| Entity Name: | RX GROUP ONE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 May 2012 (13 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 May 2022 (3 years ago) |
| Document Number: | L12000071715 |
| FEI/EIN Number | 45-5380239 |
| Address: | 305 CLYDE MORRIS BLVD, STE 200, ORMOND BEACH, FL, 32174, US |
| Mail Address: | 305 CLYDE MORRIS BLVD, STE 200, ORMOND BEACH, FL, 32174, US |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053662973 | 2012-10-02 | 2015-10-26 | 305 CLYDE MORRIS BLVD, SUITE # 200, ORMOND BEACH, FL, 321748181, US | 305 CLYDE MORRIS BLVD, SUITE # 200, ORMOND BEACH, FL, 321748181, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 386-872-7605 |
| Fax | 3864926337 |
Authorized person
| Name | PALAK PATEL |
| Role | OWNER |
| Phone | 3868727605 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26375 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007256400 |
| State | FL |
| Issuer | PK |
| Number | 2137218 |
| Name | Role | Address |
|---|---|---|
| PATEL PALAK R | Agent | 11227 TAEDA DR, ORLANDO, FL, 32832 |
| Name | Role | Address |
|---|---|---|
| PATEL PALAK | Manager | 11227 TAEDA DR, ORLANDO, FL, 32832 |
| Name | Role | Address |
|---|---|---|
| MENDPARA NIRUBEN | Authorized Member | 305 CLYDE MORRIS BLVD #200, ORMOND BEACH, FL, 32174 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000055407 | COMMUNITY PHARMACY OF ORMOND BEACH | ACTIVE | 2020-05-19 | 2025-12-31 | No data | 305 CLYDE MORRIS BLVD, SUITE # 200, ORMOND BEACH, FL, 32174 |
| G12000051087 | COMMUNITY PHARMACY OF DAYTONA | EXPIRED | 2012-06-04 | 2017-12-31 | No data | 1180 SPRING CENTER SOUTH BLVD., STE 330, ALTAMONTE SPRINGS, FL, 32714 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-05-24 | No data | No data |
| LC AMENDMENT | 2015-04-30 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-10-27 | 11227 TAEDA DR, ORLANDO, FL 32832 | No data |
| LC AMENDMENT | 2014-10-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-10-27 | 305 CLYDE MORRIS BLVD, STE 200, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF MAILING ADDRESS | 2014-10-27 | 305 CLYDE MORRIS BLVD, STE 200, ORMOND BEACH, FL 32174 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-10-27 | PATEL, PALAK R | No data |
| LC AMENDMENT | 2013-09-06 | No data | No data |
| LC AMENDMENT | 2012-10-25 | No data | No data |
| LC AMENDMENT | 2012-10-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-18 |
| LC Amendment | 2022-05-24 |
| ANNUAL REPORT | 2022-02-11 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-22 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
