| Entity Name: | EXPRESS SPECIALTY PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jul 2013 (12 years ago) |
| Document Number: | L13000103297 |
| FEI/EIN Number | 46-3246313 |
| Address: | 7303 N. Nebraska Ave., TAMPA, FL, 33604, US |
| Mail Address: | 7303 N. Nebraska Ave., TAMPA, FL, 33604, US |
| ZIP code: | 33604 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730503889 | 2014-02-10 | 2021-07-21 | 7303 N NEBRASKA AVE, TAMPA, FL, 336044918, US | 7303 N NEBRASKA AVE, TAMPA, FL, 336044918, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 813-288-0777 |
| Fax | 8884947084 |
Authorized person
| Name | OSAMA AL NAJJAR |
| Role | OWNER, PIC |
| Phone | 8134189991 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH27119 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010821600 |
| State | FL |
| Issuer | PK |
| Number | 2144254 |
| Name | Role | Address |
|---|---|---|
| AL NAJJAR OSAMA | Agent | 7303 N. Nebraska Ave., TAMPA, FL, 33604 |
| Name | Role | Address |
|---|---|---|
| AL NAJJAR OSAMA | Manager | 7303 N. Nebraska Ave., TAMPA, FL, 33604 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-03 | 7303 N. Nebraska Ave., TAMPA, FL 33604 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-03 | 7303 N. Nebraska Ave., TAMPA, FL 33604 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-03 | 7303 N. Nebraska Ave., TAMPA, FL 33604 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-01-16 | AL NAJJAR, OSAMA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-03 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-01-03 |
| ANNUAL REPORT | 2016-01-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
