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  5. URBAN SPECIALTY PHARMACY LLC

URBAN SPECIALTY PHARMACY LLC

Company Details

Entity Name: URBAN SPECIALTY PHARMACY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 May 2011 (14 years ago)
Document Number: L11000062300
FEI/EIN Number 452409830
Address: 1617 34th Street South, ST. PETERSBURG, FL, 33711, US
Mail Address: 1617 34TH STREET SOUTH, SAINT PETERSBURG, FL, 33711, US
ZIP code: 33711
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306134952 2011-07-18 2022-07-21 1617 34TH ST S STE A, ST PETERSBURG, FL, 337112855, US 1617 34TH ST S STE A, ST PETERSBURG, FL, 337112855, US

Contacts
Phone +1 727-327-9881
Fax 7273279884

Authorized person
Name MR. PARESH SHUKLA
Role OWNER
Phone 7273279881

Taxonomy
Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH25577
State FL
Is Primary Yes
Taxonomy Code 3336S0011X - Specialty Pharmacy
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number 017615400
State FL
Issuer PK
Number 2131077

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
URBAN SPECIALTY PHARMACY, LLC 401(K) PLAN 2023 452409830 2024-06-24 URBAN SPECIALTY PHARMACY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 7273279881
Plan sponsor’s address 1617 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711

Plan administrator’s name and address
Administrator’s EIN 452409830
Plan administrator’s name URBAN SPECIALTY PHARMACY, LLC
Plan administrator’s address 1617 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711
Administrator’s telephone number 7273279881
URBAN SPECIALTY PHARMACY, LLC 401(K) PLAN 2022 452409830 2023-06-22 URBAN SPECIALTY PHARMACY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 7273279881
Plan sponsor’s address 1617 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711

Plan administrator’s name and address
Administrator’s EIN 452409830
Plan administrator’s name URBAN SPECIALTY PHARMACY, LLC
Plan administrator’s address 1617 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711
Administrator’s telephone number 7273279881
URBAN SPECIALTY PHARMACY, LLC 401(K) PLAN 2021 452409830 2022-07-18 URBAN SPECIALTY PHARMACY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 7273279881
Plan sponsor’s address 1617 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711

Plan administrator’s name and address
Administrator’s EIN 452409830
Plan administrator’s name URBAN SPECIALTY PHARMACY, LLC
Plan administrator’s address 1617 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711
Administrator’s telephone number 7273279881
URBAN SPECIALTY PHARMACY, LLC 401(K) PLAN 2020 452409830 2021-10-02 URBAN SPECIALTY PHARMACY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 7273279881
Plan sponsor’s address 1617 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711

Plan administrator’s name and address
Administrator’s EIN 452409830
Plan administrator’s name URBAN SPECIALTY PHARMACY, LLC
Plan administrator’s address 1617 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711
Administrator’s telephone number 7273279881
URBAN SPECIALTY PHARMACY, LLC 401(K) PLAN 2019 452409830 2020-07-20 URBAN SPECIALTY PHARMACY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 7273279881
Plan sponsor’s address 1617 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711

Plan administrator’s name and address
Administrator’s EIN 452409830
Plan administrator’s name URBAN SPECIALTY PHARMACY, LLC
Plan administrator’s address 1617 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711
Administrator’s telephone number 7273279881
URBAN SPECIALTY PHARMACY, LLC 401(K) PLAN 2018 452409830 2019-09-24 URBAN SPECIALTY PHARMACY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 7273279881
Plan sponsor’s address 1617 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711

Plan administrator’s name and address
Administrator’s EIN 452409830
Plan administrator’s name URBAN SPECIALTY PHARMACY, LLC
Plan administrator’s address 1617 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711
Administrator’s telephone number 7273279881
URBAN SPECIALTY PHARMACY, LLC 401(K) PLAN 2017 452409830 2018-10-05 URBAN SPECIALTY PHARMACY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 7273279881
Plan sponsor’s address 1617 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711

Plan administrator’s name and address
Administrator’s EIN 452409830
Plan administrator’s name URBAN SPECIALTY PHARMACY, LLC
Plan administrator’s address 1617 34TH STREET SOUTH, ST. PETERSBURG, FL, 33711
Administrator’s telephone number 7273279881

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing KIRIT PATIDAR
Valid signature Filed with authorized/valid electronic signature
URBAN SPECIALTY PHARMACY, LLC 401(K) PLAN 2016 452409830 2018-10-01 URBAN SPECIALTY PHARMACY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 7273279881
Plan sponsor’s address 3585 CENTRAL AVENUE, ST. PETERSBURG, FL, 33713

Plan administrator’s name and address
Administrator’s EIN 452409830
Plan administrator’s name URBAN SPECIALTY PHARMACY, LLC
Plan administrator’s address 3585 CENTRAL AVENUE, ST. PETERSBURG, FL, 33713
Administrator’s telephone number 7273279881
URBAN SPECIALTY PHARMACY, LLC 401(K) PLAN 2016 452409830 2018-01-17 URBAN SPECIALTY PHARMACY, LLC 5
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 7273279881
Plan sponsor’s address 1617 34TH STREET SOUTH, SUITE A, ST. PETERSBURG, FL, 33711

Plan administrator’s name and address
Administrator’s EIN 452409830
Plan administrator’s name URBAN SPECIALTY PHARMACY, LLC
Plan administrator’s address 1617 34TH STREET SOUTH, SUITE A, ST. PETERSBURG, FL, 33711
Administrator’s telephone number 7273279881
URBAN SPECIALTY PHARMACY, LLC 401(K) PLAN 2015 452409830 2016-10-14 URBAN SPECIALTY PHARMACY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 7273279881
Plan sponsor’s address 3585 CENTRAL AVENUE, ST. PETERSBURG, FL, 33713

Plan administrator’s name and address
Administrator’s EIN 452409830
Plan administrator’s name URBAN SPECIALTY PHARMACY, LLC
Plan administrator’s address 3585 CENTRAL AVENUE, ST. PETERSBURG, FL, 33713
Administrator’s telephone number 7273279881

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing KIRIT PATIDAR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MAGNUS FLAWS & CO, CPA'S, P.A. Agent 202 CRYSTAL GROVE BLVD, LUTZ, FL, 33548

Managing Member

Name Role Address
SHUKLA PARESH Managing Member 10105 QUEENS PARK DR, TAMPA, FL, 33647

Auth

Name Role Address
DUBAL HEMAL Auth 3535 CENTRAL AVE, ST. PETERSBURG, FL, 33713

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-01-17 1617 34th Street South, Suite A, ST. PETERSBURG, FL 33711 No data
CHANGE OF MAILING ADDRESS 2018-01-17 1617 34th Street South, Suite A, ST. PETERSBURG, FL 33711 No data

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-22
ANNUAL REPORT 2022-09-12
ANNUAL REPORT 2021-01-04
ANNUAL REPORT 2020-03-31
ANNUAL REPORT 2019-02-01
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-04-18
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-14

Related by officers

MAGNUS FLAWS & CO, CPA'S, P.A.

ALL PATRIOTS MEDIA, INC. THOMAS PAINE MARKETING GROUP, INC. THE PROGRAM OF LAND O' LAKES COMMUNITY, INC. KEBA, LLC K3A, LLC KAAA, LLC SHREE NARNARAYAN LLC CSPRX LLC KCN3 LLC OUR LITTLE SUITCASE LLC

SHUKLA PARESH

SHREE NARNARAYAN LLC

DUBAL HEMAL

H & B COALITION LLC KEBA, LLC U & R, LLC KEBA PROPERTY MANAGEMENT LLC HOSPITALITY REALTY GROUP LLC SUNCOAST VITAL CARE, INC.

Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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