| Entity Name: | WINTER SPRINGS PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Nov 2014 (10 years ago) |
| Document Number: | L14000176496 |
| FEI/EIN Number | 47-3086502 |
| Address: | 5942 Red Bug Lake Road, Winter Springs, FL, 32708, US |
| Mail Address: | 5942 Red Bug Lake Road, Winter Springs, FL, 32780, US |
| ZIP code: | 32708 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114437936 | 2017-10-06 | 2017-10-06 | 5942 RED BUG LAKE RD, WINTER SPRINGS, FL, 327085035, US | 5942 RED BUG LAKE RD, WINTER SPRINGS, FL, 327085035, US | |||||||||||||||||||||||
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| Phone | +1 321-316-4615 |
| Fax | 3213164619 |
| Fax | 3213164615 |
Authorized person
| Name | JOSEPH MARVIN MCCREIGHT |
| Role | PHARMACIST |
| Phone | 3213164615 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015055100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AGGARWAL NITI | Agent | 5942 Red Bug Lake Road, Winter Springs, FL, 32708 |
| Name | Role | Address |
|---|---|---|
| AGGARWAL NITI | President | 3656 Farm Bell Place, Lake Mary, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| MCCreight Joseph m | Member | 3212 Chardonnay Court, Longwood, FL, 32779 |
| Name | Role | Address |
|---|---|---|
| aggarwal deepak | Auth | 5942 Red Bug Lake Road, Winter Springs, FL, 32708 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-11 | 5942 Red Bug Lake Road, Winter Springs, FL 32708 | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-11 | 5942 Red Bug Lake Road, Winter Springs, FL 32708 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-11 | 5942 Red Bug Lake Road, Winter Springs, FL 32708 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-05-02 |
| ANNUAL REPORT | 2015-02-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
