| Entity Name: | COMMCARE PHARMACY - WPB, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
COMMCARE PHARMACY - WPB, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 16 May 2003 (22 years ago) |
| Date of dissolution: | 26 Jul 2018 (7 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Jul 2018 (7 years ago) |
| Document Number: | L03000017756 |
| FEI/EIN Number |
651188311
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1689 Forum Place, West Palm Beach, FL, 33401, US |
| Mail Address: | 13034 Ballantyne, Corporate Place, Charlotte, NC, 28277, US |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770580292 | 2005-06-30 | 2016-06-20 | 855 SW 78TH AVE, STE C100, PLANTATION, FL, 333243223, US | 1689 FORUM PL, WEST PALM BEACH, FL, 334012303, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-568-6212 |
| Fax | 9545682765 |
| Phone | +1 561-615-0564 |
| Fax | 5616154508 |
Authorized person
| Name | JUDY BIANCULLI |
| Role | OFFICE MANAGER |
| Phone | 9543326170 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| License Number | PH19356 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2015699 |
| Issuer | MEDICAID |
| Number | 026144100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Price Kelli | Manager | 13034 Ballantyne Corporate Place, Charlotte, NC, 28277 |
| Isaak Greg | President | 855 SW 78TH AVE, Plantation, FL, 33324 |
| Castillo Susan | Vice President | 855 SW 78TH AVE, Plantation, FL, 33324 |
| McKasson Craig | Treasurer | 13034 Ballantyne Corporate Place, Charlotte, NC, 28277 |
| CT CORPORATION SYSTEM | Agent | 1200 S. PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| McKasson Craig | Manager | 13034 Ballantyne Corporate Place, Charlotte, NC, 28277 |
| Forrest Anna-Marie | Secretary | 13034 Ballantyne Corporate Place, Charlotte, NC, 28277 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000014393 | COMMCARE SPECIALTY PHARMACY | EXPIRED | 2016-02-09 | 2021-12-31 | - | 855 SW 78 AVE., STE C100, PLANATION, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2018-07-26 | - | - |
| CHANGE OF MAILING ADDRESS | 2018-04-19 | 1689 Forum Place, West Palm Beach, FL 33401 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-19 | 1689 Forum Place, West Palm Beach, FL 33401 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-06 | 1200 S. PINE ISLAND ROAD, PLANTATION, FL 33324 | - |
| REGISTERED AGENT NAME CHANGED | 2011-04-06 | CT CORPORATION SYSTEM | - |
| LC AMENDED AND RESTATED ARTICLES | 2009-03-27 | - | - |
| LC NAME CHANGE | 2006-10-27 | COMMCARE PHARMACY - WPB, LLC | - |
| AMENDMENT | 2004-06-29 | - | - |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2018-07-26 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-01-12 |
| ANNUAL REPORT | 2015-03-04 |
| ANNUAL REPORT | 2014-03-12 |
| ANNUAL REPORT | 2013-02-25 |
| ANNUAL REPORT | 2012-01-05 |
| ANNUAL REPORT | 2011-04-06 |
| ANNUAL REPORT | 2010-01-19 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
