| Entity Name: | CARE CENTRIX PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Jan 2018 (7 years ago) |
| Document Number: | L18000006483 |
| FEI/EIN Number | 82-4037918 |
| Address: | 3585 MURRELL ROAD, ROCKLEDGE, FL 32955 |
| Mail Address: | 3585 MURRELL ROAD, ROCKLEDGE, FL 32955 |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134617517 | 2018-05-01 | 2018-05-01 | 3585 MURRELL RD, UNIT A, ROCKLEDGE, FL, 329554779, US | 3585 MURRELL RD STE A, ROCKLEDGE, FL, 329554779, US | |||||||||||||||||||||||||||
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| Phone | +1 321-877-0539 |
| Fax | 8772329689 |
Authorized person
| Name | ANKUR SHAH |
| Role | PIC |
| Phone | 3214320675 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH31364 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2177405 |
| Name | Role | Address |
|---|---|---|
| SHAH, ANKUR A | Agent | 3585 MURRELL ROAD, ROCKLEDGE, FL 32955 |
| Name | Role | Address |
|---|---|---|
| SHAH, ANKUR A | Manager | 3585 MURRELL ROAD, ROCKLEDGE, FL 32955 |
| PATEL, RAJESH A | Manager | 3585 MURRELL ROAD, ROCKLEDGE, FL 32955 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000078185 | CARE 360 PHARMACY LTC | ACTIVE | 2020-07-03 | 2025-12-31 | No data | 3585 MURRELL ROAD, STE A, ROCKLEDGE, FL, 32955 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-01-31 |
| ANNUAL REPORT | 2019-02-12 |
| Florida Limited Liability | 2018-01-08 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
