| Entity Name: | DIRECT CARE PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Oct 2020 (4 years ago) |
| Document Number: | L20000321177 |
| FEI/EIN Number | 85-3530074 |
| Address: | 3117 INNOVATION DRIVE, SAINT CLOUD, FL 34769 |
| Mail Address: | 3117 INNOVATION DRIVE, SAINT CLOUD, FL 34769 |
| ZIP code: | 34769 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326619529 | 2021-07-08 | 2022-12-14 | 709 W NORTH BLVD STE B, LEESBURG, FL, 347485050, US | 3117 INNOVATION DR, SAINT CLOUD, FL, 347696501, US | |||||||||||||||||
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| Phone | +1 352-409-8943 |
| Phone | +1 407-477-2345 |
| Fax | 3523996936 |
Authorized person
| Name | JIBY JOSEPH |
| Role | PHARMACIST |
| Phone | 3524098943 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SIBY THOMAS | Agent | 2801 13TH STREET, 13 TH ST, SAINT CLOUD, FL 34769 |
| Name | Role | Address |
|---|---|---|
| JOSEPH, JIBY | Manager | 7650 PARK HILL AVE, LEESBURGE, FL 34748 |
| Name | Role | Address |
|---|---|---|
| puthenpurayil, siby thomas | MGR MEMBER | 3744 marietta way, st cloud, FL 34772 |
| Name | Role | Address |
|---|---|---|
| VARGHESE, ALPHONSAMMA B | MEMBER | 15835, Berea Dr Odessa, FL 33556 |
| ZACHARIAH, JACOB | MEMBER | 5439 Paradise cay circle, Kissimmee, FL 34746- |
| Ruiz, Carlos Javier | MEMBER | 1075 Hermossa Way, Kissimmee, FL 34744 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-27 | 3117 INNOVATION DRIVE, SAINT CLOUD, FL 34769 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-27 | 3117 INNOVATION DRIVE, SAINT CLOUD, FL 34769 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-27 | SIBY THOMAS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 2801 13TH STREET, 13 TH ST, SAINT CLOUD, FL 34769 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-27 |
| AMENDED ANNUAL REPORT | 2022-09-22 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-04-06 |
| Florida Limited Liability | 2020-10-12 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
