| Entity Name: | OMNI CARE PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jun 2015 (10 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 04 Aug 2017 (8 years ago) |
| Document Number: | L15000105881 |
| FEI/EIN Number | 81-1971092 |
| Address: | 4432 HENDRICKS AVE, JACKSONVILLE, FL, 32207, US |
| Mail Address: | 4432 HENDRICKS AVE, JACKSONVILLE, FL, 32207, US |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780126250 | 2016-11-15 | 2024-05-29 | 4432 HENDRICKS AVE, JACKSONVILLE, FL, 322076326, US | 4432 HENDRICKS AVE, JACKSONVILLE, FL, 322076326, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 904-423-0123 |
| Fax | 9043796446 |
Authorized person
| Name | DR. WILLIAM PATRICK NIMO |
| Role | PHARMACIST IN CHARGE |
| Phone | 9044230123 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH30259 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2166675 |
| Name | Role | Address |
|---|---|---|
| NIMO WILLIAM | Agent | 2031 PIPING PLOVER WAY, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| NIMO WILLIAM | Manager | 2031 PIPING PLOVER WAY, JACKSONVILLE, FL, 32224 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000031451 | OMNI CARE PHARMACY | ACTIVE | 2017-03-24 | 2027-12-31 | No data | 4432 HENDRICKS AVE., JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2017-09-26 | 4432 HENDRICKS AVE, JACKSONVILLE, FL 32207 | No data |
| LC AMENDMENT | 2017-08-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-08-04 | NIMO, WILLIAM | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-08-13 | 4432 HENDRICKS AVE, JACKSONVILLE, FL 32207 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-10 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-01 |
| ANNUAL REPORT | 2018-03-09 |
| LC Amendment | 2017-08-04 |
| ANNUAL REPORT | 2017-02-21 |
| AMENDED ANNUAL REPORT | 2016-08-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
