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  5. BARCLAY PHARMACY, INC.

BARCLAY PHARMACY, INC.

Company Details

Entity Name: BARCLAY PHARMACY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 16 Apr 1979 (46 years ago)
Document Number: 617567
FEI/EIN Number 59-1901697
Address: 200-A NORTH TAMIAMI TRAIL, VENICE, FL 34285
Mail Address: 200-A NORTH TAMIAMI TRAIL, VENICE, FL 34285
ZIP code: 34285
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457402083 2007-01-12 2020-08-22 200 TAMIAMI TRL N STE A, VENICE, FL, 342851914, US 200 TAMIAMI TRL N STE A, VENICE, FL, 342851914, US

Contacts
Phone +1 941-484-2494

Authorized person
Name MARK A BARCLAY
Role PRES.
Phone 9414842494

Taxonomy
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH7337
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 611084
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BARCLAY PHARMACY, INC. 401(K) PLAN 2012 591901697 2013-07-31 BARCLAY PHARMACY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 446110
Sponsor’s telephone number 9414842494
Plan sponsor’s address 200-A N. TAMIAMI TRAIL, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing MARK BARCLAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing MARK BARCLAY
Valid signature Filed with authorized/valid electronic signature
BARCLAY PHARMACY, INC. 401(K) PLAN 2012 591901697 2013-07-31 BARCLAY PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 446110
Sponsor’s telephone number 9414842494
Plan sponsor’s address 200-A N. TAMIAMI TRAIL, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing MARK BARCLAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing MARK BARCLAY
Valid signature Filed with authorized/valid electronic signature
BARCLAY PHARMACY, INC. 401(K) PLAN 2011 591901697 2012-10-12 BARCLAY PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 446110
Sponsor’s telephone number 9414842494
Plan sponsor’s address 200-A N. TAMIAMI TRAIL, VENICE, FL, 34285

Plan administrator’s name and address
Administrator’s EIN 591901697
Plan administrator’s name BARCLAY PHARMACY, INC.
Plan administrator’s address 200-A N. TAMIAMI TRAIL, VENICE, FL, 34285
Administrator’s telephone number 9414842494

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing MARK BARCLAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing MARK BARCLAY
Valid signature Filed with authorized/valid electronic signature
BARCLAY PHARMACY, INC. 401(K) PLAN 2010 591901697 2011-07-25 BARCLAY PHARMACY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 446110
Sponsor’s telephone number 9414842494
Plan sponsor’s address 200-A N. TAMIAMI TRAIL, VENICE, FL, 34285

Plan administrator’s name and address
Administrator’s EIN 591901697
Plan administrator’s name BARCLAY PHARMACY, INC.
Plan administrator’s address 200-A N. TAMIAMI TRAIL, VENICE, FL, 34285
Administrator’s telephone number 9414842494

Signature of
Role Plan administrator
Date 2011-07-22
Name of individual signing MARK BARCLAY
Valid signature Filed with authorized/valid electronic signature
BARCLAY PHARMACY, INC. 401(K) PLAN 2010 591901697 2011-07-21 BARCLAY PHARMACY, INC. 4
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 446110
Sponsor’s telephone number 9414842494
Plan sponsor’s address 200-A N. TAMIAMI TRAIL, VENICE, FL, 34285

Plan administrator’s name and address
Administrator’s EIN 591901697
Plan administrator’s name BARCLAY PHARMACY, INC.
Plan administrator’s address 200-A N. TAMIAMI TRAIL, VENICE, FL, 34285
Administrator’s telephone number 9414842494

Signature of
Role Employer/plan sponsor
Date 2011-07-21
Name of individual signing MARK BARCLAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BARCLAY, MARK A Agent 790 BUCKSKIN CT, ENGLEWOOD, FL 34223

President

Name Role Address
BARCLAY, MARK A President 200 TAMIAMI TRAIL N, A VENICE, FL 34285

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 1990-05-31 790 BUCKSKIN CT, ENGLEWOOD, FL 34223 No data
CHANGE OF PRINCIPAL ADDRESS 1989-05-25 200-A NORTH TAMIAMI TRAIL, VENICE, FL 34285 No data
CHANGE OF MAILING ADDRESS 1989-05-25 200-A NORTH TAMIAMI TRAIL, VENICE, FL 34285 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-04-26
ANNUAL REPORT 2018-04-14
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-01-13

Related by officers

BARCLAY, MARK A

BARCLAY HAYES, INC. SERENITY LAKE, INC.

Related by address

No related companies by address

Date of last update: 05 Feb 2025

Sources: Florida Department of State

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