| Entity Name: | EAST COAST PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Oct 2008 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 11 Oct 2018 (6 years ago) |
| Document Number: | L08000097872 |
| FEI/EIN Number | 26-4406066 |
| Address: | 695 N WASHINGTON AVE, UNIT 101, TITUSVILLE, FL 32796 |
| Mail Address: | 695 N WASHINGTON AVE, UNIT 101, TITUSVILLE, FL 32796 |
| ZIP code: | 32796 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386885515 | 2009-03-18 | 2018-07-19 | 695 N WASHINGTON AVE, UNIT 101, TITUSVILLE, FL, 327962101, US | 695 N WASHINGTON AVE, UNIT 101, TITUSVILLE, FL, 327962101, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 321-747-0600 |
| Fax | 3213852180 |
Authorized person
| Name | NITIN AGGARWAL |
| Role | OWNER/MANAGER/AO |
| Phone | 3522134295 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24139 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001490800 |
| State | FL |
| Issuer | PK |
| Number | 2121443 |
| Name | Role | Address |
|---|---|---|
| AGGARWAL, NITIN | Agent | 3 Indian River Avenue, 801, Titusville, FL 32796 |
| Name | Role | Address |
|---|---|---|
| AGGARWAL, NITIN | President | 3 Indian River Avenue, 801 Titusville, FL 32796 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000128710 | CENTURY PHARMACY | EXPIRED | 2009-06-29 | 2014-12-31 | No data | 695 NORTH WASHINGTON AVE, SUITE 101, TITUSVILLE, FL, 32796 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2018-10-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-11-27 | AGGARWAL, NITIN | No data |
| REINSTATEMENT | 2016-11-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-30 | 3 Indian River Avenue, 801, Titusville, FL 32796 | No data |
| CHANGE OF MAILING ADDRESS | 2012-09-05 | 695 N WASHINGTON AVE, UNIT 101, TITUSVILLE, FL 32796 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-30 | 695 N WASHINGTON AVE, UNIT 101, TITUSVILLE, FL 32796 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000758084 | ACTIVE | 1000001020622 | BREVARD | 2024-11-19 | 2044-11-27 | $ 2,959.83 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MELBOURNE SERVICE CENTER, 100 RIALTO PL STE 800, MELBOURNE FL329013004 |
| J24000521219 | TERMINATED | 1000001007034 | BREVARD | 2024-08-09 | 2044-08-14 | $ 6,410.55 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MELBOURNE SERVICE CENTER, 100 RIALTO PL STE 800, MELBOURNE FL329013004 |
| J21000433601 | ACTIVE | 1000000899433 | BREVARD | 2021-08-23 | 2041-08-25 | $ 3,913.31 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MELBOURNE SERVICE CENTER, 6300 N WICKHAM RD STE 133A, MELBOURNE FL329402029 |
| J19000296481 | TERMINATED | 1000000824219 | BREVARD | 2019-04-22 | 2039-04-24 | $ 2,922.34 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MELBOURNE SERVICE CENTER, 6300 N WICKHAM RD STE 133A, MELBOURNE FL329402029 |
| J19000296499 | TERMINATED | 1000000824220 | BREVARD | 2019-04-22 | 2029-04-24 | $ 341.02 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MELBOURNE SERVICE CENTER, 6300 N WICKHAM RD STE 133A, MELBOURNE FL329402029 |
| J17000509796 | TERMINATED | 1000000755151 | BREVARD | 2017-08-23 | 2027-08-31 | $ 671.54 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MELBOURNE SERVICE CENTER, 6300 N WICKHAM RD STE 133A, MELBOURNE FL329402029 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-09 |
| ANNUAL REPORT | 2020-01-25 |
| ANNUAL REPORT | 2019-01-29 |
| REINSTATEMENT | 2018-10-11 |
| ANNUAL REPORT | 2017-02-23 |
| REINSTATEMENT | 2016-11-27 |
| ANNUAL REPORT | 2015-09-25 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
