| Entity Name: | RXPERT #1 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Aug 2005 (20 years ago) |
| Date of dissolution: | 17 Jan 2025 (23 days ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Jan 2025 (23 days ago) |
| Document Number: | L05000076811 |
| FEI/EIN Number | 203383738 |
| Address: | 2177 KINGSLEY AVE., SUITE 1, ORANGE PARK, FL, 32073 |
| Mail Address: | 2177 Kingsley Ave, Orange Park, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548345945 | 2006-10-25 | 2020-08-22 | 2177 KINGSLEY AVE, SUITE 1, ORANGE PARK, FL, 320735199, US | 2177 KINGSLEY AVE, SUITE 1, ORANGE PARK, FL, 320735199, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 904-272-1690 |
| Fax | 9042721691 |
Authorized person
| Name | MR. JOHN K HURLEY |
| Role | C.O.O. |
| Phone | 9042721670 |
Taxonomy
| Taxonomy Code | 1835G0303X - Geriatric Pharmacist |
| License Number | PH21596 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP |
| Number | 1015329 |
| State | FL |
| Issuer | MEDICAID |
| Number | 31132400 |
| State | FL |
| Name | Role |
|---|---|
| REGISTERED AGENTS LEGAL SERVICES, LLC | Agent |
| Name | Role |
|---|---|
| RXPERT, INC. | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2025-01-17 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-24 | 2177 KINGSLEY AVE., SUITE 1, ORANGE PARK, FL 32073 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-20 | 2177 KINGSLEY AVE., SUITE 1, ORANGE PARK, FL 32073 | No data |
| LC AMENDMENT | 2009-07-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-12-09 | REGISTERED AGENTS LEGAL SERVICES, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-12-09 | 155 OFFICE PLAZA DR, STE A, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2025-01-17 |
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-29 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-04-09 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-03-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
