| Entity Name: | GOOD RX V, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Jun 2006 (19 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Dec 2014 (10 years ago) |
| Document Number: | L06000060644 |
| FEI/EIN Number | 205149042 |
| Address: | 4102 Little Rd, TRINITY, FL, 34655, US |
| Mail Address: | 4102 Little Rd, TRINITY, FL, 34655, US |
| ZIP code: | 34655 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467652024 | 2007-07-23 | 2023-03-07 | 10720 STATE ROAD 54, STE 103, TRINITY, FL, 346552217, US | 10720 STATE ROAD 54, STE 103, TRINITY, FL, 346552217, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-375-2502 |
| Fax | 7273752508 |
Authorized person
| Name | BENJAMIN BENOIT |
| Role | OWNER PHARMACIST |
| Phone | 7273752502 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH22864 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER |
| Number | 1027843 |
| Issuer | MEDICAID |
| Number | 032218100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BENOIT BENJAMIN | Agent | 10332 BELLWOOD AVE., NEW PORT RICHEY, FL, 34654 |
| Name | Role | Address |
|---|---|---|
| BENOIT BENJAMIN | Manager | 10332 BELLWOOD AVE, NEW PORT RICHEY, FL, 34654 |
| BENOIT BRENDA | Manager | 10332 BELLWOOD AVE, NEW PORT RICHEY, FL, 34654 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-08 | 4102 Little Rd, TRINITY, FL 34655 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-08 | 4102 Little Rd, TRINITY, FL 34655 | No data |
| LC AMENDMENT | 2014-12-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-03-20 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
