| Entity Name: | MEDROCK PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MEDROCK 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: | 16 Aug 2010 (15 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 05 Oct 2015 (10 years ago) |
| Document Number: | L10000085813 |
| FEI/EIN Number |
273255961
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12540 Racetrack Road, Tampa, FL, 33626, US |
| Mail Address: | 12540 Racetrack Road, Tampa, FL, 33626, US |
| ZIP code: | 33626 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992035182 | 2010-01-11 | 2016-04-05 | 3209 TAMPA ROAD, PALM HARBOR, FL, 346843424, US | 3209 TAMPA RD, PALM HARBOR, FL, 346843424, US | |||||||||||||||||||
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| Phone | +1 727-240-1341 |
| Fax | 7272401343 |
Authorized person
| Name | DR. ADAM SCOTT LEVINE |
| Role | GENERAL COUNSEL & VP |
| Phone | 7275121969 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24402 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDROCK PHARMACY LLC 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 273255961 | 2024-04-08 | MEDROCK PHARMACY LLC | 20 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-04-08 |
| Name of individual signing | AHMED AHMED |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 5105415236 |
| Plan sponsor’s address | 12540 RACETRACK ROAD UNIT D2, TAMPA, FL, 33626 |
Signature of
| Role | Plan administrator |
| Date | 2023-11-08 |
| Name of individual signing | AHMED AHMED |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 5105415236 |
| Plan sponsor’s address | 12540 RACETRACK ROAD UNIT D2, TAMPA, FL, 33626 |
Signature of
| Role | Plan administrator |
| Date | 2022-04-26 |
| Name of individual signing | AHMED AHMED |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Ahmed Ahmed | Managing Member | 12540 Racetrack Road, Tampa, FL, 33626 |
| Ahmed Ahmed A | Agent | 12540 Racetrack Road, Tampa, FL, 33626 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000118742 | MEDROCK PHARMACY | EXPIRED | 2010-12-29 | 2015-12-31 | - | 1342 FLAXWOOD AVE, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-19 | Ahmed, Ahmed Ashraf | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-19 | 12540 Racetrack Road, Unit # D2, Tampa, FL 33626 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-16 | 12540 Racetrack Road, Unit # D2, Tampa, FL 33626 | - |
| CHANGE OF MAILING ADDRESS | 2020-06-16 | 12540 Racetrack Road, Unit # D2, Tampa, FL 33626 | - |
| LC AMENDMENT | 2015-10-05 | - | - |
| LC AMENDMENT | 2014-11-13 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-11 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-03-30 |
| LC Amendment | 2015-10-05 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 347447450 | 0420600 | 2024-04-30 | 12540 RACE TRACK ROAD UNIT #D-2, TAMPA, FL, 33626 | |||||||||||||||||||
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| Type | Complaint |
| Activity Nr | 2050523 |
| Health | Yes |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6838687109 | 2020-04-14 | 0455 | PPP | 3209 Tampa Road, PALM HARBOR, FL, 34684-3424 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
