| Entity Name: | NEW GEN RX LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Mar 2017 (8 years ago) |
| Document Number: | L17000064364 |
| FEI/EIN Number | 82-0931103 |
| Address: | 2751 n hiawasee rd, orlando, FL 32818 |
| Mail Address: | 2751 n hiawasee rd, orlando, FL 32818 |
| ZIP code: | 32818 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942470570 | 2008-03-11 | 2018-06-16 | 2751 N HIAWASSEE RD, ORLANDO, FL, 32818, US | 2751 N HIAWASSEE RD, ORLANDO, FL, 32818, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-770-6077 |
| Fax | 3212065127 |
Authorized person
| Name | ABISH THOMAS |
| Role | OWNER/PRESIDENT |
| Phone | 2126710415 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH30977 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH21266 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 030826900 |
| State | FL |
| Issuer | PK |
| Number | 2004480 |
| Name | Role | Address |
|---|---|---|
| Gulati Law,PL | Agent | 479 Montgomery PL, Altamonte Springs Pl, FL 32714 |
| Name | Role | Address |
|---|---|---|
| THOMAS, ABISH | President | 2751 n hiawasee rd, orlando, FL 32818 |
| Name | Role | Address |
|---|---|---|
| nalagandla, vamsee charan | vp | 2751 n hiawasee rd, orlando, FL 32818 |
| Name | Role | Address |
|---|---|---|
| mekapati, subhashini | Authorized Member | 2751 n hiawasee rd, ORLANDO, FL 32818 |
| BOGA, OMPRAKASH | Authorized Member | 2751 n hiawasee rd, orlando, FL 32818 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000066709 | RX MEDS PHARMACY | ACTIVE | 2017-06-16 | 2027-12-31 | No data | 11924 AUTUMN FERN LN, ORLANDOF, FL, 32827 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-04-11 | Gulati Law,PL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-11 | 479 Montgomery PL, Altamonte Springs Pl, FL 32714 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-01 | 2751 n hiawasee rd, orlando, FL 32818 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-01 | 2751 n hiawasee rd, orlando, FL 32818 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-03-11 |
| ANNUAL REPORT | 2022-04-16 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-04-10 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-03-01 |
| Florida Limited Liability | 2017-03-21 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
