| Entity Name: | CEPEMART PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
CEPEMART PHARMACY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 23 Apr 2015 (10 years ago) |
| Document Number: | L15000072007 |
| FEI/EIN Number |
47-3832506
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 958 HOME GROVE DRIVE, WINTER GARDEN, FL 34787 |
| Mail Address: | 1087 W ORANGE BLOSSOM TRL, APOPKA, FL 32712 |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699133421 | 2016-02-08 | 2022-10-20 | 958 HOME GROVE DR, WINTER GARDEN, FL, 347876513, US | 1087 W ORANGE BLOSSOM TRL, APOPKA, FL, 327123401, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 407-902-1855 |
| Phone | +1 407-703-5454 |
| Fax | 4078144349 |
Authorized person
| Name | PAUL OTENG-AMPONSAH |
| Role | RPH |
| Phone | 4079021855 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH29805 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2157979 |
| Issuer | MEDICAID |
| Number | 017790900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OTENG-AMPONSAH, PAUL | Manager | 958 HOME GROVE DRIVE, WINTER GARDEN, FL 34787 |
| OTENG-AMPONSAH, PAUL | Secretary | 958 HOME GROVE DRIVE, WINTER GARDEN, FL 34787 |
| SPIEGEL & UTRERA, P.A. | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000078506 | NORTH APOPKA PHARMACY | ACTIVE | 2015-07-29 | 2025-12-31 | - | 1087 W. ORANGE BLOSSOM TRAIL, UNIT 6, APOPKA, FL, 32712 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-02-21 | 958 HOME GROVE DRIVE, WINTER GARDEN, FL 34787 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-02-21 |
| ANNUAL REPORT | 2019-01-11 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-04-15 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
