Entity Name: | INTEGRITY PHARMACY SERVICES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 12 Apr 2004 (21 years ago) |
Document Number: | L04000027917 |
FEI/EIN Number | 200988322 |
Address: | 805 N Whittington Pkwy, Louisville, KY, 40222, US |
Mail Address: | 805 N Whittington Pkwy, Louisville, KY, 40222, US |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1942493929 | 2007-08-22 | 2010-09-21 | 3802 CORPOREX PARK DR, SUITE 200 BILLING & COLLECT, TAMPA, FL, 336191125, US | 6435 HAZELTINE NATIONAL DR, STE 140, ORLANDO, FL, 328225158, US | |||||||||||||||||||||||||||
|
Phone | +1 813-318-6242 |
Fax | 8133186725 |
Phone | +1 321-281-3111 |
Fax | 4078163171 |
Authorized person
Name | THOMAS CANERIS |
Role | VICE PRESIDENT |
Phone | 5026277100 |
Taxonomy
Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
License Number | PH22867 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
Number | 1028035 |
Name | Role |
---|---|
CORPORATION SERVICE COMPANY | Agent |
Name | Role | Address |
---|---|---|
Brown Allison L | Secretary | 805 N Whittington Pkwy, Louisville, KY, 40222 |
Name | Role | Address |
---|---|---|
YOWLER JENNIFER M | Manager | 805 N Whittington Pkwy, Louisville, KY, 40222 |
Name | Role | Address |
---|---|---|
Griffin T.J. | Director | 805 N Whittington Pkwy, Louisville, KY, 40222 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2020-01-27 | 805 N Whittington Pkwy, Louisville, KY 40222 | No data |
CHANGE OF MAILING ADDRESS | 2020-01-27 | 805 N Whittington Pkwy, Louisville, KY 40222 | No data |
REGISTERED AGENT NAME CHANGED | 2010-01-04 | CORPORATION SERVICE COMPANY | No data |
REGISTERED AGENT ADDRESS CHANGED | 2010-01-04 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-09 |
ANNUAL REPORT | 2023-01-21 |
ANNUAL REPORT | 2022-04-24 |
ANNUAL REPORT | 2021-04-16 |
ANNUAL REPORT | 2020-01-27 |
ANNUAL REPORT | 2019-01-24 |
ANNUAL REPORT | 2018-03-29 |
ANNUAL REPORT | 2017-04-11 |
ANNUAL REPORT | 2016-04-20 |
ANNUAL REPORT | 2015-04-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State