| Entity Name: | CHRONIC CARE PHARMACEUTICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Mar 2003 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Oct 2010 (14 years ago) |
| Document Number: | L03000009741 |
| FEI/EIN Number | 331058542 |
| Address: | 33 Brent Lane, Pensacola, FL, 32503, US |
| Mail Address: | 15461 SW 12TH ST, Sunrise, FL, 33326, US |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629013800 | 2006-06-19 | 2023-02-07 | 2 BERGEN TPKE, RIDGEFIELD PARK, NJ, 076602390, US | 33 BRENT LN UNIT 101, PENSACOLA, FL, 325032240, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 908-241-6337 |
| Fax | 9086344038 |
| Phone | +1 850-952-8100 |
| Fax | 8509528200 |
Authorized person
| Name | JOEL ZUPNICK |
| Role | OWNER |
| Phone | 9082416337 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH23365 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2006394 |
| Issuer | MEDICAID |
| Number | 112209500 |
| State | FL |
| Name | Role |
|---|---|
| SPECIALTY RX NFL HOLDINGS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Rochlitz Duvid Directo | Auth | 15461 SW 12TH ST, Sunrise, FL, 33326 |
| SPECIALTY RX NFL HOLDINGS, LLC | Auth | No data |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000005753 | SPECIALTY RX PFL | ACTIVE | 2023-01-12 | 2028-12-31 | No data | 15461 SW 12TH STREET, SUITE 108, SUNRISE, FL, 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-09 | 15461 SW 12TH ST, STE 108, Sunrise, FL 33326 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-09 | 33 Brent Lane, Unit 101, Pensacola, FL 32503 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-09 | 33 Brent Lane, Unit 101, Pensacola, FL 32503 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-09 | Specialty Rx NFL Holdings, LLC | No data |
| REINSTATEMENT | 2010-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2005-06-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-01-30 |
| ANNUAL REPORT | 2015-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
