| Entity Name: | DJ PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DJ 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: | 19 Aug 2009 (16 years ago) |
| Date of dissolution: | 28 Sep 2012 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (13 years ago) |
| Document Number: | L09000080211 |
| FEI/EIN Number |
270768537
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 20122 SHADY HILL LANE, TAMPA, FL, 33647, US |
| Address: | 5622 MARINE PARKWAY, SUITE #23, (OPPOSITE COMMUNITY HOSPITAL), NEW PORT RICHEY, FL, 34652, US |
| ZIP code: | 34652 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528399474 | 2010-01-15 | 2011-09-19 | 20122 SHADY HILL LN, TAMPA, FL, 336473396, US | 5622 MARINE PKWY STE 23, NEW PORT RICHEY, FL, 346524335, US | |||||||||||||||||||||||
|
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| Phone | +1 813-495-2234 |
| Phone | +1 727-232-0646 |
Authorized person
| Name | OMOTADE IKUDAYISI |
| Role | OWNER |
| Phone | 8134952234 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24393 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1052632 |
| Name | Role | Address |
|---|---|---|
| IKUDAYISI OMOTADE T | Managing Member | 20122 SHADY HILL LANE, TAMPA, FL, 33647 |
| WALKER GARY | Agent | 202 S ROME AVENUE, TAMPA, FL, 33606 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000175529 | DJ PHARMACY | EXPIRED | 2009-11-15 | 2014-12-31 | - | 20122 SHADY HILL LANE, TAMPA, FL, 33647 |
| G09000149398 | DJ PHARMACY | EXPIRED | 2009-08-25 | 2014-12-31 | - | 20122 SHADY HILL LANE, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| LC AMENDMENT | 2011-04-28 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-28 | 5622 MARINE PARKWAY, SUITE #23, (OPPOSITE COMMUNITY HOSPITAL), NEW PORT RICHEY, FL 34652 | - |
| LC AMENDMENT | 2011-04-18 | - | - |
| Name | Date |
|---|---|
| LC Amendment | 2011-04-28 |
| LC Amendment | 2011-04-18 |
| ANNUAL REPORT | 2011-03-15 |
| ANNUAL REPORT | 2010-01-11 |
| Florida Limited Liability | 2009-08-19 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
