| Entity Name: | FCS PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Nov 2002 (22 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 05 Jul 2013 (12 years ago) |
| Document Number: | L02000030832 |
| FEI/EIN Number | 020652799 |
| Mail Address: | PO BOX 273369, BOCA RATON, FL, 33427, US |
| Address: | 3420 FAIRLANE FARMS ROAD, SUITE 200, WELLINGTON, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | FCS PHARMACY, LLC, NEW YORK | 3531070 | NEW YORK |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457393993 | 2006-06-11 | 2009-06-24 | PO BOX 533211, CHARLOTTE, NC, 282903211, US | 951 BROKEN SOUND PKWY, SUITE 252, BOCA RATON, FL, 334873507, US | |||||||||||||||||||||||||||||||
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| Phone | +1 800-223-7151 |
| Fax | 5619959162 |
Authorized person
| Name | MR. JARRETT BOSTWICK |
| Role | PRESIDENT |
| Phone | 5613141700 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH18941 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025907100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 200410770A |
| State | IN |
| Name | Role | Address |
|---|---|---|
| MCMILLEN WILLIAM | Agent | 22107 MARTELLA AVE, BOCA RATON, FL, 33433 |
| Name | Role | Address |
|---|---|---|
| SHAPIRO COLLEEN STACY | Chief Executive Officer | PO BOX 273369, BOCA RATON, FL, 33427 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-11-09 | 3420 FAIRLANE FARMS ROAD, SUITE 200, WELLINGTON, FL 33414 | No data |
| CHANGE OF MAILING ADDRESS | 2018-11-09 | 3420 FAIRLANE FARMS ROAD, SUITE 200, WELLINGTON, FL 33414 | No data |
| LC AMENDMENT | 2013-07-05 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-30 | 22107 MARTELLA AVE, BOCA RATON, FL 33433 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-03-30 | MCMILLEN, WILLIAM | No data |
| REINSTATEMENT | 2003-10-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-05-04 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-04 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-04-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
