| Entity Name: | CHAPTERS HEALTH PHARMACY, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Jan 2007 (18 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 17 Dec 2012 (12 years ago) |
| Document Number: | L07000009730 |
| FEI/EIN Number | 20-8607458 |
| Mail Address: | 12470 TELECOM DRIVE, SUITE 301, TEMPLE TERRACE, FL 33637 |
| Address: | 111 Kelsey Lane, Suite F, Tampa, FL 33619 |
| ZIP code: | 33619 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073894846 | 2011-09-07 | 2011-09-07 | 111 KELSEY LN STE F, TAMPA, FL, 336194357, US | 111 KELSEY LN STE F, TAMPA, FL, 336194357, US | |||||||||||||||||||||||||||
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| Phone | +1 813-470-7444 |
| Fax | 8133575388 |
Authorized person
| Name | DIPESH PATEL |
| Role | DIRECTOR OF PHARMACY |
| Phone | 8134707444 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23387 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5707356 |
| Name | Role | Address |
|---|---|---|
| Molosky, Andrew K. | Agent | 12470 TELECOM DRIVE, SUITE 301, TEMPLE TERRACE, FL 33637 |
| Name | Role |
|---|---|
| CHAPTERS HEALTH SYSTEM, INC. | Manager |
| Name | Role |
|---|---|
| CHAPTERS HEALTH SYSTEM, INC. | Authorized |
| Name | Role |
|---|---|
| CHAPTERS HEALTH SYSTEM, INC. | Sole Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000086347 | CHAPTERS HEALTH PHARMACY | ACTIVE | 2011-08-31 | 2026-12-31 | No data | 12470 TELECOM DRIVE, SUITE #301, TEMPLE TERRACE, FL, 33637 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-11 | 111 Kelsey Lane, Suite F, Tampa, FL 33619 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-11 | 12470 TELECOM DRIVE, SUITE 301, TEMPLE TERRACE, FL 33637 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-23 | Molosky, Andrew K. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-13 | 111 Kelsey Lane, Suite F, Tampa, FL 33619 | No data |
| LC AMENDMENT | 2012-12-17 | No data | No data |
| LC NAME CHANGE | 2011-06-01 | CHAPTERS HEALTH PHARMACY, LLC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-02-23 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-04-13 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
