| Entity Name: | PRESCRIPTION SHOPPES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Oct 2002 (22 years ago) |
| Date of dissolution: | 08 Aug 2016 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Aug 2016 (8 years ago) |
| Document Number: | L02000027981 |
| FEI/EIN Number | 050550263 |
| Address: | 22 BROADWAY, KISSIMMEE, FL, 34741, US |
| Mail Address: | 22 BROADWAY, KISSIMMEE, FL, 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427248392 | 2007-07-27 | 2023-03-07 | 114 BROADWAY, KISSIMMEE, FL, 347415714, US | 114 BROADWAY, KISSIMMEE, FL, 347415714, US | |||||||||||||||||||||||||
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| Phone | +1 407-847-2424 |
| Fax | 4074830265 |
Authorized person
| Name | MR. SAMIR V. AMIN |
| Role | DIRECTOR |
| Phone | 4078472424 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH19069 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP # |
| Number | 1006421 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AMIN SAMIR V | Agent | 3690 AVALON PARK BLVD. W., ORLANDO, FL, 32828 |
| Name | Role | Address |
|---|---|---|
| AMIN SAMIR V | Manager | 3690 AVALON PARK BLVD. W., ORLANDO, FL, 32828 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000043447 | THE MEDICINE SHOPPE PHARMACY | EXPIRED | 2011-05-05 | 2016-12-31 | No data | 3960 AVALON PARK BLVD, ORLANDO, FL, 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-08-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-26 | 22 BROADWAY, KISSIMMEE, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-26 | 22 BROADWAY, KISSIMMEE, FL 34741 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-16 | 3690 AVALON PARK BLVD. W., ORLANDO, FL 32828 | No data |
| REGISTERED AGENT NAME CHANGED | 2003-04-27 | AMIN, SAMIR VMGR | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000330616 | TERMINATED | 1000000256335 | VOLUSIA | 2012-04-02 | 2022-05-02 | $ 2,594.94 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-08-08 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-01-21 |
| ANNUAL REPORT | 2014-01-08 |
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-04-26 |
| ANNUAL REPORT | 2011-04-18 |
| ANNUAL REPORT | 2010-02-16 |
| ANNUAL REPORT | 2009-01-16 |
| ANNUAL REPORT | 2008-02-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
