| Entity Name: | KACHEEZ PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Mar 2016 (9 years ago) |
| Document Number: | L16000052256 |
| FEI/EIN Number | 81-1800000 |
| Address: | 122 W. MOWRY DR., HOMESTEAD, FL 33030 |
| Mail Address: | 122 W Mowry Dr, HOMESTEAD, FL 33030 |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083161160 | 2016-09-06 | 2017-03-31 | 122 W MOWRY DR, HOMESTEAD, FL, 330305904, US | 122 W MOWRY DR, HOMESTEAD, FL, 330305904, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 305-247-6006 |
| Fax | 3052476005 |
Authorized person
| Name | ONYEKACHI NWAGERUE |
| Role | PHARMACY MANAGER |
| Phone | 9542969345 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH30344 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 019429700 |
| State | FL |
| Issuer | PK |
| Number | 2164022 |
| Name | Role | Address |
|---|---|---|
| NWAGERUE, ONYEKACHI N | Agent | 122 W Mowry Dr, HOMESTEAD, FL 33030 |
| Name | Role | Address |
|---|---|---|
| NWAGERUE, ONYEKACHI N | Manager | 122 W Mowry Dr, HOMESTEAD, FL 33030 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2017-01-18 | 122 W. MOWRY DR., HOMESTEAD, FL 33030 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-18 | 122 W Mowry Dr, HOMESTEAD, FL 33030 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-21 | 122 W. MOWRY DR., HOMESTEAD, FL 33030 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J25000069653 | ACTIVE | 2024-188653-CC-26 | COUNTY COURT MIAMI-DADE | 2025-01-14 | 2030-01-30 | $15313.47 | 1982 CAMPBELL HOLDINGS, LLC, 8500 SW 8TH STREET, SUITE 228, MIAMI, FL 33144 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-03-15 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-01-18 |
| Florida Limited Liability | 2016-03-14 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
