Entity Name: | PHARMXPRESS LIMITED LIABILITY COMPANY |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 15 Sep 2009 (15 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 08 Sep 2020 (4 years ago) |
Document Number: | L09000089004 |
FEI/EIN Number | 271036726 |
Address: | 4951 e Adamo Dr., Ste 110, Tampa, FL, 33605, US |
Mail Address: | 4951 e Adamo Dr., Ste 110, Tampa, FL, 33605, US |
ZIP code: | 33605 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
Type | Company Name | Company Number | State |
---|---|---|---|
Headquarter of | PHARMXPRESS LIMITED LIABILITY COMPANY, ALASKA | 10289934 | ALASKA |
Headquarter of | PHARMXPRESS LIMITED LIABILITY COMPANY, NEW YORK | 5607951 | NEW YORK |
Headquarter of | PHARMXPRESS LIMITED LIABILITY COMPANY, ILLINOIS | LLC_07573421 | ILLINOIS |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1629303714 | 2009-10-07 | 2019-07-19 | 507 E DR MARTIN LUTHER KING JR BLVD, STE 101, TAMPA, FL, 336033932, US | 507 E DR MARTIN LUTHER KING JR BLVD, STE 101, TAMPA, FL, 336033932, US | |||||||||||||||||||||||||||||||||||||||
|
Phone | +1 813-406-4491 |
Fax | 8132796266 |
Authorized person
Name | JORDAN R. BUNNELL |
Role | OWNER |
Phone | 8134064491 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
Is Primary | No |
Taxonomy Code | 333600000X - Pharmacy |
License Number | PH24350 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 002521500 |
State | FL |
Issuer | PK |
Number | 2123313 |
Issuer | MEDICAID |
Number | 002521501 |
State | FL |
Name | Role | Address |
---|---|---|
Knight Sam | Agent | 4951 e Adamo Dr., Tampa, FL, 33605 |
Name | Role | Address |
---|---|---|
ALTMAN CHAD | Authorized Member | 4951 E Adamo Dr., TAMPA, FL, 33605 |
KNIGHT SAM | Authorized Member | 4951 E Adamo Dr., Tampa, FL, 33605 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G21000136558 | PHARMXPRESS PHARMACY | ACTIVE | 2021-10-11 | 2026-12-31 | No data | 507 E DR. MLK BLVD STE #101, TAMPA, FL, 33603 |
G16000060063 | JACKIE'S PHARMACY | EXPIRED | 2016-06-17 | 2021-12-31 | No data | 507 E DR MARTIN LUTHER KING JR BLVD, STE 101, TAMPA, FL, 33603 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2024-02-06 | 4951 e Adamo Dr., Ste 110, Tampa, FL 33605 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2024-02-06 | 4951 e Adamo Dr., Ste 110, Tampa, FL 33605 | No data |
CHANGE OF MAILING ADDRESS | 2024-02-06 | 4951 e Adamo Dr., Ste 110, Tampa, FL 33605 | No data |
REGISTERED AGENT NAME CHANGED | 2024-02-06 | Knight, Sam | No data |
LC AMENDMENT | 2020-09-08 | No data | No data |
LC AMENDMENT | 2019-12-18 | No data | No data |
LC STMNT OF RA/RO CHG | 2019-08-14 | No data | No data |
LC DISSOCIATION MEM | 2014-02-21 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-04 |
ANNUAL REPORT | 2024-02-06 |
ANNUAL REPORT | 2023-03-10 |
ANNUAL REPORT | 2022-01-26 |
ANNUAL REPORT | 2021-01-28 |
LC Amendment | 2020-09-08 |
ANNUAL REPORT | 2020-01-24 |
LC Amendment | 2019-12-18 |
CORLCRACHG | 2019-08-14 |
ANNUAL REPORT | 2019-01-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State