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A PLUS PHARMACY & MEDICAL SUPPLY LLC

Headquarter

Company Details

Entity Name: A PLUS PHARMACY & MEDICAL SUPPLY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Jan 2017 (8 years ago)
Document Number: L17000012756
FEI/EIN Number 81-4990970
Address: 1303 SE 17TH ST, D1, FORT LAUDERDALE, FL, 33316
Mail Address: 1303 SE 17TH ST, D1, FORT LAUDERDALE, FL, 33316
ZIP code: 33316
County: Broward
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of A PLUS PHARMACY & MEDICAL SUPPLY LLC, NEW YORK 5968705 NEW YORK
Headquarter of A PLUS PHARMACY & MEDICAL SUPPLY LLC, ILLINOIS LLC_09044701 ILLINOIS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225564107 2017-05-11 2017-05-11 1303 SE 17TH ST, SUITE D1, FORT LAUDERDALE, FL, 333161722, US 1303 SE 17TH ST, SUITE D1, FORT LAUDERDALE, FL, 333161722, US

Contacts

Phone +1 954-687-0774
Fax 9547523989

Authorized person

Name MR. ANTOINE MOURANI
Role PHARMACIST IN CHARGE
Phone 9546870774

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number PH30690
State FL
Is Primary No
Taxonomy Code 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
License Number PH30690
State FL
Is Primary No
Taxonomy Code 333600000X - Pharmacy
License Number PH30690
State FL
Is Primary Yes
Taxonomy Code 3336S0011X - Specialty Pharmacy
License Number PH30690
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
A PLUS PHARMACY & MEDICAL SUPPLY 401(K) PLAN 2023 814990970 2024-05-13 A PLUS PHARMACY & MEDICAL SUPPLY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 423400
Sponsor’s telephone number 9546870774
Plan sponsor’s address 1303 SE 17TH ST, D1, FORT LAUDERDALE, FL, 33316

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 2024-05-13
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
A PLUS PHARMACY & MEDICAL SUPPLY 401(K) PLAN 2022 814990970 2023-05-27 A PLUS PHARMACY & MEDICAL SUPPLY LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 423400
Sponsor’s telephone number 9546870774
Plan sponsor’s address 1303 SE 17TH ST, D1, FORT LAUDERDALE, FL, 33316

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 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
A PLUS PHARMACY & MEDICAL SUPPLY 401(K) PLAN 2021 814990970 2022-06-01 A PLUS PHARMACY & MEDICAL SUPPLY LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 423400
Sponsor’s telephone number 9546870774
Plan sponsor’s address 1303 SE 17TH ST D1, FORT LAUDERDALE, FL, 33316

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
A PLUS PHARMACY & MEDICAL SUPPLY 401(K) PLAN 2020 814990970 2021-06-09 A PLUS PHARMACY & MEDICAL SUPPLY LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 423400
Sponsor’s telephone number 9546870774
Plan sponsor’s address 1303 SE 17TH ST D1, FORT LAUDERDALE, FL, 33316

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2021-06-09
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MOURANI ANTOINE Agent 1303 SE 17TH ST, FORT LAUDERDALE, FL, 33316

Manager

Name Role Address
MOURANI ANTOINE Manager 1303 SE 17TH ST, STE D1, FORT LAUDERDALE, FL, 33316

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000110780 MEDIPORT MOBILE EXPIRED 2017-10-06 2022-12-31 No data 1303 SE 17TH ST, SUITE D1, FORT LAUDERDALE, FL, 33316

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-01-06
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-16
ANNUAL REPORT 2018-03-14
Florida Limited Liability 2017-01-17

Date of last update: 02 Feb 2025

Sources: Florida Department of State