| Entity Name: | PSJ PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PSJ PHARMACY 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 16 Jan 2009 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Oct 2010 (14 years ago) |
| Document Number: | L09000005491 |
| FEI/EIN Number |
352354966
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6801 N US HIGHWAY 1 STE 1, COCOA, FL, 32927, US |
| Mail Address: | 6801 N US HIGHWAY 1 STE 1, COCOA, FL, 32927, US |
| ZIP code: | 32927 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396184933 | 2013-06-17 | 2021-03-11 | 6801 N US HIGHWAY 1 STE 1, COCOA, FL, 329275095, US | 6801 N US HIGHWAY 1 STE 1, COCOA, FL, 329275095, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 321-637-0911 |
| Fax | 3216390856 |
Authorized person
| Name | RAJESH ARVINDBHAI PATEL |
| Role | MANAGER/PHARMACIST |
| Phone | 3216370911 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001149901 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATEL MITAL | Manager | 6801 N US HIGHWAY 1 STE 1, COCOA, FL, 32927 |
| Patel Narendra | Manager | 6801 N US HIGHWAY 1 STE 1, COCOA, FL, 32927 |
| PATEL CHANDRIKABEN | Manager | 6801 N US HIGHWAY 1 STE 1, COCOA, FL, 32927 |
| PATEL MITAL | Agent | 6801 N US HIGHWAY 1 STE 1, COCOA, FL, 32927 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000007841 | PORT ST JOHN DISCOUNT PHARMACY | ACTIVE | 2016-01-21 | 2026-12-31 | - | 6801-1 US HWY 1 NORTH, COCOA, FL, 32927 |
| G09020900276 | PORT ST JOHN DISCOUNT PHARMACY | EXPIRED | 2009-01-20 | 2014-12-31 | - | 6801-1 US HWY 1 NORTH, COCOA, FL, 32927 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-16 | 6801 N US HIGHWAY 1 STE 1, COCOA, FL 32927 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-16 | 6801 N US HIGHWAY 1 STE 1, COCOA, FL 32927 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-16 | 6801 N US HIGHWAY 1 STE 1, COCOA, FL 32927 | - |
| REGISTERED AGENT NAME CHANGED | 2023-11-08 | PATEL, MITAL | - |
| REINSTATEMENT | 2010-10-07 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| AMENDED ANNUAL REPORT | 2023-11-08 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-02-03 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-02-24 |
| ANNUAL REPORT | 2016-01-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6608337702 | 2020-05-03 | 0455 | PPP | 6801 N HIGHWAY 1 STE 1, COCOA, FL, 32927-5095 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 01 Mar 2025
Sources: Florida Department of State
