| Entity Name: | MADABHUSHI PHARMACY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MADABHUSHI PHARMACY SERVICES, 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: | 06 Aug 2007 (18 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: | L07000080953 |
| FEI/EIN Number |
260733061
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 14936 NORTH FLORIDA AVENUE, TAMPA, FL, 33613 |
| Mail Address: | 14936 NORTH FLORIDA AVENUE, TAMPA, FL, 33613 |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518153634 | 2007-09-21 | 2023-03-07 | 14936 N FLORIDA AVE, TAMPA, FL, 336131626, US | 14936 N FLORIDA AVE, TAMPA, FL, 336131626, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 813-961-6546 |
| Fax | 8139636379 |
Authorized person
| Name | SABRINA MADABHUSHI |
| Role | PHARMACIST-IN-CHARGE |
| Phone | 8139616546 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PS35846 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP # |
| Number | 1028845 |
| State | FL |
| Issuer | MEDICAID |
| Number | 0323349 00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MADABHUSHI PRAHLAD | Manager | 1651 Virginia Willow Dr, Wesley Chapel, FL, 33544 |
| MADABHUSHI PRAHLAD | Agent | 1651 Virginia Willow Dr, Wesley Chapel, FL, 33544 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000065128 | MEDICINE PLACE | EXPIRED | 2015-06-23 | 2020-12-31 | - | 14936 NORTH FLORIDA AVE, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-11 | 1651 Virginia Willow Dr, Wesley Chapel, FL 33544 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-06-12 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-02-11 |
| ANNUAL REPORT | 2016-03-27 |
| ANNUAL REPORT | 2015-01-13 |
| ANNUAL REPORT | 2014-01-08 |
| ANNUAL REPORT | 2013-01-29 |
| ANNUAL REPORT | 2012-01-04 |
| ANNUAL REPORT | 2011-02-27 |
| ANNUAL REPORT | 2010-02-01 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
