| Entity Name: | MY COMMUNITY PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Apr 2009 (16 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 06 Feb 2012 (13 years ago) |
| Document Number: | L09000038976 |
| FEI/EIN Number | 264801174 |
| Address: | 2615 STATE ROAD 7, SUITE B530, WELLINGTON, FL, 33414 |
| Mail Address: | 2615 STATE ROAD 7, SUITE B530, WELLINGTON, FL, 33414 |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336372168 | 2009-08-27 | 2015-05-27 | 2615 STATE ROAD 7, SUITE B530, WELLINGTON, FL, 33414, US | 2615 STATE ROAD 7, SUITE B530, WELLINGTON, FL, 33414, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-753-6768 |
| Fax | 5617536763 |
Authorized person
| Name | MEROEN RABIEIFAR |
| Role | VICE PRESIDENT/PHARMACIST |
| Phone | 5618764043 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24114 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003711000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MEIER JOHNNY H | Agent | 2615 STATE ROAD 7, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| MEIER JOHNNY H | Managing Member | 2615 STATE ROAD 7, SUITE B530, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| RABIEIFAR MEROEH | Manager | 2615 STATE ROAD 7, SUITE B530, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2012-02-06 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-02-06 | 2615 STATE ROAD 7, SUITE B530, WELLINGTON, FL 33414 | No data |
| CHANGE OF MAILING ADDRESS | 2012-02-06 | 2615 STATE ROAD 7, SUITE B530, WELLINGTON, FL 33414 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-02-06 | 2615 STATE ROAD 7, SUITE B530, WELLINGTON, FL 33414 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-01-16 | MEIER, JOHNNY H | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-04-17 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-05-03 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-19 |
| ANNUAL REPORT | 2015-01-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
