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  5. PIERSON COMMUNITY PHARMACY, INC.

PIERSON COMMUNITY PHARMACY, INC.

Company Details

Entity Name: PIERSON COMMUNITY PHARMACY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 19 Sep 1984 (40 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 03 Oct 2018 (6 years ago)
Document Number: H21719
FEI/EIN Number 59-2448522
Address: 112 EAST FIRST AVE, PIERSON, FL 32180
Mail Address: 112 EAST FIRST AVE, PIERSON, FL 32180
ZIP code: 32180
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508003138 2009-01-20 2015-06-23 112 E 1ST AVE, PIERSON, FL, 321803039, US 650 W PLYMOUTH AVE, DELAND, FL, 327203260, US

Contacts
Phone +1 386-749-9557
Fax 3867499512
Phone +1 386-738-6268
Fax 3867386269

Authorized person
Name HANAN FRANCIS
Role OWNER,AO
Phone 3867386268

Taxonomy
Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH23452
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 000987601
State FL
Issuer MEDICAID
Number 000987600
State FL
Issuer PK
Number 2118550

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PIERSON COMMUNITY PHARMACY, INC. 401(K) PLAN 2022 592448522 2023-07-10 PIERSON COMMUNITY PHARMACY, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 325410
Sponsor’s telephone number 3867499557
Plan sponsor’s address 112 EAST FIRST AVE, PIERSON, FL, 32180
PIERSON COMMUNITY PHARMACY, INC. 401(K) PLAN 2021 592448522 2022-10-05 PIERSON COMMUNITY PHARMACY, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 325410
Sponsor’s telephone number 3867499557
Plan sponsor’s address 112 EAST FIRST AVE, PIERSON, FL, 32180
PIERSON COMMUNITY PHARMACY, INC. 401(K) PLAN 2020 592448522 2021-10-14 PIERSON COMMUNITY PHARMACY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 325410
Sponsor’s telephone number 3867499557
Plan sponsor’s address 112 EAST FIRST AVE, PIERSON, FL, 32180
PIERSON COMMUNITY PHARMACY, INC. 401(K) PLAN 2019 592448522 2020-10-02 PIERSON COMMUNITY PHARMACY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 325410
Sponsor’s telephone number 3867499557
Plan sponsor’s address 112 EAST FIRST AVE, PIERSON, FL, 32180
PIERSON COMMUNITY PHARMACY, INC. 401(K) PLAN 2018 592448522 2019-09-19 PIERSON COMMUNITY PHARMACY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 325410
Sponsor’s telephone number 3867499557
Plan sponsor’s address 112 EAST FIRST AVE, PIERSON, FL, 32180
PIERSON COMMUNITY PHARMACY, INC. 401(K) PLAN 2017 592448522 2018-10-10 PIERSON COMMUNITY PHARMACY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 325410
Sponsor’s telephone number 3867499557
Plan sponsor’s address 112 EAST FIRST AVE, PIERSON, FL, 32180
PIERSON COMMUNITY PHARMACY, INC. 401(K) PLAN 2016 592448522 2017-12-12 PIERSON COMMUNITY PHARMACY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 325410
Sponsor’s telephone number 3867499557
Plan sponsor’s address 112 EAST FIRST AVE, PIERSON, FL, 32180
PIERSON COMMUNITY PHARMACY, INC. 401(K) PLAN 2015 592448522 2016-10-05 PIERSON COMMUNITY PHARMACY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 325410
Sponsor’s telephone number 3867499557
Plan sponsor’s address 112 EAST FIRST AVE, PIERSON, FL, 32180
PIERSON COMMUNITY PHARMACY, INC. 401(K) PLAN 2014 592448522 2015-10-12 PIERSON COMMUNITY PHARMACY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 325410
Sponsor’s telephone number 3867499557
Plan sponsor’s address 112 EAST FIRST AVE, PIERSON, FL, 32180
PIERSON COMMUNITY PHARMACY, INC. 401(K) PLAN 2013 592448522 2014-10-09 PIERSON COMMUNITY PHARMACY, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 325410
Sponsor’s telephone number 3867499557
Plan sponsor’s address 112 EAST FIRST AVE, PIERSON, FL, 32180

Agent

Name Role Address
FRANCIS, HANAN Agent 650 W. PLYMOUTH AVE.., DELAND, FL 32720

Director

Name Role Address
FRANCIS, FRANK Director 650 W. PLYMOUTH, AVENUE DELAND, FL 32720
FRANCIS, HANAN Director 650 W. PLYMOUTH, AVENUE DELAND, FL 32720

President

Name Role Address
FRANCIS, FRANK President 650 W. PLYMOUTH, AVENUE DELAND, FL 32720

Treasurer

Name Role Address
FRANCIS, FRANK Treasurer 650 W. PLYMOUTH, AVENUE DELAND, FL 32720

Vice President

Name Role Address
FRANCIS, HANAN Vice President 650 W. PLYMOUTH, AVENUE DELAND, FL 32720

Secretary

Name Role Address
FRANCIS, HANAN Secretary 650 W. PLYMOUTH, AVENUE DELAND, FL 32720

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2018-10-03 FRANCIS, HANAN No data
REINSTATEMENT 2018-10-03 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
REGISTERED AGENT ADDRESS CHANGED 2015-04-21 650 W. PLYMOUTH AVE.., DELAND, FL 32720 No data
REINSTATEMENT 2006-09-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data
CHANGE OF MAILING ADDRESS 2005-03-03 112 EAST FIRST AVE, PIERSON, FL 32180 No data
CHANGE OF PRINCIPAL ADDRESS 2005-03-03 112 EAST FIRST AVE, PIERSON, FL 32180 No data
NAME CHANGE AMENDMENT 2004-12-02 PIERSON COMMUNITY PHARMACY, INC. No data
AMENDMENT 1996-11-12 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-15
ANNUAL REPORT 2023-04-08
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-02-12
ANNUAL REPORT 2020-05-13
ANNUAL REPORT 2019-04-22
REINSTATEMENT 2018-10-03
ANNUAL REPORT 2017-04-18
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-21

Related by officers

FRANCIS, FRANK

DYAL'S MASON AVENUE PHARMACY, INC.

Related by address

No related companies by address

Date of last update: 04 Feb 2025

Sources: Florida Department of State

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