| 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. |
| 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 |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | TAMPA FAMILY PHARMACY, LLC, NEW YORK | 5249595 | NEW YORK |
| 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 | |||||||||||||||||||||||||||||||||||||||||
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| 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 |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 254900E4BBZ0G9NLR677 | L11000013319 | US-FL | GENERAL | ACTIVE | 2011-02-01 | |||||||||||||||||||
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| 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 |
| 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 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-02-14 |
| Name of individual signing | HANSIL KALARIA |
| Valid signature | Filed with authorized/valid electronic signature |
| 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 |
| 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 |
| Name | Role | Address |
|---|---|---|
| Patel Rishikumar B | Agent | 2105 N. Nebraska Avenue, Tampa, FL, 336022558 |
| CAN COMMUNITY HEALTH, INC. | Manager | - |
| 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 |
| 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 | - |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8050888600 | 2021-03-24 | 0455 | PPS | 2919 W Swann Ave Ste 101, Tampa, FL, 33609-4033 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2696377105 | 2020-04-11 | 0455 | PPP | 2919 W Swann Avenue, TAMPA, FL, 33609-4033 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Mar 2025
Sources: Florida Department of State
