| Entity Name: | CENTRAL CARE PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 17 Jul 2014 (11 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L14000112789 |
| Address: | 2815 DIRECTORS ROW, SUITE 700, ORLANDO, FL 32809 |
| Mail Address: | 2815 DIRECTORS ROW, SUITE 700, ORLANDO, FL 32809 |
| ZIP code: | 32809 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609272541 | 2014-11-04 | 2014-11-04 | 2815 DIRECTORS ROW, SUITE 700, ORLANDO, FL, 328095520, US | 2815 DIRECTORS ROW, SUITE 700, ORLANDO, FL, 328095520, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 407-270-6722 |
Authorized person
| Name | MR. SRIDHAR NADIMPALLI |
| Role | PHARMACY MANAGER |
| Phone | 4072706722 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH28687 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | PH28687 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NALLAVOLU, SRIKAR | Agent | 8548 GEDDES LOOP, ORLANDO, FL 32836 |
| Name | Role | Address |
|---|---|---|
| NADIMPALLI, SRIDHAR | Manager | 12006 XENIA LN, ORLANDO, FL 32827 |
| NALLAVOLU, SRIKAR | Manager | 8548 GEDDES LOOP, ORLANDO, FL 32836 |
| NADIMPALLI, OMPHANIDHAR | Manager | 492 ADAM LANE, MECHANICSBURG, PA 17050 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| LC AMENDMENT | 2016-05-05 | No data | No data |
| LC AMENDMENT | 2015-12-08 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2016-05-05 |
| ANNUAL REPORT | 2016-04-30 |
| LC Amendment | 2015-12-08 |
| ANNUAL REPORT | 2015-02-09 |
| Florida Limited Liability | 2014-07-17 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
