| Entity Name: | KRISHNA PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
KRISHNA 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 06 Apr 2009 (16 years ago) |
| Date of dissolution: | 27 Sep 2013 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (12 years ago) |
| Document Number: | L09000032951 |
| FEI/EIN Number |
264639499
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 14102 PALM BEACH BLVD., FORT MYERS, FL, 33905, US |
| Mail Address: | 14102 PALM BEACH BLVD., FORT MYERS, FL, 33905, US |
| ZIP code: | 33905 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457686602 | 2009-10-06 | 2011-02-02 | 14102 PALM BEACH BLVD, FORT MYERS, FL, 339052244, US | 14102 PALM BEACH BLVD, FORT MYERS, FL, 339052244, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 239-362-2760 |
| Fax | 2393622761 |
Authorized person
| Name | JIGNESH PATEL |
| Role | MANAGER |
| Phone | 2393622760 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24294 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001554700 |
| State | FL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1049786 |
| Name | Role | Address |
|---|---|---|
| PATEL JIGNESH A | Manager | 7408 SIKA DEER WAY, FORT MYERS, FL, 33966 |
| PATEL SUSMITA P | Agent | 7408 SIKA DEER WAY, FORT MYERS, FL, 33966 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000125681 | RIVERDALE PHARMACY | EXPIRED | 2009-06-23 | 2014-12-31 | - | 14102 PALM BEACH BLVD, FORT MYERS, FL, 33905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| LC AMENDMENT | 2009-12-02 | - | - |
| REGISTERED AGENT NAME CHANGED | 2009-12-02 | PATEL, SUSMITA P | - |
| LC AMENDMENT | 2009-07-29 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-07-29 | 14102 PALM BEACH BLVD., FORT MYERS, FL 33905 | - |
| CHANGE OF MAILING ADDRESS | 2009-07-29 | 14102 PALM BEACH BLVD., FORT MYERS, FL 33905 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-01-14 |
| ANNUAL REPORT | 2011-01-10 |
| ANNUAL REPORT | 2010-01-20 |
| LC Amendment | 2009-12-02 |
| LC Amendment | 2009-07-29 |
| Florida Limited Liability | 2009-04-06 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
