| Entity Name: | MY PHARMACY OF HOMESTEAD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 25 Mar 1988 (37 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | K19517 |
| FEI/EIN Number | 65-0037505 |
| Address: | 806 N. KROME AVE, HOMESTEAD, FL 33030 |
| Mail Address: | 806 N. KROME AVE, HOMESTEAD, FL 33030 |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1558349233 | 2006-01-04 | 2023-03-07 | 806 N KROME AVE, HOMESTEAD, FL, 330304407, US | 806 N KROME AVE, HOMESTEAD, FL, 330304407, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-247-6949 |
| Fax | 3052460742 |
Authorized person
| Name | MR. MURALI KRISHNA KOTHURI |
| Role | OWNER |
| Phone | 3052476949 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH10256 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH10256 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | PH10256 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
| License Number | PH10256 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH10256 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| License Number | PH10256 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018377800 |
| State | FL |
| Issuer | PHARMACY |
| Number | PH10256 |
| State | FL |
| Issuer | NABP |
| Number | 1011814 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SONTINENI, SREEDHAR | Agent | 806 n krome Ave, Homestead, FL 33030 |
| Name | Role | Address |
|---|---|---|
| Sontineni, Sreedhar | Other | 806 NORTH KROME AVENUE, HOMESTEAD, FL 33030 |
| Name | Role | Address |
|---|---|---|
| Sontineni, Sreedhar | Authorized Agent | 806 NORTH KROME AVENUE, HOMESTEAD, FL 33030 |
| Name | Role | Address |
|---|---|---|
| Kothuri, Murali K | President | 806 N Krome, Homestead, FL 33030 |
| Name | Role | Address |
|---|---|---|
| Maladi, Sreedhar | Secretary | 806 N. KROME AVE, HOMESTEAD, FL 33030 |
| Name | Role | Address |
|---|---|---|
| Maladi, Sreedhar | Treasurer | 806 N. KROME AVE, HOMESTEAD, FL 33030 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000115481 | ROYAL PALM DRUG GRILL | EXPIRED | 2014-11-17 | 2019-12-31 | No data | 806 N. KROME AVE, HOMESTEAD, FL, 33030 |
| G10000030302 | ROYAL PALM DRUG | EXPIRED | 2010-04-05 | 2015-12-31 | No data | 806 NORTH KROME AVENUE, HOMESTEAD, FL, 33030 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-24 | SONTINENI, SREEDHAR | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-24 | 806 n krome Ave, Homestead, FL 33030 | No data |
| AMENDMENT | 2002-05-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-01-21 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-01-13 |
| AMENDED ANNUAL REPORT | 2016-10-14 |
| ANNUAL REPORT | 2016-01-27 |
| AMENDED ANNUAL REPORT | 2015-01-08 |
| ANNUAL REPORT | 2015-01-06 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
