| Entity Name: | CUMBERLAND PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Mar 2010 (15 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 11 Jan 2021 (4 years ago) |
| Document Number: | L10000030015 |
| FEI/EIN Number | 272165467 |
| Mail Address: | 1047 W BUSCH BLVD, TAMPA, FL, 33612, US |
| Address: | 1047 W. BUSCH BLVD, TAMPA, FL, 33612, US |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073813309 | 2010-11-03 | 2021-03-01 | 1047 W BUSCH BLVD, TAMPA, FL, 336127703, US | 1047 W BUSCH BLVD, TAMPA, FL, 336127703, US | |||||||||||||||||||||||||||||||
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| Phone | +1 813-991-7233 |
| Fax | 8885568496 |
| Fax | 8139917255 |
Authorized person
| Name | DR. OSANEME CHUKA OKARO |
| Role | PHARMACIST/OWNER/AUTHORIZED OFFICER |
| Phone | 8502731344 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24780 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010831300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OKARO OSANEME C | Agent | 1047 W. BUSCH BLVD, TAMPA, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| OKARO OSANEME C | Manager | 2141 HOLLOW FOREST COURT, WESLEY CHAPEL, FL, 33543 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000090880 | AXCESS PHARMACY | ACTIVE | 2016-08-23 | 2026-12-31 | No data | 1047 W. BUSCH BLVD, TAMPA, FL, 33612 |
| G10000050099 | AXCESS PHARMACY | EXPIRED | 2010-06-08 | 2015-12-31 | No data | 31103 MASENA DRIVE, WESLEY CHAPEL, FL, 33545 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2021-01-11 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-11 | 1047 W. BUSCH BLVD, TAMPA, FL 33612 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-11 | OKARO, OSANEME C | No data |
| LC DISSOCIATION MEM | 2019-11-25 | No data | No data |
| LC AMENDMENT | 2019-11-25 | No data | No data |
| REINSTATEMENT | 2019-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| LC DISSOCIATION MEM | 2019-05-28 | No data | No data |
| LC AMENDMENT | 2019-05-06 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-05-06 | 1047 W. BUSCH BLVD, TAMPA, FL 33612 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-18 |
| LC Amendment | 2021-01-11 |
| ANNUAL REPORT | 2020-05-24 |
| CORLCDSMEM | 2019-11-25 |
| LC Amendment | 2019-11-25 |
| REINSTATEMENT | 2019-10-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1322207700 | 2020-05-01 | 0455 | PPP | 26451 SHOREGRASS DR, WESLEY CHAPEL, FL, 33544 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
