| Entity Name: | SCRIPTS PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Sep 2010 (14 years ago) |
| Document Number: | L10000101267 |
| FEI/EIN Number | 383820131 |
| Address: | 4910 34TH STREET S, SAINT PETERSBURG, FL, 33711 |
| Mail Address: | 4910 34TH STREET S, ST. PETERSBURG, FL, 33711, US |
| ZIP code: | 33711 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972020386 | 2017-08-25 | 2022-07-21 | 4910 34TH ST S, SAINT PETERSBURG, FL, 337114512, US | 4910 34TH ST S, SAINT PETERSBURG, FL, 337114512, US | |||||||||||||||||||||||
|
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| Phone | +1 727-867-4900 |
Authorized person
| Name | BHAVIN D SHAH |
| Role | MGRM |
| Phone | 7278674900 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH25245 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003635800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHAH BHAVIN | Agent | 4910 34TH STREET S, SAINT PETERSBURG, FL, 33711 |
| Name | Role | Address |
|---|---|---|
| SHAH BHAVIN | Authorized Member | 4910 34TH STREET S, SAINT PETERSBURG, FL, 33711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000056602 | SCRIPTS PHARMACY | ACTIVE | 2018-05-08 | 2028-12-31 | No data | 4910 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-31 | 4910 34TH STREET S, SAINT PETERSBURG, FL 33711 | No data |
| CHANGE OF MAILING ADDRESS | 2013-05-06 | 4910 34TH STREET S, SAINT PETERSBURG, FL 33711 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-11-17 | SHAH, BHAVIN | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-18 | 4910 34TH STREET S, SAINT PETERSBURG, FL 33711 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000775489 | TERMINATED | 1000000390701 | PASCO | 2012-10-16 | 2032-10-25 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PORT RICHEY SERVICE CENTER, 6709 RIDGE RD STE 300, PORT RICHEY FL346686842 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-01-11 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-06-04 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-03-31 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
