| Entity Name: | VISTA SPECIALTY PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
VISTA SPECIALTY 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: | 15 Jul 2013 (12 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | L13000100141 |
| FEI/EIN Number |
NOT APPLICABLE
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2039 East Edgewood Drive, Lakeland, FL, 33803, US |
| Mail Address: | 2273 LEE ROAD, WINTER PARK, FL, 32789, US |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750712501 | 2013-12-04 | 2016-03-03 | 235 W HWY 50, CLERMONT, FL, 347113027, US | 235 W HIGHWAY 50, CLERMONT, FL, 347113027, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-241-6293 |
| Fax | 3529895849 |
Authorized person
| Name | MEYYAPPAN RAMANATHAN |
| Role | DIRECTOR OF PHARMACY |
| Phone | 5703415728 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| License Number | PH27256 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2143187 |
| Name | Role | Address |
|---|---|---|
| MATHOW SANDEEP | Manager | 5703 RED BUG LAKE ROAD, WINTER SPRINGS, FL, 34711 |
| ROHATGI SWATANTRA | Manager | 5703 RED BUG LAKE ROAD, WINTER SPRINGS, FL, 34711 |
| MATHOW SANDEEP | Agent | 5703 RED BUG LAKE ROAD, WINTER SPRINGS, FL, 34711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000028921 | SMART RX PHARMACY | EXPIRED | 2018-02-28 | 2023-12-31 | - | 5703 RED BUG LAKE ROAD # 256, WINTER SPRINGS, FL, 32708 |
| G14000102802 | KEY HEALTH PHARMACY | EXPIRED | 2014-10-09 | 2019-12-31 | - | 1500 OAKLEY SEAVER DRIVE, #3, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-21 | 2039 East Edgewood Drive, Lakeland, FL 33803 | - |
| CHANGE OF MAILING ADDRESS | 2019-11-26 | 2039 East Edgewood Drive, Lakeland, FL 33803 | - |
| LC AMENDMENT | 2017-07-13 | - | - |
| REGISTERED AGENT NAME CHANGED | 2017-07-13 | MATHOW, SANDEEP | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-19 | 5703 RED BUG LAKE ROAD, #256, WINTER SPRINGS, FL 34711 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-01 |
| LC Amendment | 2017-07-13 |
| ANNUAL REPORT | 2017-04-03 |
| AMENDED ANNUAL REPORT | 2016-06-30 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-03-18 |
| ANNUAL REPORT | 2014-04-30 |
| Florida Limited Liability | 2013-07-15 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
