| Entity Name: | EXPRESS MEDS RX, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
EXPRESS MEDS 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: |
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: | 31 Jan 2006 (19 years ago) |
| Date of dissolution: | 25 Sep 2020 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (5 years ago) |
| Document Number: | L06000011170 |
| FEI/EIN Number |
204340352
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6321 Daniels Pkwy, Fort Myers, FL, 33912, US |
| Mail Address: | 6321 Daniels Pkwy, Fort Myers, FL, 33912, US |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326059965 | 2006-08-10 | 2011-09-16 | PO BOX 9830, SALT LAKE CITY, UT, 841099830, US | 1860 BOY SCOUT DR, STE 201, FORT MYERS, FL, 339072144, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 801-716-4721 |
| Fax | 8017164872 |
| Phone | +1 239-274-3269 |
| Fax | 2399361761 |
Authorized person
| Name | RICARDO LUACES |
| Role | VP |
| Phone | 2399361041 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH22069 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 31346700 |
| State | FL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1019834 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 401 ( K ) PROFIT SHARING PLAN & TRUST | 2009 | 204240352 | 2010-06-16 | EXPRESS MEDS RX LLC | 7 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 204240352 |
| Plan administrator’s name | SAME |
| Plan administrator’s address | 1860 BOY SCOUT DR. # 201, FT. MYERS, FL, 33907 |
| Administrator’s telephone number | 2392743269 |
Number of participants as of the end of the plan year
| Active participants | 5 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 1 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 1 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-16 |
| Name of individual signing | JON EATON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 424210 |
| Sponsor’s telephone number | 2392743269 |
| Plan sponsor’s DBA name | RELIANCE MEDS |
| Plan sponsor’s mailing address | 1860 BOY SCOUT DR, SUITE 102, FORT MYERS, FL, 33907 |
| Plan sponsor’s address | 1860 BOY SCOUT DR, SUITE 102, FORT MYERS, FL, 33907 |
Plan administrator’s name and address
| Administrator’s EIN | 204240352 |
| Plan administrator’s name | EXPRESS MEDS RX LLC |
| Plan administrator’s address | 1860 BOY SCOUT DR, SUITE 102, FORT MYERS, FL, 33907 |
| Administrator’s telephone number | 2392743269 |
Number of participants as of the end of the plan year
| Active participants | 0 |
Signature of
| Role | Plan administrator |
| Date | 2011-02-08 |
| Name of individual signing | TALIA FERNANDEZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 424210 |
| Sponsor’s telephone number | 2396718491 |
| Plan sponsor’s mailing address | 1860 BOY SCOUT DR. # 201, FT. MYERS, FL, 33907 |
| Plan sponsor’s address | 1860 BOY SCOUT DR. # 201, FT. MYERS, FL, 33907 |
Plan administrator’s name and address
| Plan administrator’s name | SAME |
Number of participants as of the end of the plan year
| Active participants | 5 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 1 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 1 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-16 |
| Name of individual signing | JON EATON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Zonana Moses | Chief Executive Officer | 6321 Daniels Pkwy, Fort Myers, FL, 33912 |
| ZONANA MOSES | Agent | 6321 Daniels Pkwy, Fort Myers, FL, 33912 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000100465 | RELIANCE MEDS | EXPIRED | 2009-04-24 | 2014-12-31 | - | 1860 BOY SCOUT DRIVE, #201, FORT MYERS, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-24 | 6321 Daniels Pkwy, STE 200, Fort Myers, FL 33912 | - |
| CHANGE OF MAILING ADDRESS | 2015-04-24 | 6321 Daniels Pkwy, STE 200, Fort Myers, FL 33912 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-24 | 6321 Daniels Pkwy, STE 200, Fort Myers, FL 33912 | - |
| REGISTERED AGENT NAME CHANGED | 2011-01-20 | ZONANA, MOSES | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-02-22 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-04-24 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-01-26 |
| ANNUAL REPORT | 2012-01-04 |
| ANNUAL REPORT | 2011-01-20 |
| ANNUAL REPORT | 2010-03-03 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
