| Entity Name: | PHARMAMEDRX LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 28 Oct 2015 (9 years ago) |
| Date of dissolution: | 10 Aug 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 Aug 2023 (a year ago) |
| Document Number: | L15000183336 |
| FEI/EIN Number | 47-5455486 |
| Address: | 7960 Central Industrial Dr, STE 120, West Palm Beach, FL 33404 |
| Mail Address: | 7960 Central Industrial Dr, STE 120, West Palm Beach, FL 33404 |
| ZIP code: | 33404 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | PHARMAMEDRX LLC, RHODE ISLAND | 001661093 | RHODE ISLAND |
| Headquarter of | PHARMAMEDRX LLC, ALABAMA | 000-355-988 | ALABAMA |
| Headquarter of | PHARMAMEDRX LLC, NEW YORK | 4908293 | NEW YORK |
| Headquarter of | PHARMAMEDRX LLC, MINNESOTA | abd292c3-2c6a-eb11-917f-00155d01c43b | MINNESOTA |
| Headquarter of | PHARMAMEDRX LLC, KENTUCKY | 1105639 | KENTUCKY |
| Headquarter of | PHARMAMEDRX LLC, COLORADO | 20201618810 | COLORADO |
| Headquarter of | PHARMAMEDRX LLC, CONNECTICUT | 1351742 | CONNECTICUT |
| Headquarter of | PHARMAMEDRX LLC, IDAHO | 3944244 | IDAHO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689030470 | 2016-01-08 | 2016-06-23 | 1201 US HIGHWAY 1, SUITE 1, NORTH PALM BEACH, FL, 334083550, US | 1201 US HIGHWAY 1 STE 1, NORTH PALM BEACH, FL, 334083546, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 866-855-6468 |
| Fax | 5616195169 |
Authorized person
| Name | JENNIFER MOONEY THOMPSON |
| Role | DIRECTOR OF PHARMACY OPERATIONS |
| Phone | 8668556468 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 4635 |
| State | IA |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH29738 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 1648-43 |
| State | WI |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | P07139 |
| State | MD |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 0214001819 |
| State | VA |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 264992 |
| State | MN |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 400-1538 |
| State | SD |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 14722/7.1 |
| State | MS |
| Is Primary | No |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| License Number | PHY.007319-NR |
| State | LA |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2157904 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHARMAMEDRX 401(K) PLAN | 2023 | 475455486 | 2024-05-16 | PHARMAMEDRX LLC | 46 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-16 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 424210 |
| Sponsor’s telephone number | 8668556468 |
| Plan sponsor’s address | 7960 CENTRAL INDUSTRIAL DR, SUITE 305C, WEST PALM BEACH, FL, 33404 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-26 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 424210 |
| Sponsor’s telephone number | 5616141090 |
| Plan sponsor’s address | 1201 US HIGHWAY 1, SUITE 305C, NORTH PALM BEACH, FL, 33408 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-01 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| GENTILE, GAIL | Chief Executive Officer | 7960 Central Industrial Dr, STE 120 West Palm Beach, FL 33404 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000006149 | MINT PHARMACY AND SKIN CARE | EXPIRED | 2019-01-11 | 2024-12-31 | No data | 1201 US HIGHWAY 1, SUITE 305, NORTH PALM BEACH, FL, 33408 |
| G16000016051 | MINT PHARMACY AND SKIN CLINIC | EXPIRED | 2016-02-12 | 2021-12-31 | No data | 4623 SUDLEY ROAD, CATHARPIN, VA, 20143 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-08-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-21 | 7960 Central Industrial Dr, STE 120, West Palm Beach, FL 33404 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-21 | 7960 Central Industrial Dr, STE 120, West Palm Beach, FL 33404 | No data |
| LC STMNT OF RA/RO CHG | 2022-12-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-08 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-12-08 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2023-08-16 |
| VOLUNTARY DISSOLUTION | 2023-08-10 |
| ANNUAL REPORT | 2023-02-21 |
| CORLCRACHG | 2022-12-08 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-01-10 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-02-16 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
