| Entity Name: | USIPN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Jun 2008 (17 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L08000056555 |
| FEI/EIN Number | 800430084 |
| Address: | 1509 CULLAIG CT, JACKSONVILLE, FL, 32259, US |
| Mail Address: | PO BOX 600047, JACKSONVILLE, FL, 32063, US |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598098204 | 2009-09-13 | 2010-03-09 | 391 W MACCLENNY AVE, MACCLENNY, FL, 320632033, US | 391 W MACCLENNY AVE, MACCLENNY, FL, 320632033, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 904-397-0440 |
| Fax | 9043970441 |
Authorized person
| Name | ANKUR PARIKH |
| Role | PIC |
| Phone | 9043970440 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH24239 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1048455 |
| Issuer | MEDICAID |
| Number | 001494700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHAH ARPIT M | Agent | 1509 CULLAIG CT, JACKSONVILLE, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| PARIKH ANKUR A | Managing Member | PO BOX 600047, JACKSONVILLE, FL, 32063 |
| MAMTORA VIPUL B | Managing Member | PO BOX 600047, JACKSONVILLE, FL, 32063 |
| SHAH ARPIT A | Managing Member | PO BOX 600047, JACKSONVILLE, FL, 32063 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000127668 | PROCARE DRUGS | EXPIRED | 2009-06-25 | 2014-12-31 | No data | 391 WEST MACCLENNY AVE., MACCLENNY, FL, 32063 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-30 | 1509 CULLAIG CT, JACKSONVILLE, FL 32259 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-01-30 | SHAH, ARPIT M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-30 | 1509 CULLAIG CT, JACKSONVILLE, FL 32259 | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-01 | 1509 CULLAIG CT, JACKSONVILLE, FL 32259 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-02-10 |
| ANNUAL REPORT | 2015-01-26 |
| ANNUAL REPORT | 2014-01-30 |
| ANNUAL REPORT | 2013-03-01 |
| ANNUAL REPORT | 2012-03-26 |
| ANNUAL REPORT | 2011-04-25 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-04-16 |
| Florida Limited Liability | 2008-06-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
