| Entity Name: | RENAL PHARMACY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Jun 2003 (22 years ago) |
| Document Number: | L03000021860 |
| FEI/EIN Number | 20-0050159 |
| Address: | 1000 Park Centre Blvd., Suite 134, Miami, FL 33169 |
| Mail Address: | 1000 Park Centre Blvd., Suite 134, Miami, FL 33169 |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | RENAL PHARMACY SERVICES, LLC, NEW YORK | 3123791 | NEW YORK |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427070499 | 2006-07-25 | 2010-05-03 | 19559 NE 10TH AVE, N MIAMI BEACH, FL, 331793501, US | 19559 NE 10TH AVE, N MIAMI BEACH, FL, 331793501, US | |||||||||||||||||||||
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| Phone | +1 305-651-3261 |
| Fax | 3056512961 |
Authorized person
| Name | ARTURO FERNANDEZ |
| Role | VICE PRESIDENT |
| Phone | 3056513261 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 031181200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Jeger, Steven | Agent | 1000 Park Centre Blvd., Suite 134, Miami, FL 33169 |
| Name | Role | Address |
|---|---|---|
| JACOB, ALLAN | Director | 1000 Park Centre Blvd., Suite 134 Miami, FL 33169 |
| JEGER, STEVEN B | Director | 1000 Park Centre Blvd., Suite 134 Miami, FL 33169 |
| Name | Role | Address |
|---|---|---|
| PDA HOLDINGS OF FLORIDA, INC | Managing Member | 1000 Park Centre Blvd., Suite 134 Miami, FL 33169 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000025602 | PHYSICIANS DIALYSIS PHARMACY | ACTIVE | 2010-03-19 | 2025-12-31 | No data | 19559 NE 10TH AVENUE, SUITE A, NORTH MIAMI BEACH, FL, 33179 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-22 | 1000 Park Centre Blvd., Suite 134, Miami, FL 33169 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-22 | 1000 Park Centre Blvd., Suite 134, Miami, FL 33169 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-22 | 1000 Park Centre Blvd., Suite 134, Miami, FL 33169 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-29 | Jeger, Steven | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-12 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-03 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-02-23 |
| ANNUAL REPORT | 2017-03-28 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
