| Entity Name: | DIABETIC CARE RX, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DIABETIC CARE RX, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 13 Dec 2005 (19 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 23 Jul 2012 (13 years ago) |
| Document Number: | L05000118704 |
| FEI/EIN Number |
030575805
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3890 Park Central Blvd N, Pompano Beach, FL, 33064, US |
| Mail Address: | 3890 Park Central North, Pompano Beach, FL, 33064, US |
| ZIP code: | 33064 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | DIABETIC CARE RX, LLC, RHODE ISLAND | 000929136 | RHODE ISLAND |
| Headquarter of | DIABETIC CARE RX, LLC, ALASKA | 10273361 | ALASKA |
| Headquarter of | DIABETIC CARE RX, LLC, ALABAMA | 000-536-574 | ALABAMA |
| Headquarter of | DIABETIC CARE RX, LLC, NEW YORK | 3572796 | NEW YORK |
| Headquarter of | DIABETIC CARE RX, LLC, KENTUCKY | 1033539 | KENTUCKY |
| Headquarter of | DIABETIC CARE RX, LLC, COLORADO | 20071077224 | COLORADO |
| Headquarter of | DIABETIC CARE RX, LLC, ILLINOIS | LLC_04100077 | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013309293 | 2015-02-25 | 2016-06-17 | 3890 PARK CENTRAL BLVD N, POMPANO BEACH, FL, 330642264, US | 3890 PARK CENTRAL BLVD N, POMPANO BEACH, FL, 330642264, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-473-4717 |
| Fax | 9544739519 |
Authorized person
| Name | DENISE HEFLEY |
| Role | DIRECTOR OF PHARMACY OPERATIONS |
| Phone | 9544734717 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| License Number | PH22190 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2150528 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DIABETIC CARE RX LLC 401 K PROFIT SHARING PLAN TRUST | 2014 | 030575805 | 2015-07-22 | DIABETIC CARE RX LLC | 30 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-07-22 |
| Name of individual signing | DIANA HINTON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 9544244100 |
| Plan sponsor’s address | 5371 HIATUS ROAD, SUNRISE, FL, 33351 |
Signature of
| Role | Plan administrator |
| Date | 2014-07-24 |
| Name of individual signing | DIANA M. HINTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Keough Philip | President | 3890 Park Central North, Pompano Beach, FL, 33064 |
| Glouchevitch Michel | Vice President | 10900 Wilshire Blvd, Los Angeles, CA, 90024 |
| Funari Robert | Exec | 10900 Wilshire Blvd, Los Aneeles, CA, 90024 |
| Flynn Teresa | Vice President | 3890 Park Central North, Pompano Beach, FL, 33064 |
| Philip Keough | Agent | 3890 Park Central North, Pompano Beach, FL, 33064 |
| DCRX ACQUISITION CORP. | Managing Member | 10900 WILSHIRE BLVD. SUITE 850, LOS ANGELES, CA, 90024 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000061961 | DCRX INFUSION | ACTIVE | 2024-05-13 | 2029-12-31 | - | 3890 CENTRAL PARK BLVD N., POMPANO BEACH, FL, 33064 |
| G24000036993 | LYFEBULB | ACTIVE | 2024-03-13 | 2029-12-31 | - | 3890 CENTRAL PARK BLVD N., POMPANO BEACH, FL, 33064 |
| G23000054803 | PCA RX | ACTIVE | 2023-05-01 | 2028-12-31 | - | 3890 PARK CENTRAL BLVD. N., POMPANO BEACH, FL, 33064 |
| G15000019390 | PATIENT CARE AMERICA | ACTIVE | 2015-02-23 | 2025-12-31 | - | 3890 PARK CENTRAL BLVD NORTH, POMPANO BEACH, FL, 33064 |
| G14000082683 | PATIENT FIRRST SPRCIALTY PHARMACY | EXPIRED | 2014-08-12 | 2019-12-31 | - | 5371 NORTH HIATUS ROAD, SUNRISE, FL, 33351 |
| G14000041207 | PATIENT FIRST COMPOUNDING | EXPIRED | 2014-04-25 | 2019-12-31 | - | 5371 HIATUS RD, SUNRISE, FL, 33351 |
| G14000023833 | DCRX | EXPIRED | 2014-03-06 | 2019-12-31 | - | 5371 HIATUS ROAD, SUNRISE, FL, 33351 |
| G09000134304 | SPECIALTY CARE RX | EXPIRED | 2009-07-13 | 2014-12-31 | - | 5371 HIATUS ROAD, SUNRISE, FL, 33351 |
| G09021900348 | AMERICARE RX | EXPIRED | 2009-01-21 | 2014-12-31 | - | 5371 HIATUS ROAD, SUNRISE, FL, 33351 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-20 | 3890 Park Central Blvd N, Pompano Beach, FL 33064 | - |
| REGISTERED AGENT NAME CHANGED | 2020-10-14 | Philip, Keough | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-07 | 3890 Park Central North, Pompano Beach, FL 33064 | - |
| CHANGE OF MAILING ADDRESS | 2017-03-07 | 3890 Park Central Blvd N, Pompano Beach, FL 33064 | - |
| LC AMENDMENT | 2012-07-23 | - | - |
| LC AMENDMENT | 2012-07-18 | - | - |
| REINSTATEMENT | 2009-09-29 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J10000384849 | TERMINATED | 09-3269 COSO (60) | COUNTY, BROWARD COUNTY, FL | 2010-02-11 | 2015-03-08 | $7,124.65 | STAPLES, INC., FIVE HUNDRED STAPLES DRIVE, FRAMINGHAM, MA 01702 |
| J09000884337 | TERMINATED | CACE-08-033123-25 | BROWARD CIRCUIT COURT | 2008-10-10 | 2014-03-13 | $18,625.10 | ANDA, INC., 2915 WESTON ROAD, WESTON, FL 33331 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-05-27 |
| AMENDED ANNUAL REPORT | 2020-10-14 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-03-07 |
| AMENDED ANNUAL REPORT | 2016-06-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
