| Entity Name: | JUPITER COMPOUNDING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Apr 2014 (11 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L14000066919 |
| FEI/EIN Number | 46-5576900 |
| Address: | 155 TONEY PENNA DR., JUPITER, FL, 33478, US |
| Mail Address: | 155 TONEY PENNA DR., JUPITER, FL, 33478, US |
| ZIP code: | 33478 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841694510 | 2014-10-09 | 2017-03-09 | 155 TONEY PENNA DR, SUITE 1B, JUPITER, FL, 334585746, US | 155 TONEY PENNA DR STE 1B, JUPITER, FL, 334585746, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 561-203-8589 |
| Fax | 5614066816 |
| Fax | 5612035153 |
Authorized person
| Name | RAJ DATA |
| Role | OWNER/PRESIDENT/AO |
| Phone | 5612038589 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | PH28425 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2148293 |
| Name | Role | Address |
|---|---|---|
| DATA RAJKUMAR | Agent | 155 TONEY PENNA DR., JUPITER, FL, 33478 |
| Name | Role | Address |
|---|---|---|
| DATA RAJKUMAR | Authorized Member | 155 TONEY PENNA DR., JUPITER, FL, 33478 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000099068 | DIABETIC SUPPLIES PHARMACY | EXPIRED | 2018-09-06 | 2023-12-31 | No data | 10231 W SAMPLE RD, CORAL SPRINGS, FL, 33065 |
| G18000099071 | DIABETIC SUPPLIES SPECIALISTS | EXPIRED | 2018-09-06 | 2023-12-31 | No data | 10231 W SAMPLE RD, CORAL SPRINGS, FL, 33065 |
| G16000001713 | JUPITER PHARMACY | EXPIRED | 2016-01-05 | 2021-12-31 | No data | 155 TONEY PENNA DRIVE, SUITE - 1B, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-25 | 155 TONEY PENNA DR., SUITE 1B, JUPITER, FL 33478 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-25 | 155 TONEY PENNA DR., SUITE 1B, JUPITER, FL 33478 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-25 | 155 TONEY PENNA DR., SUITE 1B, JUPITER, FL 33478 | No data |
| LC AMENDMENT | 2015-11-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-11-10 | DATA, RAJKUMAR | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000506370 | TERMINATED | 1000000751517 | PALM BEACH | 2017-07-26 | 2027-08-31 | $ 926.17 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-25 |
| LC Amendment | 2015-11-10 |
| ANNUAL REPORT | 2015-04-30 |
| Florida Limited Liability | 2014-04-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
