Entity Name: | PINELLAS PARK DRUGS LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 11 Jun 2015 (10 years ago) |
Date of dissolution: | 19 Aug 2024 (6 months ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 19 Aug 2024 (6 months ago) |
Document Number: | L15000102269 |
FEI/EIN Number | 47-4412849 |
Mail Address: | 5908 Breckenridge Pkwy, TAMPA, FL, 33610, US |
Address: | 6280 66th St North, Pinellas Park, FL, 33781, US |
ZIP code: | 33781 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1710352075 | 2015-12-11 | 2020-10-02 | 6280 66TH STREET N., PINELLAS PARK, FL, 33781, US | 6280 66TH ST N, PINELLAS PARK, FL, 337815026, US | |||||||||||||||||||||||||||||||||||||||
|
Phone | +1 727-544-4203 |
Fax | 7275445200 |
Fax | 8882398423 |
Authorized person
Name | ALPESH PATEL |
Role | OWNER |
Phone | 8133042221 |
Taxonomy
Taxonomy Code | 163WD0400X - Diabetes Educator Registered Nurse |
Is Primary | No |
Taxonomy Code | 333600000X - Pharmacy |
License Number | PH29591 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
Is Primary | No |
Other Provider Identifiers
Issuer | PK |
Number | 2155889 |
Issuer | MEDICAID |
Number | 016388200 |
State | FL |
Name | Role | Address |
---|---|---|
PATEL ALPESH | Agent | 5908 Breckenridge Pkwy, TAMPA, FL, 33610 |
Name | Role | Address |
---|---|---|
PATEL ALPESH | Manager | 5908 BRECKENRIDGE PKWY, TAMPA, FL, 33610 |
PATEL MANISH | Manager | 5908 BRECKENRIDGE PKWY, TAMPA, FL, 33610 |
Name | Role |
---|---|
BENZER PHARMACY HOLDING LLC | Authorized Member |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G20000115172 | PINELLAS PARK DRUGS | ACTIVE | 2020-09-04 | 2025-12-31 | No data | 5908 BRECKENRIDGE PARKWAY, TAMPA, FL, 33610 |
G20000066957 | LOTUS PHARMACY | ACTIVE | 2020-06-15 | 2025-12-31 | No data | 5908 BRECKENRIDGE PARKWAY, TAMPA, FL, 33610 |
G15000125234 | BENZER PHARMACY 148 | EXPIRED | 2015-12-11 | 2020-12-31 | No data | 125 W COUNTRY CLUB DR, TAMPA, FL, 33612 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2024-08-19 | No data | No data |
LC NAME CHANGE | 2020-07-21 | PINELLAS PARK DRUGS LLC | No data |
LC NAME CHANGE | 2020-06-15 | LOTUS PHARMACY LLC | No data |
LC AMENDMENT | 2018-10-08 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2017-03-21 | 6280 66th St North, Pinellas Park, FL 33781 | No data |
CHANGE OF MAILING ADDRESS | 2017-03-21 | 6280 66th St North, Pinellas Park, FL 33781 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2017-03-21 | 5908 Breckenridge Pkwy, TAMPA, FL 33610 | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2024-08-19 |
ANNUAL REPORT | 2023-04-27 |
ANNUAL REPORT | 2022-02-09 |
ANNUAL REPORT | 2021-04-07 |
LC Name Change | 2020-07-21 |
ANNUAL REPORT | 2020-06-23 |
LC Name Change | 2020-06-15 |
ANNUAL REPORT | 2019-02-20 |
LC Amendment | 2018-10-08 |
ANNUAL REPORT | 2018-04-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State