| Entity Name: | SHIVSAI RX, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
SHIVSAI RX, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 24 Feb 2014 (11 years ago) |
| Document Number: | L14000031917 |
| FEI/EIN Number |
46-5204894
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1808 S French Ave, Sanford, FL 32771 |
| Mail Address: | 1808 S French Ave, SANFORD, FL 32771 |
| ZIP code: | 32771 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699186338 | 2014-05-15 | 2022-09-20 | 1808 S FRENCH AVE, SANFORD, FL, 32771, US | 1808 S FRENCH AVE, SANFORD, FL, 32771, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 407-323-7922 |
| Fax | 4073237927 |
Authorized person
| Name | VIJAY BHALALA |
| Role | OWNER AND MANAGER |
| Phone | 4073237922 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013317100 |
| State | FL |
| Issuer | PHARMACY LICENSE |
| Number | PH28250 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MAVANI, TUSHAR I | Agent | 1808 S French Ave, SANFORD, FL 32771 |
| MAVANI, TUSHAR I | Authorized Member | 1304 SE 46th Street, OCALA, FL 34480 |
| BHALALA, VIJAY B | Manager | 13549 CURREY LANE, CHANTILLY, VA |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000073239 | SANFORD DISCOUNT PHARMACY | ACTIVE | 2014-07-15 | 2029-12-31 | - | 1808 S FRENCH AVE, SANFORD, FL, 32771 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-03 | 1808 S French Ave, SANFORD, FL 32771 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-25 | 1808 S French Ave, Sanford, FL 32771 | - |
| CHANGE OF MAILING ADDRESS | 2015-03-25 | 1808 S French Ave, Sanford, FL 32771 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-01-18 |
| ANNUAL REPORT | 2018-01-31 |
| ANNUAL REPORT | 2017-02-08 |
| ANNUAL REPORT | 2016-02-17 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3509427303 | 2020-04-29 | 0491 | PPP | 4851 SW 62ND ST, OCALA, FL, 34474 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 21 Feb 2025
Sources: Florida Department of State
