| Entity Name: | ECKERDS PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ECKERDS 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: | 03 Jan 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 03 Jan 2024 (a year ago) |
| Document Number: | L17000001440 |
| FEI/EIN Number |
81-4822539
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4404 66TH STREET N, KENNETH CITY, FL, 33709, US |
| Mail Address: | 4404 66TH STREET N, KENNETH CITY, FL, 33709, US |
| ZIP code: | 33709 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578198560 | 2020-03-10 | 2024-01-18 | 4404 66TH ST N, KENNETH CITY, FL, 337094922, US | 4404 66TH ST N, KENNETH CITY, FL, 337094922, US | |||||||||||||||||||||
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| Phone | +1 727-513-1107 |
| Fax | 7275131109 |
Authorized person
| Name | BHAVESHKUMAR PATEL |
| Role | AUTHORIZED OFFICER |
| Phone | 8139004995 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101899100 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ECKERDS PHARMACY 401(K) PLAN | 2022 | 814822539 | 2023-05-22 | ECKERDS PHARMACY LLC | 29 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-05-22 |
| Name of individual signing | VIKRAM RAO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 9415387122 |
| Plan sponsor’s address | 5139 MANATEE AVE WEST, BRADENTON, FL, 34209 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-23 |
| Name of individual signing | VIKRAM RAO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 9415387122 |
| Plan sponsor’s address | 5139 MANATEE AVE WEST, BRADENTON, FL, 34209 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-11 |
| Name of individual signing | VIKRAM RAO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PATEL BHAVESHKUMAR B | Manager | 11342 AMERICAN HOLLY DR, RIVERVIEW, FL, 33578 |
| PATEL MANANKUMAR N | Authorized Member | 4404 66TH STREET NORTH, KENNETH CITY, FL, 33709 |
| PATEL RAJDEEP | Authorized Member | 4404 66TH STREET NORTH, KENNETH CITY, FL, 33709 |
| PATEL DHRUV | Authorized Member | 4404 66TH STREET NORTH, KENNETH CITY, FL, 33709 |
| PATEL MANANKUMAR B | Authorized Member | 19201 VERDANT PASTURE WAY, TAMPA, FL, 33647 |
| PATEL BHAVESHKUMAR B | Agent | 4404 66TH STREET N, KENNETH CITY, FL, 33709 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000011346 | VISTARA SPECIALTY PHARMACY | ACTIVE | 2024-01-19 | 2029-12-31 | - | 4404 66TH STREET NORTH, KENNETH CITY, FL, 33709 |
| G23000158404 | VISTARA PHARMACY | ACTIVE | 2023-12-28 | 2028-12-31 | - | 4404 66TH STREET NORTH, KENNETH CITY, FL, 33709 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-01-03 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-30 |
| ANNUAL REPORT | 2024-01-09 |
| LC Amendment | 2024-01-03 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-02-22 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-02-06 |
| Florida Limited Liability | 2017-01-03 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6982597710 | 2020-05-01 | 0455 | PPP | 2902 59TH ST W STE R, BRADENTON, FL, 34209-7021 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
