| Entity Name: | IDEAL PHARMACY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Dec 2008 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Jan 2021 (4 years ago) |
| Document Number: | L08000112054 |
| FEI/EIN Number | 263836036 |
| Address: | 4603 N.W. 7TH ST., MIAMI, FL, 33126, US |
| Mail Address: | 4603 N.W. 7TH ST., MIAMI, FL, 33126, US |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215179791 | 2009-03-31 | 2017-02-21 | 4603 NW 7TH ST, MIAMI, FL, 331262308, US | 4603 NW 7TH ST, MIAMI, FL, 331262308, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 786-294-0472 |
| Fax | 7862940572 |
Authorized person
| Name | MIGUEL SIRI |
| Role | PRESIDENT |
| Phone | 7862940472 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH 24425 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002767500 |
| State | FL |
| Issuer | PK |
| Number | 2119921 |
| Name | Role | Address |
|---|---|---|
| SIRI GRISELDA | Agent | 4603 N.W. 7TH ST., MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| SIRI GRISELDA | President | 4603 N.W. 7TH ST., MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-01-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2019-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| LC AMENDMENT | 2018-07-31 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-06-05 | SIRI, GRISELDA | No data |
| LC AMENDMENT | 2017-11-28 | No data | No data |
| LC AMENDMENT | 2015-08-17 | No data | No data |
| LC AMENDMENT | 2014-11-03 | No data | No data |
| LC AMENDMENT | 2013-05-06 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000170381 | TERMINATED | 1000000780458 | DADE | 2018-04-20 | 2038-04-25 | $ 7,036.24 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J17000603706 | TERMINATED | 1000000760474 | DADE | 2017-10-23 | 2027-10-25 | $ 383.85 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J15000710026 | TERMINATED | 1000000683279 | DADE | 2015-06-17 | 2025-06-25 | $ 4,409.64 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-25 |
| REINSTATEMENT | 2021-01-14 |
| REINSTATEMENT | 2019-10-21 |
| LC Amendment | 2018-07-31 |
| AMENDED ANNUAL REPORT | 2018-06-11 |
| AMENDED ANNUAL REPORT | 2018-06-05 |
| ANNUAL REPORT | 2018-02-19 |
| LC Amendment | 2017-11-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
