| Entity Name: | SAMARA PHARMACY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Apr 2012 (13 years ago) |
| Document Number: | L12000045642 |
| FEI/EIN Number | 45-4956305 |
| Address: | 7855 ARGYLE FOREST BLVD. UNIT 801, JACKSONVILLE, FL, 32244, FL |
| Mail Address: | 7855 Argyle Forest Blvd, Unit 801, Jacksonville, FL, 32244, US |
| ZIP code: | 32244 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518204882 | 2013-01-07 | 2016-01-13 | 7855 ARGYLE FOREST BLVD STE 801, JACKSONVILLE, FL, 322447706, US | 7855 ARGYLE FOREST BLVD STE 801, JACKSONVILLE, FL, 322447706, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-800-1888 |
| Fax | 9046191129 |
Authorized person
| Name | SATISH BADDAM |
| Role | PHARMACY MANAGER |
| Phone | 9048001888 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26364 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2138460 |
| Issuer | MEDICAID |
| Number | 007862000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| baddam satish | Agent | 7855 ARGYLE FOREST BLVD. UNIT 801, JACKSONVILLE, FL, 32244 |
| Name | Role | Address |
|---|---|---|
| baddam satish | President | 7855 ARGYLE FOREST BLVD. UNIT 801, JACKSONVILLE, FL, 32244 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000024992 | MEDSMART PHARMACY | EXPIRED | 2018-02-19 | 2023-12-31 | No data | 319 SAINT JOHNS FOREST BLVD, SAINT JOHNS, FL, 32259 |
| G12000039973 | MEDSMART PHARMACY | EXPIRED | 2012-04-27 | 2017-12-31 | No data | 3486 LAUREL MILL DR, ORANGE PARK, FL, 32065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-03-07 | baddam, satish | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-10 | 7855 ARGYLE FOREST BLVD. UNIT 801, JACKSONVILLE, FL 32244 FL | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-09-07 | 7855 ARGYLE FOREST BLVD. UNIT 801, JACKSONVILLE, FL 32244 FL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-09-07 | 7855 ARGYLE FOREST BLVD. UNIT 801, JACKSONVILLE, FL 32244 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-04-21 |
| AMENDED ANNUAL REPORT | 2019-03-07 |
| ANNUAL REPORT | 2019-02-22 |
| ANNUAL REPORT | 2018-04-08 |
| ANNUAL REPORT | 2017-03-18 |
| ANNUAL REPORT | 2016-04-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
