| Entity Name: | RX CARE FOUR LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Jun 2012 (13 years ago) |
| Document Number: | L12000082471 |
| FEI/EIN Number | 45-5548721 |
| Mail Address: | 5908 Breckenridge Pkwy, Tampa, FL 33610 |
| Address: | 1270 Malabar RD SE, Ste 2, Palm Bay, FL 32907 |
| ZIP code: | 32907 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790747483 | 2006-04-06 | 2020-08-25 | 1270 MALABAR RD SE, SUITE 2, PALM BAY, FL, 32907, US | 1270 MALABAR RD SE, STE 2, PALM BAY, FL, 329073407, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 321-952-0656 |
| Fax | 3219520780 |
Authorized person
| Name | ALPESH PATEL |
| Role | OWNER |
| Phone | 8133042221 |
Taxonomy
| Taxonomy Code | 163WD0400X - Diabetes Educator Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26556 |
| 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 | PK |
| Number | 2138052 |
| Issuer | MEDICAID |
| Number | 007257600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WHITLOCK, KACEY | Agent | 5908 Breckenridge Pkwy, Tampa, FL 33610 |
| Name | Role | Address |
|---|---|---|
| WHITLOCK, KACEY | Secretary | 1270 Malabar RD SE, Ste 2 Palm Bay, FL 32907 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000066967 | PALM BAY PHARMACY | ACTIVE | 2020-06-15 | 2025-12-31 | No data | 5908 BRECKENRIDGE PKWY, TAMPA, FL, 33610 |
| G15000124819 | BENZER PHARMACY 116 | EXPIRED | 2015-12-10 | 2020-12-31 | No data | 1207 MALABAR RD SE, PALM BAY, FL, 32907 |
| G14000126167 | BENZER PHARMACY | ACTIVE | 2014-12-15 | 2025-12-31 | No data | 5908 BRECKENRIDGE PARKWAY, TAMPA, FL, 33610 |
| G12000094027 | RX CARE PHARMACY | EXPIRED | 2012-09-25 | 2017-12-31 | No data | 10845 STANDING STONE DR, WIMAUMA, FL, 33598 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-05-07 | WHITLOCK, KACEY | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-14 | 1270 Malabar RD SE, Ste 2, Palm Bay, FL 32907 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-21 | 1270 Malabar RD SE, Ste 2, Palm Bay, FL 32907 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-21 | 5908 Breckenridge Pkwy, Tampa, FL 33610 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-07 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-02-09 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-04-14 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
