| Entity Name: | CENTRAL TAMPA PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Jul 2019 (6 years ago) |
| Document Number: | L19000172610 |
| FEI/EIN Number | 84-2412459 |
| Address: | 5010 NORTH 40TH ST., 201, TAMPA, FL 33610 |
| Mail Address: | 2808 Wyndham Way, Melbourne, FL 32940 |
| ZIP code: | 33610 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477186724 | 2020-02-14 | 2020-02-14 | 5010 N 40TH ST STE 201, TAMPA, FL, 336105202, US | 5010 N 40TH ST STE 201, TAMPA, FL, 336105202, US | |||||||||||||||
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| Phone | +1 813-683-4353 |
| Fax | 8776277860 |
Authorized person
| Name | ANKUR SHAH |
| Role | MANAGER |
| Phone | 3214320675 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Shah, Ankur | Agent | 2808 Wyndham Way, MELBOURNE, FL 32940 |
| Name | Role | Address |
|---|---|---|
| PATEL, RAJESH | Manager | 2808 Wyndham Way, Melbourne, FL 32940 |
| SHAH, ANKUR | Manager | 2808 Wyndham Way, Melbourne, FL 32940 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000080698 | CARE 360 PHARMACY LTC | ACTIVE | 2020-07-09 | 2025-12-31 | No data | 5010 NORTH 40TH ST, STE 201, TAMPA, FL, 33610 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-02-02 | 5010 NORTH 40TH ST., 201, TAMPA, FL 33610 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-02 | Shah, Ankur | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-02 | 2808 Wyndham Way, MELBOURNE, FL 32940 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-06-26 |
| Florida Limited Liability | 2019-07-02 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
