s telephone number	5612722124
Plan sponsor’s address	124 NE 5TH AVE, DELRAY BEACH, FL, 33483

DELRAY SHORES PHARMACY 401(K) PLAN

2017

591723387

2018-05-30

DELRAY SHORES PHARMACY, INC.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	446110
Sponsor’s telephone number	5612722124
Plan sponsor’s address	124 NE 5TH AVE, DELRAY BEACH, FL, 33483

DELRAY SHORES PHARMACY 401(K) PLAN

2016

591723387

2017-11-06

DELRAY SHORES PHARMACY, INC.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	446110
Sponsor’s telephone number	5612722124
Plan sponsor’s address	601 NORTH CONGRESS AVE, SUITE 407, DELRAY, FL, 33445

DELRAY SHORES PHARMACY 401(K) PLAN

2016

591723387

2017-11-06

DELRAY SHORES PHARMACY, INC.

8

Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	446110
Sponsor’s telephone number	5612722124
Plan sponsor’s address	601 NORTH CONGRESS AVE, SUITE 407, DELRAY, FL, 33445

DELRAY SHORES PHARMACY 401(K) PLAN

2015

591723387

2016-06-28

DELRAY SHORES PHARMACY, INC.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	446110
Sponsor’s telephone number	5612722124
Plan sponsor’s address	601 NORTH CONGRESS AVE, SUITE 407, DELRAY, FL, 33445

Key Officers & Management

Name	Role	Address
DILDINE THOMAS LJr.	President	124 NE 5th Avenue, DELRAY BEACH, FL, 33483
DILDINE RHYAN	Vice President	124 NE 5th Avenue, DELRAY BEACH, FL, 33483
DILDINE THOMAS LJr.	Agent	124 NE 5th Avenue, DELRAY BEACH, FL, 33483

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2018-01-30	124 NE 5th Avenue, DELRAY BEACH, FL 33483	-
CHANGE OF MAILING ADDRESS	2018-01-30	124 NE 5th Avenue, DELRAY BEACH, FL 33483	-
REGISTERED AGENT ADDRESS CHANGED	2018-01-30	124 NE 5th Avenue, DELRAY BEACH, FL 33483	-
REGISTERED AGENT NAME CHANGED	2014-03-16	DILDINE, THOMAS L, Jr.	-

Documents

Name	Date
ANNUAL REPORT	2024-04-25
ANNUAL REPORT	2023-01-23
ANNUAL REPORT	2022-01-27
ANNUAL REPORT	2021-01-27
ANNUAL REPORT	2020-02-22
ANNUAL REPORT	2019-04-29
ANNUAL REPORT	2018-01-30
ANNUAL REPORT	2017-02-16
ANNUAL REPORT	2016-03-08
AMENDED ANNUAL REPORT	2015-09-23
ANNUAL REPORT	2015-04-16
ANNUAL REPORT	2014-03-16
AMENDED ANNUAL REPORT	2013-03-19
ANNUAL REPORT	2013-02-13
ANNUAL REPORT	2012-06-12
ANNUAL REPORT	2011-03-07
Reg. Agent Change	2010-08-19
ANNUAL REPORT	2010-02-16
ANNUAL REPORT	2009-03-22
ANNUAL REPORT	2008-03-16

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

5151557202

2020-04-27

0455

PPP

124 NE 5TH AVENUE, DELRAY BEACH, FL, 33483

Loan Status Date	2021-05-19
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	90800
Loan Approval Amount (current)	90800
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	225134
Servicing Lender Name	Truist Bank
Servicing Lender Address	214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator	U
Hubzone	Y
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	DELRAY BEACH, PALM BEACH, FL, 33483-0001
Project Congressional District	FL-22
Number of Employees	13
NAICS code	446110
Borrower Race	Unanswered
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Corporation
Originating Lender ID	225134
Originating Lender Name	Truist Bank
Originating Lender Address	CHARLOTTE, NC
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	91617.2
Forgiveness Paid Date	2021-04-01

Date of last update: 02 Apr 2025

Sources: Florida Department of State