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TAMPA FAMILY PHARMACY, LLC - Florida Company Profile

Headquarter

Company Details

Entity Name: TAMPA FAMILY PHARMACY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

TAMPA FAMILY 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 01 Feb 2011 (14 years ago)
Document Number: L11000013319
FEI/EIN Number 274755750

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 12470 Telecom Dr., Suite 110W, TAMPA, FL, 33637, US
Mail Address: 12470 Telecom Dr., Suite 110W, TAMPA, FL, 33637, US
ZIP code: 33637
County: Hillsborough
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of TAMPA FAMILY PHARMACY, LLC, NEW YORK 5249595 NEW YORK

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134400823 2011-09-08 2023-12-13 12470 TELECOM DR STE 110W, TEMPLE TERRACE, FL, 336370904, US 12470 TELECOM DR STE 110W, TEMPLE TERRACE, FL, 336370904, US

Contacts

Phone +1 813-871-5161
Fax 8138772479

Authorized person

Name HANSIL KALARIA
Role CHIEF PHARMACY OFFICER
Phone 8138715161

Taxonomy

Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH25624
State FL
Is Primary Yes
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No
Taxonomy Code 3336S0011X - Specialty Pharmacy
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 101148800
State FL
Issuer PK
Number 2131723

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
254900E4BBZ0G9NLR677 L11000013319 US-FL GENERAL ACTIVE 2011-02-01

Addresses

Legal C/o Patel, Rishikumar B, 4440 Fruitville Rd, Sarasota, US-FL, US, 34232
Headquarters 2919 W. SWANN AVE #101, Tampa, US-FL, US, 33609

Registration details

Registration Date 2019-12-11
Last Update 2023-10-19
Status ISSUED
Next Renewal 2024-11-17
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As L11000013319

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAN FOR-PROFIT 401(K) RETIREMENT PLAN 2022 274755750 2024-02-14 TAMPA FAMILY PHARMACY, LLC 18
Three-digit plan number (PN) 001
Effective date of plan 2021-04-01
Business code 446110
Sponsor’s telephone number 8138715161
Plan sponsor’s address 2919 W SWANN AVENUE, #101, TAMPA, FL, 33609

Signature of

Role Plan administrator
Date 2024-02-14
Name of individual signing HANSIL KALARIA
Valid signature Filed with authorized/valid electronic signature
CAN FOR-PROFIT 401(K) RETIREMENT PLAN 2022 274755750 2024-05-03 TAMPA FAMILY PHARMACY, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-04-01
Business code 446110
Sponsor’s telephone number 8138715161
Plan sponsor’s address 2919 W SWANN AVENUE, #101, TAMPA, FL, 33609

Signature of

Role Plan administrator
Date 2024-05-03
Name of individual signing HANSIL KALARIA
Valid signature Filed with authorized/valid electronic signature
TAMPA FAMILY PHARMACY, LLC 401(K) PLAN 2021 274755750 2022-03-08 TAMPA FAMILY PHARMACY, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-04-01
Business code 446110
Sponsor’s telephone number 8138715161
Plan sponsor’s address 2919 W SWANN AVENUE, #101, TAMPA, FL, 33609

Signature of

Role Plan administrator
Date 2022-03-08
Name of individual signing HANSIL KALARIA
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Patel Rishikumar B Agent 2105 N. Nebraska Avenue, Tampa, FL, 336022558
CAN COMMUNITY HEALTH, INC. Manager -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000101553 TFP WELLNESS SYSTEMS ACTIVE 2015-10-05 2025-12-31 - 12470 TELECOM DR STE 110W, TAMPA, FL, 33637
G15000009747 TFP SPECIALTY ACTIVE 2015-01-28 2025-12-31 - 12470 TELECOM DRIVE SUITE 110W, TAMPA, FL, 33637

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-18 2105 N. Nebraska Avenue, Tampa, FL 33602-2558 -
CHANGE OF PRINCIPAL ADDRESS 2023-12-19 12470 Telecom Dr., Suite 110W, TAMPA, FL 33637 -
CHANGE OF MAILING ADDRESS 2023-12-19 12470 Telecom Dr., Suite 110W, TAMPA, FL 33637 -
REGISTERED AGENT NAME CHANGED 2022-09-19 Patel, Rishikumar B -

Documents

Name Date
ANNUAL REPORT 2024-04-18
ANNUAL REPORT 2023-02-08
AMENDED ANNUAL REPORT 2022-09-19
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-03-02
AMENDED ANNUAL REPORT 2019-12-09
AMENDED ANNUAL REPORT 2019-05-22
ANNUAL REPORT 2019-01-04
ANNUAL REPORT 2018-01-18

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8050888600 2021-03-24 0455 PPS 2919 W Swann Ave Ste 101, Tampa, FL, 33609-4033
Loan Status Date 2022-05-07
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 376495
Loan Approval Amount (current) 376495
Undisbursed Amount 0
Franchise Name -
Lender Location ID 67422
Servicing Lender Name First Horizon Bank
Servicing Lender Address 165 Madison Ave, MEMPHIS, TN, 38103-2723
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33609-4033
Project Congressional District FL-14
Number of Employees 26
NAICS code 446110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 67422
Originating Lender Name First Horizon Bank
Originating Lender Address MEMPHIS, TN
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 380490.03
Forgiveness Paid Date 2022-04-25
2696377105 2020-04-11 0455 PPP 2919 W Swann Avenue, TAMPA, FL, 33609-4033
Loan Status Date 2021-11-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 376400
Loan Approval Amount (current) 376400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 67422
Servicing Lender Name First Horizon Bank
Servicing Lender Address 165 Madison Ave, MEMPHIS, TN, 38103-2723
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33609-4033
Project Congressional District FL-14
Number of Employees 26
NAICS code 621512
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 78586
Originating Lender Name IberiaBank, A Division of First Horizon Bank
Originating Lender Address Lafayette, LA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 382056.46
Forgiveness Paid Date 2021-10-15

Date of last update: 03 Mar 2025

Sources: Florida Department of State