| Entity Name: | NEPTUNE BEACH PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
NEPTUNE BEACH 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 16 Apr 2012 (13 years ago) |
| Date of dissolution: | 28 Sep 2018 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (7 years ago) |
| Document Number: | L12000051431 |
| FEI/EIN Number |
45-5060909
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1529 ATLANTIC BOULEVARD, NEPTUNE BEACH, FL, 32266 |
| Mail Address: | 1529 ATLANTIC BOULEVARD, NEPTUNE BEACH, FL, 32266 |
| ZIP code: | 32266 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518212182 | 2012-07-19 | 2012-11-14 | 1529 ATLANTIC BLVD, NEPTUNE BEACH, FL, 322661717, US | 1529 ATLANTIC BLVD, NEPTUNE BEACH, FL, 322661717, US | |||||||||||||||||||||||
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| Phone | +1 904-685-4919 |
| Fax | 9046852390 |
Authorized person
| Name | EDET SAMPSON |
| Role | PHARMACIST OWNER |
| Phone | 9046193450 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26227 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5710911 |
| Name | Role | Address |
|---|---|---|
| SAMPSON EDET U | Managing Member | 1668 HIDDEN FOREST LANE, JACKSONVILLE, FL, 32225 |
| SAMPSON ANIEKAN U | Vice President | 2054 RIVERSIDE AVENUE, Jacksonville, FL, 32204 |
| SAMPSON GRACE U | Vice President | 1668 HIDDEN FOREST LANE, JACKSONVILLE, FL, 32225 |
| SAMPSON EDET U | Agent | 1668 HIDDEN FOREST LANE, JACKSONVILLE, FL, 32225 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| REINSTATEMENT | 2015-07-16 | - | - |
| REGISTERED AGENT NAME CHANGED | 2015-07-16 | SAMPSON, EDET U | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-26 |
| ANNUAL REPORT | 2016-03-25 |
| REINSTATEMENT | 2015-07-16 |
| Florida Limited Liability | 2012-04-16 |
Date of last update: 01 May 2025
Sources: Florida Department of State
