| Entity Name: | INSIGHT PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Feb 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Apr 2018 (7 years ago) |
| Document Number: | L15000035209 |
| FEI/EIN Number | 47-3241255 |
| Address: | 1443 S. ORLANDO AVE, MAITLAND, FL, 32751, US |
| Mail Address: | 1443 S. ORLANDO AVE, MAITLAND, FL, 32751, US |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992178271 | 2015-11-09 | 2015-11-09 | 1443 S ORLANDO AVE, SUITE B, MAITLAND, FL, 327516436, US | 1443 S ORLANDO AVE STE B, MAITLAND, FL, 327516436, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 407-960-3784 |
| Fax | 4079603786 |
Authorized person
| Name | TOM TRAN |
| Role | PHARMACIST |
| Phone | 4079603784 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH29207 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2154998 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INSIGHT PHARMACY LLC 401(K) PROFIT SHARING PLAN & TRUST | 2022 | 473241255 | 2023-06-27 | INSIGHT PHARMACY LLC | 3 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2023-06-27 |
| Name of individual signing | WENDY PHAM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 4074042378 |
| Plan sponsor’s address | 1443 S. ORLANDO AVE, MAITLAND, FL, 32751 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-27 |
| Name of individual signing | WENDY PHAM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 4074042378 |
| Plan sponsor’s address | 1443 S. ORLANDO AVE, MAITLAND, FL, 32751 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-19 |
| Name of individual signing | WENDY PHAM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 4074042378 |
| Plan sponsor’s address | 1443 S. ORLANDO AVE, MAITLAND, FL, 32751 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-27 |
| Name of individual signing | WENDY PHAM |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PHAM LIEN | Agent | 1443 S. ORLANDO AVE, MAITLAND, FL, 32751 |
| Name | Role | Address |
|---|---|---|
| PHAM LIEN THUY | Authorized Member | 1443 South Orlando Ave, Maitland, FL, 32751 |
| TRAN THONG MINH | Authorized Member | 1443 South Orlando Ave, Maitland, FL, 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-22 | 1443 S. ORLANDO AVE, Suite B, MAITLAND, FL 32751 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-22 | 1443 S. ORLANDO AVE, Suite B, MAITLAND, FL 32751 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-22 | 1443 S. ORLANDO AVE, Suite B, MAITLAND, FL 32751 | No data |
| REINSTATEMENT | 2018-04-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2016-12-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-12-09 | PHAM, LIEN | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| LC STMNT OF RA/RO CHG | 2016-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-14 |
| REINSTATEMENT | 2018-04-24 |
| REINSTATEMENT | 2016-12-09 |
| CORLCRACHG | 2016-09-19 |
| Florida Limited Liability | 2015-02-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
