| Entity Name: | MPS RX FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Feb 2009 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Mar 2012 (13 years ago) |
| Document Number: | L09000018306 |
| FEI/EIN Number | 264775411 |
| Address: | 805 N Whittington Pkwy, LOUISVILLE, KY, 40222, US |
| Mail Address: | 805 N Whittington Pkwy, LOUISVILLE, KY, 40222, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518265008 | 2011-03-07 | 2011-06-13 | 100 E KENSINGER DR, SUITE 500, CRANBERRY TOWNSHIP, PA, 160663556, US | 11824 MIRAMAR PKWY, BUILDING 9, MIRAMAR, FL, 330255800, US | |||||||||||||||||||||
|
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| Phone | +1 724-940-2490 |
Authorized person
| Name | RON MCKILLIP |
| Role | VP BUSINESS SYSTEMS SUPPORT |
| Phone | 7249402819 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH 24854 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5704754 |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Brown Allison L | Secretary | 805 N Whittington Pkwy, LOUISVILLE, KY, 40222 |
| Name | Role | Address |
|---|---|---|
| Griffin T.J. | Vice President | 805 N Whittington Pkwy, LOUISVILLE, KY, 40222 |
| Name | Role | Address |
|---|---|---|
| YOWLER JENNIFER M | Manager | 805 N Whittington Pkwy, LOUISVILLE, KY, 40222 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000142612 | MILLENNIUM PHARMACY | EXPIRED | 2009-08-03 | 2014-12-31 | No data | MPS RX FLORIDA, LLC, 12450 PERRY HIGHWAY, SUITE 500, WEXFORD, PA, 15090 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-29 | 805 N Whittington Pkwy, LOUISVILLE, KY 40222 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-29 | 805 N Whittington Pkwy, LOUISVILLE, KY 40222 | No data |
| REINSTATEMENT | 2012-03-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-04-24 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-01-24 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
