| Entity Name: | MALABAR PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MALABAR 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 18 Mar 2010 (15 years ago) |
| Document Number: | L10000029900 |
| FEI/EIN Number |
800565341
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 930-1 MALABAR RD. S.E., PALM BAY, FL, 32907, US |
| Mail Address: | 930-1 MALABAR RD. S.E., PALM BAY, FL, 32907, US |
| ZIP code: | 32907 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225477862 | 2013-06-17 | 2013-06-17 | 930 MALABAR RD SE STE 1, PALM BAY, FL, 329073252, US | 930 MALABAR RD SE STE 1, PALM BAY, FL, 329073252, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 321-775-0911 |
| Fax | 8772329689 |
Authorized person
| Name | ANKUR SHAH |
| Role | MANAGER/PHARMACIST |
| Phone | 3217750911 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | PH24682 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | PH24682 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3104A0630X - Assisted Living Facility (Behavioral Disturbances) |
| License Number | PH24682 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 315D00000X - Inpatient Hospice |
| License Number | PH24682 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002740401 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHAH RONAK A | Agent | 930-1 MALABAR RD. S.E., PALM BAY, FL, 32907 |
| SHAH RONAK A | Manager | 930-1 MALABAR RD. S.E., PALM BAY, FL, 32907 |
| PATEL MITAL | Manager | 930-1 MALABAR RD. S.E., PALM BAY, FL, 32907 |
| PATEL NARENDRA | Manager | 930-1 MALABAR RD S.E., PALM BAY, FL, 32907 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000078744 | MALABAR DISCOUNT PHARMACY | ACTIVE | 2018-07-20 | 2028-12-31 | - | 930-1 MALABAR ROAD SE, PALM BAY, FL, 32907 |
| G16000005204 | MALABAR SPECIALTY PHARMACY | ACTIVE | 2016-01-13 | 2026-12-31 | - | 930-1 MALABAR RD S.E., PALM BAY, FL, 32907 |
| G10000048304 | MALABAR DISCOUNT PHARMACY | EXPIRED | 2010-06-03 | 2015-12-31 | - | 930-1 MALABAR ROAD S.W, PALM BAY, FL, 32907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-25 | 930-1 MALABAR RD. S.E., PALM BAY, FL 32907 | - |
| CHANGE OF MAILING ADDRESS | 2013-01-25 | 930-1 MALABAR RD. S.E., PALM BAY, FL 32907 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-25 | 930-1 MALABAR RD. S.E., PALM BAY, FL 32907 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| AMENDED ANNUAL REPORT | 2023-11-08 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-02-04 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-02-24 |
| ANNUAL REPORT | 2016-01-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5369017708 | 2020-05-01 | 0455 | PPP | 930 MALABAR RD SE STE 1, PALM BAY, FL, 32907-3252 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
