| Entity Name: | EMPATH HEALTH PHARMACEUTICALS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Jul 2014 (11 years ago) |
| Document Number: | L14000112861 |
| FEI/EIN Number | 35-2512259 |
| Address: | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL 33760 |
| Mail Address: | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL 33760 |
| ZIP code: | 33760 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669856357 | 2015-07-13 | 2023-01-27 | 5771 ROOSEVELT BLVD, CLEARWATER, FL, 337603407, US | 4703 N FLORIDA AVE, TAMPA, FL, 336033734, US | |||||||||||||||||||||||
|
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| Phone | +1 727-586-4432 |
Authorized person
| Name | SAIDA BOUHAMID |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 9415527500 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH29226 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 017015500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HENDRICKS, CHRISTY | Agent | 6310 CAPITAL DRIVE, LAKEWOOD RANCH, FL 34202 |
| Name | Role | Address |
|---|---|---|
| FLEECE, JONATHAN D | President | 6310 CAPITAL DRIVE, LAKEWOOD RANCH, FL 34202 |
| Name | Role | Address |
|---|---|---|
| FLEECE, JONATHAN D | Chief Executive Officer | 6310 CAPITAL DRIVE, LAKEWOOD RANCH, FL 34202 |
| Name | Role | Address |
|---|---|---|
| HENDRICKSON, CHRISTY | Chief Learning Officer | 6310 CAPITAL DRIVE, LAKEWOOD RANCH, FL 34202 |
| Name | Role | Address |
|---|---|---|
| BOUHAMID, SAIDA | Chief Financial Officer | 6310 CAPITAL DRIVE, LAKEWOOD RANCH, FL 34202 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000130585 | EMPATH HEALTH PHARMACY | ACTIVE | 2021-09-29 | 2026-12-31 | No data | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL, 33760 |
| G14000098309 | EMPATH HEALTH PHARMACY | EXPIRED | 2014-09-26 | 2024-12-31 | No data | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL, 33760 |
| G14000077839 | EMPATH HEALTH PHARMACEUTICALS | EXPIRED | 2014-07-28 | 2024-12-31 | No data | 5771 ROOSEVELT BOULEVARD, SUITE 610, CLEARWATER, FL, 33760 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-26 | 6310 CAPITAL DRIVE, LAKEWOOD RANCH, FL 34202 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-25 | HENDRICKS, CHRISTY | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-01-25 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-01-29 |
| ANNUAL REPORT | 2015-02-25 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
